92 
ANNUAL REPORT OF THE 
able—has also been prevalent to an unprecedented extent; 'but 
it has been as mangeable as usual. A dose or two of physic, 
the application of the calamine ointment, and, in a few cases, 
one bleeding, have caused it to disappear almost as suddenly as 
it came. 
Distemper has also been very prevalent: 1833 afforded 148 
cases of it; in the last year 254 cases occurred. The charac¬ 
ter of the disease has, however, been mild, almost without parallel. 
With diarrhoea and dysentery, amounting only to 36 cases 
—and with somewhat less than the usual proportion of nervous 
affections, degenerating into epilepsy, the malady was not difficult 
to treat ; and, consequently, although the actual number of 
patients exceeded those of the preceding year in the proportion 
of five to three, the deaths were not so numerous by fifteen. 
This year also its dependence on serial agencv was plain enough. 
It is usually a disease of the spring and autumn: thus in 
February there were only 8 cases, in March 24, April 25, May 38, 
in June 21, and in July only 7, in August 26, September 28, 
October 33, and in November and December very few. 
Rabies, on the contrary, has shewm its absolute independence 
on atmospheric agency, at least that agency which has been sup¬ 
posed to have so much power over it,—temperature. Only four¬ 
teen cases of it occurred ill the last year:—in February 1, April I, 
June 2, July 1, August 2, September 1, October 1, Novem¬ 
ber 1, and December 4. 
Sixteen cases of enlargement of the thyroid glands have oc¬ 
curred—fourteen of which yielded to iodine, in doses of from a 
quarter to a third of a grain, morning and night, and continued 
during three or four weeks. 
The worm patients have multiplied—there have been 54. 
In nearly all of them the little mischief done by worms, 
unless their presence has been associated with other and more 
serious complaints, has been sufficiently evident, and also the 
efficacy of the mechanical mode of treatment in order to their 
expulsion. 
Rheumatism, and leading to partial loss of power over the 
hinder extremities, has been of frequent occurrence, and gene¬ 
rally obstinate. Warm baths and emollient aperients have been 
most successful in the treatment of it. No fewer than 22 cases 
of paralysis of the hinder limbs have occurred ; the majority have 
yielded to these means, or to the continued but mild stimulus 
of a pitch plaister, or a charge. 
Of Asthma, 58 cases have occurred: and what would puzzle 
the human pathologist, they are of most frequent occurrence in 
the latter part of the spring, and as the summer advances, 
