of Fingers and Toes, and of the Phalanges, in Man. 91 
A grandfather and grandmother are still alive. The father has 
three brothers and three sisters, besides two sisters who died. Two 
of the brothers and the three sisters are married, all of whom have 
families of sons and daughters, except one of the brothers whose 
children are all daughters, and the father himself has three daughters 
and another boy besides G But no other case of such, or of 
any, digital variety has been or is known in the family, either on 
the father’s or on the mother’s side. 
Group 2.—Caszs or INcREASE IN THE Number oF Digits, witH 
HEREDITARY ORIGIN. 
15. Casein which the Varvety has been transmitted through at least 
Four Generations. 
I am indebted to Dr Hamilton of Falkirk for the follow- 
ing case (and for case 16), and have to thank him for the 
great trouble and interest he has taken in ascertaining the 
genealogy of the family. 
The great-great-grandmother, Esther P (who married A—— 
L ), had a sixth little finger on one hand. Of their eighteen 
children (twelve daughters and six sons), only one (Charles) is 
known to have had digital variety. We have the history of the 
descendants of three of the sons, Andrew, Charles, and James. 
(1.) Andrew L had two sons, Thomas and Andrew; and 
Thomas had two sons; all without digital variety. Here we have 
three successive generations without the variety possessed by the 
great-grandmother showing itself. 
(2.) James L——, who was normal, had two sons and seven 
daughters, also normal. One of the daughters became Mrs J 
(one of the informants), and had three daughters and five sons, all 
normal except one of the sons James J , now et. 17, who had 
six fingers on each hand. The additional fingers in this boy’s case 
were loosely attached at the metacarpo-phalangeal joint of the little 
finger, and were removed by Dr Hamilton a few days after birth. 
In this branch of the descendants of Lsther, we see it passing 
over two generations and reappearing in one member of the third 
generation, and now on both hands. 
(3.) Charles L , the only child of Esther who had digital 
variety, had six fingers on each hand. MHe had three sons, James, 
Thomas, and John, all of whom were born with six fingers on each 
hand, while John has also a sixth toe on one foot. He had also 
five other sons and four daughters, all of whom were normal. 
(a) Of the normal children of this, the third generation, the five 
sons have had twelve sons and twelve daughters, and the four 
Murray of Brighton, was lately communicated to the Royal Medico-Chirurgi- 
cal Society of London. Noticed in ‘‘The Lancet,” Dec. 20, 1862. I am 
aware of acase of a child with complete double foot, at least at the digital 
and metacarpal part, but have as yet seen only a sketch of it. 
