224

mouth ; the tongue was brown, and thebowels costive ; the pulse was quick andsmall ; she had been bled without benefit.The treatment adopted by Dr. Elliotson

was as follows ; it proved highly successful,and the patient left the Hospital on the12th of April, quite well :-Cupping in theleft hypochondriac region to the amount ofa pound ; two minims of hydrocyanic acid,(the dose subsequently increased to threeminims,) three. times a-day. The frequentapplication of leeches to the epigastric re-gion, and exhibition of ten grains of cathar-tic extract every night.

GUY’S HOSPITAL.

èAStI. OF GANGRENE OF THE FEET, OCCURRINGIN AN OLD WOMAN, FROM OSSIFICATION OFTHE ARTERIES.

TfIE following was considered as a well-marked instance of what is termed gangrenasenilis, mortification affecting the extremi-ties of an old person, and accompanied withan ossified condition of the arteries.

Catharine Price, a spare debilitatedwoman, 80 years of age, was admitted intothe Hospital on the 21st of March, underthe care of Mr. B. Cooper, on account ofgangrene of both feet. The poor womanwas an inmate of St. Saviour’s workhouse,and she stated, that about ten weeks priorto admission into the Hospital she was at-tacked in the night with tingling pains inthe toes of each foot, extending to the an-cles. The sensation experienced, she com-pared to being " pricked with pins andneedles," and on the following morning shefound that one or two toes were black andswollen. The whole of the toes became

very gradually affected in a like manner,first tumefying and then changing colour.When admitted, the integuments of thetoes on each foot, as far as the heads of themetatarsal bones, were in a complete stateof gangrene, black and dry, without anyline of demarcation between the dead andliving parts. The disease, as we remarkedabove, had been very gradual in its progress,and was not attended with pain. She hadbeen attended by the parish apothecary,Mr. Rowley, who merely recommended thefree exhibition of diffusible stimuli, withouthaving recourse to any local application.The pulse at each wrist was feeble, but didnot indicate an ossified condition of the ves-sel. The plan of treatment adopted by Mr.B. Cooper, on the day subsequent to ad-

mission, was as follows:—The nitric acidlotion (50 drops of the acid to a pint ofwater) to be applied to the parts by meansof pieces of lint, and over these a linseedmeal poultice to be laid.

Sulphate of quirriue, two grains ;Julep of ammonia (P. G.) an ounce and half;Tincture of cardamons, one drachm ;

to be taken three times a-day. Two pintsof porter daily, with generous diet.Under this plan of treatment, a line of

demarcation formed in the course of a few

days, but the process of casting off the,

sloughs was, owing to the low state of vita.lity in the living parts, so exceedingly slow,that little or no further progress was made.Every means of rousing the vis vitae was hadrecourse to, brandy and wine were freelyadministered without avail ; the poor wooman gradually sunk, and died on the 24thof April.The body was examined by Dr. Hodg.

kin, and there was found to be ossificationof the greater part of the large arteries ofthe body. The descending aorta and theiliacs were very much diseased, as were alsothe principal branches in the legs.

SURGEONS’ PETITION.

Additicnal Subscriptions.Thomas Martin, Esq., Reigate, £ .!. d

(second subscription.) ...... 1 0 0J. Perrott, Esq., Mitcham .... 1 0 0

T. Steele, Esq., Reigate ...... 1 0 0

J. Ellery, Esq., Cranley ..... 1 0 0

W. Allison, Esq., Nottingham .. 100 0

TO CORRESPONDENTS.’ Communications have been received fromMr. PERCIVALL—Mr. WATERWORTH—Mr.R. VINES—Mr. FRANCIS Fox—ANTI-Mo-NOPOLIST—THE SCOTCH CRITIC-’ *,withMr. WOOLLASTON’S pretty " Circular"—A.B.—CHIRURGUS, with Brodie’s canvassing" Circular" for RosE-E. J. G.—PHŒNIX—No BAT-E- Y-, —GLASGUENSIS.The Letter of Mr. PERCIVALL shall be

inserted in our next. Meanwhile we shouldlike to know how he effects F1’og-pre5sure.

E. J. G. should recollect that CARLISlE’Sare not anonymous Letters, and that conse-quently they ought not to be answered bysuch. In cracking the OYSTER we must takecare to avoid the toes of the Lawyer.The report of the SURGEONS’ PETITION

having been withdrawn, is 11 a weak inven-tion of the enemy."GLASGUENSIS arrived much too late to be

inserted in the present Number; in truth,we have not yet read it.

Will our correspondent who writes re-specting a speech on the " reptile press,

"

favour us with his address confidentially, ofcourse.