'JTodces respecting Neiu Books. 35T 



of tlie breadth of sixpence was seen underneath ; which being 

 removed, the head of the worm was seen. It was in ge- 

 neral firmly attached, and required force to detach it from 

 the parts underneath. When detached with the forceps, 

 we twisted it round a Hgature or piece of Hnt, and thus, 

 often on the first day, succeeded in extracting a foot, or 

 even two, of the worm. It resembled much what is called 

 bobbin, and was about the same size. It was transparent 

 and moist, a white liquid being seen in it. We continued, 

 daily, extracting as much of it as would come out with gentle 

 pulling. It was always dangerous to pull strongly, for fear 

 of breaking the worm : it then occasioned the most acute 

 pain, and there followed much swelling, with inflammation of 

 the neighbouring parts, sometimes of two or three weeks 

 continuance ; when the worm would show itself at another 

 part, as at first, with itching an»l a blister. 



" It seldom appeared to be deeply seated ; generally, 

 under the cutis, or among the tela cellulosa, when we could 

 often trace it in its course, and sometimes see it : sometimes 

 it was under the fascia, and but seldom among the muscles. 



" If not ushered in with fever, it was almost always at- 

 tended with it in its course : wdien there was considerable 

 inflammation, it ran very high. In seven cases mortification 

 took place, and very large sloughs were cast oft". In a few 

 cases, there was a very considerable and alarming hae- 

 morrhage. 



" By presenting itself at different places, it would often 

 leave two or three large, foul, and fistulous ulcers in dif- 

 ferent parts of a limb. When the inflammation has run 

 very hiuh, as I have often seen of the whole leg or thioh ; 

 and when a profuse suppuration followed ; the worm fre- 

 quently has come out dead, often in pieces, with the sanies ; 

 by which, probably, it had been eroded and killed. 



'* Frequently, after extracting one worm from a patient, 

 a second, a third, or even a fourth, would appear : after get- 

 ting one out of a leg, a second would appear in the other, a 

 third in one hand, and a fourth in the other hand. 



" The guinea-worm, I believe, has been seen in every 

 part of the body, 'iliough the extremities appear to be its 

 favourite seats, yet the face, breast, back, penis, &cc. are not 

 exempted from its visits. I heard of a gentleman in Bombay 

 who had one in his scrotum and penis, and of a lady who 

 had one in the pudeiula. 



" The following I extract from my ca?e-book and notes, 



taken on board tin- Minerva, by %\hich it will be seen that 



•Z 2 xW: 



