DESCRIPTIONS OF NEW SrECIER. 139 



three months, without cough, the blood being mixed with mucus 

 after the first mouthful of pure blood. He is in good general health. 

 His eczema he attributes to a severe attack of scabies. His father 

 is dead, but never had cough ; his mother died ten years ago of 

 cough. Two brothers and two sisters alive and well. Though he 

 is thin, there was no auscultatory sign of phthisis, and I could not 

 but associate the parent of the ova and the hsemoptysis as cause and 

 effect. He has no filariae in his blood. 



" From November 5th to December 18th, 1878, I had in hospital 

 here a Portuguese, for many years a resident in North Formosa. He 

 came over from Formosa sick. I diagnosed thoracic tumour, pro- 

 bably aneurism. He improved with the rest and returned again to 

 Formosa. In June, 1879, he died suddenly, and Dr. Ringer made 

 a post-mortem examination, with the particulars of which he kindly 

 furnished me. Death was caused by rupture of an ascending aortic 

 aneurism into the pericardium. He found the lungs slightly con- 

 gested, and on making a section, came across a small parasite lying 

 on the lung tissue, which he says might have escaped from a 

 bronchus. 



" When my Chinese patient told me he had been long resident in 

 North Formosa, and that his hsemoptysis began there, I thought it 

 not at all unlikely that Dr. Ringer's parasite and that in the lungs 

 of my patient were identical. Dr. Ringer kindly, in reply to my 

 letter, sent me the parasite — the only specimen he obtained — and in 

 the sediment of the spirit I found ova of the exact dimensions and 

 general appearance of those I found in the sputum of the Chinaman. 



" I could not find in your ' Parasites ' a worm to correspond, and 

 as I have some idea that this worm is not an unfrequent cause of 

 hgemoptysis in Chinese, I turn to you for more information. I send 

 the worm — evidently a fluke — and also a sample of the Chinaman's 

 sputum. I also enclose drawings of eggs and outline of the parasite 

 in case my package miscarries. I fear the worm is somewhat muti- 

 lated, but, I trust, not past recognition. 



" Yours faithfully, 



" Patrick Manson." 



Note by the President. 



'* On returning home from the Q. M. C. Meeting, I found that 

 Dr. Hanson's * package ' had arrived. The sputum I have not 



