1 n very serious impression on me, tuul I .suppose that my hat"
2 was also affected with my grief, as I observed on that very day
3 he was unable to pass bis urine, in spite of all his exertions,
4 until he was relieved by suction, from that time lie enjoyed
5 nood health for several months, yet this stoppage came on
6 periodically, that is to say, as often as the stone obstructed the
7 urethra, on which occasion he used to rub the part, stamp
8 with his feet, and cry for help." After this relation she begged
9 nyy pardon, adding, “one ought to conceal nothing from tin;
10 doctor. Yet, 1 continued she, : I have still one circumstance to
11 communicate to you; previously to the operation, my child
12 had the bad habit of wetting the bed ; but he has never done so
13 since."
14 In the present state of medical knowledge, it is impossible
15 to assert whether the cause of the production of stony concre¬
16 tions he connected with the sensations of the nurse, or whether
17 other circumstances co-operate, as we tiiul such concretions in
18 different parts of the body, not only in the urethra, urine-
19 bladder, kidneys, and. the gall-organs, hut also in the stomach
20 and intestines of horses, oxen, goats, -&c., as just mentioned.
21 But there is no doubt that they arc substances of the animal
22 hodv• We have in ourselves different, mineral substances, and
23 a sickly 1-abit causes them to accumulate. 1 once found five
24 tolerably lai ge stones pressed in the neck of a bladder to such
25 a degree, that i c annot conceive how the man was able to void
26 one drop of urine. Several cases occurred to me, in which,
27 a fi.w years after the stone had been extracted, new ones
28 accumulated, because the origin of the disease was not eradi¬
29 cated; and T recommend every operator to combine an
30 internal with an external treatment, the extraction or the,crush¬
31 ing of the stone being nothing hut a palliative.
32 At Bokhara, I found that the guinea-worm (Dracuuculus)
33 occurred very frequently. At Cahul, 1 saw a strange case of
34 this kind, in which a merchunt lmd drunk the water front which
35 it originates a year previously at Bombay. 'Che worm was at
36 the hollow of the knee. Upon its appearing and being pulled,