M! W613r 1825 IE DIC I NE NATIONAL LIBRARY OF MEDICINE NATIONAL LIBRARY OF MEDICINE NAT IVNOIIVN INOiaiW JO AIVIII1 l»NOII»N 3N 1310 3W jo xavmn IVNOIIVN 3NI «#V \ W -: "^fV i ST MEDICINE NATIONAL LIBRARY OF MEDICINE NATIONAL LIBRARY OF MEDICINE NA c b V7 : V « M/ NATIONAL LIBRARY OF MEDICINE NATIONAL LI BRARY OF MEDICINE NAM"™-' >■> ^ in id iaj w jo myain ivnoiivn 3 n i 3 i a 3w jo asv aa n i vnoii v n jnisioswjo REPLY DR. HOSACK'S DELIVERED BEFORE THE MEDICAL SOCIETY THE COUNTY OF NEW-YORK, 12th DAY OF JULY, 1824. \ BY CHARLES WHITLAW. 0 J »»„•* ~ eancies: and that three be a quorum. 9 IV. That in the first instance the House be opened only for female Pa- tients, or children under eight years of age. V. That no Patient be admitted into the Asylum, but on the recommen- dation of a Subscriber or Member, who shall be entitled to recommend in rotation. VI. That Patients under ten years of age, be required to pay four shil- lings a week, and all above that age six shillings a week for their board, and give satisfactory security for regular payment, at least, monthly. VII. That Patients shall provide their own linen, except sheets and tow- els, and shall strictly conform to the rules of the Asylum. VIII. That in order to meet the desire of persons who are in suitable circumstances, the Committee be authorised to provide for the reception of ten Patients, at such weekly payments as the Committee may deem suf- ficient to pay the expenses attending their reception. IX. That a Register be kept, in which shall be regularly entered the names, ages, and circumstances of the Patients, the time of admission, pro- gress towards cure, and any observations deemed applicable to the case. X. That the Asylum be open to the inspection of Medical Gentlemen on days appointed for that purpose, under such regulations as the Committee may appoint. XI. That the time during which Patients shall remain in the House shall be regulated by the Committee, according to their judgment, on the re- ports made from time to time. XII. That an annual Meeting of the Subscribers be held in the first week in March, or as near thereto as the Committee may deem convenient, when a Report of the proceedings of the Asylum, the number of Patients, and the Register of cases, shall be laid before the Meeting, with the state of the funds; and a new Committee shall be elected. That three Auditors shall be elected annually from amongst the Subscribers, but no person who has supplied the Charity with any articles for the use of the Institution shall be eligible to act as Auditor. . . XIII. That no annual subscriber, whose subscription is in arrear, shall have any power or privilege to recommend any Patient, or to vote at any general Meeting, until such arrear be paid. XIV. That the Committee have power to suspend any officer or servant engaged in the Asylum, and in case of any delinquency, to discharge them at a Meeting specially called for that purpose. XV. That no Officer or Servant shall receive any fee, reward, or gratui- ty, from any Tradesman, Patient, or other Person, on any pretence what- ever. XVI. That as Mr. Whitlaw has offered to instruct a number of Medical Practitioners in the use of his medicines and mode of treatment, it appears ex- pedient that Mr. Whitlaw should be requested to instruct such persons only, as may be recommended by the Committee. At the above Meeting, a Committee was formed for car- rying the preceding Resolutions into effect. The Committee continued their superintendence of the cases brought under Mr. Whitlaw's treatment, till the 11th of Tuly 1822, when a second public Meeting was convened at the City of London Tavern—At this Meeting, Alderman Sir C S. Hunter, Bart, presided:—the Committee reported, •' That although a liberal Subscription had been commenced at the last Meeting, and occasionally increased, the money subscribed being inadequate to carry the proposed plan into 10 execution, they had confined their operations to a further ob- servation of Mr. Whitlaw's remedies, and deemed it neces- sary to make a second appeal to the public, supported by the additional evidence which they were then enabled to bring forward." " That during the interval which had elapsed, about Four Hundred Patients had been under Mr. Whitlaw's system of treatment, of which number, nearly One Hundred persons afflicted with Scrofula, Cancer, and Cutaneous Dis- eases, in every stage of those disorders, had been gratui- tously supplied with the necessary remedies." " That the cases requiring gratuitous relief from week to week, had chiefly and more properly engaged the attention of the Committee, although many other individuals, conscious of the great benefits they had received, and desirous that similar relief should be extended to their fellow-sufferers, had communicated to the Committee full statements of their cases." The following Resolutions were then passed :— " That the Report should be received and adopted." " That it was expedient, without loss of time, to open the Asylum for the Reception of Patients afflicted with Scro- fula and Glandular Diseases, as proposed at the former Meeting, wherein the comfort of the patients might be in- creased, and their cure promottd, by furnishing them with appropriate food, by accommodating them in well ventilated apartments, and placing them under proper restrictions, in order that the full efficacy of the system might be most satis- factorily displayed." It now devolves upon the Committee to state, for the information of the Public, the result of the whole of their proceedings, including, as well those cases which have oc- curred since the public Meeting in July, as those which have been noticed in the former Reports, so as to form one general aggregate up to the present time. The Committee have pursued their examination of indi- vidual cases, as referred to in their former Reports, sometimes with more, and sometimes with less minuteness ; and before they state the result, it may not be improper to explain the method which they have taken, to insure the accuracy of the facts, for the truth of which they pledge themselves to the public. The Committee then declare, that most of them were entire strangers to Mr. Whitlaw, until the powerful effects of his medicines brought him to their notice; and while from a perfect conviction founded on actual observation they 11 became daily more and more confirmed in the efficacy of those medicines, combined with his* mode of treating Scrofula and other Glandularj Diseases, they disclaim every pri- vate consideration on behalf of Mr. Whitlaw, in an inquiry, where a sense of public duty alone ought to influence their conduct. •With a view to satisfy themselves, and others, that the cases in which cures had been said to have been performed by Mr. Whitlaw, were real facts : and in order to detect the fallacy, if any imposture had been practised upon them ; the Committee instituted a regular inquiry (say from July to October) into eighty-seven additional cases. During the whole of that examination, Mr. Whitlaw was excluded from every kind of interference, the Committee preferring to take the statement of their cases from the patients themselves, if adults, or from the parents of children who voluntarily ap- peared before them, for the purpose of giving testimony to the benefits they had received from Mr. Whitlaw's medicines and system of treatment.— In every instance, the cases to which the Committee now allude, were seen by them, and they carefully ascertained and correctly registered the following particulars respecting them : First—The name, age, and residence of the patient—the nature of the disorder under which such patient had been la- bouring ; the date of its commencement; whether the pa- * The Committee have remarked with satisfaction, that a tacit acknow- ledgment of the superiority of that mode of treatment, is becoming daily more evident. Many practitioners, without avowing their approba- tion of Mr. Whitlaw's System, have more or less adopted it, so far as they are enabled to do so, without the knowledge of his peculiar Medicines. | It will not escape the observation of those who profess to watch the proceedings of Mr. Whitlaw and the Committee, that any express allusion to the Disease, called Cancer, is designedly avoided in the present appeal. This caution, however, is not exercised in consequence of any discourage- ments which have been experienced in those Cases,—and still less from any change in the opinion of Mr. Whitlaw himself, who still remains firmly convinced that his Medicines and mode of Treatment, when fairly tried, will, in every case of Cancer, which has not arrived at its last ex- tremity, be successful—and in this, he thinks he is abundantly justified by the general result of those Cases which have come under his care during the last two years, as well as formerly. Of the Committee, many concur with Mr. Whitlaw in this opinion—others do not feel themselves quite so thoroughly satisfied as to the cure of Cancerous Patients as in the case of Scrofula, hence the term Cancer is omitted ; but here again, all unite in a.. general testimony, that whether cures are, or are not ptfifected, the general health of the patients—their comparative comfort and relief from pain— their increased spirits and complacency—and above all, the diminished virulence, malignity, and ofifensiveness of the Disease, when subjected to Mr. Whitlaw's treatment, exhibit effects of the most encouraging nature. 12 tients had been under medical treatment before they applied to Mr. Whitlaw ; and what was the result of that treatment. Secondly.—The date when the patients applied to Mr, Whitlaw ; whether they used his remedies, and followed his rules for diet and regimen ; for how long a time they did so; and what was the effect of his treatment. The result of this inquiry was, that out of the eighty-seven cases registered during those three months,— 45 had been cured. 22 were convalescent, or much benefited. 20 remained as patients. Total—87 And that the general health of all the patients had been very evidently, and almost invariably improved, whilst under Mr. Whitlaw's care, even in those cases where the disease had not been entirely eradicated. It is not intended, by particularizing those eighty-seven cases, to convey the idea, that the Committee have, either before or since, been inattentive to the state and progress of those other numerous cases which constitute the general re- sult they are about to give ; but that, in those eighty-seven instances, a peculiar and minute mode of examination was adopted, for the more complete satisfaction of their own minds as to the efficacy of Mr. Whitlaw's remedies. Having, however, through the medium of those eighty-seven cases and numerous others which passed daily before their eyes, arrived at the most perfect conviction of the superiority of Mr. Whitlaw's medicines and treatment, the Committee have considered such minute attention no longer necessary; but they have not failed to pay strict observance to every case brought under Mr. Whitlaw's care, which has exhibited any extraordinary characteristics ; and they hesitate not to de- clare, in the face of the public, that they do verily believe Mr. Whitlaw's medicines and mode of treatment, in every incipient case of Scrofula and Glandular Disease, or where its ravages have not undermined the constitution, are an absolute specific. That, in cases where those diseases have arrived at a most afflicting height, he has generally suc- ceeded; and that, in some instances, cures have been per- formed, where medical men of the first eminence have de- cidedly despaired, and where, indeed, to expect success seemed to the Committee themselves to be hoping against hope. But it may be asked, have there been no failures ? Most 13 certainly. Mr. Whitlaw,—with all that sanguine predilec- tion for his own system which is so natural and inseparable from the propagator of a new discovery, but probably with no stronger prejudices in its favour, than many men of ac- knowledged eminence have discovered upon similar occa- sions,—and certainly the Committee on his behalf, do not pretend to infallibility: but they mean to state that the cases of failure have been comparatively insignificant, and very far below the ordinary proportion of any given number of patients submitted to general practice—and that in the few instances where death has taken place, it could be satisfactorily traced either to the absolutely desperate state of the patients pre- viously to applyinf to Mr. Whitlaw, or to the subsequent adoption of medicines and treatment (through their own pre- judices or those of their friends and connections) at variance with the system pursued by him. And there are two cir- cumstances, to which the Committee earnestly solicit the at- tention of'every candid and impartial friend of humanity, viz. that the vast majority of the cases^ formerly brought under Mr. Whitlaw's care, were, in point of fact, and, as must almost always occur where a new medicine or novel mode of treatment is proposed, of the most deplorable and desperate description ; and that in many instances, not only have the diseases been in the very worst state of malignity, but the constitutions of the patients themselves have been sinking no less under the influence of the disease, than under the effects of deleterious and destructive medicines. It will be admitted, that to have succeeded amidst such a mass of disease, so far as to produce but a partial effect, and even a very moderate impression on the minds of a scru- tinizing public, would afford tolerable evidence of the efficacy of the system contended for; whereas, in truth, that effect has been unusually general, and the consequent impression, where prejudice was laid aside and candour brought into ex- ercise, almost universal. And the Committee most confi- dently assert, as to nearly all the cases which have come un- der their own inspection, and from the best information as to the rest—that even where a cure of the malady itself has not taken place, the general health of the patient has been uni- formly amended, and consequent comfort promoted. In some instances where cure has not taken place, the peculiar malig- nity of the symptoms has subsided, and rarely indeed has it occurred that a patient has expressed regret at haying had recourse to the medicines and treatment of Mr. Whitlaw. What then is the general result to which the Committee are willing to pledge themselves ?—That since the month of 14 January, 1821, 670 Cases have been submitted to the medical treatment of Mr. Whitlaw, under their immediate inspection, more or less minute—that in consequence of that treatment, 154 have been cured. 131 have become convalescent, 191 have been materially benefited. 148 are using the remedies. 38 have withdrawn, or the event not known. 8 have died.* 670 Were it possible to ascertain exactly the number of per- sons who have received important benefitflfrom this mode of treatment,! an aggregate of substantial and beneficial relief of human suffering would be presented, which the feeling mind has not often the luxury to contemplate. .And when it is con- sidered that the vast majority of those cases have thus far been all but forlorn—if not actually given over and abandon- ed—when it is admitted on all hands that these medicines, where they do not cure, invariably produce beneficial effects, not usually, if at all to be obtained by those most in use—is * The 1st. Case. C. W. had been cured of disease in the spine; her death, three months afterwards, was occasioned by acute inflammation of the brain. Case 2d. E. W. was in the last stage of pulmonary consumption, and used the remedies only a fortnight. Case 3d. E. S. laboured under cancer. The patient residing at Bath, was not seen ; she used the remedies three weeks, by which her sufferings were alleviated. Case 4th. G. W. diseased liver and dropsy. The dropsical symptoms were removed ; but he afterwards died of vomiting of blood. Case 5th. M. H. died consumptive; the patient residing in Durham, was not seen. Case 6th. M. A. B. in the last stage of the tabes •, the patient only seen twice; the case was considered as hopeless at the commence- ment. Case 7th. T. G. violent continual asthma, which was considerably relieved, but the patient died of dropsy, after his return to the country. Case 8th. J. S. in the last stage of pulmonary consumption when first seen. The symptoms were relieved by the remedies; but no hope was entertained of his recovery. t With the first Report the Committee printed some account of Mr Whitlaw and his previous occupations in life, which they do not think it necessary to repeat. They would now only add, that when Mr. Whitlaw came to England, m the year 1819, he had no intention of remaining or practising medicine, but merely intended to obtain some botanical transpa- rencies, and repair to America. Having, however, administered his medi- cines gratis, and performed many cures, he was solicited, and, contrary to his wishes, persuaded to remain. At the commencement, therefore of his practice, and for a long time afterwards, he kept no account of many of the 15 would ISh 7 *Ual 1° buC f°Und' who' if he had the Power, orTnrTveV0 Z^.^^^ of the proposed Asylum lief Tw I u 3?1Cted fell°w-creatures of that portion of re- nearl^ Comm.ttee are now, after the experience of med rin yTS' comPe^nt to assure a benevolent public the medicines and treatment in question are able to produce ? crrear «?<.*" ^° C1!"cumstances which the Committee have who ™Tu m11statin1g:--fi^t, that the patients themselves, -fch !! be a"owed to be tolerably capable of judging whether they have received benefit or not, give their almost* universal voice in favour of Mr. Whitlaw's treatment, and most ot them entertain for him a personal regard and esteem, seldom produced but by a sense of benefit received. And secondly that the prejudices of the public, in themselves na- tural, and at the same time, in many instances, justifiable, are so tar subsiding—the impression produced by the numerous cures Mr. Whitlaw has effected, being so considerable—that the cases which have latterly been submitted to his treatment have been of a less desperate character than heretofore ; and whereas formerly the most diseased member of a family, af- flicted with these complaints, was alone sent to him as a sort of hopeless experiment—now all the afflicted members place themselves under his care, and their confidence and superi- ority to vulgar and habitual prejudices have been amply re- warded. The Committee have already noticed the painful feelings which have been continually excited by the numerous objects afflicted with disease, and yet destitute of every assistance and comfort which their deplorable condition requires, who daily present themselves at Mr. Whitlaw's house, claiming his and their attention, and calling forth the deepest commis- eration and sympathy. In order that the public may judge of the means furnished towards carrying the proposed plan into effect, the Committee annex a list of the subscriptions already received. £. s. d. The amount Subscribed already, is - 564 7 0 Paid for Printing, and expense of Public Meetings - £.96 17 ° For Furniture, Bedding, &c. for the Asylum - - 132 19 0 239 16 0 Balance remaining - £224, 11 0 * Two or three patients, but not more, have certainly expressed them- selves hostilely and adversely; where is the public hospital, or private 16 Urged by every motive of compassion for those unfortu- nate sufferers who have be«n presented to the notice of the Committee, they have ventured, notwithstanding the small amount of the funds subscribed, to commence with a limited number of patients, at Bayswater. In that Establishment, the patients are provided with proper food, and every article necessary for their medical treatment. The Committee are fully aware, how desirable it is that the domestic arrange- ments of a public Institution should be placed under their ex- clusive superintendence. For the present, however, a house with extensive grounds has" been taken by Mr. Whitlaw, part of which has been appropriated for the reception of those pa- tients, at a regular weekly charge; until the liberality of the public shall enable the Committee to take upon themselves the sole possession and management of the Asylum. That any institution requires funds, it is unnecessary to remark: that British benevolence is always ready and eager to provide those funds, if it can be satisfied that the object is legitimate, and a proportionate benefit can be ensured, is equally certain. The Committee, therefore, will not insult that benevolence, by reiterated arguments, being confident that no other inducement is necessary to call it into liberal ac- tivity, than to establish the two facts: That misery exists,—and That an appropriate plan of relief is provided. The former fact stands self-evident, and is universally ad- mitted. That the public may be equally convinced of the latter, all persons are invited to Mr. Whitlaw's house, No. 87, Great Russell Street, on a Wednesday, between the hours of two and four, as often as they choose, to inspect the cases, and remark the progressive effects produced by the medicines and treatment of Mr. Whitlaw. And it is not wished that any individual should contribute to the support of the proposed Institution, who, after a fair, candid, and impartial attention to the subject, can conscientiously say, the object is not wor- thy of support. Either Mr. Whitlaw or Dr. Pidduck will attend on the day before-mentioned, to give every requisite explanation of the cases and mode of treatment. practitioner, that does not occasionally encounter such instances ? The Committee have, however, in every case, been enabled to trace such oc currence, as far as they are concerned, to extrinsic influence, interested motives, or gross imprudence ; and positively affirm that no individual case has come to their knowledge, affecting in the slightest decree either tV- medicines or the mode of treatment practised by Mr Whitlaw he Second Annual Meeting of the Subscribers and Friends of the Institution, was held in the Freemason's Hall, March, 9 1824, vice-Admirai. SIR JOSEPH SYDNEY YORKE, K. C. B. M. P., in the Chair. 1 he Report of the proceedings of the Committee for the last year being read, upon the motion of Maior-General Neville, seconded by Mr. Millar, it was Resol-ved Unanimously ; That the Report which has been read be approved and printed under the direction of the Committee, and that the following Gentlemen be the Committee for the year ensuing :•— Upon the motion of the Rev. Benjamin Rayson, seconded by Mr. Dowson, it was Resolved Unanimously ; That the most respectful thantfs of this Meeting be presented to his Royal Highness the Dukf. of York, for the very conde- scending and obliging manner in which His Royal Highness has been pleased to honour this Institution by becoming its Patron. Upon the motion of Mr. Stevens, seconded by Mr. Green, it was Resolved Unanimously ; That this Meeting is of opinion that the efficacy of Mr. Whit- law's remedies and mode of treatment for the Cure of Scrofula is fully established by the Report of the Committee, and that his Botanical Discoveries, both as it regards Food, as well as Medi- cine, are so valuable, that the knowledge of them cannot be too widely disseminated, and that the benefits of the system of me- dical discipline introduced by Mr. Whitlaw for the Cure of Scro- fula, is so perfectly and satisfactorily proved by the experiment which has already been tried in the Asylum, that it is highly expedient the Charity should be extended to Thirty Patients; the House at present occupied for the Asylum being sufficiently capacious to receive that Number. Upon the motion of Mr. Harriss, seconded by Major Shel- don, it was Resolved Unanimously ; That the most grateful acknowledgments of this Meeting are due to the Vice-Presidents of this Institution for the honour of their patronage, and that the following Gentlemen be request- ed to become Vice-Presidents :— Major-general Neville. George Hartopp, Esq. M. P. Mr. Alderman Key. Sir Francis Molyn Ommanney, M. P. The Chairman having left the Chair, it was, upon the motion of Major-General Neville; seconded by Mr. Millar, Resolved Unanimously ; That the thanks of this Meeting be presented to Sir Joseph Sydney Yorke, K.C.B. M.P., for the kind and disinterested manner in which he has, for the second time, condescended to take the Chair; and for the attention which he has bestowed upon the object of this Institution by visiting the Asylum, and investigating the Cases upon which the Committee have re- ported. REPORT. The present Meeting of the Governors, Subscribers, and friends of the Asylum for the Cure of Scrofula and Glandular Diseases, upon the medical principles of Mr. Whitlaw, is convened for the purpose of receiving the Report of the proceedings of the Committee, subsequent to the last Anniversary (held on the 18th of June, 1823), at which Sir. J. S. Yorke presided. Your Committee feel highly gratified in being able to meet the friends of this Institution with an increasing conviction of its great utility, and to state that experi- ence has fully justified the most sanguine expectations held out in the former Reports. Your Committee in those Reports have related the circumstances which led to the establishment of this Charity, and of the subsequent opening of the Asylum at Bayswater, for the reception of patients, on the 14th of November, 1822. To discuss the different theories * which have been advanced upon the nature of Scrofula, , and the causes which produce the disease, would occupy ' too much time, and would be foreign to the intention of the Committee. It may, however, be observed that the celebrated Dr. Cullen, after enumerating those causes to which he ascribes the diseases in question, commences the subject of its treatment with this remark, that " for the cure of Scrofula we have not yet learned any prac- tice that is certainly, or even generally successful." And another author, of no less celebrity, speaking of the he- reditary character of this disease, says, " that there is no malady which parents are so liable to communicate to 19 their offspring as Scrofula, for which reason people ought to beware of marrying into families affected with this disease." From the observations which your Commit- tee have been enabled to make upon the efficacy of Mr. Whitlaw's remedies, and mode of treatment of this very- prevalent and most distressing disease, they feel them- selves more and more justified in giving every publicity to a system of medical discipline which they have them- selves seen is capable, not only of disarming that disease of its terrors, but even of eradicating it from the consti- tution altogether. It will be sufficiently obvious to every discerning mind, that by receiving a given number of patients af- flicted with Scrofula into an Asylum, wherein the strict- est attention is paid to diet, regimen, and medical treat- ment, a conclusive experiment would be made as to the efficacy of the system resorted to for its cure. This ex- periment has now had a fair trial, and the Committee are happy in having it in their power to congratulate the Subscribers, and friends to the Institution, upon the complete success with which it has been attended, and upon the quantum of relief which has been afforded, con- sidering the infancy of the Establishment, and the limi- ted amount of the' funds which have been entrusted to their care. In proof of this statement, the Committee proceed to a full detail of all the cases which have been admitted into the Asylum since the last Report. ABSTRACT OF No. • Age. Description of Disease. Time afflicted. 1 29 Scrofulous disease of the hip joint, which was dis-located and surrounded with ten open wounds, dis-charging a large qaantity of matter. Health and strength so reduced that she could scarcely walk. 7 years. 2 13 Scrofulous tumour and ulcerations of the glands of the neck, extending from ear to ear, and discharging copiously purulent matter, mixed with blood.—Her health was very delicate. 3 years 3 17 Scrofulous tumours and ulcerations on the side of the face, and of the glands of the neck, extending from ear to ear; and a distortion of one of the vertebrae of the neck, which was excessively painful. 4 years. 4 12 Scrofulous ulceration on the right arm and neck, and extensive marks of the disease on the left arm, af-flicted also with Saint Vitus's Dance. 14 years, 5 22 An eruption extending over the face, general health so much impaired as to render her incapable of any ac-tive exertion. 17 years. 6 13 Scrofulous enlargement of the abdomen and con-stant head-ache. General health very bad. 3 years, 7 17 Very large scrofulous swelling of the left breast, sometimes exceedingly painful. Inflammation of the eyes, and nearly blind from white specks on the eyes • her health and strength so reduced as to render her incapable of earning a livelihood. 7 years. 8 14 Scrofulous ulceration, extending over the left cheek, and glandular swellings under the chin—large scars on the left arm. 7 years. 9 7 Scrofulous ulceration and diseased bone of the foot extensive wounds under the ham, and an abscess in the groin as large as an egg. 14 months. THE CASES. Date of Admission. November 16, 1822. November 14, \1822. November 19, December 5, 1822. December 6, I 1822. January 17, 1823. December 5, 1822. April 17, 1823. General Remarks. Remained in the Asylum May 2, 1823. The limb being dislocated, no hope was entertained of curing the lameness; but the discharge from the wounds was stopped, and the general health so much improved, that she was able to perform the office of servant in the Asylum, and still continues well. The tumour subsided, and the ulcers healed. The improvement which took place in this patient's general health dur. ing the time she was in the Asylum was very conspicuous. The tumours gradually subsided, the ulcerations healed, the projecting bone in the neck was reduced, and ceased to be painful, and her general health was re-es- tablished. This patient was one in a family of 5 children, all of whom have been cured by means of Mr. Whitlaw's remedies and mode of treatment. The general health and strength of this patient was so much improved, that she could walk 9 miles with little fatigue, and the eruption on the face is gradually dis- appearing. Whilst under medical treatment in the Asylum the symptoms disappeared, but on returning home they have returned.— Her parents are very poor, and from the unwholesome diet, the other children are similarly affected with disease. The swelling of the breast gradually subsided without breaking, the inflamma- tion of the eyes ceased, the white specks nearly disappeared, and her health and strength were restored, so that she was able to go into service. The ulceration on the face was gradual- ly disappearing and the glandular swell- ings had totally subsided. This patient is one of a family of 6 children, all of whom have been more or less afflicted, and have been cured by the same means, under Mr Whitlaw's care (two had the bones of the foot diseased.) The abscess discharged and healed; the wounds in the ham and foot are also heal- ed, and are quite sound. Two other children in this family have been similar- ly afflicted 3 weeks 32 weeks 37 weeks 25 weeks 42 weeks 12 weeks 16 weeks Result. Convalescent. Cured and remains per- fectly well. Cured and remains well. Cured and remains well. Convalescent. Convalescent, but has re- lapsed. Cured and remains well. 27 weeks 3 weeks Convalescent. Cured and remains well* No. 10 11 12 13 14 15 16 17 18 19 Scrofulous ulceration and diseased bone of the heel The foot subject to frequent and violent attacks of in flammation, attended with fever. 23 Scrofulous ulcerations near the hip joint, and glan- dular swellings at the upper part of the thigh. Gene- ral health in a very delicate state, so that for twelve months she was unfit for service. This patient was labouring under general debility and complained of violent pain in the right side, and violent pains and swellings of the cheek, in conse- quence of disease in the cavity of the bone ; admitted on the recommendation of Miss Vansittart for a few weeks. Immense glandular swellings on each side of her neck. So much emaciated as almost to be reduced to a skeleton. Skin covered with thick light brown scales. 11 Glandular swellings under the ear as large as a pigeon's egg, and is very deaf. Her general health in a very delicate state. Very large scrofulous swellings of the glands on each side of the neck and under the chin. Two scrofulous ulcerations on the right elbow joint, which is locked, another ulcer on the left arm, one on the shoulder joint, and another under the left eye. This child is of a very delicate scrofulous habit Porrigo favosa—a most scaly eruption, covering the whole head, drying into thick brown crusts, and itching excessively. 13 Scrofulous ulceration on the back of the hand, which has distorted the fingers, and another place on the leg, which are discharging matter. 3£ Cutaneous ulceration or erosions of the skin, ap- pearing in circumscribed patches on the face, head, arm, and thigh. Her brother died lately of a diseased hip joint, and she has another afflicted with diseases of the foot. Her father died of rheumatic gout, and her mother has very delicate health. 15 Glandular swelling under the ear, on the side of the neck, as large as a pigeon's egg, which is very hard. Time afflicted. 18 months. 2£ years. For many years a great sufferer. 5 years, 7 years, 3£ years From infancv. 7 years. From infancvJ 4 months. Date of Admission. General Remarks. 1823 Uigust 29, 1823. bptemberlO, [ 1823. ^tober 24, ; 1823. ober 29, 1823. ovember 19, 1823. ecember 5, 1823. icember 11, 1823. (rwary 16, 1824. PnJI >nflammatory tendency of the foot completely subdued and ceased to be pain- ful. Her mother being obliged to leave London, requested her child might ac company her before the cure was com piete. . The wounds healed, the tumours sub- sided, and her constitution was so much invigorated, that she is in the situation of a nurse-maid, and enjoying perfect health. The attacks of pain and inflammation became much less frequent, and her ge neral health very materially benefitted — She afterwards went to Margate, where she continued to improve. This patient was in so deplorable a state, that she was only admitted for six weeks; but her general health improving, the glands subsiding, and gaining flesh and strength, she continues a patient, with every prospect of a cure being per- formed. The glandular swelling has begun to suppurate, arid is gradually subsiding; her general health is daily improving, and her hearing is more acute. The glandular swellings are gradually reducing in size, and separating into smaller distinct tumours. General health is much improved. The wounds continue to discharge, but they are in a healing state, and the ge neral health of the Patient improves daily, so that every hope is entertained of her recovery. The eruption gradually disappeared, and the hair has grown again. His gene- ral health is very good. All his brothers and sisters have been similarly afflicted, and cured by the same means; During the short time this patient has been in the Asylum, her general health was greatly improved, and the wounds are in a healing condition. That on the leg is nearly well. The ulcerations are evidently diminish- ng in size, and her general health is im- proving. The tumour is considerably reduced, and her general health is mending. Remained in the Asylum. Result. 21 weeks 22 weeks 13 weeks Very mate- rially bene- fitted. Cured and remains well. Derived very great benefit. Remains a Patient in the Asylum. Ditto. Ditto. Cured, Remains a Patient in the Asylum. Ditto, DlTtO 24 Your Committee cannot help expressing their regret that the Cases upon which they have to Report were not more numerous; but when it is considered how severe- ly the majority of the patients were afflicted; how inve- terate were their diseases, and how great was the relief afforded; seven having been cured ; four rendered con- valescent ; two materially benefitted ; and the seven re- maining in the Asylum are so evidently improved in constitution, that they may be said to be advancing rapidly towards convalescence; your Committee feel satisfied that the facts now adduced are sufficient to prove, that had their funds enabled them to receive a much greater number of patients into the Asylum, which they earnestly hope may soon be the case, the relief afforded would have been proportionably exten- sive. From the attentive observations which your Com- mittee have made upon those cases, which they have seen in every stage of the complaint, they feel justified in asserting that patients afflicted with Scrofula, if brought under this treatment at an early period of the disorder, may confidently anticipate a speedy cure; whilst those in whose constitutions the disease has made greater rava- ges, although necessarily requiring more time, are still within the controul of this plan of medical discipline. Your Committee have the further satisfaction to re- port, that such is the value and efficacy of these reme- dies, that in various parts of the kingdom similar suc- cess has resulted from their administration ; several in- stances of which are adduced in an Appendix to this Report, particularly one furnished by Mr. Whitlaw and Dr. Pidduck, as the result of the introduction of this mode of treatment into the Workhouse of one of the most populous parishes in the Metropolis, upon a con- siderable number of patients, who have been entrusted to their care by the Directors and Guardians of the poor of that Parish. r S5 Your Committee have also continued their weekly attendance at Mr. Whitlaw's house, on the Wednesdays, where a considerable number of poor patients, not less than 20 every week, regularly apply for relief, and are sup- plied by Mr. Whitlaw with remedies, gratis. Out of this number of patients who have fallen under the ob- servation of Members of the Committee, the following cases are selected as additional evidence in justification of their conclusions :— Cases of Patients who have fallen under the observa- tion of Members of the Committee at Mr. Whitlaw's on Wednesdays. The preceding 87 Cases are mentioned in the former Report. No. 88.—C. O., aged five years, afflicted two years with scrofulous ulcerations in the arm and neck.—She is now- well. No. 89.—L. G., aged five years, afflicted nearly two years with several scrofulous ulcers in the left arm, the elbow joint locked.—Cured, but the elbow joint remains stiff. No. 90.—H. M., aged thirty-two years, afflicted five years with cutaneous disease (supposed to be scrofulous) on both hands.—Cured in six months, and continues well. No. 94.—G. B., aged ten years, afflicted four years w.ith scrofulous diseases of the cheek, and exfoliations of the bone ; very large scrofulous swellings under the ear and lower jaw. Cheek quite well, only a slight deformity of the lower eye- lid remaining.—.The tumours have nearly disappeared. No. 115.—R. R., aged twenty-two years, afflicted three years with an eruption over the whole body, which dis- charged a quantity of matter, and dried into thick brown crusts or scales, which fell off, leaving the skin raw beneath. —Cured, and has remained well several months. No. 130.—E. C, aged sixty years, afflicted five months with an eruption on the hands and arms which totally dis- abled him from following any employment.—Cured, and has remained well some weeks. 26 No. 145.—J. M., aged twenty years, afflicted eleven years with a scrofulous disease of the bones of the nose and scro- fulous ulceration, which destroyed the bridge of the nose. White swelling of the knee, and-her health much impaired. Wounds are all healed, and her health restored. The treat- ment was commenced, by correspondence, in August, 1822. The patient is now in London, and appeared before the Com- mittee on Wednesday last to give testimony to the great be- nefit she had derived. No. 160.—S. H., aged twenty-two years, afflicted fifteen years with an eruption, said to be scrofulous, covering her body from head to foot, so thick that she was literally enve- loped in a case, which cracked and left the skin raw and bleeding. Her health was destroyed by the violence of the disorder.—Cured, her skin being perfectly smooth, and her health restored. The foregoing cases are a selection- from many, which the Committee have registered at their weekly ex- amination of the Patients, taken since the last Public Meeting, as evidence of the efficacy of the remedies and mode of treatment employed, because the symptoms were so strongly marked and so unequivocal as to the nature of the disease, that they could scarcely be mista- ken by the most inattentive observer. As it may, how- ever, be objected, that although in cases of long standing the Patients have derived only temporary relief and that a longer time is required to establish the permanency of the cures, your committee rejoice in being able to meet such an objection by a reference to several cases which they formerly reported to have been cured. Those Pa- tients whom they have frequently met lately, instead of shewing any tendency to a relapse, are evidently more robust and healthy, with less appearance of sickness and delicacy of constitution than they were some two and others three years ago, since which time they have re- mained free from disease. Thus your Committee, after the most minute inves- tigation of at least 120 Cases, besides many others which have come under their notice incidentally during the space of three years, not only find no reason to retract 27 any thing they have before advanced, but, on the con- trary, they feel warranted in confirming all the facts stated in their former Reports. The Committee now feel themselves called upon to advert to the state of the Funds, from which it appears, that after defraying the expenses of the Asylum for four- teen months, from November 14, 1822, to December 31, 1823, there remains a balance of only 68/. 10s. 9d. in the Treasurer's hands at Christmas last, which ba- lance is inadequate to meet the current expenses of the present Quarter. Your Committee are therefore under the necessity of appealing to the benevolent feelings of the Public for the means of maintaining this Charity, entreating them to exert their influence with their friends to procure for it an increase of patronage and support. The House (part of which at present is only occupied by the Patients in the Asylum) is sufficiently capacious to accommodate thirty Patients instead of eight, so that by an increase of expense, much less than proportional, the benefits of the Charity are capable of being extended to that number, by which means the efficacy of Mr. Whitlaw's remedies and mode of treatment would be still more unequivocally confirmed, and the Public con- fidence more fully established. 28 4PPENDIX. REPORT OF CASES BY MR. WHITLAW AND DR. PIDDUCK. . The Directors and Guardians of the Poor of one ol the most populous parishes in the metropolis, were in- duced by the favourable testimony of the Committee at the last Public Meeting, to place thirteen patients under the care of Mr. Whitlaw and Dr. Pidduck, in a ward set apart for the reception of the patients. The following is a brief statement of their cases, and the result of the treatment, up to the present period. TREATMENT OF CASES, COMMENCED JUNE 27, 1823. No. 1; M.S., aged 9 years; afflicted five years. Scrofulous disease of the foot, with exfoliation of the bone. An abscess in the groin as large as an egg, advancing to suppuration. purulent ophthalmia. Pulse quick and irregular ; complains of pain in the abdomen, and is of a very scrofulous habit of body. July 22.—Abscess in the groin, burst and discharged a large quantity of matter. The vertebrae in the lumbar region project, and she complains of severe pain when they are pressed ; eyes nearly well, and has suffered repeated attacks of inflammation in the foot. 29 August 21—The discharge from the abscess opening in o/dSnTtwas so profuse as to reduce her t0 the lowest s*aSe January 28—Her general health is very much improved, and her foot has ceased to be painful. March 2.—The ulcerations in the groin are healed: that> on the foot still continues open, but the discharge from them is very trifling. A glandular swelling in the neck, which has existed for some time, is advancing to suppuration___ Her general health is very good, and her eyes are quite well. No.2. M. D., aged 14 years ; afflicted 3 years. Purulent ophthalmia, which has frequently occurred. Discharged from the workhouse ; cured September, 1823. No. 3. M. W., aged 11 years, afflicted from her birth with white swelling and dropsical state of the left knee joint. A tumour on the left arm, just below the elbow, which is in- flamed. Chronic inflammation of the eye-lids. Shoulder joint had been affected with scrofulous ulceration, leaving extensive scars. It is still very painful occasionally. August 21.—In consequence of eating a quantity of un- ripe fruit she was attacked with fever, by which the scrofu- lous disease was very much aggravated. The tumour on the fore-arm burst, and discharged a considerable quantity of matter. The last autumn she was covered with a thick eruption of rank pustules in successive crops, which terminated in dry brown scabs or scales. January 28, 1824.—The white swelling of the knee-joint is completely reduced, and she has the free use of the limb. The ulcer on the fore-arm is healed, and perfectly sound.— The shoulder-joint is no longer painful. The eyes are free from inflammation. The eruption is entirely removed ; her skin being quite clear. In short, she is free from any com- plaint. March 2.—Continues in perfect health. No. 4. J. P., aged 7 years ; afflicted two years. Scrofu- lous ulceration on the left fore-arm and elbow, with swelling and partial contraction of the elbow-joint, and ulceration on the right fore-arm. Complains of frequent and severe at- tacks of head-ache. 30 January 28.—The ulceration on the right fore-arm quite healed ; those on the left nearly so. General health is very good; he is very robust; the head-aches have ceased. March 2.—No material alteration in the appearance of the ulcerations. His general health continues good. No. 5. J. A., aged 10 years ; afflicted five years. Scrofu- lous ulceration on the left fore-arm, near the elbow-joint.— Abdomen very tumid ; complains of pains in the head. January 28, 1824.—The ulcerations on the arm are nearly healed ; his general health is improved, but he still looks delicate. This boy's mother is a very weakly woman, and his father is paralytic. March 2.—The ulcerations on the arm continue in nearly the same state, but his general health is decidedly better. No. 6. W. C. S., aged 11 years, afflicted four years. Ex- tensive ulceration just above the knee of the left leg, from which there has been exfoliation from the thigh bone ; ulce- ration of the glands in the groin. A painful tumour just below the right elbow-joint. Complains of pain in the ischi- atic nerve when pressed. September.—Exfoliation of the thigh bone to a considera- ble extent had taken place; about forty pieces were dis- charged. The wound was nearly healed, when, from some unknown cause, it opened again to the extent of three inches in length—and the tumour on the arm suddenly inflamed, swelled, burst, and discharged a quantity of matter. January 28.—The wounds on the thigh and arm are heal- ing, and his general health is remarkably good. March 2.—Wounds continue nearly in the same state, and his health is good. No. 7. E. P., aged 4 years, afflicted from infancy. Scald- head (porrigo scutulata) covering the whole head. Glandu- lar swelling and ulceration behind the ears. Eyes affected, purulent opthalmia. January 28, 1824.—The eruption on the head has disap- peared, a slight scurfiness only remaining. The glandular swellings are reduced, and the ulcerations are healed. Eyes are free from complaint, and she is in good health. March 2.—She continues well, excepting a slight degree of scurfiness, for which her head is ordered to be re-shaved. 31 1 uV H'' aged 6 years ; amicted 3 or 4 years. Puru- lent ophthalmia and opacity of the cornea, the consequence of repeated attacks of inflammation of the eyes, rendering her almost blind. A pustular eruption of the hands and in the bend ot the arm, resembling purulent itch. In the summer this Patient was attacked with acute febrile symptoms and obstinate constipation, with violent pain in the head, for which active treatment was required. She gradual- ly recovered, after an illness of some weeks. January 28.—The eyes are free from inflammation, and the opacity of the cornea is nearly removed. The abdomen is reduced to its natural size. Her general health is very good. March 2.—Excepting a slight cold, she continues very well. CASES RETURNED FROM THE MARGATE SEA-BATHING INFIRMARY. TREATMENT COMMENCED OCTOBER 25th, 1823. J. S., aged 12 years ; afflicted above 5 years. Scrofulous ulceration of the glands of the neck extending from ear to ear. The whole throat is very much swelled, and another ulceration over the right collar-bone. She is very deaf, and there is a copious discharge of purulent matter from both ears. She has a bloated appearance, and the abdomen is very large and hard. January 28, 1824.—The swelling of the throat and neck is diminished, so that the marks of the disease are less conspi- cuous. The ulceration on the shoulder is nearly healed j the deafness and discharge from the ears continue nearly the same. The enlargement and hardness of the abdomen has much decreased. Her general health is very good. 32 March 2.—Excepting one or two of the old wounds which dried up at Margate, but which have re-opened, she con- tinues well; the discharge from the ears diminished, and her hearing more acute. E. N.,aged 10 years ; afflicted 12 months. Inflammation and purulent ophthalmia of both eyes. She has lost the sight of one eye, and the vision of the other is very indistinct from opacity of the cornea. Scrofulous ulceration over the right clavicle. Abdomen very large and hard. January 28, 1824.—The inflammation has disappeared, and the sight of both eyes is restored, a slight degree of opa- city only remaining; but which is gradually diminishing.— The ulceration on the collar-bone is healed, and sound. Her general health is very good. March 2.—Continues to improve constitutionally. G. T., aged 12 years, afflicted from infancy ; scald-head. Extensive scars on various parts of his body and limbs of scrofulous ulceration. One large ulcer on his back, and ano- ther on his side, are still open. January 28, 1824.—The ulcerations have all healed. The eruption on his head is removed, excepting a slight degree of scurfiness on the patches where the eruption appeared.— His general health is very good. March 2.—All the ulcers which ceased to discharge at Margate have broken out afresh ; but those which have healed since his return, continue sound. The appearance of the head is nearly the same. His general health con- tinues good. J. W., aged 10 years ; afflicted one year and a half, in consequence of an injury from jumping over a post. Diseas- ed hip-joint; the head of the bone is thrown out of its socket, and the limb is shortened. The hip is much enlarged. Two ulcerations in the middle of the outside of the thigh discharg- ing purulent matter. January 28, 1814.—He has been reduced to the utmost debility by the formation of a large abscess over the hip- joint, so that his life was considered in imminent danger, and confined to bed three months. The abscess burst and discharged copiously. His general health is so much im- proved, that, with the aid of crutches, he can walk about the ward, and his recovery is confidently expected. 33 March 2—The discharge from the hip is still very copi- ous, but he continues to gain flesh and strength, and his gene- ral health is very much improved since the last report. H. K., aged 16 years; afflicted 8 years. (Has not b'een a patient in the Margate Sea-bathing Infirmary, nor regu- larly under treatment with the other patients) admitted into the ward September, 1823. Diseased knee joint, preceded by a white swelling. The limb is contracted, and the ulcera- tion extends round the knee, up the thigh, and down the leg. Her general health is very bad, in consequence of repeated attacks of inflammation in the knee-joint, and the formation of fresh abscesses. January 28, 1824.—The swelling of the knee-joint has been considerably reduced, and it is less subject to inflam- mation, and her general health has been evidently improved since she has been under treatment. March 2.—Complains of violent pain on the knee and in the side, attended with some fibula excitement; the catamenia have never appeared. Thus it appears that four Patients have been cured, four rendered convalescent, and^rc mat rially benefitted. So that, although in three instances they had violent symptoms to contend with, which threatened the lives of the Patients, those not actually cured are still pro- gressively advancing towards convalescence. The Committee have received the following Letter from Mr. Whitlaw, which they judge it expedient to lay before the Public :— Great Russell-street, March 25th, 1824. Gentlemen, The moment is now arrived when I feel it my duty to in- form you that the necessity of my revisiting America, a mea- sure to which you will recollect I have already frequently called your individual attention, is become so urgent that it cannot with propriety be much longer delayed. I have therefore come to the determination of proceeding to 'hat countrv in the month of September next, when I hope to 34 be able to prosecute the following important objects lo a satis- factory result — f , 1st. To make arrangements for ensuring a supply 01 uie re- quisite medicinal herbs adequate to the increasing demands ot the Public, and to point out the situations, not easily communi- cated by writing, where they may be gathered in the greatest abundance, and in the highest state of perfection ; and 2dly. To finish those practical experiments on the apho- risms of Linnaeus, upon which I have for many years been en- gaged, and the completion of which I consider will prove, in a medical point of view, of the utmost importance to the human race. , I beg leave to remark, that Dr. Pidduck having been engaged with me for upwards of two years, during which time he has carefully watched the effects of the Remedies and Mode of Treatment which I have introduced, is now perfectly competent, with the aid of his own medical science, to undertake the charge of the Patients confided to our care, as well as to superintend those who may be placed in your Asylum at Bayswater, with the aid of such additional assistance as any increase of busi- ness during my absence may render necessary. And further, that it is my decided intention, if Divine Providence permits, to return to this country in the following May, or as much ear- lier in the ensuing year as the completion of the objects above contemplated will allow. Nor can I, Gentlemen, with satisfac- tion to my own mind, conclude this communication without expressing my grateful feelings for that kind and generous sup- port you have individually and collectively afforded to my views, and by which you have aided, I trust, my honourable ex- ertions for the relief of no small portion of suffering humanity. I have the honour to be, Gentlemen, Your most obedient Servant, CHARLES WHITLAW. list SUBSCRIBERS' NAMES AND RESIDENCES Donations. £■ s- Abbott, Mr. George, 50, Mark-lane......•............ ---- Ackerman, R. esq. Strand.............•............. 2 2 Adams, Joseph, esq. Mile-end-road ••..........•...... ---- Anderson, Samuel, esq. Winchester-house, Broad-st. «• • • ---- Arundle, George, esq. Park Place..........•......... ---- Auber, P. esq. Hampstead.....•..................... ---- Auld, William, esq. Leith............................ 2 0 Baylis, — esq. 188, Borough• • •...............•...... ---- Bark, John, esq. Bayswater.......................... ---- Barton, Launcelot, esq. Newcastle-street, Strand* ••..... ---- Bexlet, The Right Hon. Lord, V. P................... 10 0 Beatie, Commodore, B.M...................•........ 2 2 Bilton, Mr. John, 3, Clement's-court, Milk-street........ ---- Bolus, Mr. William, Kentish-town• • i.................. ---- Bosanquet, Mr. Serjeant, Montague-place, Bedford-sq.... 10 10 Bramwell, Mr. R. Dean-street, Soho................... ---- Brenchley, Charles, esq. Maidstone ••••••••........... ---- Broderick, William, esq. Gower-street................. 5 5 Buller, Vice Admiral Sir Edward, bart...............•• 2 19 Burn, Miss, Greenwich.............................. --- Button, Samuel James, esq. Stock Exchange...........10 10 Cameron, Capt. 10, Stepney-causeway.....•........... ---- Campbell, Colin, esq. 15, Bishopsgate-street............ 2 2 Chaffers, William, esq. Queen-street, Cheapside* • •••••• ---- Clarke, John, esq. 19, Montague-street................ ---- Cochrane, The Hon. Basil, V. P. 12, Portman-square.... 21 0 Coleman, Thomas, esq. 85, Watling-street............. ---- Collier, Mr...........•............................. 1 0 Collins, Mr..........•.......................•.....• ---- Corbett, Archibald, esq. 61, Guilford-street...........• ---- Cox, William, esq. Blackheath....................... 10 0 Cox, Joseph, esq. 10, Holland-street, Kensington........ ---- Crawford, Matthew, esq. 1, Garden-court, Temple......10 10 Huff, Mr. S. G. Freemasons' Tavern.....•............. --- Annual l l l l l l l l l i l l l 1 l 1 l l 0 10 l i i l l l l l i l l l l i i i l l l l l l i l l l l l 2 2 i i 36 Do?iations and SubscrifuioJi*. Donations. £'m Davies, Philip, esq. Corbett-court..................... 1Q 1Q Dixon, William, esq. Dartmouth-place, Blackheath...... ^ n Douglas, P. esq..................................... J Douglas, Robert, esq. 4, Church-court, Fenchurch-street, - - Dowson, Emerson, esq. 69, Welbeck-street............ 5 5 Dowson, Mrs.••...•••.•••• .ditto.................... Dowson, Mr. J.............ditto.................... - - Drummond, Henry, esq. Charing-cross.................21 ° Dyer, Mrs. Croydon...........•••......•............ Edgecombe, F. esq. Victualling Office, Somerset House. • ---- Ellis, Charles Rose, esq. M. P. 2, Audley-square........ -—- Farquharson, James, esq. Yorke-place, Portman-square. • 21 0 Farrow, Mr. D. Fleet-market......,.••••••••••••••••• 1 1 Farrow, Mrs.........ditto........................... 1 1 Fead, Capt. Woolwich, Kent......................... Fearne, H. B. esq. Blackheath •»..................... ---- 1'enn, Mr. D..............•...................•..... Fenn, Mrs. ......••.••••••••••............•......... ---- Ferguson, 1. esq. St. Martin's-lane.................... ---- Fletcher. Rev. Alexander, Homerton••................ ---- Foot, Jeffrey, esq. Vine-street, Minories......•........ 5 5 Foot, James, esq. 26, Great Russell-street............•• ---- Foresteen, Major, St. James's-street, Brighton.......... ---- Fox, Samuel, esq. London-house, Hackney............. ■ Freeman, Miss, 11, Tavistock-street, Bedford-square. < Friend, by Mrs. Wales....................«...... Ditto to the Institution.............«............. Ditto to the Asylum............................. Ditto ••• ditto.................................• Ditto ... ditto.................................. Gargrave, R. B. esq. Leicester-place •.............« Gooch, Capt. 23, Brunswick-square................... Goodwin, Thomas, esq. Henley......•......•«••...... ---- Goodwin, Thomas, esq. Strand ••.....•............••• ---- Gower, Lady Francis Leveson, 12, Albemarle-street..... ---- Grace, Nathaniel, esq. Birchin-lane, Comhill............ 10 10 Grantley, Right Hon. Lord......................... 10 10 Greig, Alexander, esq. 7, Bidborough-street.•.......... ---- Gresley, Lady, Conduit-street........................ Green, William, esq. Millbank-row.................... Green, David, esq.......ditto....................... Grey, Hon. and Rev. Anchitel, V. P. 23, Charles-street, Berkeley-square, *.............................. Ditto, Second Donation.............................. Ditto, Third Donation...............................21 Ditto, Fourth Donation.......................... Grey, T\ev. Dr...................................... ---- Gregory, Thomas, esq. Bayswater.................... 1 l Greville, Lady Charlotte, 31, George-street, Hanover- square........................................ ____ Gribble, — esq. Old Jewry.......................... ____ Guinness, The Rev. Dr., Sub-Dean of Saint Patrick, Dublin 5 0 Guinness, Benjamin, esq. Dublin..........•........•. 5 5 Hair, John, esq. Bilhter-square....................... ____ Halford, Richard, esq. Canterbury.................... ____ Halford, Mrs. Richard, ditto.......................... ____ 1 0 4 0 5 0 20 0 5 0 1 1 5 0 5 0 21 0 21 0 21 0 21 0 Donations and Subscriptions. Donations. I?!? «' «0hn' Fenn' esc*' Broad-street-buildings........ 1 \ Halkett, M1Ss, Clapham-road......................... 1 1 Hall, J. Esq. 14, Montague-place, Portman-square....... ---- Hamilton, Rev. Dr., Dublin.......................... 5 o Hardy, H. A. esq. Enfield, Middlesex................. ____ Harms, John, esq. Leicester-square.................. ____ Hayes, Robert, esq. Mitre-court, Cheapside............ ---- Heywood, Mrs. Highgate............................ ____ Horneyhold, C. esq. Cecil-street, Strand............... ____ Hunter, Sir Claudius Stephen, bart. V. P. 3, Queen-street, May-fair....................................... 5 5 Husband, H. esq. 10, Rathbone-place.................. 5 5 Hutchon, T. esq. Warnford Court, Throgmorton-street.. ---- Illman, Alexander, esq. Crown-street, Finsbury-square • • ---- Innes, James, esq. 20, New City Chambers............. 5 0 Irving, Mrs., Dublin................................. ____ Irving, Miss, ditto................................... ____ Johnston, Thomas, esq. 10, Thames-street............. ---- Key, H. G. esq. 30, Abchurch-lane....................10 10 Kiernan, Francis, esq. Charlotte-street, Bloombury...... ---- Kipling, Moses, esq. 155, Thames-street -...... La Touche, Rev. John, 8, Waterloo-place •••••• Lampson, John, esq. London Dock............ Langdon, William, esq. 28, Great Russell-street Langley, James, esq. Bedford......•......... Lawless, J. esq. Threadneedle-street. Lee, Rev. L. New College, Oxford.»........ Lewis, Mr. I. H. 104, High Holborn......... Lockyer, — esq. 10, Queen-street, Cheapside Lowthorpe, James, Walton, near Hull•»«.....«•••..... —— Lowthorpe, William, esq. ditto •...................... ---- Lynch, James, esq. Sise-lane......................... 2 0 Maitland, Rear Admiral.............................. 3 3 Manley, David, esq. Southampton-row................. ---- March, Frederick, esq. Tower.•••••••••••••.......... ---- Martin, Capt. "William, 16, Mount-street, Whitechapel • • • ---- Millar, James, esq. 45, Museum-street.............•••• 2 2 Mills, James, Ivy-house, Woodford.................... —■— Mitford, J. esq. 14, Lower Grosvenor-place •••........• ---- Montague, Basil, esq. 25, Bedford-square.............. ---- Moore, Peter, esq. M. P., V. P. Edward-street, Portman- square •.....••......••••••■•••••••••••«•«••«•• 21 0 Moore, Stephen, esq. Saperton Taplaw, Ireland ........ ---- Morant, Mrs. New Bond-street ••••••••••............. ---- Morgan, Mrs. 86, Watling-street...............•...... ---- Morrison, William, esq. Fore-street................... 5 5 Moulden, Thomas, esq. Bermondsey...........•...... 2 2 Moulden, Mrs..........ditto...................... ---- Morton, John, esq. Surgeon, Royal Artillery............---- Moves, James, esq. Greville-street, Hatton Garden...... ---- Mudford, Wm. esq. 7, Charlotte-street, Bloomsbury..... ---- Neville, Major-General, V. P. 7, Euston-square......... 5 0 Newby, Rev. George, Durham........................10 10 Newland, I. esq. 2, New-square, Lincoln's-inn.......... Newman, Mrs. Catesfield, Fareham.......... Nias, Mrs. Margate......•................' 1 1 3S Donations and Subscriptions. Donations. £■ »• Noel, Sir Gerard, bart. 11, Chandos-street.............. 21 0 Nuckel, Mrs. Broadstairs............................ - ~ Oliver, Robert, esq.................................. * 5 Oliver, Thomas, esq. 15, Great Smith-street, Westminster ---- Packwood, Capt. R. N., 21, Duke-street, St. James's • • • • ---- Parkinson, Mr. 79, Oxford-street •••••••.....••....... ~ Paterson, G. esq. Clapton............................10 10 Paulin, William, esq. 74, Broad-street, Radcliffe.....«• • ■ Peacock, Lewis, esq. Lincoln's-inn-fields •••••••••••••• 1 1 Pearson, John, esq. 20, Saville-place, Mile-end-road..... ---- Penney, William, esq. 251, Tottenham-court-road....... ---- Peterborough, The Right Rev. the Lord Bishop of • • • • ---- Phipps, Mrs. River, Dover........••...............•• ---- Phipps, Mi's. 8, Earl-street, Blackfriars................ '---- Pirie, John, esq. 3, Freeman's-court, Cornhill*••........ 2 2 Potts, William, esq. Dublin.......................... * ° Pringle, George, esq. Stoke Newington ••............. ---- Prior, Mrs. Dublin...................••••........... 5 0 Pugh, John, esq. No. 10, King's-road.................. ---- Read, Mrs. Henry, 12, South-street, Finsbury-square •••• ---- Read, Miss Maria, Binfield, Berks.•.................»• ---- Read-, — esq. Stock Exchange.........•............. ---- Rickards,Robert, esq. 15, Bishopsgate-street*•••••••••• 5 5 Riddle, Mrs. Berwick..................•.....•...... ---- Riddle, Mrs. Hull, Yorkshire......................... 5 0 Rose, Mr. H. F. Coppice-row •••••••»••»•••••«••••••• 1 1 Rev. Friend, by Mrs. Nuckell«....................... 1 1 Samuel, Mr. 7, Vine-street, Minories.................. 1 1 Simons, Capt.....................................•• 1 1 Simons, Rev. J. PauPs-cray.......................... 2 2 Simpson, Mr David, 57, Bishopsgate-street...........•• 1 1 Slaney, Francis, esq. Wynyatt-street, Clerkenwell •••••• ---- Slater, James, esq. Ordnance-office, Tower......•..... ---- Smith, Samuel, esq...........•...................... 1 1 Smith, C. H. esq. 5, Portland-road •...................---- Smith, John, esq. Queen-street, Cheapside............. ■ Smith, Mr. 31, George-street, Hanover-square•••••••••• ---- Snoulton, O. esq. Canterbury........................ ---- Snoulton, O. esq. jun. Canterbury..................... ---- Spencer, Rev. F. 4, King-square, Bristol......•........ ---- Stagg, Robert, esq. Appleby......................... ---- Stainsby, Peter, esq. 73, Lombard-street............... ---- Stamford & Warrington, Rt. Hon. the Earl of, V. P. • • 21 0 Steel, Captain W. 10, Stepney-causeway.........•..... ____ Stevens, William, esq. 2, Sion College-gardens, Alderman- bury.......................................... ____ Stewart, Edward, jun. esq. Duke-street, St. James's..... 5 5 Stewart, William, esq. Mitre-court, Cheapside. •........ 5 5 Stock, Samuel, esq. 87, Great Russel-street............ 5 5 Stone, Mr. James, 9, St. Bennett's-place, Gracechurch- street......................................... j j Stone, Mr. James, Warwick-street, Golden-square...... ____ Strickland, Walter, esq. Colethorpe-parke, Witney...... 10 0 Surridge, Mrs. Ann, 33, Newgate-street............... ____ Taylor, Miss Ongar, Essex........................... ____ The Session of Albion Chapel........................ ___. Donations and Subscriptions. Donations. Thomas —esq. 20, Cornhill......................... _-l Thomas, Rev. John, Highgate........................ ____ Thomas, Jacob, esq. Cornhill......................... ____ Thompson, Lady, Fareham, Hants....................21 0 Thompson, Rev. H..................................21 0 Thompson and Marryat, Messrs.......................30 0 Thornton, Major.................................... ____ Thornton, Dr. Union-court, Broad-street............... ____ Tilleard, J. esq. 4, Doughty-street.................... ____ Tristram, Barrington, esq. Kendal Westmoreland....... ---- Tuach, Francis, esq. Bermondsey..................... ---- Vale, Rev. Edward................................. 1 0 Wales, Mrs......................................... ____ Wales, William, esq................................. 1 1 Walker, T. esq. Camden-town........................ 1 1 Warr, Mr. F. W. Red-lion-passage.................... ---- Way, Colonel, Sir Gregory, 9, Chandos-street.......... ---- Werge, Edwards, esq. Hexgrave-park, Southwell, Notts ---- Westerdale, I. esq. Hull............................. 1 1 Whitby, Rev. I..................................... 5 5 Wickens, J. esq. Montague-street.................... ---- Wickens, John, esq. Pool*«........•................. --- Willatt, W. esq..................................... ---- Williams, Rear Admiral............................. 3 0 Wilson, John Broadley, esq. Clapham-common ••••••••• ---- Wilson, Edward, esq. Bury-green, Cheshunt........... ■---- Wolff, Baron, 44, Welbeck-street...................«• ---- Wright, John, esq. Nottingham ••••..........•........10 10 Wright, — esq................•••.................. --- Yorke, Vice Admiral Sir Joseph Sydney, K. C.B., M. P. V. P. 14, New Burlington-street......•............ 5 0 Ditto, Second Donation •.....»...................... 5 0 39 Annual. L. s. 10 10 TREASURER'S ACCOUNT FOR 1823. Receipts. Balance of former Account • < Subscriptions and Donations < Payments. L. Furniture ••......•••.....•.........•.......H4 Kent and Taxes........•................•••• 68 Coals...................................... 28 Advertisements and Anniversary expenses...... 21 Matron and Servants......................... 52 Printing.............•..................... 33 Repairs and Garden...............•......... 11 Board of Patients and medicines •••••• 212 8 8 Received of Patients................ 66 0 0 11 6 12 3 17 6 6 2 16 0 15 8 7 6 L. s. d. 324 11 0 221 15 0 516 6 0 146 8 8 477 15 3 Examined and? Frederick E March,? Audi(ort. Approved. 5Peter Stainsby> 5 Balance 68 10 9 L E T T E li FROM MR. CHARLES WHITLAW j TO THE COMMITTEE OF THE ASYLUM FOR THE CURE OF SCROFULA < AND GLANDULAR DISEASES, AT BAYSWATER, ON THE SUBJECT OF A LECTURE ON SCROFULA Delivered at St. Thomas's Hospital, 1824. . Gentlemen, I feel it my duty to submit to your consideration and that of the public, some remarks suggested by the perusal of the following Letter, which was inserted in the Bath and Cheltenham Gazette of the 3d. instant. To the Editor of the Bath and Cheltenham Gazette. Sir, ! In your paper of last week, as well as in some of your i brother editors' of a late date, I perused, with feelings of a very mingled character, an article extracted from the Lancet, and said to be part of one of Sir Astley Cooper's last lectures. You will indulge me with the insertion of a few remarks on the sub- j ject to which it refers, which is, the prevalence and the cure of Scrofula. It is matter of lamentable reflection that that disease should \ abound as it does, and it affords a confirmation of the truth of what Sir Asley says of its prevalence, that cases of Scrofula j have lately come to my knowledge in this town and neighbour- hood, till the number now amounts to upwards of fifty. It is still more lamentable to reflect, that, abounding as this disease i appears to do, it is on the increase,—the plague is spreading; . —but yet more lamentable would it be, if, as Sir Astley states, there were " no specific remedy for it." Can Sir Astley believe j that then- are no remedies provided in nature for that maladv ^ 41 by a merciful and gracious God, as well as for others? Doubt- less there are; and such as would be found efficient, if called into use, and duly employed. If such remedies are not known to the medical world, I think it behoves those whose profession it is to seek, and those who, it is expected, should know and properly apply them, to commence examining what can be either discovered or effected, to save their fellow-creatures from the misery and disgust, and the community from the deplorable ravages of a malady, which otherwise is likely, ere many gene- rations are past, to taint the whole mass. I well know that by the mode of professional treatment, which, like self-arrogated orthodoxy in divinity, has confined itself to one imbecile sys- tem ; and contented itself chiefly with exclaiming against imaginary innovations, or in endeavouring to suppress the truth, till all were well nigh about to perish under their accu- mulated maladies; little good has been or can be effected. I well know that hydrargyrum, and antimony, and ablutions of salt water to stimulate the parts affected to action, enable them to throw off the viscid humours, and induce absorption or sup- puration, have proved their inefficacy to produce any sanative result. I well-know that alkalis, and muriates, and submu- riates, and sarsaparilla, and the like, to correct the scrofulous diathesis, fail to do so in ninety cases out of one hundred. I well know that digitalis, and hyoscyamus, and such paralizing narcotics, pushed in a worse than quack-like manner, to allay the morbid excitability peculiar to scrofulous subjects, have baffled the expectations of their originators and employers. All this has been better known to the profession for centuries, till their failures in this disease have constituted it the oppro- brium medicorum. But I also know, that by simple and natural means, some hundreds, once wretched objects from scrofulous affections and ulcerations, have been delivered from the virus ; the alarming tumours and enlargements have been dispersed; the joints, hampered with advancing contractions, have been released ; the excoriations replenished with new flesh, and heal- ed ; and instead of puckers and seams, knots and scars, the surface has become sound and clear, and there is scarcely any mark of disease having ever existed. And I have it on the tes- timony of a regular medical gentleman, in corroboration of what I myself have seen, and who, having inspected the cases to which I allude, hesitates not to declare, that he believes them to be perfectly sound and good cures, that he never saw the like before, and that it is worth the while of any medical gen- tleman, or other persons interested in such a matter, to travel five hundred miles to see the subjects so cured. I have more- over, myself, a number of patients, on whom I have expended some scores of pounds in efforts ■ of from three to eighteen months standing, by the usual means, who are now, by a differ- 42 ent process, in less than three months, altered in a manner that is most gratifying, and that indicates a rapid approach to a state of recovery and curation; as the patients before alluded to have exhibited and maintained, for a length of time sufficient to satisfy the most incredulous mind that is not wholly blinded by prejudice, infatuated by party spirit, or enslaved by jealousy and bigotry. The means that have effected these cures and this change are such as assist those parts, which are the seat of the disease, to throw it off and recover their natural tone and pur- pose in the human frame ; and of course, by so doing, " regulate the secretions." These are the means discovered by Mr. Whit- law, and employed in London under the superintendence of himself and Dr. Pidduck, and by several private individuals in different parts of the kingdom; from a conviction of their su- periority and efficiency over every thing admitted into use by the faculty. It is with extreme reluctance, Sir, that I obtrude myself in this way upon your columns, and upon the notice of the pub- lic : but when a gentleman, elevated as Sir Astley Cooper is, and in a lecture, ex cathedra, to those who will thereby be pre- judiced to the public detriment, ventures to assert that there is no specific for Scrofula, and that whoever professes to have dis- covered one is only attempting to gull mankind; and when such assertions get abroad under the influence of such a name, it becomes, I think, the duty of those who know otherwise from trials which the profession will not make and set their faces against, to state what they do know, and have proved, for the benefit of suffering humanity. I shall be happy, therefore, if the statement here given you, which I could not withhold on reading the article referred to from the Lancet, should arrest the attention, and prove of in- terest to any sufferer under Scrofula. It will also afford me real pleasure to give any further information or direction to any inquirers so interested, as I have had the privilege of such ob- servation and experience as enable me to speak with some con- fidence, and of already satisfying several ladies and gentlemen who have done me the honour of inspecting my poor patients, and in particular the Hon. Capt. Waldgrave, of Harptree Court, and other gentlemen in the vicinity, that there is a specific for Scrofula, simple and easy in its use, of general and ready appli- cation, and perfectly safe, whilst effectual, in its operation. I am, sir, &c. JOSIAH ALLPORT. Chippenham Vicarage, Jvly 31st, 1824. • To the Reverend and respectable Author of the above Letter, I beg leave to offer my sincere thanks, for his honor- able attempt to counteract the influence of prejudice and cal- 43 timny ; but the subject appears to require a few observations trom myself, to prevent my opponents from availing them- selves of what may be considered a technical inaccuracy in Mr. Allport's statement. When I first read the above Letter, I confess I somewhat doubted whether the language and epithets ascribed to Sir Astley Cooper, in a publication called the Lancet, were just- ly attributable to that respectable practitioner. Upon refer- ence, however, to the pages of that work, I find that in a lec- ture delivered at St. Thomas's Hospital, on the 17th of May last, the lesturer (who is there denominated the " Worthy Baronet," and must, therefore, I suppose be considered Sir Astley Cooper), is made to use the following expressions :— " As to any specifics for the cure of the complaint (Scrofula), I need not tell you that such do not exist."—" Gentlemen, you may lay it down as an axiom, that there is no specific for the cure of Scrofula j and he who says there is, attempts to gull mankind by the assertion of what is not true."—Lancet, ' Vol. IV, No. 3, pp. 69, 74. Whether Sir Astley Cooper intended to include me and my system in the above anathema I cannot tell j and if he meant to restrict the term " specific"" to its strict technical import in medical phraseology, I shall not perhaps, differ much from him ; viz. that there is not any one separate and distinct medicine which is, in all cases and circumstances, to be relied upon, as a certain and never-failing remedy for the Scrofula. How many such specifics there may be in the whole circle of medical science, if limited within this narrow defi- nition, the worthy Baronet will perhaps inform his admiring pupils in some future lecture ! But if Sir Astley intended to assert, that there is no mode of treatment, and no combination of medicines, which may be safely and securely relied upon as generally successful,— not merely for enabling a scrofulous patient to put on a summer appearance, or fair weather dress, but such as will justify the medical practitioner in holding out to the scrofu- lous patient, a rational, scientific, and well-founded expecta- tion, that his disease will be constitutionally eradicated, and that he will be restored to health and strength (in which ac- commodated sense I frequently assert that my remedies amount to a specific for this afflictive malady, and I believe medical men do the same in relation to other medicines and diseases), I presume to give to Sir Astley Cooper the most positive and unequivocal contradiction ; and I venture to as^ serf, that the statement attributed to the worthy Baronet 44 could never have been made if he had taken the trouble to investigate the cases in your asylum,—those referred to by Mr. Allport, in the vicinity of Chippenham,—or the still more numerous cases which are to be seen at my house every Wednesday. Nor does it seem very consistent with that spirit of liberali- ty for which the faculty so vehemently claim credit, or with that candour by which a learned and enlightened profession ought always to be actuated, dogmatically to assert that me- dicines, of the virtues and properties of which Sir Astley Cooper is wholly ignorant, may not be capable of producing a certain effect;—or that an individual must necessarily be an impostor, or propose to gull mankind, because he does not choose to communicate gratuitously to every apothecary in the kingdom, those discoveries which have been the result of his own labour and anxious perseverance ; and the benefit and advantage of which he has, therefore, the most unques- tionable right to reserve to himself as long as he may think proper. Surely it argues no common portion of vanity, and • a total want of humility, for any practitioner, however ex- alted the eminence to which he may have attained, to assume, that it is impossible for any other individual to have acquired the knowledge of useful remedies, merely because they are unknown to himself. Sir Astley Cooper must be well aware, that the history of medicine furnishes a complete refutation of so absurd an idea ; nor will it be matter of great surprise to those who are acquainted with Sir Astley Cooper's habit of life and line of practice, if he, in particular, should not have absolutely exhausted the whole arcana of the vegetable and mineral worlds. It is not my intention to press this part of the subject fur- ther at present, and still less to say any thing offensive or dis- respectful of Sir Astley Cooper, who justly occupies an emi- nent station in public opinion, as an operating surgeon; but it is my duty to state, that I entirely differ from him as to the mode of treating scrofulous patients, as laid down in the above and subsequent lectures ; and that I consider it little less than a miracle if a patient, under such a mode of treat- ment as that ascribed to Sir Astley in these lectures, does not become much worse, rather than better. I repeat, I wish to avoid every offensive intimation ; but I should not be honest were I to conceal, that multitudes of cases pass under my eye every week, where the very treat- ment, and the very medicines, recommended by Sir Astley 45 Cooper,* and others analogous to them, have been practised and administered for years without any effect decidedly bene- ficial, and, I wish I could say, without any effect decidedly deleterious, but which have yielded to my own system of treatment, and to the medicines which I am enabled to ad- minister. Sir Astley Cooper facetiously remarks, " I remember be- ing once called on to' subscribe to a charity, instituted for the cure of Scrofula, and I said that I had no objection to sub- scribe, if its benefits were to be extended throughout the year ; because, if its operations were to be extended all the year rojund, the eyes of the subscribers would be opened to the inefficacy of any charity of the kind. The way also to try the value of nostra, blazoned forth as specifics for the cure of Scrofula, is to watch their effects during the whole year, for else you may be deceived."—Lancet, Vol. IV, No. 3, p. 68. I do not know to what Institution this remark alludes, but if it were intended for any other purpose than to relieve the ennui frequently produced by an hospital lecture, I hesitate not to claim the worthy Baronet's benevolence on behalf of your Asylum, at Bayswater, " the benefits of which are ex- tended throughout the year" and where he may himself, as a Subscriber, watch the effects of my system and medicines u all the year round;" and I beg to assure Sir Astley, I am not in the least apprehensive of the consequences, even from his discriminating science, provided he will lay aside his prejudices, and be candid. I beg leave to add, that with many of the remarks of Sir Astley Cooper, and with some of his principles, I entirely agree ; but as to the media through which the desired results are to be obtained, we differ as widely as from east to west; and surely we may do so, and yet both be honest men. I should never think of suggesting that Sir Astley Cooper meant to gull mankind, or was struggling to support a totter- ing system by the weight of a great name, because he ad- ministered corrosive sublimate, calomel, hydrargyrum cum creta, bark, steel, caustic alkali, soda, wine, fermented liquors, &c, although I verily believe that such remedies are no less imp'roper and injurious in this particular disorder than they are positively and necessarily destructive to the human frame in general. I have no doubt that Sir Astley prescribes these * Regular entries, containing a scientific description of each case, and of the different practitioners who have been previously and successive!} consulted, are made in the books belonging to the Asylum. 46 medicines because he believes them efficacious; but is that any reason why I am to abstain from administering other remedies, which I know, after many years experience, to be efficacious ; and, what is of no small importance, if in those few instances where they may not produce a cure, so far from injuring, never fail essentially to benefit the general health ? I have, however, great confidence in the worthy Baronet's fineness of character and liberality of feeling; and have no doubt, that in a short time, he will readily acknowledge his error, and consider it a point of honour to approve and ap- plaud a system, which it is neither in his power, nor, as I hope, within his inclination, effectually to impede. I have to apologize for the length of these remarlA, with which, probably, I should not have troubled you but that I am about shortly to proceed to America for the purpose of securing a more regular supply of the remedies, which, con- nected with my system of treatment, have already proved so decidedly beneficial; and aware that it is probable some ma- licious attempts might be made to injure that system, and to impede the efforts of the truly respectable practitioner, who will superintend it during my absence, I have deemed it right to make this public statement in reference to the above lectures on Scrofula and its cure. I am, gentlemen, Your obedient servant, CHARLES WHITLAW. ^7, Great Russell Street, Bloomsbury, August 31st, 1824. 47 INSTITUTION for the Cure of Scrofula in all its various forms, Schirrous Tumours in their incipient stage, Cutaneous Diseases, Liver Complaints, Gout, Rheumatism, Asthma, De- bility, and all Disorders arising from derangement of the Di- gestive Organs, upon the Medical Principles of Mr. Charles Whitlaw, by means of American Vegetable Decoctions, a suita- ble plan of Diet and Regimen, and the Medicated Vapour-Baths. PLAN OF DIET AND REGIMEN. Unwholesome food, impure water, and irregularities in diet, being the primary causes of most chronic diseases, it is neces- sary that patients afflicted with the above-mentioned disorders, should pay the strictest attention to their mode of living, not only during the progress of cure, but even afterwards; as the same causes that produced a disease will occasion its return. Farinaceous Vegetables.—Bread, wheat and rye flour, oat, barley and pease meal, rice, arrow-root, sago and tapioca, are recommended : but potatoes, and bread adulterated with pota- toes and alum (a species of fraud the most pernicious ; because the alum, by constipating the bowels, and the potatoes, by fer- menting in the stomach, slowly induce many dangerous diseases J are forbidden. Boiled Vegetables.'—Green pease, French and Windsor beans, cabbage, cauliflower, broccoli, Scotch-kale, turnip, spinach, beet-root, sea-kale, asparagus, artichoke, Jerusalem-artichoke, vegetable marrow, celery, dandelion, carrot, parsnip, leeks and onions, when thoroughly cooked, also pumpions and squashes, in all their various modes of cooking, are recommended. Raw Vegetables.—Water-cress, American-cress, mustard and garden-cress, lettuce, endive, nasturtium, radish, scurvy-grass, corn-sallad and celery, are also recommended. Fruit.—Acidity in the stomach being one of the most pro- minent symptoms of derangement of the digestive organs, the patients must abstain from fruit; especially from currants, gooseberries, grapes, plums, cherries, oranges, lemons, dried currants, raisins and prunes; from vinegar, pickles, and acids of all kinds. Animal Food.—Milk, eggs, sweet butter, new cheese, the lean of mutton, beef, lamb, veal, fowls, turkeys, game and fish, tho- roughly cooked, and oysters, shrimps, crabs and lobsters, may be eaten in moderation; but pork, the fat of meat, ducks, geese, and eels, rich soups, gravies and other greasy substances, salt meat, rancid butter and decayed cheese, are strictly forbidden. Drink.—Water being the natural diluent and solvent of the food, and constituting the chief part of the fluids of the body, the purest and softest filtered rain or river water should be cho- sen, as being the most wholesome; but water containing pu- trescent animal and vegetable matter, hard pump, or well water; chalybeate springs, or water impregnated with iron, and water contaminated with the oxide o.f lead, in consequence of passing 48 through leaden pipes, and remaining in leaden cisterns, is ^ ti y deleterious, paFticularly in cases of Scrofula and Consumption, and therefore to be avoided. Coffee, cocoa, chocolate, sage tea, British herb tea, toast- water, and spruce beer, are allowed. But since, in all cases o debility, a large quantity of fluid is injurious, the patients should drink as little as possible; and, in order to diminish the neces- sity of drinking, they should abstain from salt, as it excites thirst, fever, and inflammation; and, from China tea, wine, cider, perry, and malt liquors, as they entirely counteract the benen- cial effects of the medicines. Air and Exercise.—To promote the cure, it is indispensably necessary that patients, and particularly those afflicted with Scrofula, who are frequently averse to active exertion, should rise earjy and take as much exercise in the open air as can be borne without pain or excessive fatigue. The Medicated Vapour-Bath, employed with the Vegetable Decoctions, is a powerful auxiliary in the cure of the above- mentioned diseases. The effects of the Vapour-Bath are :— 1st.—To equalize the circulation of the blood, and hence to remove coldness of the hands and feet, and to lessen the deter- mination or flow of blood to the head. 2d.—To promote sweat, and re-estahlish insensible perspira- tion, and thereby to relieve symptoms of internal inflammation. 3d.—To diminish nervous irritability. 4th.—To promote cutaneous eruptions, and remove diseases of the skin. 5th.—To remove the effects of mercury from the system. 6th.—To promote absorption of dropsical effusions. 7th.—To relieve difficulty of breathing, and hence to cure Asthma, and other diseases of the chest and lungs. 8th.—To strengthen the stomach, and impart a tone to the digestive organs. 9th.—To promote the healing of Scrofulous and Chronic ulcers. 10th.—To remove Gouty and Rheumatic pains and swell- ings-from the joints. 11th.—The Quincy. The bath has never failed to relieve it. 12th.—The Croup. It may be regarded as a specific. 13th.—The Hooping Cough—gives great relief. 14th.—The Measles—no instance of death having taken place, when the bath has been employed. The American Vegetable Decoctions, combined with the use of the Vapour-Bath, ample experience has proved to be inva- luable remedies for the prevention and cure of the yellow and putrid fevers; and they are, therefore, particularly recommend- ed to persons going abroad to a hot climate. Vapour-Baths on the most approved principle, both simple an$ medicated, ready at all hours in the day. 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