MEDICO-CHIRURGICAL TRANSACTIONS. PUBL1SHTED BY THE ROYAL MEDICAL AND CHIRURGICAL SOCIETY OF LONDON. IW- - VOLUME THE SEVENTIETH. LONDON: LONGMANS, GREEN, AND CO., PATERNOSTER ROW. 1887. MEDICO-CHIRURGICAL TRlANSACTIONS. PUBLISHED BY THE ROYAL MEDICAL AND CHIRURGICAL SOCIETY OF LONDON. SECOND SERIES. VOLUME THE FIFTY-SECOND. LONDON: LONGMANS, GREEN, AND CO. -PATERNOSTER ROW. 1887. PRINTED BY ADLARD AND SON, BARTHOLOMEW CLOSS. ROYAL MEDICAL AND CHIRURGICAL SOCIETY OF LONDON. PATRON. THE QUEEN. OFFICERS AND COUNCIL, ELECTED MARCH 1, 1887. 3s GEORGE DAVID POLLOCK. WILLIAM HOWSHIP DICKINSON, M.D. WILLIAM OGLE, M.D. VICE\PRESIDENTS. ARTHUR EDWARD DURHAM. THOMAS SMITH. CHARLES JOHN HARE, M.D. TREASURERS. TIMOTHY HOLMES. WALTER BUTLER CHEADLE, M.D. SECRETARIES. HOWARD MARSH. (WILSON FOX, M.D., F.R.S. (deceased). LIBRARIANS. 2 SAMUEL JONES GEE, M.D. (Elected June 14th, 1887). JOHN WHITAKER HULKE, F.R.S. FJOHN CAVAFY, M.D. SIR THOMAS CRAWFORD, K.C.B., M.D. JOSEPH FRANK PAYNE, M.D. RICHARD DOUGLAS POWELL, M.D. OTHER MEMBERS ARTHUR ERNEST SANSOM, M.D. OF COUNCIL. HENRY COOPER ROSE, M.D. MARCUS BECK. HENRY TRENTHAM BUTLIN. L JEREMIAH McCARTHY. CHARLES SISSMORE TOMES, F.R.S. THE ABOVE FORM THE COUNCIL. RESIDENT LIBRARIAN. J. Y. W. MAC ALlSTER. 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. SIR WILLIAM LAWRENCE, BART. 1833. JOHN ELLIOTSON, M.D. 1835. HENRY EARLE. 1837. RICHARD BRIGHT, M.D., D.C.L. 1839. SIR BENJAMIN COLLINS BRODIE, BAKT., D.C L 1841. ROBERT WILLIAMS, M.D. 1843. EDWARD STANLEY. 1845. WILLIAM FREDERICK CHAMBERS, M.D., K.C.1H. 1847. JAMES MONCRIEFF ARNOTT. 1849. THOMAS ADDISON, M.D. 1851. JOSEPH HODGSON. 1853. JAMES COPLAND, M.D. 1855. CIESAR HENRY HAWKINS. 1857. SIR CHARLES LOCOCK, BART., M1.D. 1859. FREDERIC CARPENTER SKEY. 1861. BENJAMIN GUY BABINGTON, M.D. 1863. RICHARD PARTRIDGE. 1865. SIR JAMES ALDERSON, M.D., D.C.L. 1867. SAMUEL SOLLY. 1869. SIR GEORGE BURROWS, BART., M.D., D.C.L. 1871. THOMAS BLIZARD CURLING. 1873. CHARLES JAMES BLASIUS WILLIAMS, M.i). 1875. SIR JAMES PAGET, BART., D.C.L., LL.D. 1877. CHARLES WEST. M.D. 1879. JOHN ERIC ERICHSEN. 1881. ANDREW WHYTE BARCLAY, M.D. 1882. JOHN MARSHALL. 1884. GEORGE JOHNSON, M.D. 1886. GEORGE DAVID POLLOCK. FELLOWS OF THE SOCIETY APPOINTED BY THE COUNCIL AS REFEREES OF PAPERS. FOR THE SESSION OF 1887.88. BAKER, WILLIAM MORRANT. BASTIAN, HENRY CHARLTON, M.D., F.R.S. BRUCE, JOHN MITCHELL, M.D. BRUNTON, THOMAS LAUDER, M.D., F.R.S. BUZZARD, THOMAS, M.D. CAYLEY, WILLIAM, M.D. CREIGHTON, CHARLES, M.D. CROFT, JOHN. CURNOW, JOHN, M.D. DUCKWORTH, SIR DYCE, M.D. DUNCAN, JAS. MATTHEWS, M.D., LL.D., F.R.S. ERICHSEN, JOHN ERIC, LL.D., F.R S. FAYRER, SIR JOSEPH, K.C.S.I., M.D., F.R.S. FENWICK, SAMUEL, M.D. GALABIN, ALFRED LEWIS, M.D. GANT, FREDERICK JAMES GERVIS, HENRY, M.D. GODLEE, RICKMAN JOHN. HARLEY, JOHN, M.D. HEWITT, GRAILY, M.D. HOWSE, HENRY GREENWAY. HUTCHINSON, JONATHAN, F.R.S. LANGTON, JOHN MACNAMARA, CHARLES. MOORE, NORMAN, M.D. MORRIS, HENRY. ORD, WILLIAM MILLER, M.D. PAGE, HERBERT WILLIAM, M.A., M.C. POORE, GEORGE VIVIAN, M.D. RALFE, CHARLES HENRY, M.D. STURGES, OCTAVIUS, M.D. TAYLOR, FREDERICK, M.D. WILLETT, ALFRED. WILLIAMS, JOHN, M.D. WOOD, JOHN, F.R.S. TRUSTEES OF THE SOCIETY. THOMAS BLIZARD CURLING, F.R.S. JOHN BIRKETT, F.L.S. TRUSTEES OF THE MARSHALL HALL MEMORIAL FUND. WALTER BUTLER CHEADLE, M.D. WILLIAM OGLE, M.D. THOMAS SMITH. LIBRARY COMMITTEE FOR THE SESSION. OF 1887-88. THOMAS LAUDER BRUNTON, M.D., F.R.S. WILLIAM CAYLEY, M.D. FRANCIS HENRY CHAMPNEYS, M.A., M.B. CHARLES ELAM, M.D. PHILIP HENRY PYE-SMITH, M.D., F.R.S. WILLIAM WATSON CHEYNE. CHARLES MACNAMARA. HERBERT WILLIAM PAGE. ROBERT WILLIAM PARKER. JOHN KNOWSLEY THORNTON. ( WALTER BUTLER CHEADLE, M.D. Elon. Secs HOWARD MARSH. "WILSON FOX, M.D., F.R.S. (deceased). SAMUEL JONES M.D. J-nis GEE, (Elected in.i .TJune 14th, 1887). LJOHN WHITAKER HULKE, F.R.S. FElJ L LO w S OP TT?P 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 thev are annexed. Referee, Sci. Com., and Lib. Com., with the dates of office, are attached to the names of those who have served on the Committees of the Societv. OCTOBER, 1887. Those marked thus (t) have paid the Compositiotn Fee in lieu of further annual subscriptions. Amongst the non-residents those marked thus (*) are entitled by composition to receive the Transactions. Elected 1846 *ABERCROMBIE, JOHN, M.D. 1877 ABERCROMBIE, JOHN, M.D., Assistant Phvsician to, and Lecturer on Forensic Medicine at, Charing Cross Hos- pital; 23, Upper Wimpole street, Cavendish square. Trans. 1. 1885 ABRAHAM, PHINEAS S., M.A., M.D., 29, Upper Montagu street, Montagu square. 1851 *ACLAND, SIR HENRY WENTWORTH, K.C.B., M.D., LL.D., F.R.S., Honorary Physician to H.R.H. the Prince of Wales; Regius Professor of Medicine in the University of Oxford; Broad street, Oxford. x FELLOWS OF THE SOCIETY. Elected 1885 ACLAND, THEODORE DYKE, M.D., Assistant Physician to St. Thomas's Hospital and to the Hospital for Consumption and Diseases of the Chest, Brompton; 7, Brook street, Hanover square. 1852 tADAMS, WILLIAM, Surgeon to the Great Northern Hospital and to the National Hospital for the Paralysed and Epi- leptic; Consulting Surgeon to the National Orthopmdic Hospital, Great Portland street; 5, Henrietta street, Cavendish square. C. 1873-4. Tranm. 3. 1867 AIKIN, CHARLES ARTHUR, 7, Clifton place, Hyde Park. 1837 *AINSWORTH, RALPH FAWSBETT, M.D., Consulting Physician to the Manchester Royal Infirmary; Cliff Point, Lower Broughton, Manchester. 1839 ALCOCK, SIR RUTHERFORD, K.C.B., K.C.T., K.T.S., D.C.L., late H.M.'s Envoy Extraordinary at the Court of Pekin. Trans. 1. 1866 ALLBUTT, THOMAS CLIFFORD, A.M., M.D., F.R.S., Physician to the Leeds General Infirmary; 35, Park square, Leeds. Tranm. 3. 1879 ALLCHIN, WILLIAM HENRY, M.B., F.R.S. Ed., Physician to, and Lecturer on Medicine at, the Westminster Hospital; 5, Chandos street, Cavendish square, W. 1863 ALTHAUS, JULIUS, M.D., Senior Physician to the Hospital for Epilepsy and Paralysis, Regent's Park; 48, Harley street, Cavendish square. Tranm. 2. 1884 ANDERSON, ALEXANDER RICHARD, Resident Surgeoin, General Hospital, Nottingham. 1881 ANDERSON, JAMES, A.M., M.D., Assistant Physician to the London Hospital; 84, Wimpole street, Cavendish square. 1862 ANDREW, JAMES, M.D., Physician to, and Lecturer on Medi- cine at, St. Bartholomew's Hospital; 22, Harley street, Cavendish square. S. 1878-9. C. 1881-2. Trans. 1. 1880 *APPLETON, HENRY, M.D., Staines. 1874 AVELING, JAMES H., M.D., Physician to the Chelsea Hos- pital for Women; 1, Upper Wimpole street, Cavendish square. FELLOWS OF THE SOCIETY. Xi Elected 1851 *BAKER, ALFRED, Consulting Surgeon to the Birmingham General Hospital; 3, Waterloo street, Birmingham. 1873 *BAKER, J. WRIGHT, Senior Surgeon to the Derbyshire General Infirmary; 102, Friargate, Derby. 1865 BAKER, WILLIAM MORRANT, Surgeon to, and Lecturer on Physiology at, St. Bartholomew's Hospital; Con- sulting Surgeon to the Evelina Hospital for Sick Children; Examiner in Surgery at the University of London; 26, Wimpole street, Cavendish square. C. 1878-9. Referee, 1886-7. Lib. Com. 1876-7. Trans. 7. 1869 BAKEWELL, ROBERT HALL, M.D., Ross, Westland, New Zealand. 1839 tBALFOUR, THOMAS GRAHAM, M.D., F.R.SF, Honorary Physician to H. M. the Queen; Surgeon General; Coombe Lodge, Wimbledon Park. C. 1852-3. V.P. 1860-1. T. 1872. Lib. Com. 1849. Trans. 2. 1887 BALL, JAMES BARRY, M.D., 29, Belgrave road. 1885 BALLANCE, CHARLES ALFRED, M.S., .56, Harley street, Cavendish square. Trans. 1. 1848 tBALLARD, EDWARD, M.D., Inspector, Medical Department, Local Government Board; 12, Highbury terrace, Islington. C. 1872. V.P. 1875-6. Referee, 1853-71. Lib. Corn. 1855. Trans.5. 1866 *BANKS, JOHN THOMAS, M.D., Physician in Ordinary to the Queen in Ireland; Physician to Richmond, Whitworth, and Hardwicke Hospitals; Regius Pro. fessor of Physic in the University of Dublin; Member of the Senate of the Queen's University in Ireland; 45, Merrion square, Dublin. 1886 BANKS, WILLIAM MITCHELL, M.D., Surgeon to the Liver- pool Royal Infirmary; 28, Rodney street, Liverpool. 1879 BARKER, ARTHUR EDWARD JAMES, Surgeon to University College Hospital, and Assistant Professor of Clinical Surgery and Teacher of Practical Surgery at University College, London; 87, Harley street, Cavendish square Trans. 5. X11 FELLOWS OF THE SOCIETY. Elected 1882 BARKER, FREDERICK CHARLES, M.D., Surgeon-Major, Bombay Medical Service [care of ARTHUR E. J. BARKER, 87, Harley street]. 1833 tBARKER, THOMAS ALFRED, M.D., Consulting Physician to St. Thomas's Hospital; 109, Gloucester place, Port- man square. C. 1844-5. V.P. 1853-4. T. 1860-2. Referee, 1848-51. Trans. 6. 1876 BARLOW, THOMAS, M.D., B.S., Physician to University College Hospital; Physician to the Hospital for Sick Children, Great Ormond street, and Assistant Physician to the London Fever Hospital; 10, Wimpole street, Cavendish square.