682 increases and augments the tactile sensa- tion ; and lastly, That it is possible that the feeling is accomplished through the medium of some circulating fluid. From what we have stated, the author draws the following cotollaries, as ap- plicable to pathology; viz. 1. That in pa- ralysis, where movement is impaired, it is the white substance which is morbifi- cally affected, and vice versa; also, that it is both, when there is complete paraly- sis, that is to say, a loss of sensation as well as motion. 2. That in partial para- lysis, if flexion alone is prevented, the dis- ease originates in the filaments and an- terior roots of the spinal nerves, whilst, on the other hand, it is seated in the pos- terior, if motion is impeded. 3. That if incontinence of urine takes place from paralysis, the cause of the evil is in the anterior bands, or fasciculi ; and again, the cause is situated in the posterior ones, when, as the attendant of the paralysis, there should be a retention of urine, whilst, if the disease is of a spasmodic character, the ischuria and retention of the fluid are referrible to the anterior fasci- culi, whilst the incontinence show that it is the posterior bands of the spinal chord which are implicated.*—Repertor. Medic. Chi1-urg-. di Torino. July. * Mr. Abernethy relates the following case, as illustrative of such changes, in his Lectures: " A young man one night got out of his garret window, and was climbing to the adjoining garret window of a chamber in which his chere amie slept, when, being too intent on his errand, his foot slipped, and he was precipitated on the pavement. He was picked up and brought to the Hospital, and on examining his sacrum, it was found to be smashed to pieces. From the extensive injury to the sacral nerves, both the detrusor, or expellant action,.as well as the sphincter, or retain- ing power of the bladder, was entirely paralysed, and this I hold to be a very curious circumstance. As he could not pass his urine, I was sent every day to draw it off for him, and after I had con- tinued to do this for about a week, the nurse said to me one morning, ’ La, young man, you need not take the trou ble to come here so regularly, for I can make the man p*** when I like,’ and so saying, she began to press on the hy- pogastrium, and sure enough the urine flowed in as full a stream as if I had in- troduced a catheter." THE ANNIVERSARY DINNER Give2z to the Teachers of the Webb-street School, by their Pupils. TIHS Dinner took place at the London Coffee House, Ludgate-hill, on Thurs. day, the 2d instant. About one hundred gentlemen were present, and the Chair. man on this festive occasion was a Mr. Beale, an old pupil of the Webb-street School. The progress which this school has made, in opposition to the slumbering legitimate establishments, is indeed a tri. umph of principle. It affords a complete refutation to the base and sordid asser. tions of the corporate monopolists, that medical science can only be taught by themselves, their relatives, or immediate dependants. Such a system cannot, nor will not, exist long. So deep rooted and universal is the feeling against the "aid- ers and abettors" of it, that on beingea- sually mentioned in a speech after dinner, their very name was treated with mock. ery and derision. After the cloth had been removed, and the usual loyal toasts drunk in the accns- tomed manner, , The CHAIRMAN rose and expressed his heartfelt gratification at witnessing so numerous an assemblage of the pupils of a school of which, he was proud to say, he had been a member at its earliest esta. blishment, and from which he derived that professional information which had subsequently been available to him in practice. He said that no man more deeply deplored than himself, the loss of their late anatomical teacher, Edward Grainger; as a teacher, and as a man, his memory was equally entitled to re- spect. (Applause.) But he trusted, nay, indeed he was confident, that his situation was ably filled by their present respected anatomical teacher. (Continued applause.) And that his abilities and indefatigable exertions were well calculated to sustain the high reputation of the Webb-street School. He should therefore conclude by proposing " the health of Mr. Richard Grainger." This toast was received with loud and long continued applause ; and as soon as silence was procured, Mr.R. GRAINGERrose to return thanks; he tendered his warmest thanks, not only for the cordial manner in which his health had been received, but also for the flatter- ing manner in which it had been intro- duced. This was the second public occa- sion in which his pupils had manifested their partiality and kindness towards him,
increases and augments the tactile sensa-tion ; and lastly, That it is possible thatthe feeling is accomplished through themedium of some circulating fluid.
From what we have stated, the authordraws the following cotollaries, as ap-plicable to pathology; viz. 1. That in pa-ralysis, where movement is impaired, itis the white substance which is morbifi-cally affected, and vice versa; also, thatit is both, when there is complete paraly-sis, that is to say, a loss of sensation aswell as motion. 2. That in partial para-lysis, if flexion alone is prevented, the dis-ease originates in the filaments and an-terior roots of the spinal nerves, whilst,on the other hand, it is seated in the pos-terior, if motion is impeded. 3. That ifincontinence of urine takes place fromparalysis, the cause of the evil is in theanterior bands, or fasciculi ; and again,the cause is situated in the posterior ones,when, as the attendant of the paralysis,there should be a retention of urine,whilst, if the disease is of a spasmodiccharacter, the ischuria and retention of thefluid are referrible to the anterior fasci-culi, whilst the incontinence show that itis the posterior bands of the spinal chordwhich are implicated.*—Repertor. Medic.Chi1-urg-. di Torino. July.
* Mr. Abernethy relates the followingcase, as illustrative of such changes, in hisLectures: " A young man one night got outof his garret window, and was climbing tothe adjoining garret window of a chamberin which his chere amie slept, when, beingtoo intent on his errand, his foot slipped,and he was precipitated on the pavement.He was picked up and brought to theHospital, and on examining his sacrum,it was found to be smashed to pieces.From the extensive injury to the sacralnerves, both the detrusor, or expellantaction,.as well as the sphincter, or retain-ing power of the bladder, was entirelyparalysed, and this I hold to be a verycurious circumstance. As he could not
pass his urine, I was sent every day todraw it off for him, and after I had con-tinued to do this for about a week, thenurse said to me one morning, ’ La,young man, you need not take the trouble to come here so regularly, for I canmake the man p*** when I like,’ andso saying, she began to press on the hy-pogastrium, and sure enough the urineflowed in as full a stream as if I had in-troduced a catheter."
THE ANNIVERSARY DINNER
Give2z to the Teachers of the Webb-streetSchool, by their Pupils.
TIHS Dinner took place at the LondonCoffee House, Ludgate-hill, on Thurs.day, the 2d instant. About one hundredgentlemen were present, and the Chair.man on this festive occasion was a Mr.Beale, an old pupil of the Webb-streetSchool. The progress which this schoolhas made, in opposition to the slumberinglegitimate establishments, is indeed a tri.umph of principle. It affords a completerefutation to the base and sordid asser.tions of the corporate monopolists, thatmedical science can only be taught bythemselves, their relatives, or immediatedependants. Such a system cannot, norwill not, exist long. So deep rooted anduniversal is the feeling against the "aid-ers and abettors" of it, that on beingea-sually mentioned in a speech after dinner,their very name was treated with mock.ery and derision.After the cloth had been removed, and
the usual loyal toasts drunk in the accns-tomed manner, ,
The CHAIRMAN rose and expressed hisheartfelt gratification at witnessing so
numerous an assemblage of the pupils ofa school of which, he was proud to say,he had been a member at its earliest esta.blishment, and from which he derivedthat professional information which hadsubsequently been available to him in
practice. He said that no man more
deeply deplored than himself, the loss oftheir late anatomical teacher, EdwardGrainger; as a teacher, and as a man,his memory was equally entitled to re-
spect. (Applause.) But he trusted, nay,indeed he was confident, that his situationwas ably filled by their present respectedanatomical teacher. (Continued applause.)And that his abilities and indefatigableexertions were well calculated to sustainthe high reputation of the Webb-streetSchool. He should therefore concludeby proposing " the health of Mr. RichardGrainger."This toast was received with loud and
long continued applause ; and as soon assilence was procured,
Mr.R. GRAINGERrose to return thanks;he tendered his warmest thanks, not onlyfor the cordial manner in which his healthhad been received, but also for the flatter-ing manner in which it had been intro-duced. This was the second public occa-sion in which his pupils had manifestedtheir partiality and kindness towards him,
and so deeply and sensibly did he feel thehonour which was thus conferred on him,that he found himself incapable of convey-ing a true sense of his feelings, and if,therefore, he manifested a deficiency ofzeal, he trusted it wonld be imputed tothe true cause. He then proceeded, inan able and energetic speech, to impresson the minds of those present, the im-portance and necessity of a close atten-tion to their studies, and more especiallyto anatomy. He said, that although oc-casionally ignorant and unqualified mensucceeded in obtaining practice, yet theirsuccess was frequently short lived. Somenotorious mal-practice drawing upon themthe attention and just indignation of thepublic, they were stripped of their hol-low pretences, and speedily sunk intothat infamy which such nefarious con-
duct richly deserved. These observationsmore especially applied to the practice ofsurgery, in which errors committed were,for the most part, palpable and self-evi-dent, whilst, on the other hand, in thepractice of medicine, it happened, that fora long time a man might pursue his mur-derous system undetected and unexposed.He would, however, say without exag-geration, without flattery, that the pre-sent race of medical pupils were so deep-ly impressed with the importance of thestudy of anatomy, that their true com-forts, nay, in many instances their lives,were given up in the pursuit of this im-portant study. If such continued to bethe practice, there was no fear that sur-gery would retrograde; modern surgerywonld proceed with still more rapidstrides to perfection. (Loud applause.)For the long and accumulated acts ofkindness which he had received at thehands of his pupils, he would take thispublic opportunity of returning his grate-t’ul thanks, and he could only regret somuch was to be paid with so little meansat his command. He had only one pro-mise to give-that of pursuing the sameline of conduct, and if his past conducthad gained their approbation, his utmostambition was satisfied. In conclusion, hehoped that in the future career of his pu-pils through life-in their intercourse withfellow-practitioners, they would cautions-ly abstain from those petty jealousies andbickerings, which had too long and toojustly been subject matter of reproach onthe profession. Fair and honourablecompetition was to be expected, but itshould be pursued with conduct that wasconsonant to the feelings of gentlemen ;that, at the same time they were goodsurgeons, they might be fair and honour-able men. Finally, Mr. Grainger con-clnded his speech by observing, that as
in the ancient games prizes of merit wereawarded, which stimulated the endea-vours of the claimants, so would be theirmeed of approbation a constant stimuluswith him to future exertion. (Long con-tinued applause, succeeded the delivery ofthese sentiments.)The CHAIRMAN next proposed " the
health of Mr. Richard Phillips," and thetoast was drunk with much applause.He complimented that gentleman on thehigh estimation in which his scientific ac-quirements in chemistry were held. Hesaid also, that Mr. Phillips possessed, ina pre-eminent degree, the faculty of ob-taining the good will and kind regards ofall his pupils.Mr. PHILLIPS briefly returned thanks ;
he said, that more he wished, but morehe could not. (Applause.)The CHAIRMAN then gave " Dr. Gor-
don Smith," and alluded to his exertionsin the study of forensic medicine. Thetoast was drunk with much applause.
Dr. GORDON SMITH, in rising to returnthanks for the honour conferred on him,said, that in the words of our imortalpoet," There is a tide in the affairs of men,Which, taken at the flood, leads on to
He was disposed to think this eveningthat the luckv tide had occurred to
him; his first duty, however, was to re-turn thanks, which he did most cordially.Three years since, he well remembered,the founder of the Webb-street School (E.Grainger) pronounced an oration underthis roof at which hundreds were present,and in this room afterwards received thenumerous congratulations of his listeningand admiring friends.
(The remainder of Dr. Smith’s speechwas almost exclusively in relation to him-self, a subject, says Lord Byron, on whichfew men speak agreeably.)He alluded to his exertions as a teacher
in the Borough, and said that he camelate in the field, with bad health ; that hehad wasted his time and means in pursuitof the science of Forensic Medicine. Hedid not impute blame to gentlemen fornot attending his lectures, because it wasnot required by the examinations at theCollege of Surgeons, or at the Apotheca-ries’ Hall. But there was no situation soawful as that in which a medical witnessstood, and he would say, no situation inwhich he is so often censured, and therewas none in which medical men hadbeen so unlucky. It had been a reproachto the profession for the last 60 or TOyears. He had at length accomplishedan object, at which he had laboured u.p
wards of seven years; he wds now aboutto lecture at the Royal Institution, andthe time there appropriated for lecturingwas to be equally divided between himand Mr. Brande. Still he would be hap.py to continue his lectures in the Boroughif gentlemen would enter to him, beforethe ensuing Wednesday, and in conclu-sion observed, that he would be as an el-der brother to his pupils.The healths of Dr. D. DAVIS, Mr.
HUTCHINSON, the worthy Chairman, Mr.GRAINGER, senr. and the Stewards, eachwith a suitable meed of praise, were af-terwards drunk.
Mr. R. GRAINGER rose to return thankson behalf of his father, (who, althoughinvited, was prevented from attending.)He alluded to the melancholy event ofhis brother’s decease in a most feelingand affectionate manner.
Towards the conclusion of the evening,Dr. GORDON SMITH again rose to ex-
press his high gratification at the enter-tainment, and in the course of a long rig-marole speech, the drift of which we couldnot collect, said that he belonged to a
society, at whose meetings he experiencedmuch pleasure, but not more than on thepresent occasion. To this Society be-longed the most respectable members ofthe profession-for instance, the Presidentof the College of Surgeons and the Masterof the Apothecaries’ Company.No sooner were these names mentioned
than a burst of disapprobation and hisseswas heard from every part of the room.For our parts, the association of res-
pectability with these two dowagers onlyexcited our risible muscles, and " pro-voked us to mirth."
The conviviality of the evening waskept tip to a late hour, and many otherappropriate toasts were given, amongstwhich we are informed was " A speedyreform to the College of Surgeons,"but as we left the room with the Chair-man previous to this occurrence, we can
say nothing of the o2,atoi-y which tookplace.The meeting was enlivened by the pre-
sence of a good band, and the efforts ofseveral eminent vocalists—Broadhurst,Taylor, &e. A song which was snng byTaylor, on the " Living skeleton," wasreceived with much applanse, and per-haps it is not the least important to men-tion, in conclusion, that the dinner wasgaod, the wine exc ’Hent, and the com-
A Case of Dislocation of the Humerus dowrr-wards, reduced at the expiration ot sixwveeks.
A stout muscular man, of about 48 yearsof age, was admitted into the Hospital ouJanuary 31, under the care of Mr. B.Cooper, with injury to the left shoulder-joint, which occurred under the followingcircumstances : -.
Whilst pursuing his avocation as a top-sawyer, his foot slipped, and he fell intothe pit beneath ; on rising, he found therewas so much injury done to the joint, thathe could not move it, he therefore, im-mediately applied to a Surgeon at Dept-ford, who assured him that it was only asprain, and gave him lotion to apply tothe part affected. Finding that he didnot recover the free use of his arm, heapplied to a quack bone-setter, who toldhim there was a dislocation, and preteud-ed to effect its reduction, using consider-able force, but as he did not succeed, thepoor man sought relief at the Hospital.A period of nearly six weeks had occurredfrom the receipt of the injury.When the part was examined by Mr.
Cooper, the nature of the injury was veryapparent.-Dislocation of the humerusinto the axilla ; alt the diagnostic markaof the accident were present; there wasthe flattening of the shoulder, and theapparent projection of the acromion, theelbow was thrown from the side, and theproper axis of the limb changed, thecentral axis now running into the axilia.On carrying the elbow outwards, thehead of the bone was distinctly felt inthe axilla, but appeared to be thrownrather more forward than usual, so thatit could be felt at the lower edge of thepectoral muscle. The motions at the
shoulder-joint were very limited, the
patient could swing his arm a little back-wards and forwards, any attempt tomovethe hand up to the head proved abortive.The poor man said that he had sufferedmuch numbing pain down the arm, andalso that it was with difficulty kept warm.He had been of course entirely preventedfrom pursuing his laborious occupation,and expressed his apprehensions, tiiatheshould remain a " cripple for life." ,
By the advice of Sir Astley, Mr. B.Cooper determined on making an attemptto effect a reduction of the dislocatedboue. On 1’hursday last, therefore, the