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COUNT WAY LIBRARY OF MEDICINE

RM
18U S27
RARE BOOKS DEPARTMENT

PRACTICAL OBSERVATIONS

ART OP CUPPING

in the Francis A. Countwaj

Library of Medicine

-Boston

WILSON

Si

SON, PRINTERS,

57,

SKINNER-STREET, LONDON.

'<

*w
PRACTICAL OB^CffVA'

ART OF CUPPING

By JOSEPH STAPLES,
CUPPER,
22,

Half-Moon
Member of
st.

Street,

Piccadilly;
London ;

the Eclectic Society of

cupper to

george's and to st. john's British

hospitals.

LONDON:
LONGMAN, REES, ORME, BROWN, GREEN, ^ LONGMAN,
PATERNOSTER-ROW.

1835.

Digitized by the Internet Archive

in

2012 with funding from

Open Knowledge Commons and Harvard Medical School

http://archive.org/details/fewpracticalobseOOstap

TO
DR. C.
J.

FOX,

DR.

J.

CLARK,
CASTLE,

DR. HODGKIN,

DR.

T.

PHYSICIANS;
TO
C.

ASTON KEY, ESQ.

JENKINS, K.M.

T.

CALLAWAY, ESQ.
AND

C. E.

G.

BUSK, ESQ.

T.

BEALE, ESQ.

SURGEONS

gt
THIS LITTLE

Sotm'*
WORK
IS,

iSrtttef)

&o&piui,

BY PERMISSION, HUMBLY INSCRIBED,

By

their faithful

and obliged servant,

J.

STAPLES.

PREFACE,

The

author was induced to throw

together the following observations

by having witnessed gentlemen of

excellent education,
to

and competent

perform

the

most important
strangest
to

operations,

making the

mistakes
abstract
glass.

when they attempted

blood

by the Cupping-

Of

all

the

modes of abstracting

PREFACE.

blood,
ous,

Cupping

is

the least dangerleast

and attended with the

responsibility to the operator.

Not

to speak of the serious consequences

occasionally attendant on arterio-

tomy and
are by

venesection,

instances

no means infrequent of

troublesome haemorrhage from the

simple bite of the leech, which,
resisting
all

other remedies, can

only be stayed by sewing together

the lips of the
there
is

wound; and yet

no form of bloodletting

attended with so

much

disappoint-

ment

to the operator,

and

distress

PREFACE.

XI

to the patient, as

Cupping, simply

because gentlemen will not condescend to be instructed in an art

which requires
dexterity
as
far

as

much manual

more important

operations.

Remembering
sutor,
fyc.

the adage

Ne

and deeming the Cupper

is

as

one

who

to

make no new law

art,

for

the

exercise of his

but

faithfully to carry into

effect the

directions

of the
the

Physician and
has

Surgeon,

author

every
his

where avoided stepping out of

Xll

PREFACE.

proper sphere

and, notwithstand-

ing that the work will be

much
of

condensed,

by

the

omission

matter, which, in his opinion, has

been

improperly

admitted

into
trusts

works of the
it

like nature,

he

will

not

be

the

less

accept-

able; for that leaving

in

more

learned

hands the when and the

wherefore, he points out solely the

practical

means of carrying
into
effect,

their

decisions

with credit
to the

to the operator
patient.

and comfort

PREFACE.

X1I1

Should the following pages con-

duce in the smallest degree

end,
it

to that

was what the author prohis intention

posed to himself, and

will

have been

fully

answered.

PRACTICAL OBSERVATIONS
ON THE

ART OF CUPPING

OF THE APPARATUS.
The
and
apparatus of the Cupper
is

simple,

consists of the Scarificator, Glasses,

Spirit,
:

Torch,

Sponge, Lint, Strapping,

and Roller

these

may be

all

contained

in a case of small dimensions, or,

is still

what

better, they

may be

dispersed

into the various pockets of the operator.

16
I

THE SCARIFICATOR.

would add as a suggestion an addition

of an apparatus for procuring

to this list

instantaneous lights the patient being

generally
startled

by an application

for a lighted candle.

OF THE SCARIFICATOR.

Although a description of

this instru-

ment might seem rather

to

be

in the

province of the maker,, yet, as no work-

man can be
is

considered competent

who
his

not perfectly acquainted with

it is

tools, so

necessary that the Cupper

should have a knowledge of the principle

and construction of

his

chief

instrument, and especially in country

THE SCARIFICATOR.
places,

17

where he cannot always obtain

the aid of the mechanic.

The

Scarificator consists of a brass

box, A, with a cap, connected by means

of a screw, which also serves, by being

turned in obvious directions, to regulate the

depth of the incisions of the

lancets

on the edge of the box

is

placed a moveable bar for securing the

spindles on

which the lancets are placed.

B,

The
divided

spindles,

with the lancets

by

collets,

by the removal
lancets

of which any

number of
into

may be brought
one
care
to
is

use,

from
Great
these

twelve, or more.

required that
b 2

when

18

THE SCARIFICATOR.
are separated they are returned in
their exact previous positions, or

the lancets will not pass through

the
slits

in the cap of the box.

C,

section of a circle (with recess

for spring),

and

bolt to

secure

it

to the side of the

box, that

its

cogs

may

play into those of the

lancet spindles.

>}

The

trigger, with

its

circle

and
bolt

recess for spring, as

to secure
it

C,

and

to the side of the box.

The

springs, with the screws for

securing them to the bottom of

the box.

Some

scarificators

have

THE SCARIFICATOR.
but one
spring,

19

the

instrument
:

here described has two

the

should

spring

break

(which

very

seldom happens), in a one-springed

instrument, the operation
vexatiously at an end
;

is

most

but in a

double-springedscarificatoiv.should

one of them

break,

open the

moveable bar described, A, take

out the spindle connected with the

broken spring, and you can

finish

the operation as if no such acci-

dent had happened.

F,

The

regulating screw.

(?,

The

catch to hold the trigger,

with

its

screw

to fasten

it

to

the

bottom of the box.

20

THE SCARIFICATOR.

H, The
attach

bolt to disengage the catch

from the trigger, and screw to

it

to the catch.

J,

The

spring to act on the catchy

fix it

with screw to

on one of the

small sides of the box.

J,

The

glass leech.

One end
screwed
other

of the springs, E, being

to the

bottom of the box, the

the recesses of
into

falls into

and

D, which work
means of
teeth,

each other by

and

also into

wheels
being

on the spindles.

The

trigger

pulled causes the lancets to describe a

quarter of a circle, or to

come

to

THE SCARIFICATOR.

21

right angle with their former position,

when they

are secured by the catch, G.

The

lancets thus brought to view are

regulated to the depth required.

The

trigger being again pulled carries the

lancets out of sight
:

the instrument
for
use.

is

now

set

and

ready

The

thumb being pressed on the button

disengages the catch, and the lancets
revolve with such velocity that no eye
is
sit

quick enough to observe their tran;

and from

this

circumstance the
for his patient,

Cupper gathers comfort

for in the simple operation of bleeding-

there are two motions, the incision and

the

removal of

the
is

lancet;

but in

scarifying, there

but one motion, and

that instantaneous.

22

THE SCARIFICATOR.
Scarificators are

divided into large

and

small,

temple and perinseum,

multiplication of instruments attended

with no practical advantage, a single

scarificator

duly

managed and regu-

lated answering every purpose.

Scarificators

have from four

I

to

six-

teen lancets.

prefer, a preference

grounded

in

experience, one

which

has six lancets as superior to every

other; and I aver, that

more blood can

than by six-

be obtained by
teen
:

six lancets
is

indeed,

it

not surprising that

result,

such should be the

consider

when we

how

small the area of a cup-

ping-glass

is,

and

the

inutility

of

dividing the same blood-vessel in more

THE SCARIFICATOR.
than

23
this
is

one place

however,

matter in the choice of every operator,

I insist

merely on the success of

my

own

practice with the above-mentioned

number

of lancets.

The

success

of the

Cupper very

much depending on
lancets, great care

the keenness of his

must be taken that

they be kept sharp and bright, and to

have them re-set as often as their edges

are in the least degree blunted.

After

each

operation

the

lancets

should be sprung through a piece of

suet,

and

this

repeated
is

until

every

vestige of blood
steel
;

removed from the

two purposes are answered by

24
this

THE CUPPING-GLASS.
simple
plan

the

lancets

are

cleaned, and preserved from rust.

OF THE CUPPING-GLASS.

Cupping-glasses are of various sizes

and

shapes,, neither

very important; to
to

be preferred chiefly with reference

the part from

whence
the

the blood

is

to

be

obtained and

quantity

required.

But

it is

very essential that the glasses

should be of equal thickness throughout,

the rims well turned up, neither too
thick nor too thin, and perfectly smooth.
1 prefer

those called bell-shaped, and

THE CUPPING-GLASS.

25

having accurately ascertained the quantity

of blood

they will hold,

mark

their respective capacities

on the bot-

tom, so that by a
inspection will
is

little

experience mere

shew how much blood

collected.

No

other
is

mode

of gra-

duating the glass

to

be depended

on, as the various positions of the patient,

and other circumstances hereafter

to, will

to

be adverted

rarely, if ever,

allow the glasses to be perfectly level.

The
sume

Leech-glass resembles a leech

:

when gorged with blood

its

hence

pre-

name.

It

presents

some ad-

vantages in experienced hands, as more

blood can be obtained by

it

than by

any single glass of another construction,

c

26

THE TORCH.
sca-

and by a single application of the

rificator
;

two circumstances of some

importance as applied to ladies and

timid patients.

But the Leech-glass

is

difficult

of

exhaustion, and can rarely be used successfully without long practice.

OF THE TORCH.

The Torch

(the best instrument for

is

exhausting the cupping-glass,)

lindrical tube of metal,

a cyat

having a ring

one end and obliquely truncated

at the

THE TORCH.
other
:

27
with cot-

it is

hollow, and

filled

ton, such as is used in ordinary lamps.

The

cotton should be tightly fitted into

the instrument,, and the ends well divaricated in the form of a

thrum mop.
lint, rol-

The
ler,
it

uses of the spirit, sponge,

and strapping, are so obvious, that

to advert
will also

would be a waste of time

to their particular uses,

which

appear

in the

course of the work.

Care
rit is to

is

to

be taken that no more

is

spi-

be used than

sufficient for

ignition, otherwise a

bad burn
spirit

will

be

produced by the lighted

dropping

on the

patient, to his

torment and the

disgrace of the cupper.

28

OP CUPPING IN GENERAL.
Cupping
is

divided into dry cupping,

scarificator
:

and cupping with the

former
is

the

seldom ordered in proportion

to the latter.

The grand

object in cup-

ping

is

to

produce the largest quantity

of blood in the least space of time.

As

one example

is

better than a

hundred

precepts, I propose to describe a case

in

which cupping

is

required on the

back of the neck, by much the most

frequent, occurring in private practice

probably forty-nine times out of

fifty.

The

patient being placed either in

OF CUPPING IN GENERAL.

29

or out of bed, according to the circumstances of the case, the sponge, dipped
in

water as hot as can comfortably be

borne, should be applied to the part

intended to be operated upon

glasses adapted to the
patient's neck,

then

volume of the

three in number, one

above and two below, two eight-ounce

and a four-ounce, or two six-ounce and

a three-ounce, being held at once in
the left hand, the torch dipped in spirits

of wine, and previously lighted,

is

introduced under each glass in succession, at the lower

edge, and quickly

withdrawn

the air thus exhausted, the

glass adheres with

amazing

force,

and

the patient

may now be

said to be dry

cupped.
c

30

OF CUPPING IN GENERAL.
application of the cupping-glass
;

The

produces no pain
it is

if patients

complain,

merely from the novelty of the sen-

sation.
it

They

all

concur in describing
part, as truly

as a
;

heavy weight on the

it is

for the rim of the glass presses with

the whole

weight of the atmosphere,

equal to the superficies of the area within the glass,

which according

to the re-

ceived

calculation,

must give

many

pounds on a large cupping-glass.

The

left

fore-finger pressing above

the upper edge of the glass, and the

nail

insinuated

under

it,

the atmosis

pheric air rushes in, and the glass

thus removed.

The

scarificator previously set, held

OF CUPPING IN GENERAL.
in the right

31

hand, with the thumb on

all

the button-, and that in

cases lower-

most,

is let off,
is

and the incisions made

the glass
as in the

then immediately reapplied,

part of this article, and
fills

first

if

dexterously managed,

rapidly.

This process
of the glasses.

is

repeated with each

To
stated,

remove the

glasses, insert the fin-

ger nail at the upper edge as before

holding in the other hand the

sponge, just squeezed out of hot water,

hard against the lower edge of the

glass
:

turn the glass dexterously botslip

tom downward, and

into the place
it

the sponge

previously occupied,

32

OF CUPPING IN GENERAL.
in this

Managed
tice

way, by a

little

prac-

you may remove the glasses withIf the

out spilling a drop of the blood.

glasses are to

be again applied, which

they must be until the required quantity

of blood be obtained, sponge well

little

the incisions, removing any

coa-

gula that

may have been formed.

Hav-

ing finally removed the glasses, sponge

clean the parts,
close

the

incisions,

place a slip of strapping across them,

and the operation

is

completed.

It is

scarcely necessary to observe,

that in scarifying over bone, care should

be taken not
also to avoid
joints.

to set the lancets too

deep

large blood-vessels and

33

OF CUPPING
AS APPLIED TO THE VARIOUS PARTS OF THE BODY.

The
may be

parts subjected to the operation

divided into the head and neck,

trunk and extremities.

OF THE HEAD AND NECK.

The most
the temple.
to be

important operation

is

on

Having caused the

removed by the

hair

closely

razor, a

four or six-ounce glass, according* to

the circumstances,

should be applied.

34
In
to
this

CUPPING.

operation the large arteries are

set at

be avoided, the lancets

if

a small

depth, and

the blood refuses to flow,

the lower edge of the glass must be relieved

per.

by a counter pressure on the up-

The

blood will
as
it

now be

readily

obtained,

was retarded by the

pressure of the edge of the glass on

the supplying artery.

Sometimes the

blood will continue to spring from a

small artery after the operation
plete
:

is

com-

in this case a bit of strapping,

roller

and a

round the head,

;

will

stop

the bleeding

but

if it

be obstinate,
lint,

half a cork enveloped in

and

re-

tained in

its

place by strapping and a

roller, will

always succeed.

By

a hair

getting under the glass, or from

some

THE SCALP.

35

other cause, the air will get under the

glass,

and

it

will

very soon
is

fall

to the

ground.

This

very untoward

circumstance, and must

be carefully
a
little

avoided

it

may be known by

froth bubbling at
It is usual in

one edge of the

this

glass.

works of

kind to re-

commend

holding the glass

it

down with
the best

the hand, but I find

much

way

to

remove, and reapply the glass,

little

or another of a

larger diameter.

OF THE SCALP.

The

hair must be removed, as in the

;

former operation

and should the blood

difficulty, relieve

be procured with

the

36

CUPPING.

pressure of the glass as before stated

and
take

if

that should prove insufficient,

away

the glass entirely,, and pro-

ceed to get the required quantity of

blood by the sponge and hot water only.

In

my own
the

practice I have never failed

with

cupping-glass, but I have

it

heard, and can easily believe, that

sometimes happens.

BEHIND THE EAR.

An
test

oval glass will be found the

fit-

for this

operation, except in

fat

persons,

when

a round one

may be

ad-

vantageously

employed.

The same

observations apply to this practice as to

THE THROAT.
the former.

37
be well

The

glass should

adjusted to the part, previous to the introduction of the torch, in withdrawing

which, draw
lest

it

downwards suddenly,

the hair or cap of the patient be set

fire.

on

OF THE BACK OF THE NECK.

Already described

page 28.

OF THE THROAT.

round or oval glass should be ap-

plied on each side of the

windpipe

the lancets set about the eighth of an

38
inch deep.

CUPPING.

The head

of the patient

should incline backward, and his arms

be folded across the

chest.

OF THE TRUNK.

The

chief

operations

here

are

between the Shoulders,

on the Back,
Loins,

Sacrum,
Chest,,

Pit of the Stomach,

Abdomen,
Side,

Groin, and Perinaeum.

39

BETWEEN THE SHOULDERS.

This operation
on the back
of

differs little

from that

the

neck.
;

Three
one over

glasses are generally used

the spine,, and one on each side.

it

Here
of

may be

observed, that the

number

glasses to

be applied depends very much

on the circumstances of the particular

case.

Public patients do not object to

a number of glasses, but private patients^

and particularly

ladies,

prefer

the glasses being

to too

many

times applied,

many

scarifications.

This

is

matter on which the cupper will exercise his discretion.

40

CUPPING.

LOINS AND BACK.

Ill

this operation the

position

is

in-

different as regards the patient,

but of

some importance to the operator.

patient lying

The
but

down, three or four glasses

may be

applied with

much

facility

in a sitting posture, scarcely

more than

two can be

well

managed, except by a

practised hand.

The

lancets

may be

deeper set than in the former operations,

and the blood generally flows

freely.

In cupping on the back, you will take

care to avoid the spine
:

do not place

a glass nearer than an inch on either

side.

41

SACRUM.

From two
set less
tions.

to four glasses

the lancet

deep than

in the former operato

The

cupper would do well

to the

accustom himself early

both hands
;

use of

for the situation of beds,

and other circumstances, render a one-

handed man awkward and embarrassed.

An

ambidextrous person possesses adin

all

vantages

operations,

in

none

more than cupping.

CHEST.
male

In

the

patient,

no particular

precautions are necessary.

As many

d2

42
glasses as
plied,

CUPPING.

may be

required can be apeasily pro-

and the blood may be

;

cured

but, in the female patient, care

must be taken that no part of the mammae

is

drawn under the

it

glasses,

and there-

fore

is

better to apply two or three

glasses perpendicularly over the ster-

num, by which

all

danger

is

avoided.

Most authors on cupping

direct, in

operations of the chest, that the scarifications should be

made

in the course of

the rib

this

does not correspond with

all

my

experience, and I prefer in

cases

making the

incisions perpendicular, not

to the parts of the patient's body,

to the ceiling

but

of the

room

for if the in-

cisions are

made

transverse! y, the blood,

CHEST.

43

which

in

cupping has a strong tendency

lodges on the sides of the
clot, to

to coagulate,

incisions

and speedily forms a

the obstruction of the flow of the blood,

but the blood trickles fast

pendicular scarifications
:

down
I

per-

and

think

my opponents have
that in scarifying,

scarcely considered,

we

divide a

number

of blood-vessels which are anastomos-

ing in

all

directions,

and consequently,
liberatis

as regards the

amount of blood

ed, the direction of the incision

indif-

ferent

while, for the reason stated,

my

plan will be found best, of

making a

perpendicular incision, as experience

will prove.

44

CUPPING.

PIT OF

THE STOMACH.

From two
hausted
:

to

four glasses well ex-

nothing particular to be ob

served in this operation.

ABDOMEN.

Any number
applied with

of glasses

may here be
and few

much

readiness,

precautions to be observed.

In dropsical patients large blood-vessels cross in all directions, but, as

they

are very apparent^ they are easily avoided,

and plenty of space found for the

SIDE.

45
]f

glasses

between

their divarications.

the integuments are too tense, or too

much

relaxed,

the

necessary means

must be used, by bolstering, or otherwise, as will readily present themselves

to the

mind of the operator.

SIDE.

Round or oval glasses according to the

circumstances.
the exception
;

Round

is

the rule, oval

three or four

may be

generally successfully applied, not too

much exhausted.

46

CUPPING.

GROTN.

The
thigh a

hair to be closely removed,, the

little

bent

a single round or
set to

oval glass,

and the lancet

about

a quarter of an inch.

PERINEUM.

The

hair to

be removed,, the patient

lying on his back, as for the perfor-

mance of lithotomy

the scrotum to be

kept clear of the glass, which

may be a

round one over

all,

or an oval placed

on each side of the urethra.

of course to be taken not to

Care

is

wound

the

SHOULDER.
urethra.

47
called

An

instrument,

the
in-

perinceum scarificator,
vented, but
it

has

been
:

does not succeed

is

the

best preservative

the precaution of

the operator.

OF THE EXTREMITIES.
THE SHOULDER.
Three
glasses

may be

applied

one

on the top of the shoulder, one below

it

anteriorly,

and one posteriorly

set

the

lancets

may be

deep, and the blood

generally flows freely.

48

CUPPING.

THE ELBOW.
In cupping here the arm must be

bent to a right angle, or the operation

will not

be successful.
applied,
joint,

Two

glasses

may be

one above and one

below the

and the lancets must

not be set too deep.

THE WRIST.

One

glass on the upper part of the

wrist, the

hand

laid flat
:

on a pillow,
indifferent

the blood flows freely

in

it is

what
:

directions

the

incisions

are

made

in taking off the glass, the pa-

HAND.
tient

49

may

turn his hand round, which

will

facilitate

and render the operaIf required, the

tion

more

successful.

glass

may be

applied to the under part

of the wrist, but not so readily.

BACK OF THE HAND.

Occasionally,

in

swellings
is

of
:

the

hand, the operation

glass
to
to
is

ordered

one

readily applied,

the incisions

be made transversely, and the hand be rested edgewise on a

table after

the scarification.

50

CUPPING.

HIP.

The

patient lies on the opposite side,

the thigh forming a right angle with

the leg and body

there

is

plenty of

space for the glasses, except in very

emaciated
glasses
as

subjects.

Three

or

four

may be

applied round the joint

the

occasion
this,,

may
and
the
is

require.

Be

particular in
tions,,

all

other opera-

to

apply

scarificator

the

instant

the glass

withdrawn, and
scarifi-

again the glass the instant the

cator
is

withdrawn

in this, the pre-

clusion of cold and the due application

of the torch, depend the credit and

success of the cupper.

51

THE THIGH.

From
here

three to four glasses

;

may be
generally

applied

they

are

placed in a line between the hip and

knee

there

is

plenty of space for the

glasses,

and nothing particular to be

observed as distinguishing this operation

from others.

THE KNEE.

The

patient

may

either

be
in
;

in

sitting position, or

he may be

bed,

the leg bent to a right angle

in a chair
is

sitting

far the

best if circum-

52
stances allow
readily
joint.

CUPPING.
it,

as a glass

may then be

applied

on each side of the

The

lancets must not be set too

is

deep, and the blood

easily obtained.

THE CALF.

Cupping
phlegmonous

is

sometimes ordered
swelling

in

of

the

leg.

There

is

no

difficulty in

applying two

or three glasses, and the lancets

may

be
all

set deep,

which

is

a general rule in

muscular parts.

53

THE ANKLE

JOINT.

Two

round glasses are

to

be applied,

one over the inner, and one over the

outer ankle;
set,

the lancets superficially

dexterity there will

by a

little

be

no

difficulty in obtaining- the

quantity

of blood required.

Cupping may be ordered

parts of the

in

some
;

body not here enumerated

in such cases the operator cise his

must exerthe assu-

own
if

discretion,

in

rance that

he can manage the opera-

tions as here described, there are

none

e2

54

CUPPING.

that can be possibly ordered

which can

give him the smallest embarrassment,

adapting, as he must, the means to the
end, and considering; always the condition,

age,

sex,

development,

and

constitution of his patient.

In conclusion.

Cheerfulness with-

out impertinence or undue familiarity,

the

most

scrupulous

delicacy

and

cleanliness in the operation, promptitude

in attendance,

and manual dexterity

these are the requisites of the

Cupper

and above

all,

conscientiousness in the
his duty,

performance of

never sacri-

ficing the fulfilment of the physician's

order to the ambition of obtaining a

reputation for dispatch, thus bringing

GENERAL REMARKS.

55

contempt on the remedy, and disappointment

to the physician.

The

author gives instruction in cup-

ping- daily, at his residence, 22, Half-

Moon -Street, Piccadilly, and

Street, Hatton -Garden.

16, Cross-

He undertakes
gentlemen
to

likewise
cases,
in

to

introduce

which they may themselves

all

perform
ration.

the varieties of the ope-

Instruments of approved make,

art,

and every requisite of the

to pupils.

supplied

K.

\
\

MMB
i

@
I

1U-*

^r
^\

'V
;V

&
c
-

-^
Martin & C<\Li?toa. 2o,Z<m<; Acr<

5?

INDEX TO THE PLATE.

A.

Scarificator, with

Cap, (see page

16.)

B. The Spindle, with Lancets.

C.

Section of a Circle and Bolt.

D. The Trigger.
E. Springs and Screws.

F. Regulating Screw.

G. The Catch

for Trigger.

H. The Disengaging
I.

Bolt.

The Spring

for the Catch.

J.

The Glass-Leech,

(see

page

25.)

59

CONTENTS

Page

Title
Dedications .......
. .

iii

v, vii
ix

Preface

Art of Cupping
Scarificator

Apparatus

15
16
...... 24

Cupping-glass

Torch
Cupping
in general

26
28

as applied to the various parts of

the

body

33
,

Head and Neck

33

60

CONTENTS.
Page

Scalp

35

Behind the Ear

36
37
37

Back ofthe Neck

Throat

Trunk
Between the Shoulders
Loins and Back
,

38
. .

39

40
41

Sacrum
Chest
Pit of the

41

Stomach
<

44
44
45 46
46

Abdomen
Side

Groin
Perinaeum

Of the Extremities
Shoulder

47

47
48

Elbow
Wrist

48
49

Back ofthe Hand

Hip

50

CONTENTS.

61
Page

Thigh

51

Knee
Calf

51

52
,

Ankle- Joint
General Remarks

53

53

Index

to the Plate

57 59
63

Contents
List of Subscribers

63

LIST OF SUBSCRIBERS.

A.
No. of Copies.

Dr. Aldis,
Dr.
F.

13,

Old Burlington-street
24,

Addison,

New-street,

Spring
1
1

Gardens
Dr. Ainslie, 25, Dover-street
F.
J.

Allnutt, Esq. St. George's Hospital

B.
Sir B. C. Brodie, Bart.

Serjeant-Surgeon to
to St.

the King,

and Surgeon

George's

Hospital, 14, Saville-row

2
St.

G. G. Babington, Esq. Surgeon to

George's
1

Hospital, 26, Golden-square

G. Busk, Esq. Surgeon

to

H.M.S. DreadSurgeon
to
I

nought, and Consulting

St.

John's British Hospital

64

LIST OF SUBSCRIBERS.
No. of Copies.

T. Beale, Esq. Surgeon to St. John's British

Hospital, 3, Philpot-street
1

Rev. Mr. Blomfield,

Dr. Beattie,

M.A
2,

F. R. S.

Tenterden-street,

Hanover-square
E. S. Bagshaw, Esq. House-Surgeon to St.

George's Hospital
J.

Bullock, Esq. Resident Apothecary to the

Westminster Hospital
Lancelot Barrow, Esq.
Ebury-street
2,

Watkins'-place,
1 1

John Bredale, Esq. 40, Robert-street, Chelsea

J.

Bland, Esq.

Surgeon,

38, Clerkenwell,

green

Dr.

W.

F. Chambers, F.R.S. Physician to St.

George's

Hospital,

Brook - street,
2

Grosvenor-square

LIST

OF SUBSCRIBERS.

65
No. of Copies.

Dr. T. Castle, F.L.S. Honorary Physician to

St.

John's British Hospital, and Phy-

sician to the Brighton

Dispensary

Dr.

J.

Clark,

Consulting Physician to

St.

John's British Hospital, 21, Georgestreet,

Hanover-square

Sir Astley P. Cooper, Bart- F.R.S. 39, Conduit-street

1

T. Callaway, Esq. Surgeon to Guy's Hospital,

and Consulting Surgeon

to St.

John's British Hospital, Wellingtonstreet

,

E. Cutler, Esq. Surgeon to St. George's Hospital,

J.

22, Sackville-street

C. Chappell, Esq. House-Surgeon to the

Lock Hospital

W.

Coyne, Esq. Bulstrode-street

R. B.

Cumming,
Chelsea

Esq.

26,

Cheyne-walk,
,

f2

66

LIST

OF SUBCRIBERS.

D.
No. of Copies.

Dakins, Esq.

St.

George's Hospital

E.
Eclectic Society of London, Library of the

1
1

Elsdale, Esq. St. George's Hospital

F.

Dr. Charles James Fox, Physician to the

St.

John's British Hospital, and to the

Tower-Hamlets Dispensary, 23,

liter-street,

Bil~
1

Billiter-square

E. Foaker, Esq. St. George's Hospital

Mr. Fuller, Surgical Instrument-maker, 239,

Whitechapel-road
2

Mr. Ferguson, Surgical Instrument-maker,

21, Giltspur-street

LIST OF SUBSCRIBERS

67

G.
No. of Copies.

R. G. Cooper Gardiner, Esq. 10, Charlesstreet,

Knightsbridge

James

Gilbert,

Esq.

22,

Sherrard-street,
1

Golden-square

H.
SirH.Halford,G.C.H. F.R.S.16,Curzon-street
Csesar Hawkins, Esq. Surgeon to St. George's
Hospital, 31, Half-Moon-street
1 1

Dr. Hodgkin, Physician to Guy's Hospital,

and Consulting Physician

to St.

John's

British Hospital, Finsbury- circus ....

Dr.

J.

Hope, Physician
pital, 13,

to St.

George's Hos....
to
1

Lower Seymour-street

Thomas Gordon Hake, M.D. Physician

the Brighton Dispensary

T. Hammerton, Esq. Surgeon, 111, Piccadilly

Henry Hutchins, Esq. Resident Apothecary

to St.

George's Hospital

68

LIST

OF SUBSCRIBERS
No. of Copies.

C. Hawkins, Esq. St. George's Hospital ....

H, C. Harris, Esq.
street
J.

2, Watkins-place,

Ebury1
1

R. Higgins, Esq. 13, Old Burlington-street

Howett, Esq. Surgeon, 45, Kirby-street,
Hatton-garden

W.

J.

C. E. Jenkins, Esq.

K.M. Surgeon

to St.

John's
to the

British Hospital,

and Surgeon
13,

London Docks,
street,

Great Prescot10

Goodman's-fields

H.

J.

Johnson, Esq. 8, Suffolk-place, Hay-

market

Thomas

Jones, Esq. 26,

Upper

Eaton-street,
, . .

Pimlico

K. R. Keate, Esq. Surgeon

to

their Majesties,

and

to

St.

George's

Hospital,

13,
J

Albemarle-street

LIST OF SUBSCRIBERS.

69
No. of Copies.

C. Aston

Key, Esq. Surgeon

to

Guy's Hospito
St.

tal,

and Consulting Surgeon

John's British Hospital, 18, St. Helen's

Place

M.
George's Hos-

Dr. Macleod, Physician to

pital,

St.

23, Henrietta-street, Cavendish1

Square
Messrs.
J.

and

S.

Maw,

Surgical Instrument-

makers, 11, Aldersgate-street

10

Mrs.

Millikin,

Surgical

Instrument-maker,

301, Strand

10

N.

C.

Nunn, Esq. Surgeon,

minster

Charles-street,

West1

70

LIST OF SUBSCRIBERS.

P.
No. of Copies.

Thomas

Peregrine,
to St.

Esq.

Assistant

House1

Surgeon

George's Hospital. ...

A. H. Prosser, Esq. R.N. 16, Cross-street,

Hatton-erarden

R.

D. Richardson, Esq. Surgeon

Dispensary

to the

Brighton
1

R. Rigg, Esq. Kouse-Surgeon

Dispensary

to the

Brighton
1

Henry Reece, Esq.

8,

Bolton-row

S.

Dr. E.

J.

Seymour, Physician

to St.

George's

Hospital, 13, Charles-street, Berkeley-

Square

LIST OF SUBSCRIBERS.

71
No. of Copies.

Brewster Thomas Seabrook, Esq. Surgeon to

the Brighton Dispensary
1

Mr. Stodart, Surgical Instrument-maker

to St.
.

George's Hospital, &c. 401, Strand.

D. Stodart,

10
1

Esq

E. Staples, Esq. 27, Castle-street, Oxfordstreet

1

G. Stewart, Esq. St. George's Hospital

....

T.

Mr. Thompson, Surgical Instrument-maker,

38, Great Windmill-street,

Haymarket 10

U.

James Usher, Esq. Oldford

V.
Dr. James Veitch, 26, Cadogan-place

72

LIST OF SUBSCRIBERS.

W.
No. of Copies.

Dr. James A. Wilson, Physician to

St.

George's
1

Hospital, 38, Curzon-street

R. B. Walker, Esq. Surgeon to

St.

George's

and the Lock Hospitals, 27, CurzonStreet

1
1

B. Walker, Esq. Royal Hospital, Chelsea

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INDEX.
Page
Alkin's Biographical Works Select British Poets

Page -- - - - -- -- 3 Lee's Baron Cuvier Legends of the Library at Lilies - - 9 L. E. L.'s Poetical Works 9 Life of John Marston Hall 9 Lindley's Botanical Works - - - 7 Loudon's Gardening, Agricultural, and Architectural Works 11
M'Culloch's Dictionary Mackintosh's History of the Revolution
of England
1

2
- - -

Annual Biography
Arnott's Physics --

--

--10

Bakewell's Geology Philosophical Conversations Baylrion on Rates and Rents

5
-

Greek Testament Thueydides ,, -Boase on Geology Bowdler's Family Shakspeare Gibbon's Roman Empire ,,
Bloonifield's

5 2

-- -

8
1

Malte Brun's Geography

Principles of Mathematical, ,, Physical, and Political Geography Mantell's Geology Mary of Burgundy -

3 4

Britton's Architectural Works Burder's Oriental Customs Burn's Christian Philosophy Butler's Geography and Atlasses

6
1

4
8
9 8 9 10 3 9

o
- - -

Mawe's Conchology Montgomery's Poetical Works -Lectures ,, Moore's Life of Fitzgerald

-- - -

-- -Colton's Lacon Conversations onBotany

,,

Poetical

Works
--

7
1
- - - - . . 1

Murray's Geography

--

,,

Chemistry Natural Philosophy

Political

Economy

1 1

,,

Vegetable Physiology

Paley's

Works
--

Coxe-'s Biographical Works Crotch's Lectures, &c.

....
-

- -

- .

2 lo

Parke's Domestic Duties --- -Parnell on Hoads

--

--10
- -

--

10
10

Currie's Memoirs --

--

Phillips on Painting -- -- -- -- -Picture of London Plain Instructions to Executors

--- -

--

4
5

Davy's Agricultural Chemistrv ' Doctor, The Dover's Frederic the Great Drewry on Suspension Bridges-

- -

- -

10
- - -

3
5

Roby's Traditions of Lancashire -- -Reece's Medical Guide

Sandford's Female Worthies

- -

7
5

--

--

-- -

Drummond's Botany Young Naturalist ,,

Dunlop's History of Fiction
- -

--- - -

- -

7 8 3
3

10
- - -

Roman

Literature

- Edinburgh Gazetteer and Atlas Review, Index to -- - Selections from ,,

- -

4
5
5

--

Woman, &c. ,, Scrope's Political Economy Seaward's Narrative -- -Short Whist Slaney's British Birds Smith's (Sir J. E.) Botanical
,,

--

--

--

10 10 4
5

Works
- - -

-- -

,,

Memoirs
--

8 7 3
1

Southey's British Poets

,,

--

--

-- -

Poetical

Works
- - -

Farey on Steam Engines Flaxman's Illustrations to Hesiod Forsyth on Fruit Trees

- -

Remains of H. K. White
- -

9 9

- -

10 7

Steel's Shipmaster's Assistant St. John's Egypt

4
- - -

Sunday Library, (Dibdin's)

Good's Book of Nature Study of Medicine ,, Guide to Watering Places - > - - Greenough's Principles of Geology

-8
--10
- - -

4 8

Hall's Atlas and Index Hawker on Shooting -- -- -- Hooker's Botanical Works Hopkins's Political Economy - Hunt's Architectural Works - -

.----..4
-- - - -

-Taxidermy The Moral of Flowers Turner's Historical Works Sacred History -,, Turton's British Shells

9
1

2 ---

--

-.

7
1

Ure's Geology

- - -

-- - Warleigh, by Mrs. Bray Warner's Literary Recollections

--

-- -

9 S

KeltVs Mathematical

and Geographical
11
-

Works
Klrby and Spence's Entomology
- -

Withering's British Plants - on Railroads -- -Wordsworth's Poetical Works

7 --1

Wood

Printed by

Manning and Smithson,

12,

Ivy Lc