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~~~~~~~~.Tra~Nsactions MEDICO-CHIRURGICAL~~~~~~~~. TRA~NSACTIONS. PUJBLISJHED BY THE ROYAL MEDICAL AND CHIRURGICAL SOCIETY oF LONDON. VOLUME THE FORTY-THIRD. LONDON: LONGMAN, GREEN, LONGMAN, AND ROBERTS, PATERNOSTER ROW. 1860. MEDICO-CHIRURGICAL TRANSACTIONS. PUBLISHED) BY THE ROYAL MEDICAL AND CHIRURGICAL SOCIETY OF LONDON. SECOND SERIES. VOLUME THE TWENTY-FIFTH. LONDON: LONGMAN, GREEN, LONGMAN, AND ROBERTS, PATERNOSTER ROW. 1860. PRINTED BY J . B. 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 opinilons set forth in the various papers, which, on grounds of general merit, are thought worthy of being published in its Transactions. XLIII. a REGULATIONS relative to the publication ofthe " Proceedings of the Society." 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 a Copy of the Proceedings will be sent, postage free, to every Fellow of the Society resident in the United Kingdom. "The Proceedings of the Society" may be obtained by non-members at the Society's House, 53, Berners Street, 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 King- dom; 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 all cases they will be expected to furnish an Abstract of the commu- nication. That Abstracts of the papers read, will be furnished to the Journals as heretofore. ROYAL MEDICAL AND CHIRURGICAL SOCIETY OF LONDON. PATRON. THE QUEEN. OFFICERS AND COUNCIL., ELECTED MARCH 1, 1860. 7 xz ihtnt. FREDERIC CARPENTER SKEY, F.R.S. " THOMAS G. BALFOUR, M.D., F.R.S. J CHARLES- J. B. WILLIAMS, M.D., F.R.S. VICE-PRESIDENTS. HENRY CHARLES JOHNSON. SPENCER SMITH. ALFRED BARKER, M.D. FREASURER9. rTHOMASALEXANDER SHAW. rANDREW WHYTE BARCLAY, M.D. E CHARLES HEWITT MOORE. r EDWARD MERYON, M.D. LIBRARIANS. 1 GEORGE DAVID POLLOCK. ."CORNELIUS METCALFE STUART BABINGTON, F.R.C.P. WILLIAM RICHARD BASHAM, M.D. ROBERT DICKSON, M.D. DANIEL MACLACHLAN, M.D. OTHER MEMBERS EDWARD HENRY SIEVEKING, M.D. Or COUNCL. SAMUEL CARTWRIGHT, JUN. WILLIAM CATHROW. GEORGE LEWIS COOPER. CAESAR H. HAWKINS, F.R.S. JOHN PYLE. THE ABOVE FORM THE COUNCIL. F JAMES MONCRIEFF ARNOTT, F.R.S. TRUSTEES OF THE JAMES COPLAND, M.D., F.R.S. SOCIETY. EDWARD 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 1860-61. ARNOTT, JAMES MONCRIEFF, F.R.S. BALLARD, EDWARD, M.D. BLACK, PATRICK, M.D. BRODIE, SIR BENJAMIN COLLINS, BART., F.R.S. BROOKE, CHARLES, M.A., F.R.S. BUSK, GEORGE, F.R.S. CIIAMBERS, THOMAS KING, M.D. CLARK, FREDEIEICK LE GROS. COCK, EDWARD. FERGUSON, ROBERT, M.D. FERGUSSON, WILLIAM, F.R.S. FRERE, R. TEMPLE, M.A., F.R.C.P. GARROD, ALFRED BARING, M.D. GOODFELLOW, STEPHEN JENNINGS, M.D. GULL, WILLIAM WITHEY, M.D. HAWKINS, CHARLES. HENRY, MITCHELL. HEWETT, PRESCOTT GARDNER. JENNER, WILLIAM, M.D. JOHNSON, GEORGE, M.D. LAWRENCE, WILLIAM, F.R.S. LUKE, JAMES, F.R.S. MARKHAM, WILLIAM ORLANDO, M.D. MAYO, THOMAS, M.D., F.R.S. OLDHAM, HENRY, M.D. PAGET, JAMES, F.R.S. PEACOCK, THOMAS BEVILL, M.D. REES, GEORGE OWEN, M.D., F.R.S. SHARPEY, WILLIAM, M.D., F.R.S. SIBSON, FRANCIS, M.D., F.R.S. SMITH, WILLIAM TYLER, M.D. SOLLY, SAMUEL, F.R.S. STANLEY, EDWARD, F.R.S. THOMSON, ROBERT DUNDAS, M.D., F.R.S. WEST, CHARLES, M.D. WILSON, JAMES ARTHUR, M.D. 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. CAESAR HENRY HAWKINS. 1857. SIR CHARLES LOCOCK, BART., M.D. 1859. FREDERIC CARPENTER SKEY. FELLOWS OF THB 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. The figures succeeding the words Trans. and Pro. show the number of Papers which have been contributed to the Transactions or Proceedings by the Fellow to whose name they are annexed. OCTOBER 1860. Those marked thus (t) have paid the Composition Fee in lieu of further annual subscriptions. 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 Cheltenham General Hospital, 13, Suffolk square, Cheltenham. 1851 *HENRY WENTWORTH ACLAND, M.D., F.R.S., Physician to the Radcliffe Infirmary; Regius Professor of Medicine, and Clinical Professor in the University of Oxford. 1847 ELIAs ACOSTA, M.D., New York, U.S. 1842 WILLIAM ACTON, 17, Queen Anne street, Cavendish square. Trans. 1. ... Vll FELLOWS OP THE SOCIETY. Elected 1851 JOHN ADAMS, Surgeon to, and Lecturer on Descriptive and Surgical Anatomy at, the London Hospital; 4, St. Helen's place, Bishopsgate street. Trans. 2. 1852 WILLIAM ADAMS, Surgeon to the Royal Orthopeedic Hospital; Lecturer on Anatomy and Surgery at the Grosvenor place School of Anatomy and Medicine; 5, Henrietta street, Cavendish square. Trans. 2. 1837 *RALPH FAWSETT AINSWORTH, M.D., Physician to the Man- chester Royal Infirmary; Cliff Point, Lower Broughton, Manchester. 1819 GEORGE FREDERICK ALBERT. 1839 RUTHERFORD ALCOCK, K.C.T., K.T.S., H.M.'s Envoy Ex- traordinary and Consul-General in Japan. Trans. 1. 1826 JAMEs ALDERSON, M.D., F.R.S., Senior Physician to, and Lecturer on Clinical Medicine at, St. Mary's Hospital; 17, Berkeley square. S. 1829. C. 1848. T. 1849. V.P. 1852-3. Trans. 3. 1843 CHARLES JAMES BERRIDGE ALDIS, M.D., Medical Officer of Health for St. George's, Hanover square; Senior Phy- sician to the Surrey Dispensary; and Physician to the St. Paul and St. Barnabas Dispensary; 1, Chester terrace, Chester square. 1850 CHARLES REVANS ALEXANDER, Surgeon to the Royal Infirmary for Diseases of the Eye; 6, Cork street, Bond street. 1836 HENRY ANCELL, 3, Norfolk crescent, Oxford square. C. 1847-8. Trans. 2. 1820 THOMAs ANDREW$, M.D., Norfolk, Virginia. 1819 PROFESSOR ANTOMMARCHI, Florence. 1819 tJAMES MONCRTEFF ARNOTT, F.R.S., Surgeon in Ordinary to H.R.H. the Prince Consort; 2, New Burlington street. L. 1826-8. V.P. 1832-3. T. 1835-40. C, 1846, 1855-6. P. 1847-8. Trans. 8. 1817 tJOHN ASHBURNER, M.D., F.L.S., 7, Hyde Park place, Cumberland gate. C. 1821, 1830-1. 1851 THOMAS JOHN ASHTON, Surgeon to the Blenheim Free Dispensary; 31, Cavendish square. FELLOWS OF THE SOCIETY. ix Elected 1825 tBENJAMIN GuY BABINGTON, M.D., F.R.S., Physician to the Asylum for Deaf and Dumb, Colnsulting Physician to the German Hospital, and to the City of London Hospital for Diseases of the Chest; 31, George street, Hanover square. C. 1829. V.P. 1845-6. T. 1848. Trans. 2. 1846 CORNELIUS METCALFE STUART BABINGTON, F.R.C.P., Physician to Queen Charlotte's Lying-in Hospital, and Assistant-Physician to the Hospital for Sick Children; 29, Hertford street, May fair. C. 1859-60. 1820 *JOHN H. BADLEY, Dudley, Worcestershire. 1838 FRANCIs BADGLEY, M.D., Holyrood House, Great Malvern. 1840 WILLIAM BAINBRIDGE, late of Kingston, Surrey. 1836 ANDREW WOOD BAIRD, M.D., Physician to the Dover Hos- pital; Dover, Kent. 1851 *ALFRED BAKER, Surgeon to the Birmingham General Hos- pital, and Lecturer on Surgery at Sydenham College; Cannon street, Birmingham. 1839 tTHOMAs GRAHAM BALFOUR, M.D., F.R.S., Vice-President, Deputy Inspector-General of Hospitals; 10, Sumner place, Onslow square, Brompton. C. 1852-3. Trans. 2. 1848 EDWARD BALLARD, M.D., Medical Officer of Health for Islington; 7, Compton terrace, Upper street, Islington. Trans. 1. 1849 THOMAS BALLARD, 10, Southwick place, Hyde park. 1837 WILLIAM BALY, M.D., F.R.S., Physician Extraordinary to H.M. the Queen; Assistant-Physician to, and Lec- turer on Medicine at, St. Bartholomew's Hospital; 19, Queen Anne street, Cavendish square. C. 1845-6. L. 1847. S. 1848-9. V.P. 1855-6. T. 1859. Trans. 1. 1847 ANDREW WHYTE BARCLAY, M.D., Secretary, Assistant- Physician to, and Lecturer on Materia Medica at, St. George's Hospital; Medical Officer of Health for Chelsea; 23A, Bruton street, Berkeley square. S. 1857-9. Trans. 2. 1848 EDGAR BARKER, 9, Oxford square, Hyde park. x FELLOWS OF THE SOCIETY. Elected 1833 tTHOMAS ALFRED BARKER, M.D., Treasurer, Senior Phly- sician to, and Lecturer on Clinical Medicine at, St.
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