378 
SOCIETY MEETINGS. 
particular lesions you are to prescribe for; having this circumstance in mind I con¬ 
cluded by presenting this matter before this honorable body, through whose experience 
and exchange of ideas I can reach a conclusion as to what manner I can therapeutically 
prescribe for these cases, so I can endeavor to remove the cause and not as I believe I 
have been doing heretofore, endeavoring to remove the effect. 
The President called upon Dr. Spencer, Jr. to open the dis¬ 
cussion, which he did by saying that he had been called upon to 
treat a great many cases such as described by the essayist, and 
he fully concurred with the essayist, in that the primary lesions 
in the sex cases, are to be found in the hepatic gland, in the 
majority of cases. The discussion was also participated in by 
Drs. Orvis, Whittlesey, Maclay, Twombly, Archibald and Egan. 
They all complimented the essayist on the originality of his re¬ 
marks. Some of the members, however, did not agree with 
essayist and stated that it was their opinion that if there was 
liver disease present in these cases, it was purely a secondary 
lesion. Dr. Egan mentioned a very interesting case in which 
the cause of death was due to hepatic lesions. Dr. Spencer, Jr. 
said that he had treated the disease with aloin followed by 
tonics with good success. The secretary stated that he had 
treated these cases with drastric purgatives without success, but 
since he had applied treatment toward the amelioration of hepa¬ 
tic derangements, he had quite a decrease in the mortality of the 
cases he was called upon to treat. 
Dr. Whittlesey said he had held post-mortems on several of 
these cases without discovering any changes in the hepatic 
gland. 
The President closed the discussion with a few well chosen 
remarks. He said this was a subject which should receive a 
great deal of attention at our hands; he believed there were a 
great many cases of intestinal disturbances due to hepatic lesions. 
In closing his remarks he stated that he thought that we were 
as an association very fortunate in having a membership of 
gentlemen who were particularly desirous of introducing at our 
meetings, subjects of which very little is known, in order that in 
the exchange of ideas which follow the reading of the papers, 
