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XXVIII. Report of Surgical Cases in the City and Finslury 

 Dispensaries, fur January 1808, with some additional 

 Remarks on a Case of Scirrhous Mamma. By John 

 Taunton, Esq. 



An the month of January there were admitted on the 

 books of the City and Fmsbury Dispensaries '-2Q'! surgical 

 patients. 



Cured or relieved — 249 



Discharged for irregularity 2 



Died — — 4 



Under cure — 13 



267 



Since which time there ha\'e been admitted 1591. 



In the last Number of the Philosophical Magazine, p. 70, 

 Bome remarks were made on the case of Miss R., wjio had 

 a tumour in the right breast, which had existed for some 

 years, and which had lately assumed the character of the 

 true scirrhus. 



It appears that this disease originated from local injury, 

 and remained stationary for almost six years, when a second 

 blow was received on the part : — then, and not until then, 

 did the disease assume. its true character : this took place in 

 a constitution naturally irritable and delicate. Is it possible 

 to suppose, that the mode of treatment by depletion, com- 

 menced in October 1806, and regularly persevered in till the 

 following April, could fail to have produced the increase of 

 unfavourable symptoms, and that general debility \j;hich then 

 existed ? Ought it not rather to be matter of surprise, that 

 at this period a professional man is to be found, who should 

 regularly and obstinately have persevered in a mode of treat- 

 ment for so many months, which evidently tended to the 

 increase of the disease, and also to the destruction of hiS 

 patient ? 



This disease arises from very opposite causes, and takes' 

 place in constitutions which are exceedingly different ; and 

 even in many instances it occurs without any ohviou? or 

 assignable cause ; neither does its true nature appear to be 



Vol. 31. No. 122. Ju/y 1S08. K . at 



