1850.
Report of the Ophthalmic Hospital.
257
Cases of Lithotomy.
A note from a patient 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 bear upon my head his kindness, {weighty] as the mountains Hwá and 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 my 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. 26,600. Feb. 1st, 1848. Stone of extraordinary sieze in the prostate gland and bladder. Liú Lienmau, a fishmonger of the city of Canton, æt. 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 ho 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 perinæum, about two inches of the apex was within the neck of the bladder. It weighed 61 ounces,—its circumference horizontally was 74 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- tion 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
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VOL. XIX. NO. V.
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