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gave an instance in which conception occurred after thehabit was cured. Reviewing the treatment of the morphiacraving he touched on the various plans : by abrupt stoppage(Lewinstein) ; more gradual lessening (Erlenmeyer) ; andthe middle course of ceasing to give the morphia after agradual decrease of the quantity had been carried over aperiod of from eight to twelve days. The last plan, combinedwith the use of various hypnotics, had given him the bestresults ; treatment by alcohol, chloral, opium itself, the sub-stitution of water, nitro-glycerine, &c., all failed. But it wasno part of his object to discuss treatment. His main pro-position was that in women suffering from subjective painand pain arising out of functional disorders of the uterus andovaries the risk of using morphia suboutaneously was great.

Mr. W. D. SPANTON showed the following specimens :(1) very large Cyst with Cystic Ovary removed from amarried woman aged thirty years; (2) Renal Calculus ofPhosphate of Calcium weighing 980 grains removed byRight Nephrolithotomy from a married woman aged forty-threeyears ; and (3) an Imperfectly Developed Ovary with largeGraafian Follicle removed from a married woman aged thirtyyears. In all these cases recovery followed.

Dr. LEITH NAPIER showed an Obstetric Forceps with aNew Lock, the invention of Dr. Bourke.

KIDDERMINSTER MEDICAL SOCIETY.

Removal of Testes for Enlarged Prostate, with notes oj twoSurgical Cases.-Searltt -Fe-ver. -Exhibition of Cages.

A MEETING of this society was held on April 5th, Mr. D.CORBET, President, being in the chair.

Mr. J L. STRETTON pave a farther report on the’Removal ofTestes for Enlarged Prostate in a patient whose case wasread at the last meeting. When discharged from theinfirmary on Feb. 20ch he was able to walk about; his urinewas clear and was passed naturally. A few days later heagain became delirious and much exhausted, and althoughhe recovered temporarily he gradually lapsed into the samecondition, and ultimately died on March 16th. At a

necropsy on the following day the body was found to beemaciated, the bladder distended with urine, its coats muchthickened, and its internal surface very irregular, largemuscular bands traversing it in all directions. The prostatewas about the size of a bantam’s egg and exhibited no

signs of tubercle. That the operation gave the patient reliefthere is no doubt; it materially reduced the size of the

prostate and restored the power of micturition. Had it beenundertaken at an earlier date, before his constitution was somuch impaired, it would probably have prolonged his life.A woman aged seventy years was admitted on March 5hwith Strangulated Umbilical Hernia. She had been rup-tured six or seven years, but had always been able to returnit. It had been strangulated about thirty-six hours, andshe had had fæcal vomiting, her general condition beingunsatisfactory. An incision was made over the tumour,and the bowel, which was dark and congested, was

returned after the ring had been nicked, the edges werefreshened and brought together with deep sutures, and theskin wound closed. The operation from the commencementof the aumsthetic occupied less than half an hour. shepassed flatus on the second day, the bowels acted on thefourth, and the stitches were removed on the sixth ; hergeneral condition had improved and she appeared to begoing on quite well. Two or three days later she passed bloodin her urine and became restless. She could not toleratethe catheter, and her symptoms became so grave that afurther operation was out of the question. She diedon April lst. At a necropsy twenty-four hours after deaththere was complete closure of the aperture at thesite of operation and no signs of peritonitis. The bladderwas thickened and contained two phosphatic concretions;there were two cavities in the right kidney containing pus,and a small ovarian cyst on the left side. Mr. J L. Strettonurged the importance of simplifying such operations to ensuretheir rapid performance, especially as there was the possibilityof other organs being involved, as in this case, without pre-senting any symptoms. A man aged twenty-two was bittenseven or eight years ago by a horse about the upper part of theabdomen and two cicatrices were left. Two years ago the

present condition commenced and had been graduallyincreasing. He was a well-developed healthy looking man.Over the lower part of the right chest in front was a

large mass of new growth whicb was irregular in outline

and had a mottled purple and red colour; it measured atthe base 4 in. across and 2 in. from above downwards.At the lower end of the sternum was a similar mass

1½ by 1¼ in. They were freely movable on the deeper tissuesand had a soft elastic feel at places. Both tumourswere removed by one incision, leaving a large surface whichcould not be covered by skin. He made an uninterruptedrecovery. Skin grafts were planted from time to time, andthe whole had healed in three months. Microscopicalexamination showed round-celled sarcoma.

Dr. EVANS showed a case of extreme Enlargement of theThigh Bone following Fracture

Dr. P. E DAviEs brought forward a female child agedeleven years suffering from Congenital Syphilis with well-marked Ulceration of the S3ft Palate, which he considereda rare condition.The PRESIDENT read a paper on Scarlet Fever.

LEEDS AND WEST RIDING MEDICO-CHIRURGICAL SOCIETY.

Impacted Gall-stone.-On certain Abnormalities of Convols.tion, and Structure in the Brains of the Insane.-Exhibitionof Specimens.A MEETING of this society was held on April 5th,

Mr. A. W. Mayo Robson, Senior Vice-President, being in thechair.

Dr. CHADWICK reported a case of Impacted Gall-stone(Jaundice, six years’ duration), where a solitary attack ofbiliary colic (January, 1889) was followed by jaundice, whichpersisted till death, six years later (December, 1894). Thecase when seen in 1892 was regarded as one of malignantdisease, there being hepatic enlargement, tenderness on

pressure, and much ascites, without any obvious splenicenlargement. When seen in 1894 the abdomen was retracted,there was no ascites, the spleen was enormously congested,and there was copious haamatemesis, followed by death in afew days. An impacted gall-stone was found post mortem.The case was interesting on account of its long duration.Xanthelasma was present in 1892, but was not demonstrablein 1894. No indication of any malignant change wasapparent anywhere.-The case was discussed by Mr. MayoRobson, Dr. Eddison, Dr. Major, and Dr. Barrs.-Dr.Chadwick replied.

Dr. W. LLOYD ANDRIF’ZEN (West Riding Asylum) gave ademonstrat,ion on certain Abnormalities of Convolution andStructure in the Brains of the Insane, illustrated with severalspecimens of crania and of brains in epileptic idiocy andimbecility, including also imbecile brains in which the

patients were not subject to epilepsy. Dividing the insanitiesinto two great classes, at one extreme of which hereditaryvice of organisation prevailed, it was shown that the abovepathological specimens came within the above category. Theinsanities at the other end of the scale include such asmania, melancholia, stupor, the toxic insanities (likealcoholic), &c., with the lat of which he had tully dealt else-where.I These latter presented no striking anomalies of con-formation or convolution, and many of them might be con.veniently included under the term "acquired" insanities.After showing that a large intermediate group of insanitiesexisted between these two extremes of the scale-a groupwhich he would with Marel, Magnan, Krafft-Ebing, andothers designate as a degenerative "group, it was shownhow these degenerates frequently exhibited not only certainpsycbical characters or stigmata, which stamped them !19

such, but also physical characteristics of physiognomy andof brain and bodily conformation (somatic stigmata),Reserving fuller details on these for a separate communica.tion, it was shown that in epileptic idiocy and imbecilitythe condition of cranial asymmetry was a striking and pre-ponderating feature ; and this the speaker proceeded tocorrelate with anomalies of brain development in thesesubjects. Case 1: An epileptic imbecile, fits since the age offour, right arm paralysed (with sclerosis and atrophy of theleft Rolandic area in the brain) but liable to some active (tonicand clonic) movement when a fit occurred. The conditionwas one mainly of microgyria with atrophy and sclerosis ofconvolutions on the left side generally, and with these aparallel atrophy of the right lobe of the cerebellum was alsoshown to exist. Case 2: An epileptic idiot, fits since infancy,

1 On Some of the Newer Aspects of the Pathology of Insanity.Brain, 1894.