- Email: [email protected]
EPIDEMIOLOGICAL SOCIETY OF LONDON.
159 alliances with the plexiform sarcoma of Billroth, but was much more like the tubular epithelioma of Cornil and Ranvier. Clinically, the tumour had resemblances to the "boring epithelioma"of 1I. Reclusand to those cases shown by Mr. Butlin in 1881. Dr. CARRINGTON read for Mr. Lane a paper on Suppuration in many of the Joints of an Infant eight weeks old, who had had specific eruption all over the body and snuines. There was much emaciation. Treatment was effected by mercury and stimulants without result. During life only the left .elbow-joint was swollen. At the autopsy suppuration was found in the right hip and right shoulder and both elbows; these were distended with pus. The ribs were markedly beaded; there was no softening to be detected between the epiphysis and diaphysis. The changes were most marked about the humerus and ulna of the right elbow. Nosuppuration in the thymus was found. A firm yellowish-pink coloured gumma was seen in the upper lobe of the right lung, and in the liver there were one or two whitish patches of doubtful nature. The case seemed to be rare and unlike those described by M. Parrot. One recorded by Dr. Lees in the Clinical Transactions for 1880 was nearly allied to it. The following card specimens were shown :-Dr. Charlewood Turner: Horseshoe Kidney and Sarcoma of both Adrenals. Mr. John Poland: Suppurating Bronchial Gland opening into the (Esophagus and Left Bronchus. Dr. Norman Moore: (1) Disease of Sacro-iliac Joint following Parturition; (2) Renal Tumour composed of Cholesterin; (3) Aneurysm of the Anterior Aortic Valve. Mr. M. Sheild: Rectal Polypus. Two recent specimens were shown :-Mr. M. Sheild: Morbid Growths, probably Gummata, in the Liver of a Woman, aged twenty-four. Mr. Battle: Cyst Creamy Fluid, removed by Mr. Sydney Jones from containing the intestinal wall of a woman, aged twenty-five.
closely resembles the natives of India,
would be best fitted
to encounter the adverse influences of a tropical climate; and, practically, this appears to be the case, as Europeans marked
or bilio-nervous temperament usually enjoy the best health in India. The term bilious is a misnomer, as implying in persons of that temperament a tendency to hepatic derangement which does not exist in any extraordinary degree; the bilious appearance depending on a participation in that cutaneous deposit of carbon marking the dark races. But there must be no predominance of the nervous temperament, as a highly sensitive and sympathetic nature is not most conducive to health and happiness, when submitted to the daily ills and irritations of tropical life. A French physiologist is credited with saying that "If you want life, you should possess a bad heart and a good stomach. Without endorsing this assertion, it may be stated, with certainty, that a highly nervous organisation, especially if, as is often the case, associated with feeble digestion, is not fitted for prolonged tropical residence. The temperament next best fitted for the tropics is the sanguine, perhaps explainable by the somewhat less liability of individuals of this type to tropical anaemia. But, on the other hand, there is tendency to hepatic affection, and the sanguine temperament enduring only for a period may rapidly or suddenly give way. The longer, however, persons of sanguine temperament live in India, the more decided is the change which takes place towards the bilious variety, explainable by a consideration of the general effect of a tropical climate on the system of the European, which is much the same as that converting the ancient Aryan into the modern Hindoo. Discarding such hypothetical causes as marsh miasmata and telluric influences, the author gave reasons for regarding heat as the principal factor in producing the changes, so often of a deteriorating nature, which take place in the system of the European sojourning in the tropics. Thus, temperaments EPIDEMIOLOGICAL SOCIETY OF LONDON. become associated with acquired diatheses-as the scorbutic, the malarious, and the syphilitic, all of which should forbid A MEETING of this Society was held on Jan. 14th, Sir tropical residence. The latent scorbutic taint is extremely in India, and as there is a pathological resemblance Joseph Fayrer, K.C.S.I., M.D., Vice-President, in the chair. prevalent between gout and scurvy, the system tainted by the MooRE a paper on the ConGeneral read Surgeon stitutional Requirements for Tropical Climates, with special latter is extremely like to develop the former, and therefore reference to Temperaments. After remarking that in hereditary tendency to gout should be regarded as against former times more attention was paid to temperament than the advisability of a tropical career. Again, an hereditary is now the case, the author proceeded to prove by reference tendency to haemorrhage should be similarly regarded; for to the "Vedas" that the Aryans when they descended into bleeding from the nose and gums being the ordinary maniIndia, 5000 years B.C., were white in colour; their habits festations of the hsemorrhagic diathesis, and also of malaand constitutions being then adapted to a northern climate. rious and scorbutic taints, it is easy to conceive how the But the influence of warm climates impresses certain latter, being established, may excite the dormant diathesis of the Hereditary tendency to insanity or epilepsy peculiarities on those who inhabit them. Exposure to the should former. unfit also for tropical residence, both of which are heat of a tropical climate tends to bronze the white skin; unless the possessor unfortunately becomes subject to that liable to be excited by heat. There is another malady slow blightof the constitutional powers manifested by a which, although not regarded as hereditary, should unfit for diminution of red blood-corpuscles, in which case the skin tropical residence, and that is albuminuria. Years back hot is blanched. Then there is a positive diminution of inspired climates were regarded as favourable for the first stage of renal affections. Experience, however, has proved that oxygen, owing first to the expansion of the air from heat, and secondly to the lessened number and force of respira- tropical countries should be forbidden to all who have Idiotions, consequent on the lassitude experienced and on the passed albumen, unless from accidental causes. in an insmaller amount of physical exertion taken in the tropics, syncrasy, especially when it shows itself for Indian where actual necessaries in the shape of food are produced ability to take quinine, should unfit So should the deadly fear of disease, which under the minimum of labour. Doubtless, the Aryan life. causes some to see danger everywhere, and, like -Hindoo6, once meat-eaters, left off consuming flesh as a Voltaire, to peoplethe " atmosphere as a blue and white regard desideratum of residence in a hot climate, and probably as and sex are important mass of noxious exhalations." Age a presumed means of maintaining the white skin on which the suitable temperaPersons considerations. possessing they prided themselves. The Brahmins, who wrote the ment may proceed at a younger and remain till a later age ’" Vedas," must have been intellectually capable of appre- than those of opposite temperament. The period at which ciating the evil of too much carbonaceous food in a tropical officers are required to vacate active employment in the the not matter out the country, although reasoning by light public services is fifty-five, which even in India is too nineteenth-century science. However this may be, there For it must be recollected that such men represent theearly. of suris no doubt that the Aryans, once white, with northern men who supported the burden of the vival of the fittest, and habits, have, during the lapse of ages, by temperaments comrades succumbed, and who the survival of the fittest, been converted into the modern day under which so many therefore be credited with more than the average vis may with his which be Hindoo, typical temperament, may vitae, with prudence of life, and with the suitable temperaregarded as a compound of the nervous and bilious, ment. As regards sex, it was observed that, if it is desirable and in which all the inhabitants of Hindoostan, should not proceed to the tropics before the that males whether Aborigines, Hindoos, or Mahomedans, partake; of the body is matured, it is especially desirable and when we recollect that in one or two generations Celts growth and Saxons, Teutons and Danes, cut multis aliis, are con- that females should not do so until the growth is matured, verted into the sallow typical inevitable Yankee, the change and the periodical functions are firmly established. Dr. Moore concluded his by lamenting the absence of during thousands of years of the light Aryan into the dark ordinary care evinced paper for themselves by Europeans geneHindoo seems facile. Now, theoretically, it would appear in India. In the discussion which followed Sir that the European, who in type and temperament most rally : Joseph Fayrer, Surgeons-General Manifold and Comyn, Drs. Lawson, Dickson, and Dow took part. 1 Progrès Médical, 1876.
by the bilious
long
.
.
closely resembles the natives of India,
would be best fitted
to encounter the adverse influences of a tropical climate; and, practically, this appears to be the case, as Europeans marked
or bilio-nervous temperament usually enjoy the best health in India. The term bilious is a misnomer, as implying in persons of that temperament a tendency to hepatic derangement which does not exist in any extraordinary degree; the bilious appearance depending on a participation in that cutaneous deposit of carbon marking the dark races. But there must be no predominance of the nervous temperament, as a highly sensitive and sympathetic nature is not most conducive to health and happiness, when submitted to the daily ills and irritations of tropical life. A French physiologist is credited with saying that "If you want life, you should possess a bad heart and a good stomach. Without endorsing this assertion, it may be stated, with certainty, that a highly nervous organisation, especially if, as is often the case, associated with feeble digestion, is not fitted for prolonged tropical residence. The temperament next best fitted for the tropics is the sanguine, perhaps explainable by the somewhat less liability of individuals of this type to tropical anaemia. But, on the other hand, there is tendency to hepatic affection, and the sanguine temperament enduring only for a period may rapidly or suddenly give way. The longer, however, persons of sanguine temperament live in India, the more decided is the change which takes place towards the bilious variety, explainable by a consideration of the general effect of a tropical climate on the system of the European, which is much the same as that converting the ancient Aryan into the modern Hindoo. Discarding such hypothetical causes as marsh miasmata and telluric influences, the author gave reasons for regarding heat as the principal factor in producing the changes, so often of a deteriorating nature, which take place in the system of the European sojourning in the tropics. Thus, temperaments EPIDEMIOLOGICAL SOCIETY OF LONDON. become associated with acquired diatheses-as the scorbutic, the malarious, and the syphilitic, all of which should forbid A MEETING of this Society was held on Jan. 14th, Sir tropical residence. The latent scorbutic taint is extremely in India, and as there is a pathological resemblance Joseph Fayrer, K.C.S.I., M.D., Vice-President, in the chair. prevalent between gout and scurvy, the system tainted by the MooRE a paper on the ConGeneral read Surgeon stitutional Requirements for Tropical Climates, with special latter is extremely like to develop the former, and therefore reference to Temperaments. After remarking that in hereditary tendency to gout should be regarded as against former times more attention was paid to temperament than the advisability of a tropical career. Again, an hereditary is now the case, the author proceeded to prove by reference tendency to haemorrhage should be similarly regarded; for to the "Vedas" that the Aryans when they descended into bleeding from the nose and gums being the ordinary maniIndia, 5000 years B.C., were white in colour; their habits festations of the hsemorrhagic diathesis, and also of malaand constitutions being then adapted to a northern climate. rious and scorbutic taints, it is easy to conceive how the But the influence of warm climates impresses certain latter, being established, may excite the dormant diathesis of the Hereditary tendency to insanity or epilepsy peculiarities on those who inhabit them. Exposure to the should former. unfit also for tropical residence, both of which are heat of a tropical climate tends to bronze the white skin; unless the possessor unfortunately becomes subject to that liable to be excited by heat. There is another malady slow blightof the constitutional powers manifested by a which, although not regarded as hereditary, should unfit for diminution of red blood-corpuscles, in which case the skin tropical residence, and that is albuminuria. Years back hot is blanched. Then there is a positive diminution of inspired climates were regarded as favourable for the first stage of renal affections. Experience, however, has proved that oxygen, owing first to the expansion of the air from heat, and secondly to the lessened number and force of respira- tropical countries should be forbidden to all who have Idiotions, consequent on the lassitude experienced and on the passed albumen, unless from accidental causes. in an insmaller amount of physical exertion taken in the tropics, syncrasy, especially when it shows itself for Indian where actual necessaries in the shape of food are produced ability to take quinine, should unfit So should the deadly fear of disease, which under the minimum of labour. Doubtless, the Aryan life. causes some to see danger everywhere, and, like -Hindoo6, once meat-eaters, left off consuming flesh as a Voltaire, to peoplethe " atmosphere as a blue and white regard desideratum of residence in a hot climate, and probably as and sex are important mass of noxious exhalations." Age a presumed means of maintaining the white skin on which the suitable temperaPersons considerations. possessing they prided themselves. The Brahmins, who wrote the ment may proceed at a younger and remain till a later age ’" Vedas," must have been intellectually capable of appre- than those of opposite temperament. The period at which ciating the evil of too much carbonaceous food in a tropical officers are required to vacate active employment in the the not matter out the country, although reasoning by light public services is fifty-five, which even in India is too nineteenth-century science. However this may be, there For it must be recollected that such men represent theearly. of suris no doubt that the Aryans, once white, with northern men who supported the burden of the vival of the fittest, and habits, have, during the lapse of ages, by temperaments comrades succumbed, and who the survival of the fittest, been converted into the modern day under which so many therefore be credited with more than the average vis may with his which be Hindoo, typical temperament, may vitae, with prudence of life, and with the suitable temperaregarded as a compound of the nervous and bilious, ment. As regards sex, it was observed that, if it is desirable and in which all the inhabitants of Hindoostan, should not proceed to the tropics before the that males whether Aborigines, Hindoos, or Mahomedans, partake; of the body is matured, it is especially desirable and when we recollect that in one or two generations Celts growth and Saxons, Teutons and Danes, cut multis aliis, are con- that females should not do so until the growth is matured, verted into the sallow typical inevitable Yankee, the change and the periodical functions are firmly established. Dr. Moore concluded his by lamenting the absence of during thousands of years of the light Aryan into the dark ordinary care evinced paper for themselves by Europeans geneHindoo seems facile. Now, theoretically, it would appear in India. In the discussion which followed Sir that the European, who in type and temperament most rally : Joseph Fayrer, Surgeons-General Manifold and Comyn, Drs. Lawson, Dickson, and Dow took part. 1 Progrès Médical, 1876.
by the bilious
long
.
.