10 MONOGRAPH IA 



together with the case of his patient, a lady who was in- 

 fested by them in a most extraordinary manner. Although 

 I do not feel at liberty to give the names of the parties, I 

 cannot refrain, having his permission to make the circum- 

 stances of the case public, by quoting a portion of his letter 

 to me. " The accompanying insects were sent to me by a 

 lady whom I attended for some years in Devonshire. The 

 following is a slight sketch of her case. She was about fifty 

 years of age, spare in person, of a highly susceptible tem- 

 perament, and long subject to disordered digestion ; suffer- 

 ing from severe headache, attended by biliary vomiting, and 

 often followed by boils on or about the head. After a while, 

 she informed me that she had been for some time troubled 

 by insects coming apparently from the natural orifices of 

 the body and infesting the surface, particularly when warmer 

 than usual. She complained especially of the annoyance 

 caused by their presence in her eyes and ears, and subse- 

 quently about the neck of the bladder, and some other 

 parts connected with external openings. She said that they 

 were often numerous in her throat; and that they were 

 more than once discovered adhering to matters ejected from 

 the stomach, after having been for some time troubled by 

 these parasites. They did not make any permanent lodge- 

 ment on the surface, from which they were stated to be at 

 times removed in great numbers ; nor did they get among 

 the hair. The lady was a person in whose veracity I had 

 much confidence, very intelligent, well-informed, and reli- 

 gious. Her statement was in all its parts confirmed by a 

 young woman who lived with her, partly as servant, partly 

 as companion. She said that being now and then called 

 upon to sleep with her mistress, she was at such times greatly 

 tormented by these insects, which she caught in numbers 

 on her skin, but which had no tendency to continue or 



