v5/- f U : i > i V. , / V SYLLA BUS OF fij A "COURSE OF LECTURES \\smsts ai !|e <%, ^ :f P NEW-YORK OPHTHALMIC HOSPITAL.^ jv^ SECOND EDITION, JJj^j 1',' /'A i Jtfatit Stevenson, J«. ©. 6m| Fellow of the New-York Academy of Medicine; Member of the American Medical Association; Surgeon of the New-York Ophthalmic Hospital, &c. W W K1 I Hospital open on Tuesdays, Thursdays, 4 Saturdays, from 1 to 3 o'clock P.M. | NEW-YORK: Printed by L). Fanshaw, 83 Ann-street, corner of Nassau. 1855. «<£-<& yC^>%. - "•^■^^f"Cd'X--^^''^(^'^',,S^3lGN2.1 (fetratfe from % itoal IJnss. !♦«-*- .|r0m |. ft tf. £mii|[, Bl 5. Editor of the Boston Medical and Surgical Journal, and late Surgeon to the Massachusetts Eye and Ear Infirmary. Diseases of the Eye.—Dr. Stephenson, Surgeon of the New-York Ophthal- mic Hospital, has published a Syllabus of a Course of Lectures on Ophthal- mic Medicine and Surgery, which indicates the thoroughness of his labors. Students cannot very well sit under his daily instruction, and not become fa- liar with the multifarious forms of disease to which the eyes are incident. The first division takes cognizance of the appendages of the (V1'4**1 ?i>pa- ratus of man; and the second, of the organs themselves. If Honor- able distinction to be a good Occulist. No branch of medicin. e prov- able, or held in higher public estimation; and in a country so vast as ours, there is room enough for many of this order of Practitioners, without inter- fering with each other. With this view of the case, more of our well-quali- fied young practitioners might devote themselves to this particular speciali- ty. Some scarcely procure a living under their present arrangement of do- ing all work, who would excel by directing the entire force of their minds to the contemplation of one family of diseases. $xam gton's |fort|!cnt faucet. Ophthalmic Surgery.—We are indebted to Dr. Mark Stephenson, one of the Surgeons of the New-York Ophthalmic Hospital, for a copy of the Syl- labus of a Course of Lectures on Diseases of the Eye, which he has just completed. These efforts on the part of gentlemen of acknowledged merit and science, to systemize and teach thoroughly departments of medicine at best cursorily attended to in the majority of our schools, should command the cordial support of the profession; aud we are pleased to see that a just and merited estimate has been placed upon Dr. Stephenson's labors. Let us have scientific specialists, the antique encyclopedic wiseacre of the Gazette to the contrary notwithstanding. Don't give up your Lectures, Doctor! SYLLABUS OF % €awst at ^ttkxts OPHTHALMIC MEDICINE AND SURGERY, SECOND EDITION, REVISED AND ENLARGED - d I, 0*. M*k 3Hnrk fttpjpitBoir, %. 1. Surgeon to the New-Tort Ophthalmic Hospital. " To live to purpose, is to be useful." NEW-YORK: Printed by P. Fansbaw, 85 Ann-street, corner of Nassau. 1855. INTRODUCTION. Not wishing to inflict upon the reader a lengthy panegyric usually termed a preface, I propose simply to express a few thoughts in defense of the present publication, with a word of encouragement to my jun- ior pupils. The unanimous expression of approbation from the medical press in relation to my Syllabus of a course of Lectures on diseases of the eye ; and the no less favo- rable regard with which it has been received by my numerous opthalmic pupils, has induced the author to issue a second and much improved edition. Besides some corrections and additions which have been made in the pathological and operative part of the work, I have added a complete synopsis of the ana- tomy of the eye and its appendages, which was not in the former edition. I have also inserted blank leaves for the conveni- ence of those who may wish to take notes in the lec- ture room, or copy recipes at the clinics. A glance at the subjects and technical terms em- braced in this vocabulary, might at the first view dis- courage the young student; but upon a more delibe- rate examination of the work, it will be found that the divisions of the subjects, as well as the nomenclature of the diseases, although differing in some respects from any other pathologist, are all founded upon anatomical principles, or pathological appearances. The classifica- tion of diseases instead of embarassing, will be found to INTRODUCTION. simplify the subjects, and the medical pupil will be as- tonished, at the readiness with which he grasps this extensive department of medical science. He will also be no less gratified than amazed at the rapid progress which he makes, in each succeeding step, in his course of study. The various topics embraced in these lectures will be illustrated by a splendid collection of anatomical models and pathological casts imported from Paris ; also by Delrymple's magnificent work on the Pathology of the Eye, giving over 200 different views ; the en- gravings of which surpass anything which has yet ap- peared' from the London press. Besides paintings and dissections of morbid and healthy tissues, an extensive opportunity for the prac- tical diagnosis and treatment of diseases of the Eye, will be afforded to each member of the class, at the New- York Opthalmic Hospital. M. S. 161 East llth street. A3XTAT03VEY OF THE EYE. The apparatus composing what is usually termed the organ of vision, may be divided into the appendages of the Eye ; and the Eye proper. Appendages. 1st. Bones composing the walls of the orbit; forami- na, &c. 2nd. Cilia or Eye lashes—bulb, sheath, &c. 3rd. Supercilia or Eye brows—Shape and use. 4th. Integuments—differing from common integu- ments elsewhere. 5th. Cellular Tissue. 6th. Orbicularis Palpebrarum—relations, use. 7th. Tarsal Cartilages—Shape, Ligaments. 8th. Meibomian Glands—Position, No. & Ex. ducts. 9th. Conjunctiva—Palpebral, sclerotic and corneal. 10th. Sub conjunctival cellular tissue. 11th. Levator Palpebrae Superiosis.—Origin, Inser. use. 12th. Rectus Supe. Infe. Inter. Exter. " " " 13th. Obliquious Supe. Inferior. " " " 14th. Tunica Vaginalis Oculi. 15th. Lachrymal Apparatus. 1st. Lachrymal gland and ducts. 2nd. Caruncula and Lacus Lachrymarum. 3rd. Puncta Lachrymalia and Lache. canals. 4th. Tensor Tarsi vel Musculus sacci Lachry.'s. 5th. Lachrymal Sac. 6th. Nasal duct. 6 ANATOMY OF THE EYE. 16th. Nerves. 1st. Motores Communes Oculorum. 2nd. Pathetici. (Lachrymal. 3rd. Opthalmic, < Frontal. ( Nasal. 4th. Aducentes. 5th. Facial. 6th. Infra Orbital. ltth. Ophthalmic Artery. 1st. Branch Lachrymalis. 2nd. " Centralis Retinae. C B re vis. 3rd. " Ciliares. •< Longae. (Anterior. 4th. " Muscularis Superior and Inferior. 5th. " Supra Orbitalis. 6th. " Palpabrales, Sup'r. and Infe'r. tth. " Nasalis vel Inter'e. Canthus. 8th. " Frontalis. 18th. Veins. These accompany the arteries, are equally nu- merous and receive the same names. Eye Ball. The coats, and partition between the chambers of the eye, are composed of fibrous, cellular, serous, vas- cular and nervous tissues. In addition to which there are three humours within its three investing membranes or coverings. 1st. Cornea proper. 2d. Cellular tissue. 3d. Cornea elastica. 4th. Serous membrane. (1st. Its fibres, their course, &c. Sclerotic, -j 2d. Its foramina. (3d. Its articulation. 1st. The outer, or Fibrous coat. Corneal ■ ANATOMY OF THE EYE. 1 2d. The middle or vascular Tunic. 1st. Layer venous. 2d. " arterial. 3d. The Ciliary processes. 4th. Membrani Pigmentum. 3d. The Internal or ( Jf |erous m^brane. nervous Tissue. }* vSX oo 4th. The Ir- f 1st. Fibers—Radiating and circular. 2d. Surfaces—Ant. and Post. 3d. Margins—Int. and Ext. 4th. Ciliary Ligament. is, or courtani within the Eye. 5th. Aqueous Humor. 6th. Crystalline Humor. 7th. Vitreous Humor. Location. Quantity. Qualities. 1st. Location. 2d. Shape. 3d. Capsule. 4th. Structure. 5th. Use. (1st. Consistence. ■?2d. Quantity. (3d. Hyaloid membrane. SYLLABUS OF LECTURES, FIRST DIVISION or Diseases of the Appendages to the Eye. I. Ophthalmia Tarsi. Definition. Synonymes.—Tinea Ciliaris—Lippitudo—Psorophthal- my, Blepharoblenorrhea Senilis—Lamitte or mias- matic Ophthalmia—Ophthalmia Psorica—Blepha- ritis Scrofulosa. (Catarrhal. Varieties. ■< (Strumous. 1st CATARRHAL. C Predisposing. Causes. ■< (Exciting. (Objective. Symptoms. •] ( Subjective. Prognosis. (Constitutional. Treatment. -] (Local. 2d STRUMOUS. C Tinea. Varieties. -< (Lippitudo. (Mod. 7, Fig. 5.) DISEASES OF THE APPENDAGES. 1st Variety. Tinea Ciliaris. C Predisposing.—A disease of childhood.. Causes. -< ( Exciting. Symptoms. Objective. (Vide Delrymple. Plate 1st Fig. 3. Plate 2d. Fig. 1st) Pathology. ( Contraction of Tarsal Cartilages. Sequale. < (Madarosis, &c. ( Constitutional—Diet, Clothing, &c. Treatment. -< ( Local 2d VARIETY.—LIPPITUDO. h* ' Causes. ' Predisposing—Exanthematous diseases, ne- glected Ophthal'a. Exciting—Bad diet, foul air, debauchery, Cold, &c. (Acute. Stages. -] ( Subacute. (Objective. Symptoms. < (Vide Plate 1. Fig. 1. Plate 2. Fig. 2. Et Mod. 7. Fig. 5.) ( Subjective. (Medical. Treatment. < ( Surgical. II. Trichiasis. Causes—Sequaele of Ophthalmia Tarsi. Pathology__Seat of disease in the bulbs of the cilia. Diagnosis—Methods of detecting them. Prognosis—Unfavorable to the cornea if neglected. ( Palliative. Treatment. < (Radical. 1* 10 DISEASES OF THE APPENDAGES. III. Distichiasis. (Partial. Varieties. •] (Total. n ( Cicatrices of the tarsi after Variolus Opht'ia. Causes, j psorophthalmia, &c. Diagnosis—Distinction between Trichiasis and Desti- chiasis. C Surgical—Cauterization, Evulsion, Ex- Treatment, -] cision. ( Mode of operating, &c. IV. Hordeolum. Definition. Pathology. (Inflammatory. Stages. •] (Vide Mod. 5. Fig. 1.) ( Suppurative. C Constitutional. Treatment. -] Local. (Radical. V. Tumor Tarsi. Pathology. Objective appearances. (Vide Plate 4. Fig. 2. Mod. 6. Fig. 3.) Treatment—Surgical—best method for their removal. VI. Tumors olf Conjunctiva OcmII. Objective appearances. (Vide Plate 4, Fig. 4 Mod. 5. Fig. 6.) Treatment—Surgical—mode of operation. VII. Excrescences) &c. Warts, Horns upon Tarsi, &c. (Vide Plate 6. Fig. 1.) Varieties. -| Nevi Materni. Phthiriasis, or Pediculus Ciliorum. (Vide Plate 6. Fig. 6.) DISEASES OF THE APPENDAGES. 11 Surgical. Medical. VIII. Xerosis Conjunctivae. Definition. Causes. Objective. Subjective. Prognosis. Treatment—Palliative. IX. Syphilitic Ulcers of Tarsi. Symptoms—Objective. (Vide Plate 5. Fig. 8. Mod. 7. Fig. 4.) Diagnosis. Treatment. X. Symblcpharon. Symptoms—Objective. (Vide Plate 8. Fig's. 3 and 4) Partial. Complete. Causes. Treatment—Surgical operation. XI. Ankyloblepharon. (Direct or Indirect. Varieties. ■< Simple or Complicated. ( Conjenital or Acquired. Causes—Mechanical or Chemical. Treatment—Surgical operation—after treatment. Treatment • Symptoms • Varieties ■ 12 DISEASES OF THE APPENDAGES. Varieties. Treatment. Varieties. - Treatment. XII. Ectropeon. (Vide Mod. 7. Fig. 6.) 1 With tumefaction of Palpebral Conj'a. 2 " Elongation of Tarsal Cartilage. 3 " Cicatrices of the skin. 4 " Adhesions to the margin of the orbit. 1st Variety—Palliative, Surgical. 2d " Operations of Dorsey, Ad- ams and Deflenbough. 3d " Methods of Chelius, Jones, Walther, and Horner. 4th " Method of Prof. Ammon. XIII. Entropeon. 1st. Entropeon Seniles with relaxation of Integ's. and spasum of Orbic's. Palpm. 2d. With Transvers. Contrac'n. of Tarsal Cartilages, indurations, irregularities,&c. ' 1st. Mechanical, Surgical, Excision, Cici- trization, Section of Orbic-Palp. 2d. Methods of Ware, Tyrell, Crampton, and lager. XIV. Pterygium. (Vide Plate 8. Fig's. 2 and 3. Mod. 5. Fig's 2 and 8.) (1st. P. Tenue vel membranosa. Varieties. < 2d. P. Crassum vel musculosum. (3d. P. Pingue. Cause. Prognosis. (Palliative. Treatment. -j ( Radical. xv. Diseases of the Cutaneous and Cellular Tissues. 1st. Erysipelatous Inflam'n. of Lids. (Plate 7. Fig. 8.) DISEASES OF THE APPENDAGES. 13 2d. Edema of the Lids. (Plate 7. Fig. 2.) 3d. Ecchymosis Subcutaneous. (Mod d. Fig. 1.) 4th. do. Subconjunctival. (Plate 7. Fig. 1.) 5th. Serous Chemosis. (Plate 7. Fig. 4.) XVI. Ptosis. Synonymes. Blepharoptosis—Blepharoplegia. Imbecillitas Palpebrarum. 1st. Hypertrophy of the Lid. 2d. Paralysis, Idiopath'c. or Symptom'c. 3d. Traumatic. 4th. Conjenital. (1st. Medical and Surgical. Treatment. 4 2d. ( 3d. and 4th. Surgical. Varieties. - ties. •} XVII. Lagrophtlialmos. 1st. Caused by Cicatrices. Varieties. 2d. " " Paralisis Orbic. Palp. m ' (1st. Variety by Blepharoplastic operation. Treatment, -j 2d „ « Medicai or Palliative. XVIII. Strabismus. Causes. Diagnosis—Distinction between it and Luscitas. ' 1st. Convergens. 2d. Divergens. Varieties. - 3d. Sursumvergens. 4th. Deorsumvcrgens. 5th. Complicated. Treatment—Surgical, different methods—steps of the operation. &c. 14 DISEASES OF THE APPENDAGES. XIX. Diseases of L.ach'1. Gland. 1st. Inflammation. 2d. Scirrhus. 3d. Hypertrophy. (Lach'l. Xeroma. 4th. Functional Derang's. •] ( Epiphora. (^\ XX. Hypertrophy of Caruncula L,ach's. Causes. C Innocent. Varieties. -< ( Malignant. Treatment. XXI. Inf lam'n. of Lach'l. Sack and Duct. Causes. Varieties iSubacute- Varieties. |Acute Symptoms. Q. f First or Forming. btages. | Second or Suppurative. Prognosis (Stricture of nasal duct with Stillicidium Sequale. •] Lach. (Fistula Lachrymalis. Treatment—Medical, Mechanical, Surgical. Method of dilating the stricture, operation for Fistula. (Mod. 9. Fig. 5.) DISEASES OF THE APPENDAGES. V> XXII. Conjunctivitis. (Vide Delrymple's Engravings, Plates, 7, 9,10 & 13.) 1st Conjunc. (Subacute. Simplex. •< ( Acute. ' Catarrhal. 2d Conjunc. Puro-Mucosa. 3d Conjunc. Exanthemita. - 4th Conjunc. Purulent. Neonatorum. Gronorrhoeal. Pustular. Variolus. Morbillous. Scarlatinous. Erysipalitous Scrofulosa. i Synonymes-Strumous, 5th Sequelae of Puro-Mucosa. or "j Phlyctenular Ophthalmia. Hypertrophy of Papil- loe of the Superior Palpebral Conjunc'a. and Meibomian fol- licles. Causes. Symptoms. Diagnosis. Prognosis, and Treatment of each variety. SECOND DIVISION Diseases of the Eye Proper. I. Corneitis. 1. Subacute. f. Acute. 3. Scrofulous. Varieties. Causes. Symptoms. Diagnosis. Prognosis. Treatment. 1. Ulceration. 2. Nibula. 3. Albugo. 4. Lucoma. 5. Staphyloma, (partial or complete.) 6. Conical cornea. Sequelae. <^ 1. Sloughing. 8. Prolapsus Iridis. 9. Synechia Anterior. "10. Onyx, r , ill. Hypopyon or Unguis. 12. Fistula. 13. Atrophy. II. Sclerotitis. Varieties. ] ^le' .. (Rheumatic. Causes. Diagnosis. Prognosis. DISEASES OF THE EYE PROPER. 17 Treatment. (Local. {Constitutional. • III. Iritis. (Idiopathic. Varieties. } ( Symptomatic. (Mod. 8. Fig. 1.) C Local. Causes. < ( Constitutional. f Acute. Stages. -| ( Subacute. Symptoms—Modified according to the variety. Diagnosis—Of momentous importance. p • j Good or bad depending upon the variety, ognosis. j constitution and stage. (1st Effusion of Lymph. Sequelae. •< 2d Synechia Ant. or Post. (3d Occlusion. '1st. To arrest inflam'n. 2d. " promote absorption of Lymph. 13d. " guard against contraction or clo- J sure of pupil. Treatment. S. 4th. When closed to form an artificial pu- pil, either by Incision, Excision, or Separation, with the steps and rela- tive merits of each operation. Varieties. Artificial Pupil. IV. Occlusion of Pupil. C Simple. \ Complicated. ' Cases in which an operation is justifiable. Location and size of the new pupil. Time of life best adapted to an operation. Instruments and methods with the relative merits of each operation. 18 DISEASES OF THE EYE PROPER. ' 1st. By Incision, Posterior and Anterior. 2d. " Excision or Iridectomia. 3d. " Detachment, Posterior and Ant. Operations. -| Simple or Strangulated. 4th. Extension or distortion of the natural pupil in cases of Central opacity of the Cornea. V. Choroiditis. Varieties, j ^pScated. Causes. Symptoms. Diagnosis. Prognosis. Sequelae—Staphyloma Sclerotacae. Treatment. VI. Haemophlhalmns. [Mod. 6. Fig. 1.) Causes. Prognosis. Treatment. VII. Inflammation of Serous Tunics. (1st. Aquo-capsulitis. Varieties. -] 2d. Chrystallino-capsulitis. ( 3d. Hyalitis. Causes. Symptoms. Diagnosis. Prognosis a i (Hydrops-oculi. Synechia, false cataract. bequeiae. j 0pacity of cornea- Treatment. VIII. Cataract. Definition—Distinction between true and false cataract. (Congenital. Causes. -< (Acquired. DISEASES OF THE EYE PROPER. 19 C Objective—Radiated, Aborescent, and of Symptoms. •< different colors. [&c. (Subjective—Growth, sight, effect of light, Diagnosis—May be mistaken for Amaurosis, Glaucoma, or deposition of Lymph. Prognosis—Favorable, or not depending upon the com- plication, &c. Division—Four species and several varieties. Species. Varieties. ' Hard. (Mod.1. Fig. 1.) 1st. Lenticular. - Soft. (Mod.1. Fig. 8.) . Fluid. i Anterior. (Mod.1. Fig. 4) Posterior. (Mod. 1. Fig. 2.) 3d. Capsulo Lenticular. ' 4th. Morgagnian. Treatment, Operative (1st, by Dislocation. } 2d, " Division. (3d, " Extraction. Preparatory Treatment—Comparative merits of each operation. Also the variety of cataract best suit- ed to each mode of operation. C Depression. 1st. Dislocation, -J (Mod. 9. Fig. 8.) ( Reclination. 1st, Introduction of needle through the cornea or sclerotic. 2d, Revolution of needle. 3d, Division of capsule. 4th, Displacement. 5th, Withdrawal. i Anterior operation or Keratonyxis. (Mod. 9. Fig. 4.) Posterior operation or Scleratonyxis. Steps of the ope- ration. 2d. Division, or Solution. 20 DISEASES OF THE EYE PROPER. 3d. Extraction by section of the C 1st. Superiorly. Cornea. < 2d. Inferiorly. (Mod. 9. Fig's. 1 and 2. (3d. Obliquely. (1. Incision of the Cornea. Stages in the operation. -| 2. Laceration of the Capsule. (3. Removal of the Lens. After treatment. IX. Hydrophthalmia. Definition. ( 1st. In the Anterior and Posterior Cham- Varieties. -< bers. (2d. In the cells of the hyaloid membrane. (Vido Mod. 7. Fig. 2.) Causes. Symptoms—Objective and Subjective. Diagnosis. Prognosis. Treatment. X. Glaucoma. ( * ' Defininition. Causes. Symptoms—Objective and Subjective. Diagnosis. Prognosis. Pathology. Treatment. XI. Diseases of the Retina. 1st RETINITIS. Varieties, i Subacute. ( Acute. Causes. Symptoms—Subjective. Diagnosis. Prognosis—Usually very unfavorable. Treatment. DISEASES OF THE EYE PROPER. 21 2d AMAUROSIS. »-W Definition. Synonymes—Gutta Serena of the Arabians. i Functional. Organic. Depending upon the nervous apparatus Causes. -J of the Eye. (1st. 3.-] (2d.: Depending upon some other organ, as the Stomach or Brain. Symptoms—Duration, continued, or intermittent stage of disease. Diagnosis—How distinguished from Cataract and Glaucoma. Prognosis—Favorable or not, depending upon the cause. m (Constitutional. Treatment. |Local Symptoms. Diagnosis. Prognosis. Treatment. XXX. Abnormal Visual Sensations. ( Dependant upon a disturbed state of the brain Causes. \ and nervous apparatus, or mal-conforma- ( tion of the transparent media. 1st. Myosis. 2d. Mydriasis. 3d. Tremulous Iris. 4th. Muscae Volitantes. 5th. Hemeralopia. . 6th. Nyctalopia. Varieties."^ >jth Hemiopia. 8th. Diplopia. 9th. Photopsia. 10th. Chromatopsia. 11th. Myopia. .12th. Presbyopia. 22 DISEASES OF THE EYE PROPER. XXXX. Malignant Diseases of the Eye. (Mod. 8. Fig's. 1, 2, 8, 4.) C Fungous Hematodies Oculi. Varieties. < Melanosis. ( Carcinoma. Causes, Symptoms. Diagnosis. Prognosis. Treatment. XXV. Exterpation of the Eye. Under what circumstances justifiable—Mode of per- forming the operation. XV. Artificial Byes. Rules to be observed in regard to their use—Mode of introducing, and the withdrawal of them. THE NEW-YORK OPHTHALMIC HOSPITAL, Is open every Tuesday, Thubsday and Satobday, from 1 to 8 o'clock, P. M. for the Benefit of the Poor who are afflicted with DISEASES OF THE EYE. TESTIMONIAL OPHTHALMIC CLASS For 1854-55. "Resolved :—That we highly appreciate the Professional and Gentlemanly deportment of Drs. Stephenson and Ganisb, the attending Surgeons of the New-York Ophthalmic Hospital; not only in their skilful and humane atten- tion to the afflicted poor; but also in their readiness to impart clinical in- struction to the members of the New-York Ophthalmic School." " Resolved:— That the New-York Ophthalmic Hospital and School are not the least among the numerous advantages which the city of New-York affords to medical pupils, over that of any other on the continent of America." "Resolved:—That we have listened with great satisfaction to the in- structive Course of Lectures recently delivered by Dr. M. Stephenson, on Ophthalmic Medicine and Surgery at the Hospital, who may justly be con- sidered its principal founder; that we shall long remember, not only his ar- dent devotion to this very important branch of medical science; but also his affectionate and pathetic remarks in bidding farewell to the members of his class." U Y Thompson, M. D. ) Extracts from the published J. Simi'sov, M. D. > Committee, resolutions of the class. H. L. Kklley, M. D. ) New-York, March 1, 1855. $rum % geto-tefi ptol Gertie. " Dr. Stephenson has published a Syllabus for the use of his class. All such efforts deserve encouragement, and we wish him success in his per* severing eudeavors." MEMBERS OF sTEraEWsonxr »s OPHTHALMIC CLASS FOR 1854 AND 1855. i CW Bell, Win. II. (M. D.) New-York. Becker, J. New-York. Bishop, E. D. New-York. Breinig, P. B. Pennsylvania. Brown, J. D. California. Brundage, A. H. Pennsylvania. Bull, Francis, Canada West. Burr, Jr. E. Kentucky. Chauey, Wm. I. Mississippi. Clay, Edwin, Prince Ed. Island. Cooper, J. P. Alabama. Cox, Dudley, Georgia. Crawford, J. Canada West. Drane, W. H. Georgia. Ellis, O. N. Ohio. Feuwick, K. New-Jersey. Fort, G. H. South Carolina. Furman, G. New-York. Fisher, A. Canada West. ' Gamble, A. W. Canada West. Hamilton, J. Pennsylvania. Hagar, J. (M.D.) California. Heard, J. B. Georgia. Hill, W. North Carolina. Howard, T. M. Virginia. Howell, Wm. S. New-York. Jenks, J. E. New-York. Johnston, J. D. New-York. Johnson, J. H. Rhode Island. Kaull, Win. M. Pennsylvania. Kelly, H. L. Nova Scotia. Kimball, B. W. Maine. Knight, C. C. Connecticut. Love, J. H New-Jersey. Miller, J. A. Georgia. Nicholson, J. British America. Nordquist, C. J. New-York. Ogden, E. J. Canada West. Overholts, J. M. Canada West. l'attison, E. B. Virginia. Phelps, G. A. (M. D.) New Hampshire. Phillips, J. s. New-York. Pointer, S. C. Tennessee. Potter, H. A. Illinois. Redwood, 11. H. Alabama. Rumbaugh, G H. Pennsylvania Seller, T. S. (A.M.M.D.) Indiana. Simpson, J. Maine. Snodgrass, W. N. (M.D.) Virginia. Skinner, F. R. (A.B.M.D.) N. Y. Spafford, H. W. Canada West. Stephenson, M. P. New-York. Stewart, P. Canada West. Stiles, H. R. (M.D.) New-York. Stone, A. F. New-York. Strong, S. S. New-York. Terry, D. New-York. Thomson, G. F. Massachusetts. Todar, H. S. (M. D.) Louisiana. Timms, D. (M. D.) Michigan. Wade, B. H. Virginia. White, I. Canada West. Wilkinson, J. B. Cunuda West, Winkler, S. N. Georgia. Yates, Octavius, Canada West. ^imm^y <*' / V\M/lA-4 *-» ,<} UKo ^, i.V*t flu* v^ ;• v i^t»r ,;vo, ^J^ ^ %U_m-»--<> \ Qf.tt'^ «JKliu e^« &/,» , W £rtv * 0 . M II* <£) Itlfj , < 'db *'» .'.* Iv u\xy Tvt.^ flX>v «^ <-*^ t-> ':tv *Ct% *. ■ /»l/r * iv*&\L ■'. *', , . /) y o/ . PYVV- ia. O^U*J ji^Vfc^ 4,1 l£\/- y.'-u., £>>u Uu. ls^> f^'U" r< *v , ^a-; w tH'"" ' '/-"— *?V ' <\A/^tU* W- *••- K.,..,.^. i ■ i f. *tu\ / tCU^ o — i' V