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MEDICO-CHIRURGICAL TRAN SACTrIONS. PUBLISHED BY THE ROYAL MEDICAL AND CHIRURGICAL SOCIETY OF LONDON. VOLUME THE THIRTY-NINTH. LONDON: LONGMAN, BROWN, GREEN, AND LONGMANS, PATERNOSTER-ROW. 1856. MEDICO ICHIRtIRGICAL TRlANSACTIONS. PUBLISHED BY THE ROYAL MEDICAL AND CHIRURGICAL SOCIETY OF LONDON. SECOND SERIES. VOLUME THE TWENTY-FIRST. @)) 0 *2 4JAii 19' r LONDON: LONG.MAN, BROWN, GREEN, AND LONGMANS, PATERNOSTER-ROW. 1856. PRINTED BY J. E. ADLARD, BARTHOLOMEW CLOSE. ADVERTISEMENT. THE Council of the Royal Medical and Chirurgical Society deems it proper to state, that the Society does not hold itself in any way responsible for the statements, reasonings, or opinions set forth in the various papers, which, on grounds of general merit, are thought worthy of being published in its Transactions. THE Council having decided upon publishing " Proceedings of the Society," are anxious to lay the following Regulations before the Fellows: That as a general rule, the Proceedings will be issued every two months, subject to variations dependent on the extent of matter to be printed. That Copies of the Proceedings will be sent, postage free, to every Fellow of the Society entitled to receive the Transactions. The Proceedings of the Society" may be obtained of Mr. Adlard, Bartholomew Close, on prepayment of an annual subscription of five shillings, which may be transmitted either by post-office order, or in postage stamps ;-this will include the expense of conveyance by post to any part of the United Kingdom; to other places they will be sent, carriage free, through a bookseller, or by post, the receiver paying the foreign charges. That a notice of every paper will appear in the Proceedings. Authors will be at liberty, on sending their communications, to intimate to the Secretary whether they wish them to appear in the Proceedings only, or, in the Proceedings and Transactions; and in the latter case they will be expected to furnish an Abstract of the com- munication. That, in future, copies of the Proceedings will be furnished to the Journals at as early a period as possible after their publication, in lieu of the Abstracts formerly furnished by the Secretaries. At the same time the Council do not think it at all desirable to inter- fere with such Reports of the papers read before the Society, and the discussions upon them, as the Journals may obtain through their authorised Reporters. ROYAL MEDICAL AND CHIRURGICAL SOCIETY OF LONDON. PATRON. THE QUEEN. OFFICERS AND COUNCIL, ELECTED MARCH 1, 1856. CIESAR HENRY HAWKINS, F.R.S. rJOHN WEBSTER, M.D. F.R.S. WILLIAM BALY, M.D. F.R.S. VICE-PRESIDENTS. RICHARD QUAIN, F.R.S. FREDERICK LE GROS CLARK. r GEORGE CURSHAM, M.D. T THOMAS BLIZARD CURLING, F.R.S. { THOMAS BEVILL PEACOCK, M.D. SPENCER SMITH. { WILLIAM WEGG, M.D. LIBRARIANS. JOHN BIRKETT. rPATRICK BLACK, M.D. HENRY BENCE JONES, M.D. F.R.S. ALEXANDER PATRICH STEWART, M.D. THEOPHILUS THOMPSON, M.D. F.R.S. OTHER MEMBERS CHARLES WEST, M.D. OF COUNCIL. JAMES MONCRIEFF ARNOTT, F.R.S. JOHN ERICHSEN. HENRY LEE. GEORGE DAVID POLLOCK. IGEORGE JA-MES SQUIBB. TIHE ABOVE FORM THE COUNCIL. r JAMES MONCRIEFF ARNOTT, F.R.S. TRUSTEES OF THE^ JAMES COPLAND, M.D. F.R.S. SOCIETY. LEDWARD STANLEY, F.R.S. RESIDENT ASSISTANT-LIBRARIAN. BENJAMIN ROBERT WHEATLEY. FELLOWS OF THE SOCIETY APPOINTED BY THE COUNCIL AS REFEREES OF PAPERS, FOR THE SESSION OF 1856-57. BALLARD, EDWARD, M.D. BARLOW, GEORGE HILARO, M.D. BASHAM, WILLIAM RICHARD, M.D. BIRKETT, EDMUND LLOYD, M.D. BOWMAN, WILLIAM, F.R.S. BRODIE, SIR BENJAMIN COLLINS, BART., F.R.S. BUDD, GEORGE, M.D. F.R.S. BURROWS, GEORGE, M.D. F.R.S. CHAMBERS, THOMAS KING, M.D. COCK, EDWARD. DICKSON, ROBERT, M.D. FERGUSON, ROBERT, M.D. FERGUSSON, WILLIAM, F.R.S. GARROD, ALFRED BARING, M.D. GULL, WILLIAM WITHEY, M.D. HEWETt, PRESCOTT GARDNER. HILTON, JOHN, F.R.S. JOHNSON, GEORGE, M.D. LAWRENCE, WILLIAM, F.R.S. LEE, ROBERT, M.D. F.R.S. LOCOCK, CHARLES, M.D. LUKE, JAMES, F.R.S. MAYO, THOMAS, M.D. F.R.S. MOORE, CHARLES HEWITT. OLDHAM, HENRY, M.D. PAGET, JAMES, F.R.S. SHARPEY, WILLIAM, M.D. F.R.S. SHAW, ALEXANDER. SIEVEKING, EDWARD HENRY, M.D. SMITH, WILLIAM TYLER, M.D. SOLLY, SAMUEL, F.R.S. STANLEY, EDWARD, F.R.S. THOMPSON, SETH, M.D. THOMSON, ROBERT DUNDAS, M.D. F.R.S. TRAVERS, BENJAMIN, F.R.S. WARD, NATHANIEL. A LIST OF THE PRESIDENTS OF THE SOCIETY, FROM ITS FORMATION. ELECTED 1805. WILLIAM SAUNDERS, M.D. 1808. MATTHEW BAILLIE, M.D. 1810. SIR HENRY HALFORD, BART., M.D. G.C.H. 1813. SIR GILBERT BLANE, BART., M.D. 1815. HENRY CLINE. 1817. WILLIAM BABINGTON, M.D. 1819. SIR ASTLEY PASTON COOPER, BART., K.C.H. D.C.L. 1821. JOHN COOKE, M.D. 1823. JOHN ABERNETHY. 1825. GEORGE BIRKBECK, M.D. 1827. BENJAMIN TRAVERS. 1829. PETER MARK ROGET, M.D. 1831. WILLIAM LAWRENCE. 1833. JOHN ELLIOTSON, M.D. 1835. HENRY EARLE. 1837. RICHARD BRIGHT, M.D. D.C.L. 1839. SIR BENJAMIN COLLINS BRODIE, BART., D.C.L. 1841. ROBERT WILLIAMS, M.D. 1843. EDWARD STANLEY. 1845. WILLIAM FREDERICK CHAMBERS, M.D. K.C.H. 1847. JAMES MONCRIEFF ARNOTT. 1849. THOMAS ADDISON, M.D. 1851. JOSEPH HODGSON. 1853. JAMES COPLAND, M.D. 1855. ClESAR HENRY HAWKINS. FELLOWS OF THrE ROYAL MEDICAL AND CHIRURGICAL SOCIETY OF LONDON. EXPLANATION OF THE ABBREVIATIONS. P.-President. V.P.-Vice-President. T.-Treasurer. S.-Secretary. L.-Librarian. C.-Member of Council. OCTOBER 1856. Amongst the non-residents, those marked thus (*) are entitled by composition to receive the Transactions. Elected 1841 *JAMES ABERCROMBIE, M.D., Cape of Good Hope. 1846 *JOHN ABERCROMBIE, M.D., Physician to the General Dis- pensary, Cheltenham; Cheltenham. 1851 *HENRY WENTWORTH ACLAND, M.D. F.R.S., Phiysician to the Radcliffe Infirmary, Oxford. 1842 WILLIAM ACTON, 46, Queen Anne-street, Cavendish-square. 1818 WALTER ADAM, M.D., Physician to the Royal Public Dis- pensary, Edinbuirgh. 1851 JOHN ADAMS, Surgeon to the London Hospital; 4, St.Helen's- place, Bishopsgate-street. 1852 WILLIAM ADAMS, Assistant-Surgeon to the Royal Orthopeedic Hospital; Lecturer on Surgery at the Grosvenor-Place School of Anatomy; 5, Henrietta-street, Cavendish-sq. 1818 THOMAS ADDISON, M.D., Physician to, and Lecturer on Medicine at, Guy's Hospital; 24, New-street, Spring- gardens. C. 1826. V.P. 1837. P. 1849-50. C. 1853. 1814 JOSEPH AGER, M.D., 85, Great Portland-street, Portland- place. C. 1836. x FELLOWS OF THE SOCIETY. Elected 1837 *RALPH FAWSETT AINSWORTH, M.D., Manchester. 1819 GEORGE FREDERICK ALBERT. 1839 RUTHERFORD ALCOCK, K.C.T. K.T.S., China. 1826 JAMES ALDERSON, M.D. F.R.S., Physician to, and Lec- turer on Clinical Medicine at, St. Mary's Hospital; 17, Berkeley-square. S. 1829. C. 1848. T. 1849. V.P. 1852-3. 1843 CHARLES JAMES BERR1DGE ALDIS, M.D., Medical Officer of Health for the Parish of St. George, Hanover-square; Senior Physician to the Surrey Dispensary; and Phy- sician to the St. Paul and St. Barnabas Dispensary; 1, Chester-terrace, Chester-square. 1850 CHARLES REVANS ALEXANDER, Assistant-Surgeon to the Royal Infirmary for Diseases of the Eye; 6, Cork- street, Bond-street. 1813 HENRY ALEXANDFR, F.R.S., Surgeon-Oculist in Ordinary to the Queen, and Surgeon to the Royal Infirmary for Diseases of the Eye; 6, Cork-street, Bond-street. C. 1822, 1840. V.P. 1850. 1836 HENRY ANCELL, 3, Norfolk-crescent, Oxford-sq. C. 1847-8. 1817 ALEXANDER ANDERSON. 1820 THOMAs ANDREWS, M.D., Norfolk, Virginia. 1813 WILLIAM ANKERs, Knutsford. 1819 PROFESSOR ANTOMMARCHI, Florence. 1819 JAMES MONCRIEFF ARNOTT, F.R.S., 2, New Burlington- street. L. 1826-8. V.P. 1832-3. T. 1835-40. C. 1846, 1855-6. P. 1847-8. 1817 JOHN ASHBURNER, M.D., F..L.S., 7, Hlyde Park-place, Cumberland-gate. C. 1821, 1830-1. 1851 THOMAS JOHN ASHTON, Surgeon to the Blenheim Dispensary; 31, Cavendish-square. 1825 BENJAMIN GuY BABINGTON, M.D. F.R.S., Physician to the Deaf anid Dumb Iistitution; 31, George-street, Hanover- square. c. 1829. V.P. 1845-6. T. 1848. 1846 CORNELIUS METCALFE STUART BABINGTON, L.R.C.P., Phy- sician to Queen Charlotte's Lyin-in Hospital, and Assistant-Physician to the Hospital for Sick Children; 29, Hertford-street, May-fair. 1820 *JOHN H. BADLEY, Dudley. FELLOWS OF THE SOCIETY. Elected 1838 FRANCIS BADGLEY, M.D., Toronto, Upper Canada. 1840 WILLIAM BAINBRIDGE, Kingston, Surrey. 1836 ANDREW WOOD BAIRD, M.D., Ipswich. 185 1 *ALFRED BAKER, Surgeon to the General Hospital, Bir- mingham. 1839 TH;OMAS GRAHAM BALFOUR, M.D., Royal Military Asylum; Chelsea. C. 1852-3. 1848 EDWARD BALLARD, M.D., Lecturer on the Practice of Medicine at the Grosvenor-Place School of Medicine, and Medical Officer of Health for Islington; 42, Myd- dleton-square. 1849 THOMAS BALLARD, 10, Southwick-place, Hyde-park. 1837 WILLIAM BALY, M.D. F.R.S., Vice-President; Assistant- Physician to, and Lecturer on Medicine at, St. Bartho- lomew's Hospital; Physician to the Milbank Prison; 45, Queen Aune-street, Cavendish-square. C. 1845-6. L. 1847. S. 1848-9. V.P. 1855. 1847 ANDREW WHYTE BARCLAY, M.D., Physician to the Chelsea Dispensary; Medical Officer of Healtlh for Chelsea; 23A, Bruton-street, Berkeley-square. 1848 EDGAR BARKER, 9, Oxford-square, Hyde-park. 1833 THOMAs ALFRED BARKER, M.D., Physician to, and Lecturer on Medicine at, St. Thomas's Hospital; 71, Grosvenor- street. C. 1844-5. V.P. 1853-4. 1843 THOMAS HERBERT BARKER, M.D., Priory-terrace, Bedford. 1847 GEORGE HILARO BARLOW, M.D., Physician to Guy's Hos- pital; 5, Union-street, Southwark.