on a pure dyscrasia. I think by referring to that paper it will be seen that I merely quoted Mr. Paget in the matter, showing that such an authority looked upon tumors as having a constitutional element; but I think I took great care to remark that I did not believe in the theory of blood dyscrasia, primarily.

Some one asked why more cures of carcinomata and other malignant tumors had not been reported. I think it is because they have never yet been made. I wish, therefore, to consider the operative measures, and I think that after discovering a carcinomatous or scirrhous tumor the sooner we remove the mass from the body the better for the patient, and I believe we can do more with our remedies after that mass is away, for it will become a centre of poisonous influences.

Reference has been made to the thermo-cautery, and I am firmly of the opinion that it is as good as any other; it will produce as good results as the galvano-cautery, and its heat is much more definite.

It would seem that these tumors are independent growths, and yet we all have had experience, time and again, that those which appeared most independent have, when thoroughly treated, disappeared under the use of remedies.

DR. H. C. ALLEN, of Detroit: I would like to ask Dr. Gallupe the end of the case of ovarian tumor treated with Arnica. DR. WILLIAM GALLUPE, of Bangor, Me.: It was a perfect recovery. The tumor could not have been held in a six quart pan when I began, but it disappeared entirely. She has been perfectly well for six years. I have cured cases with Lachesis from the thirtieth up to the five thousandth.

DR. S. R. BECKWITH, of Cincinnati: Mr. President and Gentlemen: I cannot understand how any one can take exception to the papers under discussion, for they are singularly well prepared, and bear the marks of much labor and research. I see how other members criticize them, and I must add my own opinion. All questions of doubt have been left in doubt, all questions of experience settled by experience.

It is my majority so far as the Bureau of Surgery is concerned, as it is just twenty-one years that I have been on that bureau. Twenty-one years ago our bureau consisted of three members, and twenty-five minutes was occupied by us at the first session. We urged discussion on all the papers, but at that time I was the only homœopathic surgeon who had operated in this country to any amount.

I reported a case of operation to the Institute, but they did not treat me kindly. I can never forget that, except for those

who are dead. Some of those present then are here now; among them is my friend Dr. Dake.

My friend Dr. Winslow brings an elegant paper; it could not be better; they need him in the Bureau of Gynaecology. That bureau also was started twenty-one years ago, when I was an infant. They speak volumes for homoeopathic surgery, these reports we have just heard.

DR. WILLARD: I wish to correct a mistake about my paper. I do not prescribe for a disease but for symptoms, and where it is necessary I operate.

On motion the discussion was closed.

CONTENTS.

XVII. A Comparison of Old and New School Treatment in the Hospitals of New York,

W. G. CowL, M.D.

XVII.

A COMPARISON OF OLD AND NEW SCHOOL TREATMENT IN THE HOSPITALS OF NEW

YORK.

BY WALTER G. CowL, M.D.,

Late House Surgeon to the Homœopathic Hospital, Ward's Island, N. Y.

THE positive proof of the superiority of the homœopathic treatment by the comparison of statistics of old and new school hospitals in which a large number of patients are treated, is a verification of the truth of our law, which is not only reassuring to ourselves but a strong argument in the conversion of the old school and its patrons. Such a positive proof is afforded by the records of the Homœopathic Hospital on Ward's Island, New York, and the old-school hospital on Blackwell's Island, known as Charity.

These large hospitals are both entirely supported by public charity and are under the care of the Commissioners of Charities and Correction, the heads of this department of the city government. They receive principally subacute and chronic cases; Bellevue Hospital, which is in the city, receiving largely the acute, both medical and surgical. Their statistics are published in the annual reports for the department.

The Homœopathic Hospital received and treated 6376 indigent patients from its opening, on September 14th, 1875, to Jan