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University of London in this respect, the Council of The High Sheriff of the Coanty of Warwick. Queen's College feel that they cannut do otherwise The Dean of the Cathedral of Worcester. than recognize in the projected regulations an improve. The Archdeacon of the Archdeaconry of Coventry. mept upon that state and practice. At the same time, The Mayor of the Borough of Birmingham. while the Council feel unable to gire an opinion, The High Bailiff of the Manor of Birmingham. whether there may not be circumstances attending the The Rector of Saint Martin, Birmingham. position and constitution of the University, which The Rector of Saint Phillip, Birmingham, repders any further movement in the direction of the have been appointed by the Crown, for the time being proposed change impossible, they feel bound, in respectively, by virtue of their respective offices, memaccordance with the constitution of their own College, bers of the Council. To give encouragement to such to state they can only look on the regulations as as manifest diligence and acquirement in their representing an imperfect approximation to what they spective studies, the Council have received under the consider essential to a course of regular and liberal charter the power to elect such as hold a diploma in education.

medicine or surgery, or are graduates in medicine, law, I have the honour to be, Sir,

or arts, or such members of the Birmingham Royal Your obedient servant,

School of Medicine and Surgery, to the honourable R. W. Rothman, Esq.,, * LYTTELTON.

distinction of " Fellows,” with such powers and privi. Registrar.

leges as may be determined upon from time to time, Your Council have since learnt that the proposed under the bye-laws, and in connection with this regulations were not submitted to the Senate of the privilege, the Council deem it especially incumbent on University.

them to call the attention of the wealthy friends of The next important subject to which your Council education to the fact that, by their Charters, they are have to direct your attention, is an especial 'mark enabled to accept on behalf of the said College, of Royal favour, conferred on the College in the gifts and endowments to a large amount, for promoting grant of a Supplemental Charter of Incorporation, particular objects of education-viz., by the foundation It had been suggested by your great benefactor and of Scholarships, Exhibitions, and Fellowships, and it is Visitor, and it appeared to your Council desirable, hoped that ere long, such may be established to assist that the Crown should be petitioned for additional the studies of the deserving student. powers, in order to gire permanency to your extended It ought to be gratefully recorded by your Council, system of education, which system, in respect of that the wbole of the heavy expenses attendant on instruction, in addition to all the departments of obtaining the supplemental charter, have been defrayed medicine and surgery before laught, now embraces a by the Rev. Dr. Warpeford, your Visitor, and Mr. wide range of literature, science, and art, together Chancellor Law, your Vice-Principal. with lectures on the doctrines and duties of Christianity In reference more particularly to the senior departaccording to the teaching of the Church of England. ment of the College, your Council reports that it has

It bad farther appeared to the Council desirable, io / very fully maintained its former character. The proendeavour to obtain consolidation of the union between fessor's records of the attendance at the classes, placed the College and the Queen's Hospital, by incorporating on the table at the Monthly Boards, bare afforded the Hospital with the College, the Hospital having proofs of diligence and regularity, and the class examibeen erected upon resolution of your Council in 1814. nations have been favourably noticed by the examiners, On a petition founded on these views and recently. As a mark that the students themselres have apprepresented, Her Majesty has been graciously pleased to ciated the importauce of the system of moral and confer*on your Principal and Council, powers to be religious discipline provided in the College, the Council “able and capable in law to take, purchase, and hold cannot forbear mentioning that a subscription has been for the use of the said Queen's College, and for the use | set on foot among them, and nearly completed, for of the said Queen's Hospital, in Birmingham, any goods, placing a window of painted glass in the College chattels, and personal property, whatsoever ; and shall chapel. also be able and capable in law, notwithstanding the Some new suggestions as to the residence and disci. statutes of mortmain, to take, purchase, and hold to pline of the non-resident students have been adopted, them and their successors, not only all such lands, in accordance with the report of a sub-committee, as buildings, hereditaments, and possessions, as may follows:- Non-resident students will be admitted to from time to time be exclusively used for the sites and either department, to reside with their parents or immediate parposes of the said College and Hospital guardians, or with a relation or friend selected by their respectively, but also for the use and maintenance of parents or guardians, and approved by the Council. the said College, any other lands, tenements, and The senior students will be allowed to reside in lodgings hereditaments, and possessions, whatsoever, not exeeed approved by the senior tutor and Dean of the Faculty. ing the annual value of £2500. And also for the use The senior tutor and Dean of the Faculty are authorized and maintenance of the said hospital any other lands to enquire into the habits and general conduct of the tenements, hereditaments, and possessions whatsoever, out-students at their respective residences, and to report Dot exceeding the annual value of £2500."

to the Council thereupon at the end of every term. To give perpetual succession to the Council, 1 Out-students, if members of the Church of England,

The Lord-Lieutenant of the County of Warwick. will be required to attend Divine Service every Sunday

in the College chapel, unless the parent or guardian ofl of the late Dr. Felix Thibert; but in the further the student requests the attendance of such student at prosecation of that object, the Dean of the Faculty his own place of worship. If the student be attached has been promised already material assistance from to any other communion, he will be expected to attend the patrons and friends of your College. at the place of worship belonging thereto every Sunday. In the library of medical science, there has been no Non-resident students will be allowed to attend the material change within the year; to the library of weekly services at the College chapel, and to dine in general literature your generous Vice-Principal has the College hall, either regularly or occasionally, on added to his former contribution upwards of 800 giving such notice, and paying such sum, as shall be volumes. fixed by the Council."

| [The report here bears merited testimony to the In furtherance of the great object of completing exertions in behalf of the College, of the Principal, the system of collegiale discipline, and with a view to Lord Lyttleton; the Vice-Principal, Mr. Chancellor induce the utmost possible number of students to Law; the Dean of the Faculty, Mr. Sands Cox; the become resident, it appears to your Council to be several Tutors, and Masters; and in conclusion anhighly desirable to complete the College rooms, and to nounces the award of prizes.] erect a theatre for lectures, laboratory, and gymnasiam,

JUNIOR DEPARTMENT. according to the original plans of the College, furnished by your able architects, Messrs. Bateman and Drury,

Prizes awarded at the end of the Winter Session. at the earliest period that shall be practicable: and | Classics, W. H. Fryer, Coleford. the Council have again the pleasing duty of recording

Mathematics, A. Wall, Stratford-on-Avon. " that Dr. Warneford, in his unvarying desire to promote Chemistry, W. Edney, Craig Kilmarnock. the great ends of the College, has generously contributed

College, nas generously contributed | Prizes awarded at the end of the Summer Session. to that object the sum of £500., which has been placed | Theological Prize, tn the account of “a building fand." Miss Burdett Mathematical Tutor's Prize, W. H. Fryer, Coleford. Coutts has further added the handsome donation of Medical Tutor's Prize, £100. The Council has much gratification in record

SENIOR DEPARTMENT. ing also that the Right Rev. the Bishop of St. David's,

Prizes awarded at the end of the Winter Session. has enrolled his name in the list of Honorary Governors,

| Anatomy and Physiology, Peter H. Bird, London. and has contributed a donation of £20. to the general


A. H. Paterson, Stourbridge. purposes of the College.

Practice of Physic, Peter 8. Bird, London. In order to protect the College buildings, your


- Brown. Council have found it necessary to obtain an injunction Materia Medica.

- Moore, Halesowen. from the High Court of Chancery against the Directors of the Birmingham and Stour-alley Railway Com.

Demonstrator's Prize,

SG. Hodges, Ludlow,

P. H. Bird, London. pany, whose operations in forming their tunnel have

Prizes awarded at the end of the Summer Session. injured your property.

Chemistry, T. C. Lane, Grosmont. Some changes, such as from various causes must from | Bota ny,

Thos. Lowe, Birmingham. time to time occur, in the several departments of the Forensic Medicine, H. T. Whittle, Leamington. College, have taken place in the last year. Dr. Tilley has Certificate, 0. V. Barratt, Birmingham. Tetired from illness, and Mr. Shaw has been elected in

The prize of fire guineas, offered by T. E. Piercy his room to the chair of Chemistry, an appointment

Esq., for the best examination in German, has been from which very high expectations are justly enter.

obtained by E. A. J. Wilkinson, Northleach. The tained. Dr. Sandys, from a change of residence, has

prize of five guineas, offered by Dr. Smith, for the best also resigned the office of Physician to the Queen's

examination in the French language, has been decided Hospital, which has been filled up by the election of

in favour of Mr. Stead. Dr. Wright, who, like his predecessor, has pledged

Mr. Ireland, of Malmsbury, and Mr. Lape, of himself, “after a reasonable time for prepara!ion, to

Grosmont, have this year gained the Warneford scholarteach in the College any department of medical educa.

ships, by regularity at chapel, general good conduct, tion, upou a request to that effect from the Council and

and successful examination. Professors, provided such department should not be

The Warneford gold medals, the Jephson prize of inconsistent with the province of a physician." But few additions inave been made during the past

twenty guineas, and the gold medals offered by Pro

fessors Davies and Cox, for the best clinical reports of year to your museums, in consequence of the heavy

medical and surgical cases treated at the Queen's expenses attendant on the extension of the College

Hospital in their practice, are still under consideration. system; but an application was made to the Radcliffe trustees for a grant to promote the objects of your College, which, although not successful at the present time, it is

General Retrospect. boped will eventually be of service, and enable your Council to purchase philosophical apparatus, and expen.

PATHOLOGY. sive books of plates, &c. Your Council, under these cir.

PARALYSIS IN THE INSANE. camstances, have only been able to vote a very limited | The following communication is contained in the sam towards the purchase of the pathological museum | Union Médicale, from M. Baillarger, physician to

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the Salpétrière. There is a form of paralysis met with intelligence and mania are two things quite different. smong, and apparently confined to, the insane, but one 'In one case given by Bayle, the patient answered which presents many features of great interest both to questions rationally, and appeared sensible of his the physician and physiologist, and to the intellectual unfortunate situation; and it was not till the general philosopher. It has been a question among authors, paralysis had lasted three months that deliriom superwhether the disease commences with the disorder of vened. In another case the patient only suffered from intelligence, or by the lesion in the movements. M. a great defect of memory, talking with reason, but Baillarger says, the error of those physicians who repeating the same inquiries, and thus continued till regard the lesion of the movements as rarely preceding death. These cases are more frequent than is generally that of the intelligence, lays in this,—that they have thought. We may say, then, that general paralysis Dot paid sufficiept attention to the passing symptoms of may exist without delirium. paralysis. A patient is attacked with cerebral con. The facts indicaied will go to establish the follow. gestion and loss of consciousness; when he recovers, ing:-1. That in general paralysis lesions of movement some embarrassment is noticed in his speech. This most frequently precede the sigcs of loss of intelligence. symptom rapidly fades away, but after some hours or 2. That the defect of intelligence ceases before the some days a delirious state of the mind sapervenes, disappearance of the symptoms of paralysis, when the marked by a predominance of ambitious ideas. The disease tends to a cure. 3. That general paralysis may lunatic now examined presents no difficulty in his exist in many cases without delírium. And they speech ; and, as yet, no feebleness of the lower limbs is establish the opinion, that the lesion of movement is noticeable. After some months, a year, or even more, the primitive and principal element;-that the mental evident symptoms of general paralysis offer themselves, | alienation is a secondary phenomenon, but absent in either spontaneously, or after a fresh attack of cerebral many cases;- that mania and general paralysis are congestion. All the cases of tbis description are set independent and distinct maladies. down as those where general paralysis is consecutive to

SURGERY. intellectual disorder. To view them thus appears wrong, for the lesion of movement marks the onset of ON THE BEST MODE OF OPENING CERTAIN ABSCESSES. tbe malady, although it rapidly passes away. Some- | Dr. Hargrave criticizes the ordinary practice of times, indeed, the lesion of motion is still less marked,

less marked, opening abscess in the groin by an incision parallel for there may be but attacks of giddiness and partial to Poupart's ligament. He states that in this case ipsensibility, liable to frequently recur, but, neverthe.

the lips of the wound are never at rest, being con. Jess, followed by the development of those ambitious tinually displaced by the movements of the abdomen Dotions which characterize the unsound mind in general

and by the motions of the thigh, which movements paralysis. In short, then, a disorder of the intellect

cannot be entirely prevented by the best adjusted often precedes the permanent establishment of the

bandages. These unpleasant results can, he observes, symptoms of general paralysis; but it is itself, in be always obviated by opening the abscess by an almost all cases, preceded by short-lasting lesions of incision at right angles to Poupart's ligament. By this movement.

practice the abscess is fully evacuated, the lips The contrary opinion, held by many, is explicable, of the wound assume an oval figure, they remain in from the following reasons :-1. They have not dis

repose, not being affected by the abdominal movements, tinguished between the passing and permanent lesions

and wben the incision heals, the mark is scarcely of the movements. 2. The slight lesions of motion

apparent. are often suspended, or, so to speak, masked in excited

There are certain deep-seated abscesses, occasionally patients. 3. In most cases the accounts given by met with in localities rendered dangerous by the friends hare been trusted to, whereas they should not. 4. prosimity of large vessels, such as the calf of the leg, The slight signs of paralysis, which occur among some the sole of the foot, and the neck. Dr. Hargrave asks patients at irregular intervals, have been overlooked. when the abscess is in the calf of the leg, at a con.

This question as to the priority of the lesion mani. siderable distance from the surface, between the thick fested at the beginning of general paralysis being superficial, and deep layer of muscles, and in the settled, there is yet another respecting the order in vicinity of the popliteal space, are we to cut boldly which the symptoms disappear in those cases-very down to the matter, as is advised by some sargeons ? rare though they be in which an improvement takes Dr. Hargrave thinks not, but recommends instead, that a place, or still more rarely, recovery. When an amelio. careful examination be made along the external and ration of the symptoms of general paralysis takes internal part of the leg; and if the abscess points place, it is not alike in the two kinds ; the disordered externally, to make the incision parallel and posterior intelligence disappears, but the paralysis persists or to the fibula, which will allow of the separation of the declines much more slowly than the former.

muscles, and puncture of the abscess without risk. General paralysis never arrives at its last stage In opening abscess in the sole of the foot, in which without the enfeebling, or even the abolition, of the the matter has a tendency to pass through the metaintelligence; but there are numerous cases in which tarsal spaces, and to point on the dorsum of the foot, delirium is wanting. Such patients are no more he advises that the pus be evacuated, not by a direct lunatics than are those apoplectics who fall into a state puncture through the sole of the foot, but by incising of dementia. The pure and simple abolition of the along the outer edge of the foot, vear the fifth metatarsal

bone, .when, by dividing the subjacent tissues, the found in Dr. Ranking's “Half-yearly Abstract," vol. 2, very centre of the sole of the foot may be reached p. 172.) His paper concludes with the following propowithout danger of wounding any important part.- sitions, which he bad previously published in the Dublin Medical Press, June 2, 1847.


1. Inflammatory ulceration of the uterine neck is not FISTULA.

an uncommon disease in the gravid uterus, although The peculiarity of this operation consists in attaching hitherto overlooked. the two sides of the abdominal opening firmly together,

2. When this disease exists in the pregnant state, on the principle of the tongue and groove, so as to its symptoms are the same as in the non-pregnant get four raw surfaces into contact, and thus increase female, but obscured and modified by pregnancy. the chances of union by first intention. The operation! 3. It is a frequent cause of disordered health during is thus conducted :

pregnancy, or of “laborious pregnancy." It is also Having exposed the orifice by a Charriere's speculum,

one of the most frequent causes of abortion, both in from which the sliding blade is removed, the first

the early and the latter months of pregnancy. It may object is to split ap the posterior margin of the fistula

occasion abortion, either directly, by reflex action, or to the depth of half an inch. with sharp pointed indirectly, by giving rise to disease of the orum or bistoury; the edges of the other lip are then pared

placenta, or to uterine hæmorrhage. off, so as to bring it into a wedge sbape, first reverting

4. The instrumental examination of females labourit with a blunt hook, and trimming off the vesical

ing under inflammatory ulceration of the cervix during mucous membrane with the curved scissors, and then

pregnancy, is unattended with any risk, either to the detaching the vaginal mucous membrane in like

mother or to the fætus; and it is absolutely necessary, manner, to the breadth of three quarters of an inch,

in order not only fully to recognize the disease, but along the whole extent of the lip. This is a difficult,

also to treat it. but important, part of the process. The next object

5. The treatment of these forms of uterine inflam. is to insert the raw wedge or tongue into the groove

mation must be governed by nearly the same rules in of the opposite lip of the fistula, and to retain them

ihe pregnant state as in the non-pregnant state. A in apposition. This is accomplished by a peculiar

properly conducted treatment is nearly always successful suture, which the operator calis the "plastic.” The

in preserving the life of the child and the integrity of threads are passed with short sharply-curred needles;

the pregnancy, as well as in curing the inflammatory a fine catheter is then passed, and cold applied to the

and ulcerative disease. It is also the only means a vulva to moderate re-action. Subsequently sulphate

possess of warding off the imminent danger of abortion of zinc injections are used.-Medical Examiner, May.

to which the patient is exposed.

16. This form of uterine inflammation being, geneSIMPLE METHOD OF EXTRACTING PINS OR OTHER

rally speaking, the cause of those repeated and successive SHARP BODIES FROM THE URETHRA.

miscarriages which prevent females giving birth to a M. Boinet relates two cases in which the patients, in living child, it is only by curing it that we can hope to introducing pins into the urethra, under, or for the

make them bear the product of conception to its fall purpose of producing, venereal excitement, had allowed period. them to escape from their hands. In each case he

7. The serious inflammatory and hæmorrhagic sympwas enabled to extract them by the following simple

toms which sometimes follow abortions, are generally process:

occasioned by unrecognized inflammatory ulceration of He first passes a finger into the rectum, if necessary, the uterine neck. On investigation, it often becomes or presses it against the lower part of the arethra, so

evident that this disease existed previous to the as to form a point of resistance to the head of the pin; abortion, and occasioned it. The same remark may he then bends the penis directly over the point, and

| apply to some cases in which the above mentioned forces the latter out through the walls of the urethra;

urethra ; symptoms precede and follow labour at the full time, the pin is then seized, and readily extracted. No

as ulceratve inflammation of the cervix in the pregnant injurious consequences followed the perforation of the

state is by no means necessarily followed by abortion. urethra in the cases related.-Journ. des Conn. Medico

8. Although inflammatory ulceration of the cerris Chirurg.

seems generally to be a cause of sterility, yet, as prin MIDWIFERY.

appear from the above essay, there are frequest

exceptions to the rule. In some females, the tendene ULCERATION OF THE CERVIX UTERI A CAUSE OF ABORTION.

to become impregnated is so great that no amount of Dr. H. Bennet has placed a communication in the

uterine disease appears to prevent conception taking Lancet, with the object of vindicating himself from the

place. charge of having only incidentally alluded to the

MATERIA MEDICA. above cause of abortion, wbich is brought against him

EFFECTS OF COFFEE ON SULPHATE OF QUININE. in a work recently published by Mr. Whitehead. Dr. M. Desrouves having made known the fact that do Bennet clearly shows that he had somewhat strongly aqneous infusion of roasted coffee destroyed the biiter insisted upon the above lesion as a cause of abortion, taste of salphate of quinine, (a fact, by the by, wbica and that it had been still earlier commented upon by has been long known in Martinique and elsewhere.) Boys do Loury, (This latter author's remarks may be M. Martin was of opinion, that come inrestigation

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should be had on the nature of the re-action of themselves respecting them, as well as in regard to the these two substances on each other, before medical respective motives of a member of the Council of the men employed coffee as a vehicle for quinine, and Provincial Association, and a member of the Council of accordingly made some experiments on them. On the Institute. mixing the quinine in powder with coffee a re-action The force of a quotation is dependent upon its exact was instantly caused; part of the sulphate of quinine and perfect adaptation, and it is very evident that the united with the tannin of the coffee with which it Doctor's quotations have a far greater affinity to himself formed an insoluble compound ; another portion of the than to me, as lo “ the leather,” since the Doctor bas salt united with the fatty oil and vegetable extractive

said " that because the Council differ from him in opinion into a pasty mass; and a third portion combined with

they do not think rightly," the leather adheres too the free acids always found in infusion of coffee. M.

tenaciously to him lo be ever brushed off—it is indelible!

Although a foretaste of Secretary of State Medical Martin found that coffee was not the only infusion

Legislation has been quite sufficient to satisfy me, yet, that precipitated the solutions of sulphate of quinine;

I canno: object to Dr. Shearman's desire to see such tea also formed insoluble compounds with it, and a

legislation; for we may readily agree to differ in opinion marked difference could be perceived in the action of

(if he will agree,) respecting this matter, as well as with this mixture from that of infusions of indigenous

regard to the best means for obtaining certain ends. plants. The infusion of tea of good quality contains

It appears to me, that the more efficiently general much tannin, as is shown by a few drops of a solution

practitioners are educated, the more able and willing they of sulphalo of quinine, while the precipitate is almost will be to meet physicians in consultation. nothing when added to adulterated tea.-Journ. de The Council of the Institute, as & body, have not Chimie Médicale.

noticed any groundless effusions, aod the consequences

have been, that great numbers have been misled upon TOXICOLOGY.

different points; the subject of medical politics has been POISONING FROM SWALLOWING PERCUSSION-CAPS.'

involved in mystery, and there has been a good deal of

unnecessary and useless writing and printing ; however, Mr. Foster relates the case of an infant aged four

Magna est veritas et prevalebit, teen mouths, who appeared to be sinking fast from the

mere assertions are not arguments, and our thanks are effects of some percussion-caps which it had been

due to Dr. Shearman for having displayed bis inability observed to "swallow. The eyes had a hollow glazed

either to prove a single charge against the Council, or to appearance, with great heat in the epigastric region,

advance any tenable argument against the establishment and coldness of the extremities. The bowels had been

of the Institute. Moreover, I think he has done much profusely purged ; vomiting was excited by ipecacuanha, to show that the establishment of a National Medical but this appeared to prostrate the child so much that it Institute is essential for the future respectability and was checked by a laudanum injection. An alkaline welfare of the profession, as well as for the requirements purgative was then giren to neutralize the acid which of the public. might be present, and in an hour the child became

I am, Sir, tranquil. The next day several percussion-caps,

Yours very truly, deprived of their fulminating material, were found in

July, 1817.

W. ALLISON. the stools.-Medical Examiner, June, 1847.

Medical Intelligence.



By the time our present number reaches the hands of The question at issue between Dr. Shearman and our subscribers, they will have or ought to have received myself respecting the Medical Registration Bill is simply the anuual circular from the Editors of the above work. this :-With regard to medical men who have not a | The importance of such a publication to the medical license to practise generally, would the intended legaliza. community cannot be questioned, and we therefore hope tion of them, as general practitioners, by Mr. Wakley's the feeling will be general in the profession to co-operate bill, and by the Institute, amount to the same thing with the Editors in makiog it correct, by acceding to No one can answer in the affirmative, for they are two their wishes in reference to the interrogatories contained very different plans; whilst four questions will occur to in theis circulars. every one after reading the Doctor's letter in your number of May 21st. 1. Du not the third and fourth “reasons" signify that the Council of the Institute are double-faced,

APPOINTMENTS. and do they not impugn their principles? 2. Does not the concluding part of the letter impeach their ability as

W. Dashwood Kingdon, Esq., M.D., has been elected a managing committee? 3. Does not the publication of

of Resident Medical Superintendent to the St. Thomas' that letter abuse and revile the Council of the Institute?

Hospital for Lunatics, near Exeter, in the room of Luke And, 4, does not the Doctor by the letter give me the full

Popsford, Esq., resigned. choice of every style of reply?

Mr. John Marshall has been appointed to the office of It is quite immaterial what answers Dr. Shearman or Demonstrator at University College, London, in the I give to these questions ; your readers will judge for 'room of Mr. Phillips Potter, deceased.

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