Disease of lower jaw 2 Dropsy 4 Ovarian dropsy 2 Hydatids 1 2 1 palm of a child's hand, removed by a magnet, after an incision with a lancet, a month subseCancer of the breast quent to the accident. As in the former reports, only a few of the cases presented will be detailed. The first I shall mention occurred during my visit to Macao. No. 1284. Lan Alin, aged 54, had been affected with an ulcerated tumor upon the crown of his head twenty-two years. Hearing that I was to visit Macao, he requested his friends here te prevail on me to see him when I arrived there. Several applications of the kind were made, and in this instance I consented. When I saw him, the tumor was in a bad condition, and the appearance of soon putting on a malignant character. At times, according to the statement of the patient, who appeared to be a sensible man, it had bled to the amount of twelve or fourteen ounces. With the concurring advice and assistance of my friend, Dr. Colledge, on the 21st of June the tumor was extirpated. I saw it dressed while I remained, and on leaving Macao, Dr. Colledge kindly took the care of it. In about two weeks he wrote, "your patient is quite well, and in fine health has left, and I have seen no more of him." He has since sent by his son his "ten thousand thanks." On my return to Canton, on the last day of May, I had the satisfaction to find the young woman, Yeäng she, who was wounded by a fall in a thunder storm, quite out of danger from the injury received. The side of the neck that had been perforated by the bamboo was perfectly healed. The discharge from the fractured clavicle continued for some time, the patient being very irregular in coming to the hospital, and it had not entirely ceased, when at her own discretion she discontinued her visits. On inquiring for her some weeks after, I found she had gone to visit her friends in the country. No. 1283. Fungous Haematodes of the eye. Yat Akwang, of the district of Pwanyu, aged 4 years, entered the hospital May 4th, and· remained a few days under medical treatment. The disease commenced about four months before, between the sclerotica and con. junctiva of the upper lid, and gradually increased till the whole eye was concealed. When the child came to the hospital, a large protruding ulcer appeared in the situation of the left eye, and the least irrita. tion caused it to bleed. The child inclined his head to the opposite side, and was very feeble. The father wae told that it could not then be removed, but he might return on the first of June, and if circumstances justified, I would extirpate it. Early in June he returned. The diseased mass had grown rapidly, and the protruded eye which came down upon the cheek as low as the mouth, was six or seven inches in circumference. The fate of the child, if the tumor was left to itself, was evident. The father wished it removed, and, being told the measure might prove fatal, said it was better for his child to die than live in such a condition. The possibility of its returning, should the operation not prove unsuccessful, being also explained, he still desired it to be performed. On the 26th, the eye was extirpated From the history of the case, it was possible the eye itself might be sound, but covered with a fungus. I proceeded with the operation accordingly, but soon found the whole was diseased. Without much difficulty the eye was detached from the surrounding parts, and the optic nerve divided below the globe of the eye. The little child endured the operation with much fortitude. The hemorrhage was not great. But little inflammation succeded, yet on the third day after, fears were entertained for the life of the child; but on the 9th day, the wound had quite healed, and the lids fell in and the child's appetite returned, and his prospects were flattering. However, the appearance of the optic nerve at its section, being diseased and presenting in its center a dry yellow substance, like the cerumen of the ear, rendered the result suspicious. Before leaving, the little boy had become robust and playfnl. He has since returned, and to my deep regret the relief afforded him is to be momentary. The fungus has returned and attained half its former size, and that in less than three months from its removal. No. 898. Ascites. Pang she, mentioned in a former report, returned to the hospital on the 4th of May. She had neglected all my directions respecting her health, and her abdomen had become more distended and tense than in the first instance. Being the close of the term, I gave her medicines for the coming month, aad told her to return on the first of June; she returned accordingly, but her extreme omaciation and the warm weather made me hesitate to repeat the operation till it became evident that it was the only chance of prolong. ing her life. Her pulse was 144; her skin was hot and dry, with a high fever, and respiration difficult, when on the 26th of June I again performed the operation. Three gallons and two and a half pints of dark fluid, similar to the former, was abstracted, making the aggregate of about six gallons. She was immedinately relieved of most of her former symptoms; her pulse the day following was 95. She rapidly recovered her health, and was discharged on the 8th of July. I am confident she could not have lived two days longer without this interposition. On the 28th, she reported herself and had improved very much during twenty days' absence. No. 1500. July 8th. Chin Aying, a little girl of thirteen years of age. She had been incommoded by three sarcomatous tumors situated together, between the shoulders and above the spine. The three were in close contact, and as it were formed one, four inches in breadth and three in depth. On the 14th. they were extirpated. The largest of the cluster was firmly united to one of the spinous processes by a semi-cartilaginous or bony union. The whole tumor was a very hard and almost horny substance. Judging from the rapid growth of the last year, it must soon have become a cumbersome load. No unpleasant consequences have followed the removal of it, and the wound is kindly healing up by granulations. No. 446. The case of Akae is mentioned in the first report, under date of December 27th, 1835. About three months subsequent to the removal of the original tumor, as she was walking by the river side, a coolie, carelessly passing by, thrust the end of the bamboo, with which he carried his burden, against the superciliary ridge of the right temple,, from which the tumor had been removed. When she came to the hospital about a month after the accident, there was considerable tumefaction above the eye. It being the close of that term, she was directed to remain at home until the first of June; at which time the tumor had attained the magnitude ef the former one, though not exactly the same shape, and others previously on the side of her face were enlarged. The new one was altogether of a different character from the former. It had the appearance of a spongy mass, and was bounded on the left by an exostosis from the superciliary process one eighth of an inch deep, and one inch and a half long at its base, forming an irregular perpendicular ridge; the tumor grew rapidly and was fast tending to suppuration: the general health was affected, and death seemed probable and that speedily, unless its progress could be arrested by a surgical operation, while the heat of midsummer not a little increased the hazard of such a measure. After repeated consultattons with Dr. Cox and Mr. Jardine, who had assisted in the former instance, it was resolved to embrace the first favorable day for the operation. On the 21st of July, the operation was performed. On the first cision being made, a large quantity of greenish fluid gushed out from cells of disorganized matter. Two elliptical incisions from the middle of the forehead down the cheek to a level with the ear were first inade, and then a third from the middle of the first incision back upon the side of the head to a point five inches above the ear. The whole cyst was completely dissectely out upon the temple, and even portions of the pericranium were removed, showing distinclty the bloody appearance of the cranium caused by the contusion of the bamboo. The tumors above the ear were all removed, and what on the former occasion was supposed to be the parotid gland and its accessory gland, were sarcomatous tumors, occupying their situations; these were also removed, together with a tumor lying deep in the temporal fossa. There was a loss of about sixteen ounces of blood. The extreme warmth of the weather rendering it necessary to dress the wound daily, on the following day there was found considerable tumefaction above the eye, which finally suppurated. The incisions for the most part healed in the same kind manner as before, and but for the suppuration that took place beneath the integuments, would have healed with the same rapidity. The exostosis has not advanced beyond what it was at the operation. The constitution suffered much more than in the former instance, but she has very much regained her strength and the flesh she had lost, and now looks forward to the prospect of returning home in a few days, with the hope of enjoying a happy reprieve from the grave. Other cases of the same general character as mentioned in the former reports might be detailed, but it is unnecessary. I have often been surprised at the slight inconvenience experienced by cataract patients; vomiting is a very infrequent consequence of the operation, and usually the inflammation is very slight. When the patient lives at a distance, and finds it inconvenient to be long absent from home, I have in repeated cases, couched the cataracts in both eyes at the same sitting, and with equal success as in cases of a single eye. An aged female, 73 years old, was brought from a distant part of the province, not only blind but lame. I found that she had broken the neck of the thighbone eleven months before, and had a cataract in each eye. By the importunity of her friends I was prevailed upon against my judgment to operate upon her eyes. I did so, and found the lenses were soft, absorption took place, sight was restored to a considerable degree, and the absorption was still going on, when after a few weeks she left in better health than before. I will conclude this brief report by subjoining a translation of some lines written by Ma szeyay (in the first report called Matszeuh), the private secretary to the Chefoo, as they will serve to illustrate the ideas and feelings which he and other patients entertain respecting the hospital. The translation is by Mr. Morrison, to whose kindness I am under many obligations. It has been put into verse by a friend. The stiffness of the style is a necessary consequence of faithfulness to the original. The old gentleman's gratitude has ever seemed unfeigned, and when dismissed from the hospital, he requested leave to send a painter and take "my likeness that he might bow down before it every day.” He had previously intimated his intention of writing an ode- The painting of course was refused, but his ode was recently forwarded with some marks of formality; first he sent a servant with a variety of presents; then a friend, who was equipped for the occasion, presented the ode and a gilt fan with a quotation from one of the best Chinese poets, elegantly transcribed upon it by a relative of Ma szeyay, relating to the same subject. The ode, preceded by a few remarks of his own, is as follows. ocean. Doctor Parker is a native of America, one of the nations of the western He is of good and wealthy family, loves virtue, and takes pleasure in distributing to the necessities of others: he is moreover very skilful in the medical art. In the ninth month of the year Yihwe, he crosed the seas, and came to Canton, where he opened an institution in which to exercise gratuitously his medical talents. Hundreds of patients daily sought relief from his hands. Sparing neither expense nor toil, from morning to evening, he excreised the tenderest compassion towards the sick and miserable. I had then lost the sight of my left eye, seven years, and the right eye had sympathized with it nearly half that period. No means used proved beneficial; no physician had been able to bring me relief. In the eleventh month of the year above named, my friend Muh Keaeshaou introduced me to Doctor Parker, by whom I was directed to convey my bedding to his hospital. I there made my dormitory in a third story, where he visited me night and morning. First he administereu a medicine in powder, the effects of which, as a cathartic, continued three days. He then performed an operation on the eye with a silver needle, after which he closed up the eye with a piece of cloth. In five days, when this was removed, a few rays of light found entrance, and in ten days I was able to distinguish perfectly. He then operated on the right eye, in like manner. I had been with him nearly a month when, the year drawing to a close, business compelled me to take leave. On leaving, I wished to present an offering of thanks; but he peremptorily refused it, saying, “return, and give thanks to heaven and earth: what merit have I?" So devoid was he of boasting. Compare this his conduct, with that of many physicians of celebrity. How often do they demand heavy fees, and dose you for months together, and after all fail to benefit. Or how often, if they afford even a partial benefit, do they trumpet forth their own merits, and demand costly acknowledgments! But this doctor, heals men at his own cost, and though perfectly successful, ascribes all to heaven, and aosolutely refuses to receive any acknowledgment. How far beyond those of the common order of physicians are his character and rank! Ah, such men are difficult to find. The following hasty lines I have penned, and dedicate them to him. A fluid, darksome and opaque, long time had dimmed my sight. Then loudly did I ask, for what cause such pain I bore,- But again came the reflection, how, of yore, oft, men of worth, "I have heard," the friend who enter'd said, "there is come to us of late "O'er tens of thousand miles of sea to the inner land he's come; |