Minutes of the annual meeting of the Medical missionary society in China : and fifteenth report of its Ophthalmic hospital at Canton, for the years 1848 and 1849 / By Rev. P. Parker, M.D.

  • Medical Missionary Society in China.
Date:
1850
Catalogue details

Licence: Public Domain Mark

Credit: Minutes of the annual meeting of the Medical missionary society in China : and fifteenth report of its Ophthalmic hospital at Canton, for the years 1848 and 1849 / By Rev. P. Parker, M.D. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

    13/50 (page 11)
    CASES OF LITHOTOMY. A note from a patieni from whom a calculus was successfully extract- ed five years since is here given as introductory to the following cases. On a former occasion (1845), I was indebted to the 'great nation's arm' from America for extracting a calculus. By simply administer- ing one golden pill, the dangerous disease was instantly expelled, and by his assistance the drought-withered vegetation (i. e. the patient) was vivified, so that he may be compared to the [ancient] Pien Tsioh. I am heavily laden with (a sense) of his exalted goodness, and I not merely War upon my head his kindness, [weighty] as the mountains Hwii acrd Lui (said to be the loftiest mountains of China), but I have received his no slight favor. I respectfully present him these ten fowls and hundred eggs, as a slight manifestation of mv heartfelt gratitude, and prostrate pray he will be pleased to receive them. His younger brother, Yieh Kiuen, of the district of Sz'hwui, knocks head. No. 26,000. Feb. 1st, 1848. Stone of extraordinary size in the prostate gland and bladder. Liu Lienmau, a fishmonger of the city of Canton, oet. 25. When he first came to the Hospital, was much ema- ciated, and scarcely able to walk or stand erect. On sounding, found a calculus of unusual magnitude, and from his great feebleness, doubt- ed his ability to sustain an operation. After remaining a short time he absented himself, probably shrinking from the operation, till forced by several months' more pain to return to the Hospital. He was then enjoined to keep quiet as possible, and under the use of tonics and a generous diet his general health had perceptibly improved, when on the 25th of October the stone was extracted by the lateral operation. It occupied the position of the prostate gland and neck of the bladder ; it was of a pyramidal form, the base towards the perinceum, about two inches of the apex was within the neck of the bladder. It weighed 6J ounces,—its circumference horizontally was 7J inches, and vertically 10 inches ; its corresponding diameters were 3 and 4 inches. The exter- nal incision was made very free, yet the extraction required a strong arm and forceps of the largest size. The calculus appears without sec- lion to be of two distinct formations, the original nucleus in size and shape resembling a pear, is of a dark brown color, and polished surface ; around the base of this a distinct formation had accumulated, resem- bling the triple phosphates. Though the new accretion was for the most part smooth, there were sharp coral-like protrusions on the side towards