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from the bed. The limb now rested on cushions in the extended position. Dec. 16th. He has steadily improved, so that be is now able to sit up daily; the wounds are healing. Jan. 1st., 1847. He is now able to walk about the ward with the help of crutches; the wounds are cicatrized; the limb is about an inch sborter than the other, and the foot is turned inwards, considerable prominence still remaining on the outer surface of the foot; he can, however, place some weight on his toes, and passive motion of the joint can be carried to some extent, witbout producing pain. He left the Infirmary the following day. I saw him again in June, when he was able to walk firmly on his right foot with the help of a stick, and was in very good health. The foot has an awkward appearance, but there is very useful motion in the ankle joint, which he thought had been gradually increasing. As a proof of the rarity of this accident in Cornwall, it may be stated that I had never before met with it, although I have resided in this neighbourhood as pupil and practitioner about tbirty years. Mr. Bull, who has been resident House Surgeon at the Infirmary since its opening in 1799, does not recollect the admission of any such accident. Sereral professional friends, to whom the casualties of mnany tbousands of our miners are entrusted, have assured me that they bad never seen a simnilar accident. I am indebted to the wood-cut in Mr. Bransby Cooper's edition* of Sir Astley's invaluable work on "Dislocations and Fractures of the Joints," for a very satisfactory representation of this particular accident, the outlines of whicb corresponded as accurately as possible with the contour of the limb in the present case; and to the publicationst of my townsman, Mr. Turner, of lWanchester, for much useful information respecting the management of a case in wbich I could not avoid feeling a considerable interest. Indeed, although Mr. Turner appears to have omitted nothing essential to make his description of the varied dislocations of the astragalus minutely correct, yet the case now detailed presents some peculiar characteristics, serving in thle main to confirm the opinion he bas formied, after a careful analysis of a large number of cases, namely, that a dislocation of the astragalus cannot take place without a fracture of some portion of the bone, and that when effected, its reduction is almost impracticable.

On the Use of the Nitrate of Silver in the Cure of Erysipelas