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February 10th Temperature again rose to 100-2°, an abscess formed in the inner side of the upper third of the leg behind the sinus, this was opened; another incision had to be made on the 16th February.

During the whole of this time there was a free discharge of slightly offensive shreddy pus from the original sinus.

The inflamation now subsided.. On the 4th of March the drainage tube was removed as the dis- charge was very slight.

The sinus slowly healed up and on 14th March the limb was taken out of the splint, passive motion was commenced and continued with, and the patient was discharged cured on 28th April, she had then free use of her knee joint and could walk well with the aid of a stick.

REMARKS.-The wounds were caused by a bullet from a Martini Henry Rifle, the bullet evidently having passed between the great and second toes of the right foot then entered the leg three inches below the knee grazing the tibia and emerging on the inner surface of the thigh some 2 inches above the knee.

The girl at the time she was shot was lying in a sampan evidently with her leg somewhat flexed on the thigh.

II. GUN-SHOT WOUND OF BACK.

YEE ON, œt. 26, chinaman, admitted 4.20 P.M. 7th April, 1889, suffering from a gun-shot wound of back situated 1" below the angle of the scapula and 13" to left of the middle line. He was in a state of collapse having lost a considerable quantity of blood.

The patient was anæsthetised and the wound examined; after enlarging the orifice of inlet and carefully probing the wound the bullet was at last found lodged in the arch of the eighth dorsal vertebra, the angle of the ninth rib having been grazed by the bullet, considerable difficulty was ex- perienced in finding it the patient being very muscular and the bullet being lodged pretty deeply some 4" from the surface thus necessitating great care in exploration.

It was firmly logded in the vertebra so much so that after seizing the bullet with the forceps considerable traction had to be used before it was dislodged.

The wound was plugged with lint saturated in carbolic oil, a small vessel being tied, and half grain of morphia, was injected subcutaneously.

He slept well that night. On the evening of the 9th his temperature rose to 101-8°, on the morning of the 10th it was normal, 5 grains of quinine were given every four hours, temperature rose to 100-4° in evening of 10th, wound was doing well it having been dressed and syringed out each morn- ing with carbolic lotion-11th temperature morning 98:6° evening 99.8° after this the evening tem- perature generally rose to 994°, on the 12th the quinine was reduced to two 5-grain doses daily, he was discharged cured in May 22nd, 1889.

The bullet was about the size of a No. 44 and was marked by two irregular grooves evidently caused by its coming into contact with the rib and vertebra.

III.-GUN-SHOT WOUND OF THE ORBIT.

CHAN A-LEUNG, œt. 50, admitted on the 22nd April, 1889, at 6.15 P.M., suffering from a gun-shot- wound of the head and face.

A meeting of the Hongkong Rifle Association was being held at Kowloon and this man was collecting pieces of lead behind the targets when he was struck, one of the markers at the 150 yards range, seeing the man fall. I happened to be on the ground and was able to render immediate assist-

ance.

I found him bleeding freely from the nose and mouth, the right eyeball evidently being ruptured, the nares were plugged and a bandage applied to the eye, the man being in a state of collapse pulse 34, he rallied after the administration of some brandy and was conveyed in an ambulance to the Hospital.

The patient was immediately anathetised the eyeball was found to be quite disorganised and was excised, there was now seen to be a large wound of the floor of the orbit 1" by 3", this led down into the antrum and although I explored the wound thoroughly no trace of any bullet could be found the last molar on right upper jaw was extracted and an opening made into the autrum from the mouth for the purpose of drainage, his temperature that evening was 102°.

The temperature gradually fell and on the third day was normal, the wound granulated up very quickly, and the patient was discharged cured on May 25th- there being no further trouble.

The peculiarity in this case is that no trace of the bullet could be found, the man must evidently have been shot, whilst in the act of stooping, the bullet rupturing the eyeball and then entering the floor of the orbit.

Appendix C.

SMALL-POX HOSPITAL.

There have been remarkably few cases of Small-pox under treatment only 19 patients have been admitted during the year, their respective nationalities will be seen from the following table :-