250 APPENDIX. 



" Such an opportunity has occurred through the kindness of Professor 

 Grant, of the London University College, himself a high authority in 

 these matters. Dr. Grant has lately put into my hands the work of 

 Professor Biagio Gastaldi, of Turin, in which the subject of entozoa and 

 other worms is embraced and discussed by a master mind. In thus re- 

 deeming my promise, I would refer those of the profession curious in this 

 subject, for full elucidation, to the pages of the able and practised 

 authority of Dr. Gastaldi ; and as some may not have the leisure to turn 

 back to the beforernamed two papeft, I will here briefly recapitulate the 

 essentials of the rare case entozoon worms inhabiting the living body 

 as detailed in ' The Lancet' of May and June, 1843. 



" The lady who was the subject of the infliction I never knew anything of; 

 she came to my establishment, as it were, determined not to be recognised, 

 wrapped up in a shawl, veil, &c., and merely asked for a sulphur fumi- 

 gating bath. She never said who she was, nor did she name any medical 

 gentlemen that had recommended her to take the fumigations. She 

 merely told the female attendant that she had been under the treatment 

 of the first medical authorities of the west end of London ; that they had 

 done her no good, and that she was determined of her own accord to try 

 the sulphur fumigations, and did not say what was the nature of her 

 malady. On the evening of the day that she took her first fumigating 

 bath, the attendant (a more than usually clever, experienced woman) 

 came to me, saying she had that day had a very curious and not pleasant 

 case that the patient was all over worms, and that she saw them creep- 

 ing from the patient's forehead and face whilst she was in the bath. I 

 answered abruptly, by telling her not to talk such nonsense ; she, how- 

 ever, seemed to maintain that she was right. 



" On the patient repeating the bath, the attendant came to me with 

 the same tale, and was again reproved by me ; on which she said she was 

 correct in her statement, and added, that she did not like to attend such 

 a patient, as she herself might catch the disease ; however, being a reason- 

 able woman, her objection was overruled. The lady had her second bath, 

 and the former report was repeated, with some enlargement. 



" On taking the third bath, the attendant told the lady that she had 

 named the case to me, and that I had twice scolded her for talking such 

 nonsense, on which the patient said, ' that was like all the doctors ; they 

 won't believe it.' 



" On coming out of the fourth fumigation, there was such a very, very 

 numerous escape of worms, that the attendant again became uneasy, and I 

 suppose some discussion took place between her and the patient. The result 

 was, that the latter sent me word 'that, as I would not believe, I might come 

 down and judge for myself.' I did so, and never was more surprised ; there 

 stood the patient en chemise. I was cautioned as I entered the room not 

 to tread on the worms, and at once saw a round ring of pinkish-white on 

 the floor ; these were worms which had fallen from under the chemise, 

 and had not been swept up, in order that I might see them. The lady's 

 head, face, and chest, were covered* with the shawl and veil; she seemed 

 afraid of being recognised. On removing part of the veil from the fore- 

 head, then wreaking with perspiration, I saw little red points sticking out 

 from the skin at right angles, and whilst looking at them some seemed 

 to retract themselves, others evidently were getting longer, and became a 



