COLUMBIA LIBRARIES OFFSITE 
 
 HEALTH SCIENCES STANDARD 
 
 HX641 59981 
 RC919 .J71 1890 Diseases of the blad 
 
 RECAP 
 
 rrm 
 
 adder and Prostate 
 
 obsci;kh diseases of the 
 
 r URINARY SYSTEM. 
 
 DAVID I ONES, M.D. 
 
 IJJIJ JUJN 
 
'«»C'=\»«\ 
 
 A^« 
 
DISEASES 
 
 OF THE 
 
 Bladder and Prostate, 
 
 AND Obscure Affections of the 
 
 URINARY ORGANS 
 
 Illustrating the Author's Treatment of 
 
 STONE, 
 
 WITHOUT CUTTING, 
 
 AND numerous SUCCESSFULLY TREATED 
 
 CASES 
 
 WITH THE SPRAY TREATMENT 
 HITHERTO REGARDED AS "INCURABLE/' 
 
 DAVID JONES, M.D. 
 
 Sixth Edition. 
 
 LONDON: 
 
 SIMPKIN, MARSHALL & CO., STATIONERS HALL COURT. 
 C. MITCHELL & CO., RED LION COURT, FLEET ST. 
 
 1690, 
 
NOTICE. 
 
 To facilitate the treatment, and to accelerate the cure, of 
 cases such as are described in these pages, and of other cases of 
 a serious character, Dr. David Jones will be happy, if requested 
 to do so, to forward addresses of suitable private apartments 
 where patients may be comfortably accommodated whilst 
 under treatment. 
 
 Full particulars may be obtained on application to Dr. Jones, 
 15, Welbeck Street, Cavendish Square, W., at which place he may 
 be consulted daily from ir till i, (Tuesdays and Fridays by 
 appointment only). 
 
 To prevent disappointment and inconvenience, patients re- 
 siding at a distance, and wishing to consult Dr. Jones, had 
 better make an appointment before coming. 
 
 
PREFACE. 
 
 TO 
 
 SIXTH EDITION 
 
 Six years and more have elapsed since the issue of the fifth 
 edition of this work, and in the interval nearly six thousand copies 
 have been sold. The author has reason to be grateful for the 
 public appreciation he has received, and the more that the demand 
 continues. There are sufficient reasons why that edition should 
 be supplanted by another. The particular department of surgical 
 science under consideration is subject to continual development; 
 and readers are entitled at reasonable periods to be posted in 
 newer theories and more recent discoveries. Much that is of 
 interest has happened. Electrolysis, for example, long regarded 
 with distrust and repressed to the background, has begun to win 
 upon confidence and made some strides to the front. Some 
 reference to its position as a curative agent as applied to urethral 
 stricture will be found in these pages. Time moreover has been 
 afforded for a right appreciation of Professor Bigelow's develop- 
 ments in the treatment of stone described in the fifth edition 
 (pp. 40 — 48). The writer is enabled to give the results of his 
 experience gained in hundreds of cases of the professor's method 
 of removing stone in young children and is happy to say that it 
 has proved highly successful. With regard to the professor's 
 operation in substitution of lithotrity (as it used to be practised) 
 no one can doubt of its triumph, nor could any justification be 
 
now pleaded for removing stone by a succession of operations and 
 allowing the fragments to tear the urethra in their exit, when 
 by a single operation, though somewhat more prolonged, the 
 end can be attained by Bigelow's tubes without injuring the 
 urethra at all. The writer in the previous edition expressed a 
 belief that save in some exceptional cases Bigelow's method 
 moreover would altogether supplant lithotomy (the cutting 
 operation), and lithotrity according to Civiale's plan, and at the 
 same time make the removal of stone the most successful operation 
 in modern surgery. When surgeons in general become better 
 diagnostitians there is little doubt that " litholapaxy " will super- 
 sede all other methods for the purpose. 
 
 Such are some notable instances of advance in the department 
 of urinary surgery. But the record of blunders goes on steadily 
 swelling. Among the more flagrant is the case of a lady (reported 
 on page 202) who had suffered for thirty-three years from stone in 
 the bladder, but though resorting to the most eminent 
 authorities was treated for paralysis of the organ and 
 where the writer's son (Gordon G. Jones) assisted by the 
 writer himself, removed a calculus weighing over three ounces 
 and measuring fifty millimetres by forty, or in English measure 
 two inches and one-eighth by one inch and three-quarters. 
 
 Opportunity has not served the writer's intention in publishing 
 this sixth edition to make the work more comprehensive, with some 
 notice of medical diseases of the genito-urinary system, including 
 Bright's disease of the kidneys, diabetes and various nervous 
 affections (so called) so successfully treated by Lallemande 
 (in France), and the late Dr. Dawson (in London). He will 
 remark however in passing, since the question has been raised, 
 that for what is sometimes called " hypogastria in the male," but 
 Sir James Paget (in his excellent lecture on the subject) terms 
 " sexual hypochondriasis " and is vernacularly known as " sperm?- 
 torrhoea," while he is led to protest most emphatically against 
 
cauterisation, he at the same time fully concurs in the application 
 of local means which is in accordance with his own general views. 
 
 In order to make the book more useful in point of reference 
 the writer has added, at the suggestion of some of his patients, an 
 epitomised index of the published cases, that the reader may- 
 discern at a glance the nature of what is recorded. Further, for 
 purposes of verification, names and addresses are added. The 
 writer, indeed, is unacquainted with any medical work affording so 
 much facility for direct information or so much assurance of good 
 faith. 
 
 Special attention may be called to the class of cases — ^where 
 there is no stone, — which are reported obscure and incurable* 
 Among these is disease of the prostate, declared by high authorities* 
 to be " incurable by any known means/' The writer begs to refer 
 in contradiction to this statement, to the numerous cases of cure 
 recorded in this book. It is true, as alleged, that some of the 
 patients have eventually died. The allegation has been dealt 
 with before (in the second edition of " Urinary Diseases " and 
 elsewhere) ; but generally the end has come from some other 
 disease or else at a ripe old age. The Rev. Canon Cockin, for 
 instance, who about a year ago succumbed to paralysis, aged 76, 
 but who nevertheless enjoyed nine yea.rs of freedom from the 
 affliction of which he was cured. 
 
 With respect to the special means of cure which the writer 
 possesses in these and some other classes of cases, the profession 
 asks, as has been remarked upon in former issues, why not, in the 
 interests of the afflicted, make them known. The answer is that, 
 as in other departments of industry, a discoverer is entitled to the 
 fruits of his industry and research. Will the profession, which 
 has the good of mankind so much at heart, co-operate to buy the 
 discovery? Certainly they will not. They will only make 
 reproach that it is not surrendered for nothing. The writer is 
 
 * See article on " diseased prostate " (page 56)* 
 
willing to yield something. He ofifers his little hospital in Dean 
 Street, with his services for life, to any one who will endow it. 
 He is moreover authorized by his son, Gordon G. Jones, to 
 say that he, in like manner heartily co-operates in the much 
 needed object. Of his service to the helpless from time to time, 
 he may not speak. Why must he, more than other men, be made 
 up of sacrifice, and ignore the claims of his family? Success in 
 professional life is apt to bring something besides honour. There 
 are those to whom it is the most unpardonable of offences, the one 
 thing which cannot be forgiven. It is not at all certain that on 
 following the advice of the envious, the writer ought not to incur 
 their derision. As the lesser of two evils, he prefers to accept their 
 enmity, manifested sometimes in execrable sentiment and more 
 execrable taste. 
 
PREFACE 
 
 TO 
 
 FIFTH EDITION 
 
 This fifth edition, though a considerable enlargement of former 
 issues, is not presented as, by any means, an exhaustive treatise 
 upon the subjects to which it relates. The writer's chief object 
 has been to present some typical cases illustrative of his method 
 of treatment of stone, of diseases of the bladder generally, and 
 of the prostate gland, and so to describe the symptoms of each 
 case that sufferers, recognising therein symptoms similar to their 
 own, may be sustained in their hope of cure, notwithstanding 
 other and previously applied means or methods may have 
 disappointed that hope — and the writer believes that as auxiliary 
 to this, the information given in the first four Parts of this present 
 edition will be found very useful to lay readers, and, possibly, to 
 some members of the profession also. Indeed, the information 
 embodied in those parts elucidates the general subject, and, to 
 some extent, the writer's method of treatment likewise. 
 
 Experience, in the active pursuit of his profession, for nearly 
 thirty years, has convinced the writer that popular ignorance is 
 productive of much avoidable suffering, and that the public ought, 
 
vni 
 
 therefore, to be furnished with information respecting the diseases 
 in question — diseases so distressing and so common. Moreover, 
 the public are the patients, and, consequently, the persons most 
 concerned in the matter, and the press is the chief medium 
 of communication with them. The " orthodox " view may be, 
 that books on medical subjects are to be read only by medical 
 men, or by those who are intending to become such — though 
 everybody knows that it has now become a " rage ' to acquire 
 knowledge, and to read and study medical works as well as 
 philosophical writings generally. At all events medical books 
 •when published are just as much books accessible to the public as 
 this present little work can be, and the authors of them, even such 
 eminent authors as Sir James Paget and Sir Henry Thompson, 
 would, probably, not be very greatly displeased if the public 
 demand for their works were such as to create very frequent necessity 
 for further editions — the public becoming purchasers of their 
 books as well as patients for their services In noticing the 
 recent edition of a work by the last-named author, the "Lancet " 
 (July 8th, 1882 — p. 12) says: — "The author has made a new 
 departure in the form in which this edition is published. Follow- 
 ing a course which has been recently pursued in works of general 
 literature he has issued it at less than a fourth of its former price." 
 Doubtless the author's motive was a very commendable one, viz., 
 to bring the edition in question within reach of even poor students ; 
 still, as a matter of fact the work is, as a published book, thus 
 brought within reach of the general public also — and who shall say 
 that Sir Erasmus Wilson's published works on Diseases of the 
 Skin, including his "Popular " Treatises, have not brought both 
 himself and his knowledge and skill, as a specialist in dermatology, 
 under the notice of the public, as ivell as of the medical profession, 
 and thus, indirectly at least, contributed to his professional success? 
 Many other, and similar instances might be mentioned. " New 
 Methods" and "New Discoveries" are, in fact, mentioned and 
 advertised in medical and other journals every day. The 
 
IX 
 
 writer has, however, special reasons for preparing and publishing 
 this little book in its present form. One reason has been already 
 alluded to, and has reference to patients themselves — and if thus 
 communicating with the public needs justification, such justification 
 is found in the fact (provable by unquestionable testimony) that, 
 in numerous instances, the really incurable condition of some 
 patients, eventually resorting to the writer, has been traceable to 
 the delay caused by the persuasions brought to bear upon them 
 not to consult him — a circumstance sufficient in itself to force 
 any man, possessing any degree of manly courage, paternal 
 affection, and humane feeling, to the resolve, not to allow any 
 skill with which he may be gifted, to remain unused or crushed 
 beneath the heel of a professional despotism. Other reasons 
 concern both the writer's method of treatment, and the question 
 of divulgence of that method. These will now be more particu- 
 larly referred to. 
 
 The writer claims for his treatment of Stone, and other 
 Diseases of the Bladder and associated organs, the application 
 of a New Method, and even without the fate of an eminent 
 professor confronting him, he would have avoided any premature 
 disclosure of it, and the risk of its being experimented with by 
 unpractised hands, and before even the writer himself shall have 
 demonstrated its applicability to all the various forms and phases 
 (so to speak) of the diseases in question. Professor Clay, of 
 Birmingham, a surgeon of acknowledged repute, some time ago 
 published in the medical journals a Discovery for the Cure of 
 Cancer by Chian Turpentine. Cases which he had cured were 
 published* and they were both remarkable and interesting. They 
 were undoubtedly genuine, and, in Professor Clay's hands, had 
 been, as undoubtedly, successfully cured. The soothing, narcotic, 
 and curative effects of the therapeutic agent discovered were shewn 
 with such force as to attract the surprised attention of the whole 
 
 * See "Lancet," March 27th, 1880 — p. 477, "On the treatment of cancer 
 of the female generative organs by a new method." 
 
profession. The history of the cases — the gradual return to health 
 of the patients — the ocular demonstration of healthy granulations 
 in place of malignant growths — all led to the revealed discovery 
 being put to the test of a general application by general practitioners 
 and others — the result being, however, most unfavorable — Professor 
 Clay himself (a man of undoubted skill in medicine and surgery, 
 and of unimpeachable character), having to share in the obloquy 
 heaped on his discovery, all which would, probably, have been 
 avoided if the professor had kept secret both his discovery and 
 his method of applying it for a little while longer, and until more 
 experience, covering a more extended area of observation, 
 in treatment of cases, had guided him in his conclusions. Such 
 a course might have treasured up indisputable proof that Chian 
 Turpentine is a therapeutic agent of great value, and have 
 afforded such full and precise specification of the modus operandi to 
 be employed, as could scarcely have been unsuccessful, even in 
 comparatively unskilful hands, thus contributing to results equally 
 honoring to the discoverer and beneficial to the public. Possibly, 
 the professor might, meanwhile, have been severely censured for 
 keeping his discovery secret, though intending to keep it so only 
 for a time, and perhaps denounced as acting " unprofessionally." 
 Events might, however, have justified his patient endurance, 
 and ensured real success to all concerned.*'"' 
 
 These remarks will not, of course be understood as implying, 
 on the part of the writer, any opinion, either favorable or 
 unfavorable, respecting Professor Clay's Discovery, but only as 
 indicating his belief that the unfavorable results which followed 
 the divulgence of it may have been owing chiefly to the 
 
 * It may be added that, notwithstanding the unfavorable result above 
 alluded to, Professor Clay has himself publicly re-affirmed his own 
 conviction of the therapeutic value of his discovery. He says : — '• I have 
 nothing to withdraw or to qualify as regards the statements I made (as the 
 result of observation) as to the effects of Chian Turpentine in uterine 
 cancer." See " Lancet," December 17th, 1881 — p, 1033, " On the use of 
 Chian Turpentine in cancer. 
 
circumstance that it was prematurely placed within the reach of 
 unpractised, unskilful, and, it may be, jealous hands. 
 
 The foregoing observations indicate, however, pretty clearly the 
 reasons which influence the writer in his resolve to decline, for 
 the present, fully to reveal his method of treatment of stone and 
 other diseases of the bladder (male and female) and of the 
 prostate gland, as respects both the medicaments used, and the 
 surgical appliances adopted. Not that any present reticence on his 
 part implies any lack of confidence in the soundness of the principles 
 on which his treatment is based. That treatment has been remark- 
 ably successful now for many years, and, in numerous instances, 
 where the cases coming under his observation had been pro- 
 nounced " hopelessly incurable " by some of the most eminent 
 specialists of the day. His success has, naturally enough, excited 
 some attention, and a desire for full and precise information as to 
 the niodtis operandi employed, and so long as such information is 
 withheld, the writer will, no doubt, expose himself to the taunt — 
 " You are practising a secret, and that is unprofessional," — less 
 unprofessional, however, and less censurable too, the writer 
 ventures to think, than to profess to give publicity to a new dis- 
 covery, and secretly to practise the essential principle of it not- 
 withstanding, as some have done. Alluding to the writer's 
 present reticence, an eminent surgeon, and late President of the 
 Royal College of Surgeons, writing from the Continent, says : — "I 
 have received your pubHcation — you do not disclose your dis- 
 covery, you do not tell us anything. The profession will not meet 
 you unless you explain your mode of treatment." 
 
 Well, notwithstanding long and patient thought and attention to 
 the study of the subject, notwithstanding also a very extensive 
 and successful application in actual practise, of the results of that 
 study, the writer feels that still further experience is necessary, 
 or at least desirable, before pronouncing the practical appliances 
 invented and used as absolutely perfect, or determining that the 
 method of treatment employed is absolutely suitable to^y^>'^ class 
 
Xll 
 
 of disease of the bladder and prostate, — consequently, before the 
 modtis operandi shall be presented and explained to the general 
 body of medical practitioners. 
 
 In further support of this cautious procedure the writer has, he 
 thinks, only to remind the more skilful in the profession that all 
 medical practitioners have not the ^^ tactus erudius" which some 
 have, and that the dexterity of manipulation acquired by one, by 
 long experience, and careful, skilful practice, cannot be imparted 
 to others. The writer, moreover, firmly believes that very little, 
 comparatively, is known by medical practitioners in general 
 respecting diseases of the bladder and prostate ; and that few, 
 very few, of them, have made those diseases their special study. 
 Specialists who have done so know full well that lamentable 
 ignorance respecting those diseases prevails am.ong such prac* 
 titioners. They know, too, that one man handles a catheter or 
 "cuts" for stone far better than another, and when the extreme 
 sensitiveness of patients who suffer from bladder diseases is 
 considered it will be obvious that the greatest possible delicacy is 
 requisite in dealing with such cases, and that any clumsiness or 
 roughness would be positively dangerous. Not long since a 
 patient in the neighbourhood of the writer's residence, died from 
 the effects of rupture of the urethra behind a stricture ; another was 
 ruined for life by a clumsy practitioner endeavouring to "force*' 
 a catheter into the bladder. Surgical literature furnishes abundant 
 proof bearing on this point.* The truth is that physical force will 
 not do in cases where the bladder has to be dealt with. To proceed 
 with any reasonable hope of success, both the bladder and urethra 
 must be treated as one would treat a troublesome lock— gentleness 
 may succeed, force is sure to fail. In most cases force is rough, 
 unscientific, uncertain, and dangerous. A young woman once 
 
 * Notwithstanding the opinions expressed in medical journals adverse to 
 special hospitals, the writer feels confident that such institutions furnish 
 the best means by which perfection may be attained in any one particular 
 branch of medicine or surgery. 
 
XUl 
 
 came under the writer's care who, treated by the physical force 
 method, had been literally lacerated from the external meatus to 
 the vesical sphincter,' in other words, from the entrance of the 
 urethra to the neck of the bladder. She had extensive cystitis 
 (inflammation of the bladder) had quite lost the power of retaining 
 her urine, and was, indeed, as pitiable an object as could well be 
 conceived. The writer could mention, or refer to, several other 
 cases of a similarly deplorable character. One other case only 
 may, however be alluded to, and that is the case of the wife of a 
 physician (holding an important position in connection with 
 medical journalism) whose case was by him committed to the care 
 of the writer, who from the first, pronounced it really incurable, 
 and solely in consequence of the " forcible and rapid dilatation " 
 previously applied in the treatment of the case — a conclusion in 
 which the husband (the physician alluded to) fully concurred. 
 The writer does not hesitate to say that this barbarous treatment — ■ 
 '* forcible and rapid dilatation " of the female urethra — has 
 rendered many cases incurable by any mode of treatment. Two 
 cases, one from Leeds, another from Newbury, which came imder 
 his notice were rendered incurable and miserable for life by the 
 above method of treatment. He remarked to both patients that 
 he could cure disease, but not effects of bad surgery, and be it 
 remembered the two cases alluded to were not lacerated as in 
 the fovjiier cases, but forcibly and rapidly dilated. These con- 
 siderations, with others which might be urged, shew the importance 
 of committing the power to operate, in these cases, only to persons 
 who have made such diseases their special study, and whose skill 
 and experience qualify them for the work. 
 
 On these grounds, therefore, the writer declines for the 
 present, fully to explain the modus operandi of his treatment of 
 diseases of the bladder and prostate. Both his reasons, and his 
 mode of giving effect to them, may, possibly, meet with disapproval 
 at the hands of his professional brethren — yes, "professional 
 brethren," for, whether acknowledged or repudiated, a professional 
 
relationship does, in fact, exist between him and the other mem- 
 bers of the medical profession. He possesses the friendship of 
 many, and has, he believes, not ont personal enemy among them — 
 nay, more, has their confidence. He has treated the wives and 
 famiUes of several medical men, and has successfully performed 
 operations for stone and other diseases on medical men themselves, 
 both allopathic and homoeopathic. Any animus, if it exist, 
 is, he is persuaded, purely professional, and attributable to that 
 jealousy, which, unfortunately, obtains, not in the profession of 
 medicine alone, but in other professions also, especially mani- 
 festing itself where one man's superior skill happens to be applied 
 with signal success where another's skill of lower degree, has 
 failed.* Still, to represent the writer as a " quack " and " a man 
 who possesses no medical or surgical qualification whatever " is 
 simply absurd, and absolutely false — although even then there are 
 patients, in large numbers, who would Avillingly say of him : — 
 " Whether he be a quack or no, we know not, one thing we know, 
 and that is, that whereas we were once diseased, and by others 
 pronounced ' incurable,' Dr. Jones has cured us." The medical pro- 
 fession, know, however, full well, that the writer is not an untaught, 
 untrained, pretender to medical and surgical knowledge and skill, 
 but that, on the contrary, he has had an education far more 
 extensive, and complete, both at home and abroad, than is 
 ordinarily required as qualifying for the practice of medicine and 
 surgery, as is evidenced by his possession of the following diplomas, 
 obtained after examinations searching and severe, viz. : — 
 
 T. Royal College of Surgeonst (London) ... 20th August, 1847. 
 
 *Not that the writer is narrowly opposed to the well intentioned 
 exercise of any skill that may be possesed by others, or even to the well 
 intentioned application of either allopathic or homoeopathic views — as is 
 evidenced by his willingness to allow the Home Hospital which he has 
 founded in Dean Street, Soho, to be used, as it now is, by two practitioners 
 entertaining those views. 
 
 jFor this diploma Dr. Jones passed his examinaton in the name of 
 David Griffiths Jones — the name Griffiths (a family name) having then 
 been adopted (by usage from his childhood) and continued ior some years 
 in addition to his proper baptismal name David, 
 
2. Royal College of Physicians (London) ... 17th July, 1865. 
 
 -i. University of Heidelberg Degree ofM.D. ) 
 
 _ , , ,. y 25th March, 1865. 
 
 (S'umina cmnlaudej* ) ^ ^ 
 
 Dr. Jones also passed his examination for \ 
 
 the Degree of M.D. in the University > in April, 1865. 
 
 of St. Andrews 
 
 The public, too, know that a duly obtained diploma, whether 
 registered or not, is, by the law, deemed a sufficient proof of 
 the right and power of its possessor to practise medicine and 
 surgery. An eminent judge, in a case which not long since 
 came before him, stated that many such unregistered medical 
 practitioners were among his own personal friends — and 
 if, in the face of these facts, misrepresentation against the 
 writer, shall be further indulged in, the public will know how 
 to appreciate it, and to what to attribute it. The writer feels, 
 moreover, that, under the circumstances, he is fully justified in 
 applying any skill he may possess, in relation to the treatment of 
 the diseases, the subject of this present work, as well for the 
 benefit of himself and family, as for that of the public. The pro- 
 fession of medicine is, no doubt, a humane profession, and its 
 members are deservedly credited with humanity, and benevolence 
 too, in their pursuit of it, and of this credit the writer can honestly 
 claim a share, for he has gratuitously treated and cured number- 
 less cases coming under his care — indeed, two Free Beds have 
 been appropriated by him, and often filled, in the " Home 
 Hospital" already referred to.f Nor would he for one moment, 
 wish that such philanthropy should be either disallowed or discou- 
 raged. But a theory may foster a monopoly, and in the face of many 
 theoretic usages, inimical as well to the progress of the science of 
 medicine itself as to the interests of individual members of the 
 profession, every da y practice declares, and very emphatically too, 
 
 *Th3 first sitmaia cum laitde Degree (a Degree of the highest possible 
 praise) ever conferred by that University upon a foreigner (an Englishman). 
 
 t For further particulars respecting the Home Hospital, see the announce- 
 ment at the end of this book. 
 
XVI 
 
 that medical men, like other men, do, in fact, labor to support 
 themselves and those dependent upon their exertions. As in other 
 professions, so in the medical, and chiefly through the working of 
 monopoly-tending theories and usages, few only realize large, or 
 even remunerative incomes. The majority, incessant in toil, and 
 strangers to domestic comfort, can seldom retire from their work to 
 spend, in quiet, any " remaining days " they may chance to have — 
 on the contrary, they more usually work like slaves, die like cab- 
 horses, and leave their families dependent upon the kindness, it 
 may be the charity, of others. This would not be, to any such 
 extent as it is, if the principle that " the labourer is worthy of his 
 hire" were allowed a plain, common-sense, truthful recognition, 
 and a free, full application, in the medical profession, as in other 
 spheres of human thought, skill, and industry, and if medical 
 men were not, by falsely-grounded "professional" usages supposed 
 self-sacrificingly to give for the benefit of " suffering humanity " the 
 special services of their brain and of their hands. The writer 
 cares not, however, to urge these latter considerations in vindica- 
 tion of his resolve not yet fully to publish and explain his method 
 of treatment, as illustrated and justified by the cases recorded in 
 this book. He is content to base that resolve on other grounds — 
 especially on the conviction that still further experience is desirable, 
 and which experience must come from or through those who, deriv- 
 ing useful information herefrom, may resort to him for treatment. 
 
 When this is ensured, and the writer has proven, to still further 
 demonstration, the applicability of his method of treatment to all 
 classes of disease of the bladder and prostate, and when pro- 
 fessional animus shall have ceased to display itself, the writer will 
 then be prepared fully to disclose his discovery, and his method 
 of treatment of the diseases described in this present work — a 
 method which has already been signally successful where other, 
 and more ordinary, methods have as signally failed. 
 
 It only remains to add, with respect to the cases recorded in 
 this present edition (specimens only of a very large number of 
 
similar cases), that no one can reasonably claim the right to 
 question their genuineness, who shall not have previously sought 
 verification of them. Such verification is readily accessible to all 
 enquirers. In the Appendix the fiill names and addressess of many 
 of the patients are (by permission) set forth, and in almost every 
 other case the writer is at liberty to furnish the name and address, 
 and he will willingly do so on application being made to him for 
 the same. 
 
 The names of the medical men who had, in almost every instance, 
 attended the cases, previously to their coming under the writer's 
 hands, are very numerous, and if appended, would have shown, at 
 a glance, that the ordinary methods of treatment had been applied 
 by (amongst others) the most eminent specialists of the day. On 
 the present occasion, however, such names are not appended — 
 but they may, if desired, be ascertained, in any particular case or 
 cases, by communicating with the patients themselves. 
 
ERRA TA . 
 
 On this page, for last three words read ^' given in the text," 
 
 On page 204, 22nd line, for " malapraxix " read " malapraxis." 
 
 I NDEX. 
 
 NOTICE. 
 
 The index is so arranged, that an outline is given in it 
 of every case reported ; the reader can therefore see at a glance 
 if it be desirable to read the case in detail, as given the text. 
 
 U 
 
INDEX. 
 
 PAGE. 
 
 Acute and chronic diseases of the bladder, names of ... i 
 
 Aggravated bladder diseases, caused by drugging ... 3 
 
 Alcoholic drinks contraindicated in bladder diseases ... 4 
 Amount of urine the bladder is capable of holding in a 
 
 distended state ... ... ... 9 
 
 Analagous disease in both sexes ... ... 2 
 
 Anatomy of the bladder ... ... ... 7 
 
 „ „ prostate gland ... ... 13 
 
 Acknowledged "incurability" of enlarged prostate by 
 
 medical and surgical authorities of high repute ... 56 
 
 Arrangement of the peritoneal covering of the bladder ... 7 
 
 ,, of the mucous membrane of the bladder ... 9 
 Advantage of large compared with small lithotrites in 
 removing large calculi (see Sir Henry Thompson's 
 opinion eleven lines from top commencing 
 
 "I crushed," etc., page 47), and note ... 129 
 Arrangement showing the wisdom of nature in leaving the 
 anterior and, posterior parts of bladder uncovered 
 
 by peritoneum ... ... ... 8 
 
 Bigelow's operation for stone, illustrated ... ... 54 
 
 Bladder, anatomy of ... ... ... 7 
 
 „ disease attended by cloudy urine ... ... 2 
 
 „ amount of urine it holds ... ... 9 
 
 ., arrangement of mucous membrane,.. ,,. 9 
 
3cxi 
 
 Bladder, complaints explained by the cure of consumption... 
 „ parts of, uncovered by peritoneum... 
 ,, three coats in, object of ... 
 
 ,, unusual, distension of 
 „ sacculation of 
 ,, disease of, cause kidney disease 
 ,, pain in, through stone resting on triangular space... 
 ,, triangular space, use of 
 „ stone in, why patients are easier in bed 
 „ cause of the desire to urinate 
 ,, consequence of violating the desire to urinate 
 „ disease, simulated by piles, ulcer of rectum and 
 
 ovarian trouble 
 ,, diseases, names by which they are known... 
 ,, diseases it is liable to .. 
 
 „ diseases, ignorance of the cause 
 ;, disease in women resemble physically enlarged 
 
 prostate in the male 
 „ nerves of, causing pain in womb, rectum and 
 
 ovaries ... ... 
 
 ,, treatment by the spray misunderstood 
 
 ,, diseases in both sexes, cause of ... 
 
 „ diseases, aggravated by drugs and drink 
 
 ,, diseases not cured, explained by the process of 
 
 digestion 
 „ diseases, common sense treatment by the " spray " 
 „ stone in female, treated by pessaries in Hospital 
 
 for Women, Soho Square, and Bartholomew's 
 
 Hospital ... 
 
 , stone in, but patient disbelieves it ... 
 ,, diseases, why they are not cured ... 
 „ stone in, weighing nearly nine ounces, giving no 
 
 discomfort during life .... 
 
 PAGE. 
 5 
 
 7 
 8 
 
 9 
 9 
 
 12 
 2 
 I 
 
 3 
 
 12 
 
 3 
 4 
 3 
 
 5 
 6 
 
 i8 
 
 17 
 
 3 
 
 17 
 
PAGK. 
 
 Bladder, rendered insensible to pain by the " spray," though 
 
 stone be present — (cases 7 and 10) 95, 103 
 
 „ stone in, mistaken by a homoeopathic surgeon and 
 others — patient persuaded not to be treated by 
 the writer ... ... ... 19 
 
 ,, stone in, said not to exist by Mr. Yeldham, 
 afterwards discovered by Mr. Savory, of St. 
 Bartholomew's Hospital and subsequently cut for 
 by Mr. Walter Coulson, ending in death 1 9 
 
 „ stone in, disadvantage of small instruments and 
 advantage of large, in the removal of large calculi. 
 Sir Henry Thompson's opinion, commencing 
 eleven lines from the top " I crushed," etc. 
 page 47 and "Note" page 129, to be read in 
 succession. 
 ,, sounding, the only certain test for stone ... 34 
 
 ,, sounding for stone when other means fail ... 35 
 
 „ sounding under ether, advantage of ... 35 
 
 „ Bigelow's operation for stone in ... ... 54 
 
 ,, why incapacitated in disease of prostate ... 58 
 
 „ diseases rapidly cured by the spray, (see cases 3, 4, 
 
 5, 6 and 48. to 51) pages 78, 84, 88, 91 & 229 to 237 
 „ diseases cured, irrespective of age (see cases 
 
 41 and 42) ... ... 197, 200 
 
 „ disease, why should " incurable " diseases not be 
 curable by the writer's discovery, as ovarian 
 tumour is cured by " ovariotomy "? f ... 61 
 
 ,, diagram of spray, playing on enlarged prostate ... 51 
 
 *Urinary Diseases : analysis of 500 cases, &c., By David Jones, M.D. 
 
 Cases No. 9 & 10, edited by Gordon G. Jones, second edition, Simpkin, 
 
 Marshall & Co., C. Mitchell & Co. 
 [See cases in writer's last book : Homoeopathy, its truth, its law of cure, 
 
 and its statistics, pages 86 to 91. [To be had from the Secretary, Home 
 
 Hospital, 10, Dean Street, Soho.] 
 
Xxm 
 
 PAGE. 
 
 Bladder, diagram of, showing the advantages of the writer's 
 
 elastic sound, finding stone behind the prostate ... 55 
 
 Bright's disease of kidney, cause of ... •.. 10 
 
 Case No. i. — E. S., aged 58. 
 
 Bladder Disease and Enlarged Prostate, 
 accompanied by cystitis and obscure symptoms of 
 stone, the patient unsuccessfully treated by his club 
 doctor — several surgeons in the West London 
 Hospital, Hammersmith, and St. George's Hospital 
 —patient's disease not understood. — Cured by the 
 writer 1 6 years ago, and is alive and well now ( 1 890) 68 
 
 Case No. 2. — T. L,, aged 58. 
 
 Bladder Disease and Enlarged Prostate and 
 obscure disease of the bladder, complicated with 
 kidney mischief and injury to the spine— unsuccess- 
 fully treated by two homoeopathic physicians — 
 surgeons in St. Thomas' Hospital, during a period 
 of 46 weeks, where the patient was five times 
 sounded for stone, and had consultations with eight 
 of the medical and surgical staff — was also in Guy's 
 Hospital and discharged incurable, everyone agreeing 
 that the case was " hopeless."— Speedily cured by 
 the writer and continues well (now nearly 20 years) 72 
 
 Case No. 3.— W. R., aged 68. 
 
 Bladder Disease and Enlarged Prostate. — Had 
 been a great sufferer for seven years and under 
 treatment by eminent physicians and surgeons with- 
 out relief. — Cured in one month (ten years ago), con- 
 tinues quite well to the present time, is now in his 
 80th year ... ... ... 78 
 
 Case No. 4. — General Sir F. H., aged 74. 
 
 Bladder Disease and highly acute Inflammation 
 of bladder and prostate with senile stricture of the 
 
PAGE. 
 
 canal— treated unsuccessfully -by .siM".cons in' 
 Northampton andr: an^ftninent London specialist 
 who was said to have written -and lectured on : : 
 urinary diseases, and who could only say " give 
 more morphia" although the patient said he was 
 already " dried up by suppositories." — Soon 
 ,■ • improved under the spray treatment, he has been 
 
 well ever since and is now 84 years old ... 84 
 
 Case No. 5. — The Rev. Canon C, aged 66. 
 
 Bladder Disease and chronic enlargement of 
 the prostate with unusually severe cystitis and 
 pressure in the rectum, due to the enlarged gland. 
 Came to the writer against the expostulations of 
 medical and other friends in a truly dying state. — 
 He was speedily cured and returned to his arduous 
 clerical duties to the astonishment of everyone and 
 particularly his medical attendant, who had 
 previously said that " the actual reduction of an 
 enlarged prostate is simply an impossibility.^' His 
 surgeon after his return examined him (per anum) 
 and said " the reduction was wonderful, that the 
 prostate used to project into the rectum like an 
 apple, but that now the enlargement is not more 
 than many, if not most m?n at my age experience." 
 The patient continued well for ten years afterwards 
 and only recently died of locomotor ataxy, at the age 
 of 75 ... ... ... 86 
 
 Case No. 6.— W. F. L , aged 65. 
 
 Bladder Disease and considerable Enlargement of 
 the Prostate and very severe cystitis, complicated 
 with Bright's disease of the kidney— a remarkable 
 history — rapid cure. The patient had been 
 unsuccessfully treated in Guy's Hospital, St. 
 
icxv 
 
 PAGE. 
 
 Thomas' Hospital, and St. Peter's Hospital for 
 stone — continued well for ten years and died of 
 bronchitis some time ago, 75 years old ... 91 
 
 Case No. 7. — E. B. 
 
 Bladder Disease with Stone. The patient 
 came to the writer 16 years ago with very severe 
 symptoms. Owing to an extremely contracted 
 urethral opening, only the smallest possible 
 instruments could be used on which account he 
 could not be " sounded" — some time after he 
 was cured the patient called on the writer, he 
 and his assistant, with the aid of a small sound 
 detected stone, the patient however did not 
 believe it as he continued well ; he subsequently 
 married and became father of three children; he 
 refuses even now to believe he has stone, but he 
 certainly has one ... ... ... 95 
 
 Case (unmimbered). — I. C. W. I. 
 
 Bladder Disease complicated with Stone. 
 The case had been treated as for " chronic 
 prostatitis " only. The patient came to the writer 
 in a deplorable condition, having got no relief from 
 anything but morphia, which, he added, was fast 
 taking away his life. — Obtained relief from first 
 "spray" which liberated a stone, which was after- 
 wards removed to the great comfort of the patient; 
 another large stone was too deeply impacted for 
 removal. He lived in comparative ease for a long 
 while, but died eventually of kidney complications 
 and senile decay ... ... ... 99 
 
 Case No. 8. — R. C, aged 29, single. 
 
 Bladder Disease of a chronic and obscure nature 
 complicated with prostatic trouble which none of his 
 
XXVI 
 
 PARE. 
 
 raedical advisers could understand. — He was 
 treated unsuccessfully in St. Peter's Hospital, and 
 St. George's Hospital — examined for stone without 
 result by five surgeons, and afterwards treated for 
 various diseases, but ineffectually. — Cured by the 
 " spray " treatment thirteen years ago — is now 
 married and has a family of children. He is well- 
 known to the vicar of his parish. Stanwell, 
 Middlesex ... ... ... loo 
 
 Case No. 9. — ^I. B., aged 61, married. 
 
 Bladder Disease complicated with Stone in the 
 
 Bladder, relieved, apparently cured, while the 
 
 calculus still remained in the bladder ... 103 
 
 Case No. 10. — W. P., aged 21, single. 
 
 Bladder Disease complicated with Spermatorrhoea 
 and Urethritis, followed by gonorrhceal prostatitis, 
 and cystitis ; great depression of spirits and hope- 
 lessness, — now married, in perfect health, and has 
 a family ... ... ... 106 
 
 Case No. 11. — B. H., aged 64. 
 
 Bladder and Prostate Disease of long-standing 
 — occupying nearly a year before treatment could be 
 relinquished — the remote cause, gonorrhoea in early 
 life ... ... 109 
 
 Case No. 12. — J. A., aged 48, single. 
 
 Bladder Disease and Stricture of an unyield- 
 ing character of 22 years' standing. — Cured by 
 " unusual dilatation," i.e., without operation — the 
 case was prolonged and tedious, but successful, and 
 well illustrates what patience will do in protracted 
 organic disease ... ... ••• tn 
 
PAGE. 
 
 Case No. 13. — G. H., aged 63. 
 
 Bladder and Kidney Trouble — history and 
 course of stone in both organs — eccentricity of stone 
 when in the bladder. Stone removed weighing one 
 ounce all but 5 grains ... ... 115 
 
 Case No. 14. — G. G., aged 67, Leeds, 
 
 Bladder Irritation, due entirely to stone in the 
 bladder — two lithic acid stones removed weighing 
 half-an-ounce (minus 2 grains). This case is 
 typical of irritation from stone without aay 
 enlargement of the prostate ... ... tt7 
 
 Cas^ No. 15.--G. F. v., aged 38. 
 
 Bladder Irritation, due to two strictures in the 
 urethra and stone in the bladder — treated un- 
 successfully at St. George's Hospital for three 
 months — unsuccessfully sounded — his disease 
 ultimately supposed to be lumbago — a stone 
 weighing one ounce (minus 30 grains) removed 
 from the bladder, after the spray treatment ... 118 
 
 Case No. i6.- — J. P. 
 
 Bladder Disease of an unusual kind, com- 
 plicated with an enormously large prostate and 
 tortuous urethra, misleading his former medical 
 attendants and occupying the writer three-months 
 before getting an entrance into the bladder — this 
 case gave rise to the writer's elastic sound, 
 (diagram page 55) ... ... ... 119 
 
 Case No. 17. — G.S., aged 28. 
 
 Bladder Disease and Stone. A large oxalate 
 of lime stone weighing nearly four ounces. 
 Eccentricity of stone — " sounding " — discovering 
 it at one time, not at another — an inmate of 
 Carlisle Infirmary for eleven weeks; the cutting 
 
PAGE. 
 
 operation decided upon. — Came to the Home 
 Hospital — stone too large to be grasped by 
 Bigelow's large instrument. This being ineffectual 
 gave rise to larger and improved instruments by 
 the writer — (see diagram page 50) ... 124 
 
 Case No. 18.— E. T. aged 39. 
 
 Bladder Disease and Stone. — Suffering since 
 the age of nine years, treated for disease of the 
 kidneys — stone measuring 2fin. by 2|in. and i^in. 
 in another direction, weight 5 ozs. and 30 grains — 
 Bigelow's large instrument would not lock. Time 
 occupied i hour 35 minutes ... ... 131 
 
 Case No. 19. — F. L., aged 40 (but looking much older). 
 
 Bladder Disease and Stone. — Had been a great 
 sufferer for six years and under several surgeons of 
 repute without relief; said to be suffering also from 
 "Bright's disease" — examined for stone at St. 
 George's Hospital, and by other surgeons 
 unsuccessfully — had passed gravel for years. — 
 Writer failed to discover stone for a long time, but 
 ultimately sounded him successfully and removed 
 two, weighing collectively only twenty grains, 
 which effected a cure ... • • • 1 3 6 
 
 Case No. 20. — J. B., aged 52. 
 
 Bladder Disease and Stone. — Had suffered 
 severely for five years ; treated by surgeons 
 of distinction in Manchester, then in Liverpool, and 
 afterwards in London, and " sounded " unsuccess- 
 fully — the writer after several " soundings " found 
 stone. An operation fixed for its removal — no 
 stone could be found by the writer and four surgeons 
 present — the writer derided for his mistake — stone 
 weighing 18 grains only, discovered afterwards in 
 
PAGE. 
 
 the presence of one of the four medical men : 
 this gave immediate relief, and the patient was cured 
 in a few days ... •■• ••• ^3^ 
 
 Case No. 21.— E. O., aged 67. 
 
 Bladder Disease and Stone. — Had been 
 suffering for six years before the writer saw 
 the patient. Four surgeons of eminence were 
 consulted — one examined him for stone unsuccess- 
 fully — idea of stone derided— patient objected 
 to be " sounded " on several occasions— ultimately 
 getting severe hoemorrhage was sounded by the 
 writer, who found two oxalate of lime stones which 
 were successfully removed ... ... 140 
 
 Case No. 22.— J. B., aged 54, single. 
 
 Bladder Disease and Enlarged Prostate. — 
 Stone in the bladder weighing three-quarters of an 
 ounce. Several surgeons had failed to discern it. An 
 inmate University College Hospital for two months, 
 and sounded there several times unsuccessfully ... 142 
 Case No. 23. — J. H., aged 42. 
 
 Bladder Disease of a chronic and obscure kind, 
 painful in its manifestations, for many years resisting 
 the treatment of the faculty of Leeds, the 
 homoeopathic practitioners, and a herbalist of the 
 locality. Cured by the writer— the patient has 
 continued perfectly well up to the present time ... 143 
 
 Case No. 24. — J. A., aged 38, married. 
 
 Bladder Disease occasioned by an organic 
 stricture wrongly treated till he went to Guy's 
 Hospital ; was in hospital for thirteen weeks and 
 then only the smallest bougie could be introduced 
 — patient lost his appetite and his temperature 
 increased, and continuing to get worse he left the 
 
XXX 
 
 PAGE. 
 
 hospital and came to Dean Street — great difficulty 
 was experienced in his treatment and the usual 
 means doing no service another method was 
 adopted which proved efficacious — ultimately he 
 was operated upon and successfully treated by 
 gentle means, but the treatment occupied nearly 
 three months instead of the usual 14 to 21 days ... 145 
 
 Case No. 25. — S. H. T., aged 35, single. 
 
 Bladder Disease accompanied with paralysis ; 
 unsuccessfully attended the Birmingham Free 
 Hospital, and from time to time was treated by 
 ten allopathic physicians and surgeons without 
 relief — the Birmingham Homoeopathic Hospital 
 was now tried for two months with no good result 
 — galvanism, and other means were employed 
 till one of the surgeons told him his case was 
 " hopeless " and he was ultimately discharged as 
 " incurable." — This case rapidly responded to the 
 " spray " treatment, — the patient has continued 
 well ever since, and has held the post of engineer 
 in the South Yorkshire Lunatic Asylum, Wadsley, 
 near Sheffield ... ... .•• 146 
 
 Case No. 26.— S. M. 
 
 Bladder Disease and Enlarged Prostate. — 
 Catheter wholly discontinued after being con- 
 tinuously used for upwards of two years — the 
 patient is now 80 years' old and enjoys fair health 
 for his time of life ... ... ... 152 
 
 Case No. 27. — H. D. 
 
 Bladder Paralysis. — This was a very advanced 
 case attended with constant dribbling of urine 
 night and day, — the patient had been to hospitals 
 for paralysis and had tried galvanism and other 
 
PAGE. 
 
 means without relief. — He is not cured, but within 
 the last thirteen years has had occasional treat- 
 ment which has given very speedy relief, yielding 
 such comfort and interest in life as to enable him 
 to watch his children grow up until capable of 
 helping themselves .. . ... •••154 
 
 CLASSIFICATION OF BLADDER 
 
 DISEASES IN MARRIED, SINGLE, AND 
 
 STERILE WOMEN. 
 
 Bladder irritation in single women attended with frequency, 
 
 but without pain ... ... • • • 1 56 
 
 „ irritation in single women attended with severe pain 159 
 „ irritation in married women who are sterile... ... 156 
 
 „ " irritation in married women who have borne 
 
 children ... ... ... 156 
 
 „ disease through forcible dilatation ... ••• '57 
 
 ,, irritation during pregnancy — helplessness of prac- 
 titioners to relieve — benefit derived from the 
 " spray " treatment .. . ... ... 157 
 
 Case No. 28. — Mrs. R., Switzerland, aged 29. 
 
 Bladder Disease caused by a disappointed womb, 
 misplacement and sterility — wrongly treated by 
 a ho.spital surgeon, causing her to keep her bed for 
 five months. — The sterility cured, the patient 
 returned home — since then she has had several 
 children and her health is consequently quite 
 re-estabHshed •„ „. ... 158 
 
PAGE. 
 
 Case No. 29. — E. R,, aged 28, married. 
 
 Disease of the Bladder caused by a disappointed 
 womb — uterine misplacement, mistaken for tumour, 
 in the Hospital for Women, Soho Square, and St. 
 Bartholomew's Hospital — sterility the result of 
 
 • - wrong diagnosis. — The cause (misplacement) 
 
 removed, and the sterile condition treated, 
 resulted in a family of seven children ... 161 
 
 Case No. 30.— S. M. 
 
 Bladder Disease called " chronic and incurable." 
 The patient was unsuccessfully treated by phy- 
 sicians and surgeons of repute in Russia, Germany, 
 France, and England. Advised to go to St. 
 George's Hospital, where she underwent a variety 
 of operations without relief— homoeopathic treatment 
 was equally unsuccessful, until the writer undertook 
 the case. — Eight and a, half years' torture cured in a 
 month ! She died at a ripe old age of sheer ex- 
 haustion without a return of her bladder disease — 
 some of the family insisted that her age was 107, 
 but others said 93 ... ... ... 163 
 
 Case No. 31. — E. M. A., aged 54. 
 
 Bladder Disease, said to be chronic and "incur- 
 able," of ten years' duration, cured in six weeks. 
 — Had been treated by upwards of twenty 
 physicians and surgeons unsuccessfully, and given 
 up as hopeless in five hospitals, viz : — Guy's, 
 St. George's, Middlesex, Hospital for Women, 
 Soho Square, and the Samaritan Free Hospital. 
 — Cured in four weeks ... ... 165 
 
 Case No. 32. — S. C., aged 53. 
 
 Bladder Disease of an obscure character re- 
 sembling cancer, unsiiccessfully treated by 
 
PAGE. 
 
 homoeopathic and allopathic physicians, pro- 
 nounced incurable in the Samaritan Free Hospital, 
 Hospital for Women, Marylebone Road, and St. 
 Peter's Hospital— was a great sufferer for five years. 
 — Cured in four weeks ... ••• 167 
 
 Case No. 33. — F. T., aged 2^, married. 
 
 Bladder Disease of much severity, extending 
 over six years — was treated without relief by every 
 doctor who saw her— sent by the Rector of 
 Stotfold to the Hitchin Infirmary where she got 
 worse. — Cured in a month — testimony of Rev. 
 David Mace ... ••• ••• 17° 
 
 Case No. 34.— F. H., aged 37, married. 
 
 Bladder'Disease of five years' standing of a most 
 pitiable kind. — The case was mistaken for womb 
 disease in St Batholomew's Hospital, and Hospital 
 for Women, Soho Square— the patient was found 
 to be pregnant and this was supposed to make her 
 so much worse — premature labor induced which 
 greatly increased her suffering.— The writer was 
 consulted and removed a large stone from the 
 bladder weighing two ounces and three-quarters — 
 returned home cured ten days afterwards ... 174 
 
 Case No. 35.— M. C, aged 33, married. 
 
 Bladder Disease, most obscure and painful — 
 treated unsuccessfully both by allopathic and 
 homoeopathic practitioners— the cause being uterine, 
 but not understood — consultation with obstetric 
 physician of Guy's Hospital— in the Hospital for 
 Women, Soho Square,— laudanum and chlorodyne 
 taken in large quantities, giving the patient the 
 appearance of an old woman, sallow and haggard — 
 — remarks on the mistakes committed in falling of 
 
PAGE. 
 
 the v/omb — sympathy between the uterus, the 
 rectum and bladder — pathology of the bladder not 
 understood — cause of barrenness — advantage of 
 specialism ... ... ... 179 
 
 Case No. 36. — Mrs. S. (written by herself for publication). 
 
 Bladder Disease not understood — villous 
 tumour, and stone in the bladder — patient in a 
 deplorable, in fact, dying condition, had been 
 treated by Sir H. C, Mr. S. J. of St. Thomas' 
 Hospital, and by surgeons of repute in Yorkshire, 
 without the slightest relief, treated as for misplace- 
 ment of the womb. — After three years of constant 
 pain, night and day, being only partially relieved by 
 morphia and hot baths, which weakened her brain, 
 was cured in three weeks ... ... 185 
 
 Case No. 37. — Mrs. E. A. aged 52. 
 
 Bladder Disease and Tumour in the neck of 
 the bladder, behind which was a rough and pointed 
 calculus. The patient was under an old friend (a 
 homoeopathic physician) and other eminent 
 physicians — one from Guy's Hospital — was taken 
 . to another physician, author of a standard book on 
 obstetrics, and physician to two hospitals for 
 women, by her brother-in-law, a physician, and 
 late coroner for Middlesex ... ... 189 
 
 Case No 38.— Mrs. T. aged 68. 
 
 Bladder Disease misunderstood. Had been 
 unsuccessfully attended by two eminent hospital 
 surgeons, and medical men of repute — the writer 
 offered to cure her by operation — patient tells her 
 surgeon (Mr. J. H.) who replied "Well, Mrs. T., 
 no respectable medical practitioner would do more 
 than we have done for you at your age." — The 
 
PAGE. 
 
 patient was cured, and the '' respectable " surgeon 
 was informed of it. — Donation to the Home 
 Hospital ... ... ...191 
 
 Case No. 39.— A. L., aged 41, spinster. 
 
 Bladder Disease resisting treatment for four 
 years — albumen in the urine giving the appearance 
 of Bright's disease. — The spray treatment removed 
 the cause (cystitis) the albumen disappeared and 
 the distressing symptoms soon ceased ... 193 
 
 Case No. 40. — E. L., aged 2)5, married. 
 
 Suffered for eight years in agony and treated 
 allopathically and horaceopathically — the patient 
 was wickedly dissuaded from consulting the writer 
 — "allowed the opinion of prejudiced professional 
 and other persons to prevent me consulting you " 
 (a homoeopathic practitioner now in London among 
 them). — Cured in six weeks, and has continued well 
 for twelve years, and has borne several children 
 without any return of her painful disease ... 195 
 
 Case No. 41. — E. D., aged 77 years. 
 
 Bladder Disease, unsuccessfully treated in the 
 Bloomsbury Dispensary, and Homoeopathic Hos- 
 pital, Great Ormond Street, — her disease called 
 by different names by each doctor in succession 
 which shook her confidence, she stated "all the 
 other doctors did for me was to change my medicine 
 and look at my tongue " (which is all they do in 
 a great many more cases, D. J.). — Cured in a 
 month ! (See " Note " on above case as to medical 
 and lay opinions respecting old age) ... 197 
 
 Case No. 42. — S. S. aged 71. 
 
 Bladder Inflammation and ulceration of the neck 
 of bladder — declared "a thorough break-up of 
 
XXXVl 
 
 PAGE. 
 
 nature," and the case pronounced incurable — the 
 doctor said, " I can do no more for her." 
 Occasional visits only. — '' Urine offensive and 
 sticky, makes us all sick — disinfectants do no 
 good ; for the last three months we have kept her • 
 up with a bottle of champagne a day." — " The 
 first spray gave beautiful sleep and comforted me 
 for three days — it was new life to me." — After the 
 third spray she declared, " I really think I am 
 cured — I have lost all the pain that tortured me 
 so fearfully" ... ... ... 200 
 
 Case No. 43. — The Hon. L. D. E. 
 
 Stone in the Bladder for 33 years treated by 
 mistake for paralysis of the bladder, said to be 
 incurable. — This case is reported as relieved only, 
 the long residence of the stone in the bladder 
 having, it is feared, permanently injured it. But 
 this much is certain, viz., but for the writer's 
 intervention the patient would have died a lingering 
 and painful death, caused by a calculus, diagnosed 
 wrongly as paralysis ... ... ... ... 202 
 
 Case No. 44. — D. B. 
 
 Stone in the Bladder for four years, the patient 
 repeatedly sounded unsuccessfully under ether, by 
 surgeons of repute, including Mr. Berkeley Hill, 
 and Mr. Christopher Heath, senior surgeons to 
 University College Hospital, and Mr. Barker, 
 surgeon to the Hospital, &c. — The spray treatment 
 clears the bladder — the stone (half an ounce in 
 weight) easily discovered, and removed without 
 hitch or hindrance by Gordon Griffiths Jones, 
 surgeon to the Home Hospital, Dean Street, Soho 206 
 
xxxvii 
 
 PAGE 
 
 Case No. 45. — H. J. B. 
 
 Stone and Bladder Disease and enlarged prostate 
 cured by the " spray" treatment, which was said to 
 be "incurable" by three surgeons of repute — stone 
 in the bladder removed — " one and all declared 
 I had no stone." — " Chronic constipation cured, 
 for which physicians in my experience have found 
 no permanent cure " — the patient persuaded by 
 medical and other friends not to consult the writer 
 — the patient was obstinate, and ought to have 
 died under his doctors without a murmur, as many 
 have done ! !... ... ... .•• 209 
 
 Case No. 46.— O. A. R. 
 
 SPERiMATORRHCEA, Urethritis and tumour in the 
 bladder, unsuccessfully treated by four surgeons in 
 England, and two medical men of high standing in 
 Spain. — Cured by the " spray" treatment ... 21 1 
 
 Calculi, classification of ... ... 28, 29 
 
 ,, 20, not found till after death ... ... iB 
 
 Calculus, weighing nearly nine ounces causing no incon- 
 venience ... ... ... 17 
 
 case of the late Mr.' Salmon ... ... 19 
 
 various kinds of ... ... ••• 16 
 
 in kidneys ... ' ... 29, 30 
 
 in bladder ... ... ... 31 
 
 symptoms of, in exceptional cases ... ... 31 
 
 chemical composition of . ... 28 
 
 classification of ... ... ... 28 
 
 treatment of 460 years B.C. ... ••. 38 
 
 two cases of, cured by writer by dissolution ... 25 
 
 varieties of ... ... ... ... ... ... 28 
 
 wetting the bed (caused by) ... 34 
 
PAGE. 
 
 Calculus, removal of, by large instruments objected to : 
 
 objection not tenable ... 46 and 47 
 
 ,, removed more successfully by large, than "light 
 
 and handy " instruments ... ... 47 
 
 „ removed by cutting " on the gripe " ... 39 
 
 „ removed by Bigelow's plan ... ... 41 
 
 „ removal of, from Civiale's time in 1824 up to 
 
 the present ... ... ... 39 
 
 „ removal by "light and handy" instruments, objection to 46 
 
 „ size of, to be removed by lithotrity ... 46 
 
 „ symptoms of, when loose in bladder ... 31 
 
 „ death after operation, not caused by instruments 130 
 
 „ description of patients liable to it ... ... 43 
 
 „ disease analagous to ... ••• 33 
 
 „ evidence of blood in urine ;.. ... 33 
 
 „ due to blood disease ... ... 20 
 
 „ Frere Jacques' practice in ... ... 39 
 
 ,, fatal cases, due to the fragments and not to the 
 
 instruments ... ... ... 46 
 
 „ failure of Sir Henry Thompson's " light and 
 
 handy " instruments ... ... 47 
 
 ,, finding of, in. rare cases . ... ... 35 
 
 „ history of, from an early period ... ... 37 
 
 „ how removed at an early date ... ... 38 
 
 „ how formed in kidneys .. ... 22 
 
 „ how cured in German Spas ... ... 27 
 
 ,, hydropathy in ... ... ... 26 
 
 ,, in the female, difficulty in ... ■■•35 
 
 „ in kidneys, renal colic ... ... 22 
 
 ,, in kidneys, how disolved by food and drink ... 23 
 „ large instruments objected to, not tenable 46 and 47 
 „ "light and handy" instruments not strong enough 
 
 according to bir Henry Thompson's opinion 47 
 
PAGE. 
 
 Calculus more successfully real ovei by large iustruineii.s 46 & 47 
 „ microscopic evidence of blood in rhe urine though 
 
 not coloured ... ... ... 32 
 
 „ objection to its removal by large instruments not 
 
 tenable ... ... ... 46 
 
 „ objections to lithotrity without evacuation ... 40 
 
 „ or rheumatism cured by alkalies ... ... 26 
 
 ,, ordinary forms of ... ... ••• 28 
 
 „ opinion of Mr. Cadge on Bigelow's operation ... 48 
 „ opinion of Mr. Thomas Smith on Bigelow's 
 
 operation ... ... ... 44 
 
 „ primary formation in kidneys ... ... 21 
 
 „ prevented by food and drink ... ... 24 
 
 ,, proof of dissolving stone in kidneys ... 25 
 
 „ patients most liable to ... ... 29 
 
 „ passing from kidneys ... ... S^ 
 
 „ removal of, by Civiale in 1824 ... ... 39 
 
 ,, gives little or no discomfort in a recumbent posture 34 
 
 „ solvents for ... ... ... 39 
 
 „ symptoms of when passing from kidneys ... 22 
 
 „ sympathetic pains due to in, exceptional cases ... 31 
 
 Cause of Bright's disease in many cases ... ... 10 
 
 ,, of pain in urinary meatus attending stone, &c. ... 10 
 
 ., of pain in rectum attending enlarged prostate ... 12 
 
 Clear urine attended with serious disease, examples of ... 3 
 
 Cloudy urine, cause of ... ... ... 2 
 
 Complications prolonging the cure — frequency of bladder 
 
 diseases ... ... ... 204 
 
 Consequences of not emptying the bladder when full ... 11 
 Consumption and its local treatment gave the writer an idea 
 in early life of treating bladder disease by local 
 
 means ... ... ... 5 
 
 Consumption does not always begin in the lungs ... 64 
 
xl 
 
 PAGE. 
 
 Constant use of catheter a mistake ... ... 65 
 
 Death in lithotrity, not caused by instruments ... 44 
 
 Debris cleaner in writer's lithotrite, advantages of ... 49 
 
 Diagram of improved lithotrite by the writer ... 50 
 
 ,, of bladder and enlarged prostate ... ... 51 
 
 „ of aspirator ... ... ... 53 
 
 „ of aspirator working ... ... 54 
 
 „ of tubes for removal of debris ... ... 52 
 
 „ of writer's flexible sound searching for hidden stones 55 
 
 Difference of prostatic disease in patients .o. ... 60 
 
 Diseases of prostate known by various names ... 56 
 
 „ incurability of, according to some authors ... 56 
 
 „ of prostate incurable by medicine ... ... 56 
 
 ,5 of prostate; how it obstructs urination ... 58 
 
 „ of prostate, irritability of bladder in ... 59 
 
 „ of prostate, rapid effects of writer's treatment in ... 59 
 
 „ in the female bladder ... 156 — 158 
 
 „ supposed not to have a genito-urinary origin in 
 
 young and old— epilepsy, paralysis, nervousness, 
 
 dyspepsia, Bright's disease, syphilis, and other 
 
 specific diseases ... .. ... 156 
 
 Early stage of prostatic disease, said to be "nothing" ... 61 
 
 „ symptoms, importance of ... ... 61 
 
 ,, treatment important ... ... 62,64 
 
 Electric light, value in diagnosis ... ... 35 
 
 Electrolysis in curing stricture of urethra ..."^ 
 ,, „ ,, fibroid tumours 
 „ ,, ,, uterine hoemorrhage 
 „ „ ,, fistulae 
 „ ,, „ sinuses 
 „ ,, „ polypi of womb, rectum, ear, 
 
 throat, &c. 
 ,, „ „ enlarged prostate 
 
 220 
 to 
 222 
 
xli 
 
 PAGE, 
 
 Electrolysis in urethral stricture ... ... ... ... 220 
 
 Enlarged prostate, known by various names ... 2 
 
 „ prostate takes years before it gives uneasiness . . 63 
 
 „ prostate illustrated by a decayed tooth ... 63 
 
 J, ,, error of neglecting early stage ... 62 
 
 Error of supposing the spray to be the same in all bladder 
 
 diseases ... ... ... 3 
 
 „ of diuretics — Pareira brava, gin, whisky, &c., &c. ... 63 
 
 ,, in prescribing diuretics for all bladder diseases ... 3 
 Failure of Sir Henry Thompson's operation for the relief of 
 
 advanced enlargement of prostate ... 57 
 „ of Sir Henry Thompson's " light and handy 
 
 instruments" ... ... ... 47 
 
 Female bladder, diseases of, in married and unmarried 156 to 158 
 
 Frere Jacques' practice in removing stone ... ... 39 
 
 Gall stones, like stones in the kidney, due to the blood, 
 
 how cured ... ... ... 27 
 
 German Spas in treatment of stone ... ... 26 
 
 Gift of ;^2ooo to the writer ... ... ... 60 
 
 Gonorrhoea — a cause of Bright's disease ... ... 10 
 
 „ a cause of enlarged prostate ... ... 10 
 
 Gravel, how formed in the blood ... ... 20 
 
 ,, depositing in kidneys cause renal colic .. 22 
 
 Hall, Thomas, Esq., gift of ;^2ooo to writer ... 6q 
 Hoemorrhoids mistaken for impacted fseces by physicians 
 
 and surgeons of repute ... ... 33 
 
 Identical symptoms in the male and female ... 2 
 
 Importance of early treatment in prostatic disease ... 64 
 
 Incurable cases, due to a want of knowledge of pathology 3 
 Instruments, advantages of large and safe, over " light and 
 
 handy" ... ... ..129 
 
 Irritability of bladder in married women, complicated with 
 
 sterility . . ... .. 15^ 
 
xlii 
 
 PAGE. 
 
 Irritability in unmarried women without pain ... 156 
 
 ., in unmarried women with pain ... ... 156 
 
 „ in married women who have borne children ... 156 
 
 „ „ „ during pregnancy ... 157 
 ,, of the bladder due to uterine causes 156 to 158 
 „ of bladder from all causes (see bladder irrita- 
 bility and bladder irritation). 
 
 Kidney, stone in, how cured ... ... 25 
 
 „ removal of stone from .. ... 23 
 
 „ 748 stones removed from one patient by writer's 
 
 process ... ... ... 25 
 
 ,, other cases ... ... ... 25 
 
 „ stone in, prevented by proper diet... ... 25 
 
 Large lithotrites compared with small ... 129, 130 
 
 Lithotrite, author's improved ... ... 50 
 
 Lithotrites, additional remarks on the advantages of more 
 
 powerful and safe instruments ... ... 129 
 
 Lithotrite, Bigelow's, Sir Henry Thompson on ... 45 
 
 „ Mr. Cadge's, opinion on ... ... 48 
 
 „ Sir Henry Thompson's "light and handy" 
 
 instruments fail to crush a stone ... ... 47 
 
 Lithotritists' teaching from the time of Civiale (its discoverer) 
 
 in 1824 till now ... ... ... 42 
 
 Litholapaxy, introduced by Professor Bigelow ... 41 
 
 „ Mr. Thomas Smith, opinion on ... 44 
 
 „ Mr. Cadge, opinion on ... ... 48 
 
 Liston, Mr. Robert, opinion of ovariotomy... ... 6j 
 
 ,, „ „ sounding ... ... 18 
 
 " Memorandum " of other cases coming under the notice 
 of the specialist, due, however, secondarily, to 
 
 diseases of the genito-urinary system ... 214 
 " Note," additional remarks on the advantage of large 
 
 instruments ... ... 129, 130 
 
xliii 
 
 PAGE. 
 
 Physical cause of discomfort in rectum in course of prostatic 
 
 disease ... ... ••• 14 
 
 Prostate gland, size of, at different ages ... ... 13 
 
 „ „ inflammation and abscess of, why so painful 14 
 
 Prostatic enlargement, why it presses on rectum ... 14 
 
 Rare forms of calculi ... ... ..• 22 
 
 Rheumatism and gout allied to stone ... ••• 21 
 
 Robert Liston's opinion of sounding ... ... 18 
 
 Resemblance of diseases of the bladder in male and female 2 
 
 Renal colic (passing stone from kidney) ... ... 30 
 
 Stone in kidney cured by dissolving ... ... 25 
 
 Skin diseases, how cured through the blood ... 27 
 
 Sound, description of ... ... ... 34 
 
 ,, author's elastic sound, origin of ... ... 55 
 
 Sounding, uncertainity of, in inexperienced hands ... ... 35 
 
 Soundness of the pathology of the prostate dissected ... 61 
 Spray treatment relieves pain though the stone be in 
 
 the bladder ... ... ... 17 
 
 Symptoms of enlarged prostate in early stage ... 62 
 
 „ „ „ „ „ advanced stage ... 63 
 
 „ „ enlargement ... ... ... 63 
 
 Stone, a blood disease ... ... ... 20 
 
 ,, allied to gout and rheumatism ... ... 21 
 
 „ account of its removal from the time of Civiale up to 
 
 the present time ... ... ... 42 
 
 „ and allied diseases, gout and rheumatism form 
 
 very slowly ... ... ... 21 
 
 „ causing symptoms of piles ... ... 35 
 
 ,, uncertainty in finding ... ... 32 
 
 ,, classification of ... ... ... 28 
 
 „ chemical composition of ... ... 23 
 
 „ cured by writer's treatment ... ... 25 
 
 „ description of patients subject to it ... ... 28 
 
PAGE. 
 
 Stone, error of condemning lithotrites because of their size 
 
 see Note ... ... ... 129 
 
 „ Frere Jacques' practice in ... ... 39 
 
 „ frequency in children ... ... ... 30 
 
 „ first crushing operation by Civiale in 1824 ... 39 
 
 „ fatal cases due to the rough fragments and not to the 
 
 instruments ... ... ... 43 
 
 „ German Spas in ... ... ... 26 
 
 „ history from early period ... ... 38 
 
 „ how formed in kidney ... ... 21 
 
 ,, prevented ... ... ... 23 
 
 ,, how removed by operation ... ... 23 
 
 „ hydropathy in ... ... ... 16 
 
 „ in bladder weighing nine ounces giving no discomfort 1 7 
 
 „ in the female ... ... ... 35 
 
 „ in female bladder weighing 2f ounces, treated for a 
 
 womb disease in two hospitals ... ... 174 
 
 „ in the bladder giving no discomfort after the spray 
 
 treatment ... .. ••■59 
 
 „ more successfully removed by large than small 
 
 instruments ... ... ... 129 
 
 „ microscopical examination of urine of stone patients 32 
 
 „ occasions wetting of the bed ... ... 33 
 
 „ ordinary forms of ... ... ... 27 
 
 „ objections to lithotrity in ... ..". 38 
 
 „ occasionally in finding ... ... 35 
 
 „ prevented ... ... ... 14 
 
 „ proof of dislodging from kidney by dissolving ... 15 
 
 „ passing from kidney ... ... ... 30 
 
 „ removed by "cutting on the gripe" ... ... 38 
 
 „ „ crushing, by Civiale in 1824 ... 38 
 
 „ removed by Bigelow's operation ... ... 40 
 
 „ removal of, from Civiale's time to the present ... 41 
 
xlv 
 
 PAGE. 
 
 Stone size of, to be removed by lithotrity and lithotomy ... 45 
 symptoms of, in exceptional cases ... ...29,3c 
 
 ,, when loose in the bladder ... 30 
 
 sympathetic pain due to ... ... 30 
 
 symptoms of ... ... ... 29 
 
 „ in kidneys ... ... ... 30 
 
 ,, when loose in the bladder ... 30 
 
 solvents in ... ... ... 38 
 
 though successfully removed, was objected to ... 38 
 treatment 460 years before the christian era ... 37 
 
 wrongly supposed to exist from appearance of blood 
 
 in the urine ... ... ... 32 
 
 ,, why seldom painful at night ... ... 32 
 
 Stricture of the urethra — origin, symptoms, and treatment 
 — cure of a thousand cases, though regarded 
 " incurable by any known means " — varieties of 
 stricture, organic, congenital, traumatic, hereditary 
 masturbator's siricture and spasmodic stricture — 
 all curable ... ... ...215 
 
 The " Spray " treatment in veterinary surgery— cure of a 
 
 valuable cob, regarded incurable ... ...212 
 
 Vindication of the writer's practice, objections of the 
 medical profession — professional delicacy — publica- 
 tion of the writer's views and experiences — 
 categorical formulation of his claims — their 
 confirmation ... ... ...222 
 
CONTENTS 
 
 OF 
 
 "URINARY DISEASES," by DAVID JONES, M.D. 
 
 (Second Edition). 
 
 With Introduction by the Editor, GORDON GRIFFITHS 
 
 yONES, Surgeon to the Home Hospital, lo, Dean Street, Soho, 
 
 London. — Names and addresses of patients cured, see Appendix to 
 
 the present Edition. 
 
 STONE, ENLARGED PROSTATE, 
 
 STRICTURE AND OBSCURE BLADDER 
 
 DISEASES IN MEN. 
 
 Case No. i.— Captain A. C. C, R.N. 
 
 Stone in the Bladder, mistaken for enlargement 
 of the prostate and cystitis (only) by surgeons in 
 
 India, an eminent specialist in London, Sir , 
 
 and distinguished professors in Germany ... ... i 
 
 Case No. 2.— Admiral Sir G. E., K.C.B., &c. 
 
 Thirteen Stones in the Bladder, mistaken 
 for enlarged prostate (only) by surgeons in 
 
xlviii 
 
 PAGE. 
 
 London, — one, a specialist, Sir , told the 
 
 Admiral he had " no stone or stricture, but en- 
 larged prostate and liver disease ! " ... ... 4 
 
 Case No. 3.— Mr. H. H. U. 
 
 Stone in the Bladder, undiscovered after repeated 
 examinations, until revealed by the spray treatment 7 
 
 Case No. 4.— Mr. C. B. D. 
 
 Paralysis and Obscure Bladder Disease, un- 
 successfully treated by eminent professors in 
 Scotland, Germany and England, the patient being 
 in bed and on a couch for four years, and for seven 
 years on crutches : — cured in seven weeks ... 12 
 
 Case No. 5.— Mr. S. P. 
 
 Case Resembling Stone in the Bladder, turned 
 out of University College Hospital and Hemel 
 Hempstead Infirmary as " incurable," and ill four 
 years without relief, until cured by the writer ... 16 
 
 Case No. 6.— Mr. T. D. 
 
 Obscure Bladder Disease from childhood, 
 unyielding to treatment in St. Peter's Hospital, the 
 Great Northern Hospital, and under private 
 physicians and surgeons of repute — cured by the 
 writer in one month ... ... ... ,.. 21 
 
 Case No. 7.— Rev. C. G. S. 
 
 Stone in the Kidney, treated by mistake for 
 lumbago ... ... ... ... ... ••• 23 
 
 Case No. 8.— Mr. T. N. 
 
 Obscure Disease of the Bladder of fourteen 
 years duration, mistaken and treated for stone and 
 stricture in the Royal Free Hospital, and St. 
 Bartholomew's Hospital 24 
 
xlix 
 
 PAGE. 
 
 Case No. 9-. — Rev. J. B, ' 
 
 Stone in the Bladder with Complications, in 
 a clergyman aged 81, successfully cured by two 
 operations. The patient was told seven years before 
 that an operation would kill him. ... ... ... 25 
 
 Case No. 10.— Mr. W. C. L. 
 
 Stone in the Bladder, in a gentleman 81 years 
 old, suffering from heart disease, successfully 
 removed in five operations ; the patient still alive 
 and well — 86 years old, and able to walk forty 
 miles a week ... ... ... ... ... 28 
 
 Case No. 11. — Mr. C. W. 
 
 Disease of the Prostate Gland, regarded 
 INCURABLE, cured in seven weeks ... ... ... 30 
 
 Case No. 12. — Mr. J. M. 
 
 Obscure Disease of the Bladder and Prostate, 
 regarded incurable by a London specialist. Sir , 
 
 and surgeons in Chester, was away from duty once 
 for ten weeks, laid up on another occasion for 
 sixty days, and last time was seven months under 
 treatment. Getting no better, came to the writer 
 and was cured by the spray treatment and is now 
 quite well ... ... ... ... ... ... 33 
 
 Case No. 13.— Rev. T. H. 
 
 Stone in the Bladder, mistaken and treated for 
 
 paralysis of the bladder, by Sir , and other 
 
 surgeons ... ... ... ... ... ... 37 
 
 Case No. 14.— Mr. J. B. 
 
 Case regarded Incurable by surgeons in Essex, 
 
 ■ and surgeons and physicians in Guy's Hospital and 
 
 the Temperance Hospital — was a superanuated 
 
 member of the " Hearts of Qak" club, and on the 
 
1 
 
 PAGE. 
 
 parish of Grays, Essex — testimony of the Rev. 
 
 R. H. Brennan ... .. .. ... ... 39 
 
 Case No. 15.— Mr. J. R. E. 
 
 Case of Four Organic Strictures, and enlarged 
 prostate, complicated by eleven openings in the 
 perinseum (crutch), through which the urine was 
 passed as through a watering pot ... ... ... 43 
 
 Case No. 16.— Mr. W. G. M. 
 
 Inflammation of the Prostate and Bladder, 
 due to gonorrhoea (^gonorrhoeal prostatitis) mistaken 
 for "incurable disease of the bladder" by a surgeon 
 in St. Bartholomew's Hospital ... ... ... 46 
 
 Case No. 17. — Mr. J. J. C. 
 
 Disease of Prostate and Bladder, extending 
 over two years, cured in three weeks ... ... 84 
 
 Case No. 18.— Mr. C. S. 
 
 Stricture and Enlarged Prostate, ot six years 
 duration : was told his disease was incurable, was 
 cured in a month ... ... ... ... ... 49 
 
 Case No. 19.— Mr. T. S. 
 
 Enlargement of the Prostate and other 
 Complications, pronounced Incurable, cured 
 in thirty-one days. Public testimony in the 
 " Derbyshire Courier " of 4th April, 1885 ... ... 50 
 
 Case No. 20. — Colonel 
 
 Stone in the Bladder complicated by Urethral 
 Stricture, mistaken and treated for stricture 
 only, by Sir ,,, .., ■■• ,. ■•• 53 
 
PAGE 
 
 INCONTINENCE OF URINE. 
 
 Case No. 21.— Mr. W. C. R. 
 
 Wetting the Bed, from birth up to 20 years of 
 age. Said to be " incurable " ... ... ... 54 
 
 Case No. 22.— Mr. W. R. 
 
 iNCONriNENCE OF Urine for fourteen years, after 
 
 an operation for stone ... ... ... ... 56 
 
 IMPROVED TREATMENT. 
 
 Case No. 23.— Mr. W. M. R. 
 
 Case of a Solicitor who had been under a 
 London specialist, and other medical men for two 
 years, without relief, cured by one spray ... ... 57 
 
 Case No. 24. — Mr. E. H. 
 
 Case of a Gentleman who had been under a 
 London specialist, and his own doctor for three 
 months without benefit, cured after the first spray 59 
 
 Case No. 25.— Mr. W. H. 
 
 Case of Mr. W. Holmes, who had been under 
 the highest medical and surgical authorities in 
 Cambridge for five months, without relief — cured 
 by tv/o sprays ... ... ... . ... 61 
 
 Case No. 26.— Mr. W. R. 
 
 Case of Mr. Wm. Reynolds, aged 75, pronounced 
 incurable in Addenbrooke's Hospital^ Cambridge, 
 cured by three sprays = . . ... ... ... 6;^ 
 
lii 
 
 PAGE. 
 
 BLADDER DISEASES & INCONTINENCE 
 OF URINE IN WOMEN. 
 
 Case No. 27. — M. H. 
 
 Incontinence of Urine, day and night, 
 resembling paralysis of the bladder, unsuccessfully 
 treated in St. Thomas' Hospital and Homceopathic 
 Hospital, Great Ormond Street — cured by Dr. 
 David Jones' spray treatment ... ... ... 65 
 
 Case No. 28.— M. J. 
 
 Incontinence of Urine up to 21 years of age 
 relieved by homceopathy, and cured by the spray 
 treatment ... ... ... ... ... ... 69 
 
 Case No. 29. — Miss E. M. 
 
 Invoi-untary Urination, due to general Paralysis, 
 extending to the bladder — discharged from " Fitzroy 
 House" incurable — cured for eighteen months by 
 one spray ... .. ... ... ... ... 70 
 
 OBSCURE DISEASES OF WOMEN. 
 
 Case No. 30.— Mrs. S. B. 
 
 Case described as " Years of Torture," 
 unsuccessfully treated by lyondon specialists, and 
 physicians to the Hospital for Women, Soho 
 Square, and an eminent physician from Guy's 
 Hospital — the patient stated "it is useless to go to 
 bed, as I am always wanting to empty my bladder : — 
 1 sit on a chamber night and day covered up with 
 blankets" ... ... ... ••• 72 
 
liii 
 
 PAGE. 
 
 Case No. 31.— Miss H. H. 
 
 Tumour and Misplacement of the Womb, 
 mistaken and treated for inflammation of the 
 bladder by an eminent specialist, 104 ounces of 
 urine removed at one time from the bladder ... 75 
 
 Case No. 32.— Miss H. E. A. 
 
 Chronic, and supposed, incurable disease of the 
 bladder, unsuccessfully treated by eminent London 
 authorities, until cured by the writer ... ... 77 
 
 Case No. 33. — Mrs. J^. A. 
 
 Bladder Disease of five years' standing, and 
 womb trouble for fourteen years, unsuccessfully 
 treated in St. Bartholomew's Hospital — Hospital 
 for Women, Soho Square — Middlesex Hospital, 
 and Homoeopathic Hospital, Great Ormond Street 81 
 
 Statistics of Stone in the Bladder ... ... 85 
 
 Stricture of the Urethra, and errors respecting 
 its curability ... ... ... ... ... 86 
 
 Appendix of Names and Addresses of patients 
 (whose cases are reported under initials) at end 
 of book ... ... ... ... ... ... 92 
 
 Statement respecting the Self-supporting Home 
 Hospital and subscribers ... ... ... 97 
 
 Subscriptions and Donations to the Home 
 Hospital for Indoor and Outdoor Patients, 10, 
 Dean Street, Soho ... ... ... ... 99 
 
PART I. 
 
 DISEASES 
 
 BLADDER AND PROSTATE. 
 
 General Considerations : — The Bladder and the Diseases to 
 which it is liable. 
 
 The bladder is subject to a variety of diseases. Authors classify 
 them as " Acute " and " Chronic " ; and these are, for the most 
 part, curable and incurable. It is not the intention of the writer to 
 indite an elaborate treatise on the bladder, nor to take cognizance 
 of simple affections, which ordinary treatment will cure; but 
 rather to draw attention to the chronic and as generally regarded 
 incurable form of the disease, which has baffled the professional 
 mind, and is looked upon as an opprobrium to the medical art. 
 This disease, well known to the Profession and to the public, is, 
 in women, called '• chronic inflammation of the bladder or neck 
 of the bladder," " irritable bladder," " catarrh of the bladder," 
 •' ulceration of the mucous membrane of the bladder," "nervous 
 disease of the bladder," &c. 
 
by overworked, and in their turn become diseased by diuretic 
 medicines and stimulants.* The writer seldom sees a patient 
 who does not say, " my doctor tells me to drink gin." One 
 doctor advises " whisky ; " another orders the patient "abroad, to 
 drink the waters," these waters being usually irritating alkaline 
 diuretics, according to the locality selected. It would appear most 
 unreasonable to whip and spur a horse already jaded from overwork: 
 common sense would dictate rest, which always does good ; 
 but, as your bladder is weak, the doctor whips up the kidneys 
 by drugs, and the alcoholic drinks recommended, to secrete 
 (manufacture) more urine ; and thereby the poor crippled bladder 
 (which is incapable of disposing of the normal quantity) is 
 actually made to work more in a diseased and enfeebled condition 
 than in a sound, strong, and healthy state of the organ. 
 
 The causes of these terrible diseases are numerous, and when 
 weakness exists these causes may actively operate with serious 
 effect. Among the superinducing or exciting causes alluded to, 
 the following may be mentioned, viz., wet feet, lying or sitting on 
 damp ground (particularly in females during certain periods), 
 sitting for a lengthened time in damp clothes, suppressed skin 
 action, as by sudden exposure from heated and crowded apartments 
 to the cold air, sleeping in sheets not properly aired, indiscretion 
 in early life, gonorrhoea, neglecting to empty the bladder 
 through modesty or otherwise, using strong or improper injections 
 (particularly in the male sex), drinking large quantities of wine or 
 beer, taking diuretic medicines for a lengthened period, &c , &c. 
 
 When the bladder becomes chronically diseased, in either sex, 
 it is one of the most distressing cases a physician can have to deal 
 with, (i) on account of the indescribable discomfort experienced 
 by the patient, and (2) because of the physician's inability (by the 
 usual methods) to afford relief Chronic disease of the bladder, 
 as of other organs, more usually follows a previous acute attack, 
 
 * The medicines usually prescribed are, Buchu, Uva Ursi, Pareira 
 Brava, Triticum Repens, Copaiba, Sc,c, 
 
from whatever cause, and is accelerated, of course, by any neglect or 
 unsuccessful treatment ; especially where the more usually adopted 
 medicinal remedies are applied — remedies which reach the diseased 
 organ only after they have lost their virtue and efficacy. The 
 familiar illustration of food introduced into the stomach may here 
 be mentioned. It is well known that food undergoes, in the 
 stomach, a variety of chemical changes. It is conveyed thence to 
 the first portion of the small intestine, and is there acted upon 
 by biliary matter and pancreatic juice. From the small intestine, 
 the chyle (the name given by physiologists to the food in this 
 stage, and so called from its resemblance to milk), is absorbed by 
 the lacteals through the mesenteric glands. During its passage 
 through these glands another change takes place, and ultimately 
 it mixes with the venous blood and is conveyed to the right side 
 of the heart, thence into the lungs, where it undergoes another 
 chemical change. The blood is then conveyed to the left side of 
 the heart, altered from a blue (venous) and impure kind, into a 
 bright red (arterial) and pure kind, and thence, by the general 
 circulation, to the kidneys and all parts of the body. So, likewise, 
 medicine (taken into the stomach) following the course of the 
 food, reaches the kidneys, where, with the food, it undergoes 
 further change, and combines with the urinary secretion. Thus 
 deteriorated (as to its medicinal properties) by its circuitous 
 course, the medicine reaches its destination, but only to be 
 speedily expelled as urinary secretion unfit for any other purpose 
 in the economy. The only possible exception to this is where 
 the medicinal remedy is supposed to act, and acts, powerfully as a 
 specific. Clearly, the treatment most likely to be successfulis the 
 one which enables the physician or surgeon to reach the organ, 
 and to attack its diseased part, by direct means, — as is done by 
 the writer's method of treatment of cases of diseased bladder. 
 
 For upwards of thirty years the writer has drawn attention, 
 by public lectures and otherwise, to the cure of consumption, 
 asthma, and bronchitis, by inhalation, — in other words, communi- 
 cating the healing agent direct to the lung structure itself, by 
 
the process of breathing * His successful application of this in 
 practice was so great as to suggest very forcibly that the supposed 
 incuvability of bladder diseases might, not unreasonably, be attri- 
 butable to what may be termed the indirect attempt at cure, that 
 is, in administering medicines which reach the diseased organ only 
 by the circuitous route above mentioned. Hence, in his own 
 practice, he applied another mode of treatment, and finally invented 
 a very simple apparatus, by which, without pain, and with but 
 slight inconvenience to the patient, a medicated spray may be 
 showered (so to speak) upon the very spot which is diseased. To 
 this method of direct application of various suitable medicaments 
 to the inner lining or surface of the viscus itself, he attributes the 
 great success which has attended his treatment of such apparently 
 hopeless cases as were many of those detailed in the present 
 edition. 
 
 Set; published Cases. 
 
PART II. 
 
 ANATOMY 
 
 BLADDER AND PROSTATE 
 GLAND. 
 
 To enable the reader to understand the writer's local treatment 
 of the Urinary Bladder and Prostate Gland, a brief account of 
 the anatomy and relative position of the organs concerned is 
 here introduced- 
 
 L — The Bladder. 
 
 The Urinary Bladder is a reservoir for the urinary secretion, 
 which enters it, drop by drop, from the kidneys, through the ureters, 
 one on each side. The Bladder is situated, when empty, within 
 the pelvis. In the male, the neck of this viscus is surrounded by 
 the Prostate Gland (hereafter to be described) : behind the 
 Bladder is the rectum. In the female the uterus is situated 
 between the Bladder in front and the rectum behind. The 
 Bladder is a musculo-membranous bag, and is formed of three 
 coats — a peritoneal or external, a muscular or middle, and a 
 mucous or internal coat. The peritoneal covering forms the 
 false ligaments of the Bladder, and assists in keeping the organ in 
 
8 
 
 situ. This covering is reflected over the Bladder in such a 
 manner as to leave a considerable space, in front and below, 
 tmcovered. When inflammation of this covering, or membrane 
 (as it is called) occurs, it spreads very rapidly and dangerously. 
 A wound penetrating the peritoneum produces acute inflammation 
 of it. Nature seems to have anticipated that the Bladder 
 might require to be punctured when the urinary fluid could not 
 escape through the natural outlet, and has wisely left two 
 spaces, one anteriorly, and the other inferiorly, uncovered by the 
 peritoneum. The surgeon takes advantage of his knowledge of 
 this fact, and occasionally punctures the Bladder in one or other 
 of these spaces for the rehef of the patient, as becomes necessary 
 in Stricture of the Urethra, thereby avoiding the necessity and 
 danger consequent on injuring this sensitive peritoneal membrane. 
 The muscular or middle coat is formed of pale involuntary muscular 
 fibres, and is much thicker than the (external) peritoneal or 
 (internal) mucous coat. The muscular coat forms a thicker 
 portion of muscular arrangement on the external part, called 
 detrusor jtrinae {detrudo — to thrust out) which is said to expel the 
 urine. There is also a marked band of muscular fibres around the 
 neck of the Bladder, forming a sphincter, and called sphincter vesicae. 
 The Bladder in a normal condition is capable of holding without 
 inconvenience about a pint of urinary fluid. In obstructive disease 
 of the organ, as Stricture, Stone, and Prostatic enlargement, the 
 muscular coat becomes immensely hypertrophied (thickened). 
 Cases are recorded where the muscular coat has become an inch 
 in thickness. The muscular coat of the Bladder, like the muscular 
 structure of the heart or any other part of the body, increases 
 in proportion to the exertion the muscular fibres are called upon to 
 perform. Muscular fibres are added to them, just as happens 
 in the muscles of the arm of the blacksmith who uses his heavy 
 hammer, or in the extremities of an opera dancer, whose 
 gastrocnemii (muscles of the calves of the leg) are seen to be so 
 fully developed through the exertion of dancing. This muscular 
 
coat (as, indeed, the mucous and peritoneal coats also) is capable 
 of considerable distension. The Bladder becomes distended by 
 its contents occasionally so as to reach as high as, and to be 
 distinctly felt at, the umbilicus (navel). One case related in this 
 edition (Case of H.H.) is a very striking one. It came under the 
 writer's notice in 1873. He drew by catheter one hundred and 
 twelve ounces of urine (5 pints and 12 ounces). There are 
 cases on record where the human Bladder has been distended 
 to an even greater extent. 
 
 The cause of this accumulation was due (as will be seen by 
 referring to the Case) to retroversion of the womb, which pressed 
 on the neck of the Bladder. In this case the whole of the coats 
 of the Bladder were uniformly distended. The viscus occasionally 
 becomes distended in an irregular manner into pouches or bags, 
 as happens in obstructive disease of the Urethra through Stricture or 
 enlarged Prostate. This condition is called "Sacculated Bladder." 
 The mucous membrane insinuates itself between the layers of 
 the muscular coat, forming two or three large Sacculi, or a great 
 number of small ones. The noted Civiale of Paris, had a bladder 
 in his possession covered with these, so as to resemble a bunch of 
 grapes. Planter saw one bearing thirty-nine sacs — each one 
 containing a calculus. They generally contain urine or muco-pus, 
 and occasionally give rise to serious inconvenience, because the 
 contents cannot always be emptied by catheter owing to the orifices 
 of the sacculi being closed by bands and valve-like formations. 
 The mucous membrane frequently becomes disorganized, 
 giving rise to symptoms of retention accompanied by considerable 
 constitutional disturbance. The fluid moreover infringes upon 
 adjoining viscera occasioning serious discomfort, especially so on 
 the rectum which is immediately behind the Bladder. 
 
 The mucous membrane, or inner coat (third coat) lines the whole 
 of the interior of the Bladder. In health the inner membrane 
 is soft and smooth, and of a pale rose colour — it is studded 
 with minute follicles, most numerous near the neck of the Bladder, 
 
the whole surface being covered by epithelium. When the 
 bladder is empty it is thrown into internal folds, or wrinkles — 
 when distended, this arrangement accommodates itself to a larger 
 quantity of urinary fluid. The mucous membrane extends upwards 
 from the bladder into the ureters (two small tubes conveying the 
 urine from the kidneys into the bladder). It is on account of this 
 continuity of mucous membrane that it not unfrequently happens 
 that patients suffering from urethral, prostatic, and bladder 
 affections die from kidney disease. The writer has frequently 
 traced " Bright's disease of the kidneys " to this cause, and 
 thinks it very probable that the yellow granular degeneration seen 
 after death in kidney disease, results from chronic stricture of the 
 urethra, and kindred specific affections of the prostate gland and 
 bladder. It must not be supposed that because stricture, and 
 other diseases do not co-exist with " Bright's disease," that these 
 diseases were not the cause of the kidney mischief. Pulmonary 
 consumption, for instance, often begins in the form of nasal 
 catarrh, but by the continuity of the mucous membrane it travels 
 into the throat, from the throat into the larynx, and then into the 
 lung structure, and rarely ceases till it destroys life. The disease, 
 so to speak, creeps down insidiously from the nose into the lung 
 tissue. What occurs in the nasal, laryngeal, and pulmonary tract 
 of mucous membrane, happens also in the genito-urinary tract. 
 A gonorrhoea (acute inflammation of the urethral canal) leaves a 
 slight gleet (chronic inflammation of the mucous membrane of the 
 urethra). This gives no inconvenience, probably, for twenty years 
 or more, but it gradually results in stricture, or implicates at 
 once the prostatic portion of the urethra, occasioning inflammation 
 of the prostate (prostatitis). This gradually extends into the 
 bladder: from the bladder it travels up the ureters into the 
 kidneys, constituting " Bright's disfease." Outwardly, the mucous 
 membrane extends from the neck of the bladder, lining the 
 canal over the prostatic portion of the urethra and from Ihence 
 throughout the whole length of the canal to the meatus (entrance 
 
it 
 
 of the urethra), where it becomes conthiuous with the skin. The 
 mucous membrane all over the interior of the body, whether it be 
 in the mouth, the stomach, the lungs, or other parts, serves as a 
 protection to the deeper parts, as the skin on the exterior of the 
 body, serves as a protection to the sensitive true skin below. 
 
 There is another arrangement of the mucous membrane which 
 is smoother, void of nigcc, and far more sensitive and vascular, 
 called " trigone vesicale " — a triangular space close to the neck of 
 the bladder, and situated on the most dependent part. If there 
 be a stone in the bladder it gravitates on to this sensitive space, so 
 that when the bladder is empty, the foreign body occasions con- 
 siderable inconvenience, until the urine intervening drop by drop, 
 between the mucous membrane and the stone serves as a temporary 
 buffer. The pain on this account becomes less as the urine is 
 secreted, until the next act of urination removes the intervening 
 fluid buffer, when the stone again worries the sensitive " trigone" by 
 coming into more immediate contact with it. The ease wliich 
 patients atilicted with stone experience in the recumbent posture, 
 in bed or on a sofa, compared with being in an erect posture, is 
 easily explained on the same principle. The foreign body when 
 the patient is standing, or walking or riding, falls by its own 
 weight on this sensitive spot, while in the recumbent posture it 
 rolls away from this sensitive " trigone" into the back part of the 
 bladder, where the mucous membrane is less sensitive, and 
 consequently a patient suffering from stone is easy at night, while 
 a patient having prostatic disease is always worse in bed. The 
 reader can readily understand that, as this spot has no rugcs it 
 would feel the effects of distension more than the rugsated part — 
 which (so to speak) need only be unfolded. The writer is inclined 
 to think that distension of this sensitive smooth unrugffiated spot 
 gives rise to the natural desire to urinate. When a person does 
 not respond to the dictates of nature in a reasonable time, this 
 sensitive spot in the male is so stretched and disturbed, that it 
 
rarely recovers itself^ and leaves a life long recollection of 
 disobeying the laws of nature.* 
 
 The bladder is largely supplied by blood vessels, lymphatics 
 and nerves which also supply the rectum, uterus and ovaries. 
 This accounts in a great measure, for a disease in the rectum, 
 uterus, or ovaries producing symptoms as of a bladder disease in 
 the female, and of the prostate in the male. 
 
 Some persons with disease of the prostate, are more troubled 
 with discomfort in the rectum than in the bladder. One patient 
 consulted the writer some years ago for supposed disease of the 
 prostate, and had been treated for such. His symptoms were 
 essentially urinary, and with the exception of haemorrhoidal dis- 
 comfort, attended with frequent attacks of bleeding from the lower 
 bowel, no one would have suspected that his urinary discomfort 
 arose from the hsemorrhoidal mischief. On examination, it was 
 found that the hemorrhoidal veins were very large and congested 
 and as the treatment did not satisfactorily remove the bladder 
 discomfort, the writer suggested a removal of the piles which 
 was acceded to, and very shortly the urinary symptoms subsided. 
 
 Many similar instances have fallen under the writer's notice. 
 One patient who was supposed to have a bladder disease (but had 
 no bladder disease at all) was cured by the vmter, of the supposed 
 bladder inconvenience, by curing an ulcer in the rectum, which 
 gave little or no inconvenience to the bowel. One lady who had 
 miscarried a great many times, and had been unsuccessfully treated 
 for uterine mischief, was soon cured of the tendency to miscarry 
 by curing her of disease of the lower bowel. This is readily 
 accounted for. The same nerves that supply the rectum, supply 
 also the bladder, uterus, and ovaries, and are derived from a 
 plexus of nerves called " hypogastric." When the rectum is 
 diseased there is a sympathetic connection between the rectal 
 branch of the hypogastric and the vesical, uterine, or ovarian 
 branches of the same plexus, as has already been mentioned. 
 
 * The writer has cured several of theSe cases by the Spray tfeattnelit. 
 
13 
 
 Disease of the bladder, uterus, or ovaries in like manner produces 
 an a/^rr/Y/// disease of other organs through sympathy, and without 
 great care in diagnosing each case the effect may be taken for the 
 cause and the patient treated for a wrong disease. 
 
 II, — The Prostate, or Prostate Gland. 
 
 This is a firm, glandular and muscular body, peculiar to the 
 male. It is situated in front of the neck of the bladder, and 
 derives its name from a Greek word — Tryaoo-raT*/? (that which stands 
 before). It surrounds the neck of the bladder, so that the 
 commencement of the urethra (proceeding from the bladder) passes 
 through it. It is placed, therefore, deep in the cavity of the pelvis^ 
 It lies below the bones of the symphysis pubis, and behind a 
 ligament called "triangular ligament," a ligament which fills up a 
 triangular space formed by the two opposite bones of the pubes, 
 and from which it derives its name. The prostate gland rests 
 beneath on the middle portion of the rectum — whence it is, that the 
 surgeon can explore the dimensious of this glandular and muscular 
 body by introducing the finger into the rectum (lower bowel) 
 The prostate is formed of a right and left lobe, and a 
 median portion. In shape and size the organ, in a normal 
 condition, resembles a truncated cone, compressed from above 
 downwards, and on that account it has been compared to an 
 Italian chestnut, or ace of hearts — its base being turned backwards 
 to the bladder, and the blunt apex forwards to the triangular 
 ligament and that portion of the urethra called " membranous," 
 which, joins the prostatic portion. The base of the prostate, 
 its thickest part, is slightly notched in the middle and 
 receives the common ejaculatory ducts from the testes and 
 seminal vesicles. The size of the prostate varies considerably 
 according to the age of the person. In early life it can hardly be 
 discovered, and weighs only a few grains. As puberty approaches, 
 and the organ is called into activity, it becomes larger, and in an 
 ordinary adult it weighs from half-an-ounce to an ounce. After 
 
T4 
 
 middle age, and in old age, it enlarges considerably, and in a 
 diseased condition it assumes still larger dimensions — from the 
 size of an orange to that of a cocoa nut. As the bones of the 
 pelvis are in front of this organ, it cannot very well enlarge 
 forwards, consequently it enlarges towards the bladder and rectum- 
 structures which are soft and yielding, and offer no resistance — 
 whence it is that the abnormal size which it reaches occasions 
 such discomfort in both these localities. The Prostate is sur- 
 rounded by a strong and unyielding fascia — pelvic fascia. When 
 there is congestion or inflammation in this organ, or when, as 
 sometimes happens, an abscess forms as the result of inflammation, 
 specific or otherwise, it occasions one of the most painful diseases 
 and gives far more discomfort than inflammation or abscess in 
 other tissues not surrounded by bone and dense fascia. An 
 abscess in a muscular structure, for example, has nothing to 
 prevent its forming and pointing, consequently it soon gathers and 
 breaks, which cannot happen in the organ under consideration. 
 
 The prostatic portion of the urethra is lined with mucous mem- 
 brane continuous with the bladder behind, and the urethra in 
 front. When the prostate gland is minutely examined it is found 
 to consist (according to Adams) of muscular and glandular tissue. 
 This muscular tissue forms an external layer below the fibrous 
 capsule, and extends everywhere through the glandular substance 
 — there is also a strong layer of circular fibres, continuous pos- 
 teriorly with the vesical sphincter (a sphincter at the neck of the 
 bladder which commands urination (and in front with a thin layer 
 surrounding the membranous part of the urethra. The prostate 
 gland consists of numerous small terminal follicles which unite 
 into about twelve to twenty excretory ducts, which open by as 
 many orifices on the floor of the prostatic portion of the urethra. 
 This portion of the urethra extends towards the bladder and ends 
 in a slightly rounded prominence, the uvula vesicae, seen on the 
 floor of the neck of the bladder. The reader will now understand 
 that the prostate gland is in close contact with the Bladder, and 
 
15 
 
 consequently, when it enlarges it does so into its cavity and inter- 
 feres with the function of urination — it surrounds that part of the 
 urethra called (on that account) " prostatic urethra " which varies 
 in length from a little more than an inch to an inch and a quarter, 
 and extends as far as the membranous portion of the urethal 
 canal — a frequent seat of stricture. Besides the excretory prostatic 
 ducts that open into the prostate, there are seen at the base the 
 openings of the ejaculatory ducts through which the seminal fluid 
 is conveyed, to be further propelled by the functions attributed to 
 this glandular and muscular organ during the act of coition. 
 
i6 
 
 PART III. 
 
 STONE, 
 
 Classification, Description, Symptoms 
 and Diagnosis. 
 
 Stone in the Bladder the cause of gveat inconvenience and suffering — 
 may be present though unsuspected — originates in Blood Disease 
 — closely allied to Rheumatism and Gout — Deposits of Crystals 
 in Kidneys and Bladder — Hygienic principles applicable as 
 auxiliary means of Cure in early stages — Dietetic regime of 
 great importance — Food — Drink — A ir — Exercise — Gall Stones 
 similarly induced — to be similarly dealt with^Direct means 
 desirable — for example, Inhalations of Oxygen, etc., etc., an 
 important element in the Treatment, 
 
 Stone in the bladder is specially recognized as the cause of the 
 most painful suffering. Some calculi, owing to their rough and 
 irregular surfaces, cause more suffering than others. Oxalate of 
 lime or mulberry calculus — so called from its being tuberculated 
 like a mulberry — produces more in convenience than oiher calculi, 
 which are smooth though larger. In many notable instances. 
 however, very large calculi have been known to reside in the 
 bladder for a lifetime, without serious inconvenience. Mr. Cadge, 
 
17 
 
 of Norwich, made a post-mortem examination on an old man who 
 died of abdominal aortic aneurism, and discovered, accidentally, 
 that the bladder contained a large stone, composed of lithic 
 acid, weighing nearly nine ounces, and, still more remarkable, 
 " the bladder was found healthy, and the mucus membrane 
 pale." This patient had been attended by Mr. Cadge on and 
 off for years, but so little trouble did the stone cause that neither 
 doctor or patient was aware of its presence."* 
 
 Two instances are within the writer's own experience. One is 
 E.B.'s case (see " Cases "). At first stone in the bladder was sus- 
 pected, but the patient's recovery suggested doubt as to the accuracy 
 of the diagnosis of the case, it being thought, naturally enough,' 
 that he could not have recovered had a stone been imprisoned 
 in his bladder. Contrary to the writer's otherwise invariable 
 practice, wherever any doubt exists, the patient in this case was not 
 sounded for stone, his urethral canal being so unnaturally small as 
 to refuse admission to the smallest sound. The applications 
 used in his case were administered through the smallest French 
 catheter. Happening to be in town some considerable time after 
 his recovery he called upon the writer, and said there was nothing 
 the matter with him but that he occasionally felt something roll 
 about in the region of the bladder, without pain. He consented to 
 the introduction of one of Otis's smallest silver instruments, and, 
 after a good deal of difficulty in passing it, a large calculus was dis- 
 covered as unmistakably present. This gentlemen, however, still 
 believed otherwise ; and in reply to a letter urging him to come to 
 town to have the stone removed, he wrote (under date i6th August, 
 1889) : I cannot make up my mind that I have stone : it seems 
 to me that if I had I should necessarily be more plagued than I am." 
 The writer is, nevertheless, confident that a stone existed in that 
 case, though the spray treatment adopted so lessened the 
 irritability of the mucus membrane of the bladder that the 
 
 * See Lancet, April 5th, 1878, page 472. 
 
i8 
 
 calculus resided harmlessly therein without injuring the viscus. 
 Professional gentlemen reading this will perhaps, doubt the 
 fact, and not unreasonably. The writer's extended experience in 
 this speciality alone enables him to accept the conclusion as 
 accurate — otherwise to himself also it might have appeared to 
 be as unreasonable to expect subsidence of the symptoms of 
 cystitis (inflammation of the bladder) while a stone existed in the 
 bladder, as of inflammation of the eye containing foreign matter. 
 The truth is, that although the symptoms of stone are generally 
 very well marked, there are, nevertheless, many cases (and many 
 which the writer has had to treat) where stone had not been 
 suspected, and consequently, not discovered, until the process of 
 " sounding " had revealed it. Many patients pronounced "incurable" 
 have, in fact, simply been treated as suffering from " nervous 
 irritability of the bladder, diabetes — Bright's disease, uterine 
 disease," etc., etc. Very recently a patient came to the writer in 
 great distress who had been indoor patient for many weeks in St. 
 Bartholomew's Hospital, and in the Hospital for Women, Soho 
 Square, and treated in both institutions for disease of the womb — 
 the cause of disturbance and distress being in fact, a stone in 
 the bladder, weighing two ounces and three-quarters, which the 
 writer removed in the presence of several medical gentlemen in one 
 hour and thirty five minutes.* The late Robert Listen used to 
 say that whatever was the matter with the bladder it should always 
 be carefully "sounded." There are many cases of stone in the 
 bladder, and especially cases attended with hsematuria (bleeding 
 from the bladder), where the stone is hidden by clotted blood — 
 villous tumour of the bladder — enlarged prostate, etc., etc. — 
 cases in which the stone has not been discovered till after death. 
 John Hunter discovered 20 stones in one bladder not discovered 
 during the patient's life time ! Patients might, undoubtedly, in 
 many cases, be spared an untimely death, while in others (as in 
 
 *Case of E. H. R. (see " Cases.") 
 
^9 
 
 a case reported by Sir Henry Thompsoii),+ though suffering from 
 incurable malignant disease of the bladder, the sufferings would 
 be mitigated, by the removal of a stone. 
 
 In the other case alluded to (Case of I. B. — see " Cases ") 
 the patient was virtually cured of all his distressing symptoms of 
 stone, and continued well for a considerable time, notwithstanding 
 a stone was present in his bladder, and until the writer discovered 
 the foreign body, and provoked inflammation and discomfort in 
 the bladder, in the process of getting the exact dimensions of the 
 stone, the patient was well satisfied with the cure. Since then 
 the patient has had the stone removed, thus proving the writer's 
 diagnosis of his case to have been correct. Unquestionably the 
 treatment in both the cases referred to produced a healthy condi- 
 tion of the mucous membrane, and rendered it tolerant of the 
 calculus, just as the constitutional peculiarities in the case related 
 by Mr. Cadge permitted, for a life time, the residence in the 
 bladder of a large stone, weighing nearly nine ounces ! 
 
 Another patient (the late Mr. Salmon, of Tooting), was 
 repeatedly told by Mr. Yeldham, Surgeon to the Homoeopathic 
 Hospital, Gt. Ormond Street, whom he had consulted, that in his 
 case no stone existed. The writer, after only a cursory 
 examination, felt assured that a large one was present. But the 
 surgeon's adverse opinion prevailed, with the additional advice 
 to '• have nothing to do with Jones." Consulting the writer 
 again, however, after years of intense suffering, the opinion was 
 repeated, and the process of " sounding " recommended, but the 
 patient recoiled from it. Soon afterwards, while the writer was 
 in Paris, the patient became suddenly worse, and Mr. Savory, 
 surgeon of St. Bartholomew's Hospital was consulted. The 
 patient was sounded and the writer's opinion verified, but the 
 patient was advised that at his age (80), if either " cut " or 
 " crushed " he would succumb. Subsequently, getting still 
 
 fSee Practical Lithotomy and Lithotrity, by Sir Henry Thompson, page 198. 
 
 B2 
 
20 
 
 • 
 
 worse, he was operated upon by another surgeon (Mr. Walter 
 Coulson, surgeon to St. Peter's Hospital), and died under his 
 treatment. The writer ventures to affirm that if this patient had 
 been left under his care, and unbiassed, his life might have been 
 spared, his stone being removable by a method of treatment 
 free from the dangers attendant upon the ordinary methods. 
 Others more seriously afflicted and older than the late Mr. 
 Salmon was, have been similarly dealt with and cured (one still 
 living, 86 years old).* Moreover, in cases of stone in the 
 bladder amenable neither to lithotomy (the cutting operation) 
 or to lithotrity (the crushing operation), the treatment adopted by 
 the writer has been found useful, not only in prolonging 
 life, but in greatly ameliorating the suffering even in the very 
 worst cases. 
 
 Thus much as to the oft-times actual presence of stone in the 
 bladder, though unsuspected. In the majority of cases, however, 
 as soon as stone is formed in the bladder it worries the patient 
 greatly in its repeated attempts to gain exit at each act of urination. 
 The pain occasioned soon draws attention to its presence. 
 When the bladder contracts during the expulsion of the last drops 
 of the urine it grasps the stone, which, by its own weight, falls on 
 the sensitive triangular spot of the viscus, called "trigone vesicale." 
 
 Stone in the Urinary Bladder, especially lithic acid and 
 oxalate of lime, like stone in the gall bladder, originates unques- 
 tionably in blood disease. It is, in truth, an effect rather than 
 a cause. The history of its formation may be stated thus : — 
 The kidneys are the elaborators of urine, which urine they 
 secrete from the blood. The blood is loaded with lithic 
 acid or oxalate of lime, as the case may be, which nature is 
 trying to depurate as excretory matter through the kidneys. In 
 other words, stone could not be formed unless the various functions 
 
 *See cases 9 and 10 in the Author's 2nd edition of Urinary Diseases, to 
 be obtained of the secretary, Home Hospital for Stone, &c., 10, Dean 
 Street, Soho, London, 
 
in the body failed to get rid of this morbid product by the pfocesS 
 of combustion, respiration, and transpiration. It is notorious 
 that " high " Hvers, and persons of sedentary habits, are more 
 prone to calculous diseases than those who live moderately and 
 take much exercise. 
 
 Rheumatic and gouty persons are within the same category. 
 Gout and rheumatism are, indeed, also blood diseases, the blood 
 being loaded with lithic acid and other morbid matters which 
 nature fails to get rid of. Stone, moreover, frequently exists in 
 association with rheumatism and gout. In some instances the 
 rheumatism or gout may predominate, while in others the 
 calculous tendency may be most apparent. Gout, rheumatism, and 
 calculous diseases are really so allied that it is just an accident 
 which of these diseases may most assert its power. One 
 developes itself because there is a particular weakness and 
 tendency to gout or rheumatism ; or stone in the bladder 
 becomes the prevailing disease because of the preponderance of 
 weakness in the genito urinary tract. But so closely are they 
 allied that the one often co- exists with the other. While the 
 urinary fluid is secreted in the kidneys it becomes concentrated, 
 and one or more crystals are formed — layer after layer becomes 
 deposited on the fragment which increases in size — the crystal 
 soon becomes too large for the space in which it is located, 
 hence it becomes dislodged, and seeks a larger residence in the 
 pelvis of the kidney, and eventually is deposited in the mouth of 
 the ureter (the tube which conveys the urine drop by drop into the 
 bladder) and from thence, in favourable cases it is conveyed into 
 the bladder. From the bladder it, in like manner (in favourable 
 cases), passes away with the urine without further inconvenience, 
 if, however, instead of being carried away it becomes imprisoned 
 in the bladder, it forms a nucleus for additional layers of morbid 
 product from the urine to be deposited upon, and in this manner 
 it increases in size, occasioning more and more discomfort. 
 
is 
 
 It not unfrequently happens that some patients pass large 
 quantities of gravel, in the form of cayenne-pepper-like crystals, or 
 " brick-dust " sediment, and, it may be, for many years without 
 being much inconvenienced by it. These crystalline gravelly 
 substances, oramorphous "brick-dust," sediment, deposit themselves 
 in the bottom of the chamber utensil. Other forms of gravel, 
 varying in colour and chemical constitution, frequently present 
 themselves, which are typical of different calcuh, such as 
 phosphates, and their various compounds of ammonia, soda, 
 magnesia, lime, mixed phosphates (fusible calculus). 
 
 The rarer forms of calculi need hardly be mentioned, which are 
 associated with deposits of silicious matter — cystic oxide, xanthic, 
 oxide, &c. Fibrinous calculus, described by the late Dr. Prout — 
 uro-stealith calculus, described by Heller, in 1884, and Dr. Moore, 
 of Dublin, as well as blood calculus formed of blood corpsules 
 and phosphate of lime, found in the kidneys of consumptive people, 
 are so rare as not to require comment in a work intended as much 
 for popular as for professional perusal. 
 
 Every now and then, instead of passing into the bladder in the 
 form of cayenne-pepper-like crystals, a fragment or crystal becomes 
 lodged in the kidney, and while there receives additional deposit 
 from the urinary secretion, until it attains large dimensions. In 
 favourable cases this is dislodged, and forces its way into the 
 bladder, through the ureter. This occasions excruciating agony 
 and is called " passing stone from the kidney." In some 
 instances this occasions more acute physical suffering than stone 
 in the bladder. When the stone is within reach, as it is 
 when in the bladder, it can be got at and the patient's sufferings 
 relieved; but when, as sometimes happens, it becomes so 
 large as not to be able to pass from the kidney along the ureter, 
 the difficulty in treating the case is increased. Until quite 
 recently cases of this kind were looked upon as hopeless, 
 but now the calculus is sometimes removed by operation. 
 The writer sees no reason why this operation should not be 
 
^3 
 
 performed more frequently than it is if the impacted stone 
 is large, prominent, and easily cut down upon. But even 
 in these extreme cases much might be done to alleviate 
 the suffering and dislodge the imprisoned calculus from its 
 position — in other words, so to reduce the size of the stone as 
 to allow it gradually to glide along the ureter into the bladder. 
 Of course, while out of reach nothing can be done with the 
 impacted stone, save the operation suggested ; but once brought 
 into the open field (the bladder), it can then be effectually dealt 
 with. Such cases are, however, usually regarded as hopeless by 
 the Profession. 
 
 Several of such cases have been treated by the writer. In 
 this part, dealing with " general considerations " only, the following 
 may sufficiently indicate the reasoning pursued : — The blood is the 
 cause of the mischief: it is loaded with the elements of lithic 
 acid (Cs H4 N^ O3), which compound is derived from what we 
 eat and drink, and it is allowed to accumulate and concrete into 
 crystals, because there is not a sufficiency of watery material to 
 hold it in solution, or of oxygen in the body to burn it into 
 soluble debris. It is inspissated urinary product. Abstaining 
 from articles of food and drink which abound in hydrogen and 
 carbon, such as spirits, wine, fat, sugar, &c., and which consume 
 a large quantity of oxygen taken into the system, will, assuredly 
 occasion a more perfect combustion of lithic acid, and prevent 
 ready deposition on the surface of the calculus. Another view 
 leads to similar conclusions : — Some physiologists and physicians 
 say that persons suffering from calculus diseases should abstain 
 from animal food which abounds in nitrogen. This would, no 
 doubt, have a beneficial effect, because thereby the oxygen in the 
 system would be better able to burn up the ternary compounds 
 just spoken of, viz., spirit, fat, &c. Abstinence from the ternary 
 compounds would, nevertheless, serve a better purpose, as patients 
 advanced in life can more readily subsist on the quarternary (nitro- 
 genous) compounds (o. h. n. c), such as animal food, bread, eggs. 
 
H 
 
 milk, &c., than upon the ternary (o. h. c ) or vegetable elements, 
 the sole object being to occasion perfect combustion, and thus get 
 rid of the superabundant lithic acid which forms the calculus, and 
 for the same reason which led physicians some years ago to 
 administer lemon juice as a remedy for rheumatism, viz., on 
 account of its being highly charged with oxygen, which helps in 
 the process of combustion, and thus renders more soluble the 
 matenes ?«oyJi occasioning rheumatism — lithic acid (Cg H4 n^ Og). 
 Dr. Carpenter, in his work on physiology (page 627), alluded to 
 this circumstance. He says : — " Thus, then, we have seen that 
 the kidneys serve as the special instruments for depurating the 
 blood of those highly azotized compounds (nitrogenous, fleshy, 
 and albuminous foods) which are formed in the system by the 
 decomposition of the materials of the albuminous and gelatinous 
 tissues, and also by the non-assimilated components of the food. 
 We have seen also that they serve for the removal of certain 
 compounds, of which carbon is a principal ingredient ; and these, 
 although normally present in but small amount, may undergo a 
 marked increase in disease, especially when the liver is 
 insuflRciently performing its function, or the respiratory process is 
 obstructed." Whichever view is taken, the application of these 
 dietetic principles will most assuredly aid in the object to be 
 gained, it being well known that the liver as well as the lungs 
 and skin get rid of a large quantity of carbon. 
 
 Drinking largely, and for a long time, water impregnated 
 with compounds containing oxygen, in the form of lemon juice, 
 or citric acid (Cg Hg o,), or inhaling oxygen gas — often 
 administered by the writer with most beneficial results — must, 
 in the course of time, burn up the lithic acid, reduce the size 
 of the stone, and allow it to descend into the bladder. 
 
 Experience has proved this to be true in respect of rheumatism, 
 and gout affections; and the writer firmly believes that if the 
 principle of this remedy were more extensively and perseveringly 
 applied in cases of impacted stone, it would prove as beneficial 
 
and successful in other hands as it has in his own. For the same 
 morbid product which induces rheumatism induces stone in the 
 kidneys also, viz., lithic acid — and the same law holds good 
 respecting the action of water (if distilled) on a stone in the 
 kidneys, as is taught us by the old adage, " the constant dripping 
 of water wears away a stone." Observation, indeed, shows that 
 water wears away stones far harder than a lithic acid calculus. 
 
 In several cases under the writer's treatment the stones were 
 dislodged. In one the patient strictly followed, for nearly four 
 years, the advice and instructions given, when, after repeated 
 threatenings, the stone passed into the bladder. From that time 
 the patient has had no further evidence of kidney trouble, and 
 has actually recently made a wonderful recovery from an attack 
 of hemiplegia (paralysis of one-half the body) though in his 
 eightieth year. The other, a man forty-one years old, after 
 observing treatment two years, was suddenly seized with violent 
 pain in the left kidney, and along the course of the left ureter, 
 and in about two days after, he passed, while urinating, a good 
 sized stone from the bladder. In a third case the patient, 
 during a period of three years passed as many as 748 
 stones — the size of the stones becoming smaller each year, 
 and necessarily less painful to the patient till ultimately he 
 was apparently quite cured. That the treatment in these cases 
 really caused the dislodgment, cannot, perhaps, be positively 
 asserted ; but reason and common sense, aided by chemical and 
 physiological knowledge, lead one to suppose that the method 
 of treatment adopted must have exercised considerable influence 
 on the hitherto incarcerated enemy. It may, moreover, be 
 confidently asserted that the treatment applied, and the dietetic 
 directions observed, contributed to the successful result. It is 
 equally clear that total abstinence from the elements that go 
 to form lithic acid must have at least lessened the formation of 
 further deposition on the surface of the already impacted calculi. 
 In one case the continued deposit, extending over a period of 
 
26 
 
 four years, must have added considerably to the size of the 
 calculus, had not the means adopted diminished its size, and 
 so allowed it to pass into the bladder. This was effected without 
 pain, thereby doing away with the supposition that dilatation or 
 ulceration of the ureter had occasioned its descent. The 
 constant dripping of water had reduced the stone, until it finally 
 dropped into the bladder by its own weight. As other calculi 
 have not since been seen in the cases alluded to, it strengthens 
 the opinion that the treatment adopted was curative and 
 preventative. 
 
 The writer may, perhaps, be permitted to say in this place 
 that if he should ever himself become the subject of the like 
 disease, he would unhesitatingly adopt the like treatment, with 
 full confidence in its success. 
 
 Another treatment for rheumatism is the alkaline, such as 
 potass and soda. Patients get well under this treatment also, 
 because alkalies dissolve lithates and lithic acid. Where patients 
 dislike acids the opposite plan of treatment might be employed. 
 Patients go to the German and other Spas for rheumatism, stone 
 in the bladder, and allied diseases and gain benefit. They are 
 required to avoid stimulants, fat, etc., compounds of carbon, 
 oxygen, and hydrogen (the ternary compounds), and to drink 
 the alkaline and saline waters containing potass, soda, etc., which 
 prove beneficial on the principle above referred to. In some 
 cases a very long-continued use of these remedies is needful to 
 produce the requisite change. Hydropathic treatment also does 
 good in these cases ; and for precisely the same reasons. Patients 
 abstain from fat, sugar, spirit, wine, etc., etc., and thus the great lithic 
 acid feeders are effectually burnt up. A large quantity of water 
 being conjoined, the blood becomes purer, and the insoluble 
 lithic acid is rendered soluble. Exercise also is enforced, by 
 which oxygen in large quantities is taken into the blood. 
 Moreover, the skin is excited to get rid of hydro-carbonaceous 
 compounds — lithic and lactic acids — which pass as effete matter 
 
27 
 
 through the numerous miles of tubules in the skin, and the result 
 is, that patients return to their more town-like homes very much 
 better for the treatment. 
 
 But, whether hydropathy be resorted to, or the "Spas" treatment, 
 a few weeks or even months will oft-times be found insufficient 
 for the purpose intended. Before rheumatism, stone, or gout 
 clearly develope themselves the morbid products accumulate 
 little by little, year after year, for perhaps, ten, fifteen, or twenty 
 years. It would, therefore, be unreasonable to expect a cure 
 within a few weeks, by such means alone. To cases of 
 " gall-stone " the writer has likewise applied the treatment above 
 alluded to with perfect success. In such cases the patient's 
 biliary secretion (gall or bile) becomes very thick, containing 
 too little water ; in other words, it is inspissated, and ultimately 
 concreted, and " gall-stones " are formed. Reason alone suggests 
 that thinning the blood, by drinking large quantities of water or 
 some other harmless fluid, must prove beneficial. This happened 
 in the cases above referred to. Viewing stone in the urinary 
 bladder in the same light as gall-stone in the gall-bladder, viz., 
 as being originally a blood disease, the wrtter has, as another 
 element in, or part of his method of treatment largely administered 
 remedies by inhalation into the blood, as oxygen, etc., etc., — to 
 prevent a recurrence of both morbid secretions, and patients have 
 derived considerable benefit from such method of treatment. For 
 external diseases, including every form of skin affection, it has 
 also been applied extensively and with marked success. All forms 
 of skin diseases from a rash to pimples, boils, and carbuncles, 
 evidence some blood impurity, and to all such the writer 
 unhesitatingly recommends and applies medication in a direct 
 manner into the blood. Are not zymotic diseases, such as small 
 pox, scarlet fever, measles, and fevers generally, taken into the blood 
 by inhalation ? Ague and fever poison, common in the tropics, 
 are also taken into the blood by direct inhalation. 
 
If, therefore, infinitesimal matter thus taken into the blood — 
 Small Pox for instance — be so potent in inducing disease, why 
 should not remedies for skin diseases, though administered 
 infinitesimally by the process of inhalation be equally efficacious 
 in curing disease. Whence comes the renovating power of the 
 seaside or mountain top? It is the pure air highly charged with 
 oxygen, iodine, bromine, etc. — these elements go into the blood 
 and by direct contact purify it — through the very channel ordained, 
 and through which alone the vital fluid can be properly purified — 
 Away then, with your " blood mixtures," quinine, and tonics 
 swallowed into the stomach, frequently never (as medicaments) 
 reaching the blood at all. 
 
 Calculi — commonly called stones — have been classified as 
 Primary and Secondary. — The primary are those which form in 
 the kidneys, and are secreted direct from the blood, viz. (i) 
 lithic acid which was discovered by Scheele in 1776 and is 
 composed of carbon, hydrogen, nitrogen, and oxygen, in the 
 following chemical proportions Cg H^ N^ O3. and (2) oxalate of 
 lime discovered by Wollaston in 1797 — a combination, as 
 will be seen, of oxalic acid (c^ n^ o^) and lime (Ca o) 
 represented chemically as follows : — (c^ c^ o^.) This, from its 
 resemblance to a mulberry, has been called " mulberry " calculus. 
 The secondary are not formed in the kidneys, but, as their name 
 implies, secondarily in the cavity of the bladder — from the urine. 
 A morbid state of the bladder, and its appendages, occasions 
 retention of urine in the bladder, which urine becomes 
 decomposed into ammonia (n h^) and other compounds. 
 
 In the mucus of an inflamed bladder is found also phosphate 
 of lime (c% P2 Og). This combines with phosphate of magnesia 
 (MSy p^ Og) a constant urinary product. 
 
 All these compounds chemically combine with each other — the 
 result being the formation of a stone called " triple phosphate " 
 or "ammonio magnesian phosphate" (nh^ m^ POi). These 
 secondary calculi frequently co-exist with prostatic disease. The 
 
29 
 
 prostate gland becoming enlarged forms a mechanical impediment 
 to the flow of urine which, kept in the bladder, becomes stagnant 
 and decomposes — and hence, as already described, secondary- 
 calculi form. 
 
 The calculi most frequently coming under the surgeon's notice 
 are of three kinds (i) lithic (or uric) acid calculus (c^H^N^Og) 
 forming about three-fifths of all the calculi (2). Phosphatic 
 calculus — a combination of phosphoric acid (H3 PO^) with the 
 volatile alkalies and the alkaline earths, forming about two-fifths 
 — and (3) oxalate of lime (c^ c^ oj or mulberry calculus 
 forming about three per cent. only. 
 
 Some authors say that lithic acid calculi form fully ninety per 
 cent, of all the calculi — and the writer's experience confirms this 
 estimate as being much nearer the truth than the three-fifths given 
 by more recent authors. Persons subject to this form of stone 
 have usually good general health, look hale and hearty — "the 
 picture of health" — the urine is free and abundant in character, 
 and the individual comforts himself in this, and tells you with an air 
 of satisfaction that he is " all right " and can " eat and sleep like a 
 child" He tells you, nevertheless, that he has been passing gravel 
 for months, in the shape of cayenne-pepper-like crystals. These 
 form in small or large quantities, according to habit and circum- 
 stances, and, it may be have been passed without inconvenience. 
 They are formed in the uriniferous tubes, at their orifices and 
 around them, and in the calices of the kidneys. So long as these 
 crystals continue small and pass v?ith freedom, things go on 
 seemingly right enough. By and by, however, the crystals become 
 larger, aggregate in greater quantities, and infringe on the functions 
 of the kidneys, thereby occasioning irritation and inflammation, 
 followed by a sense of pain in the back — temporary inflammation 
 is established, causing great discomfort, and until the crystals are 
 dislodged, the patient suffers great inconvenience. Occasionally 
 much larger crystals form which inflame and distend the mucous 
 lining of the kidneys, and stretch the tubes of the organs as they 
 
30 
 
 endeavour to dislodge themselves. This occasions a flow of blood, 
 at first in very small quantities, and recognizable only by micros- 
 copic examination. A larger fragment than usual not unfrequently 
 calls the patient's attention to his condition — he is suddenly seized 
 with violent cutting tearing pain in the urethra — the flow of urine 
 is somewhat impeded — he passes blood in visible quantities, and 
 then sends for the doctor who finds that a small irregular sharp- 
 edged fragment of uric acid is lodged in the urethra. Sometimes 
 the fragment is violently expelled during the act of urination, and, to 
 the patient's delight, rattles in the chamber utensil. This, however, 
 is only the commencement of his troubles. He must be told that 
 he may have a similar impaction in the ureter, attended with far 
 more inconvenience. Or, he may have a fragment in the structure 
 of the kidney itself, which refuses to be dislodged and this is much 
 more serious. If it become free and descend into the bladder, he 
 will have much to be thankful for, since it is then within reach, 
 and can be dealt with. 
 
 Stone in the bladder may occur at any period of life, from 
 childhood to old age. It is very common among children of the 
 poorer classes. Fully one-half of the cases admitted into Guy's 
 Hospital are children from the very poorest districts, and 
 consequently among the worst fed. It very rarely occurs among 
 children of the well-to-do, but is very common among the middle 
 and upper classes, between the ages of 50 and 75. 
 
 The symptoms of primary stone, or renal calculus during its 
 journey from the kidney to the bladder are, as already stated, 
 indicated by severe cutting pain in the loins and along the ureter, 
 attended with considerable constitutional fever. When a rough 
 stone, such, for instance, as a mulberry calculus, descends, it 
 passes with considerable difficulty. After some nephritic irritation 
 the patient is oftentimes suddenly seized with excruciating agony in 
 the loins, along the groin, and to the testicle of the corresponding 
 side, which is often retracted. This is accounted for by sympathetic 
 irritation of a small nerve in front of the spermatic cord— 
 
31 
 
 the genital branch of the genito crural nerve. There is also, 
 sympathetic pain down the thigh. The writer has seen patients 
 roll on the floor in agony, cold sweat meanwhile pouring down 
 their faces. In the same circumstances the patient may also vomit 
 violently, through nervous sympathy with the pneumogastric nerve. 
 There is bloody urine from irritation of the bladden constant 
 micturition, and sympathetic pain at the end of the penis for about 
 an inch from the entrance of the urethral canal, also in the lower 
 boundary of the abdomen and pelvis. This pain is frequently 
 present in enlargement of the prostate, impacted stone in 
 the kidney, chronic cystitis, cancer and villous tumour of 
 the bladder, and indeed in almost every form of bladder and 
 prostatic mischief. 
 
 When the stone is loose in the bladder the symptoms are not 
 so acute. The stone rolls about and settles in the most dependent 
 part of the bladder, behind the prostate, producing mechanical 
 irritation of a part called trigone vesicale, a triangular vascular and 
 sensitive spot at the neck of the bladder ; the character of the 
 pain is described as a dull wearing weight, extending upwards to 
 the lower part of the abdomen and downwards along the perinaeum. 
 It occasionally extends down the thighs — and sometimes also 
 shoots along the penis and fixes itself in the glans penis. 
 Occasionally, too, there is remote pain in the knee, foot, heel, or even 
 the arm. The patient feels worse when the bladder is empty, as 
 the stone falls on the sensitive " trigone vesicale," and the bladder, 
 in trying to expel the last drops of urine, contracts violently on the 
 stone, causing greater pain. As the urine accumulates in the bladder 
 the fluid intervenes between the sensitive spot already spoken 
 of, and the calculus, and reheves the pressure. The discomfort 
 is always greater during severe exercise or quick movement of 
 the body, as the foreign body shifts up and down during any 
 kind of movement, and causes pain. Although pain during 
 exertion is very symptomatic of stone in the bladder, still the 
 writer can recall two instances where the patients were always better 
 
32 
 
 when walking about, and even when riding in omnibuses. Strangely 
 enough both these patients suffered more when in bed and resting 
 in the recumbent posture. In cases of difficult diagnosis this 
 peculiarity must not be overlooked. Both the practitioners who 
 had been treating the patients in question had assured them that 
 they were not suffering from stone. As the stone mcreases in size, 
 or becomes roughened by deposition, more irritation is established, 
 the urinary secretion becomes cloudy, and mucus is deposited 
 in the chamber utensil as evidence of cystitis (inflammation of the 
 bladder). In some cases the practitioner is not unfrequently 
 misled in his diagnosis owing to the urine being clear. It is 
 so sometimes, when the stone is very compact, smooth, and 
 small. The patient consults the doctor, not because of any great 
 inconvenience but as for a slight "malaise," and there being no 
 cloudiness or blood (almost always present in stone) the doctor 
 mistakes the case, and the stone remains undiscovered. 
 
 Some years ago the writer discovered, in a case of this kind, a 
 small stone not larger than a horse-bean, which had, nevertheless, 
 given great discomfort. The stone was at once removed, to the 
 gratification of the patient, and annoyance of a local practitioner 
 of considerable reputation. When there is any doubt about such 
 a case a shrewd practitioner will never fail to institute a chemical 
 and microscopical examination of the urine. This will most 
 probably reveal blood globules and crystalline matter not visible 
 to the naked eye. Should the above means not elicit a satisfactory 
 diagnosis the practitioner proceeds to use the mechanical test, the 
 " sound " as it is called, which is described by a French authority, 
 as a long finger which probes about in various directions, till it 
 discovers the calculus, if any really exists. It is a matter of great 
 moment to discover a stone early, while it is (so to speak) in its 
 infancy, for then it can be at once dealt with. If allowed to 
 remain, it grows and becomes more stubborn — and, of course, much 
 more difficult to manage. This growth, almost unsuspected, usually 
 occurs in persons who are tolerant of pain, and who have the 
 
33 
 
 appearance of sound health — the surgeon being thus thrown off his 
 guard. He cannot however be too careful in cautiously and 
 thoroughly examining every patient who comes under his notice, 
 whatever the nature of the case, or whatever his or her position in 
 life may be. The writer well remembers a case in which he was 
 materially guided to a successful treatment (giving him considerable 
 reputation) by listening attentively to a long history given by 
 the patient of her malady, which up to that period had been 
 regarded as constipation and hoemorrhoids. She said (among 
 other things) " I have a constant bearing down pain in the lower 
 bowel, as if I had something as large as a child's head there." 
 This naturally enough suggested an examination of the rectum, 
 the result being, discovery of a large mass of feculent matter which 
 must have been lodged there for a very considerable time. It 
 was removed by mechanical means, though with unusual difficulty 
 and under the influence of chloroform. Purgatives had been 
 prescribed for some years by eminent physicians and surgeons, as 
 well as by other eminent medical men, without any relief. No 
 pains had been taken to examine the patient. If suffering from a 
 sore throat she would no doubt have been politely requested to 
 open her mouth, to " see what was the matter." An examination 
 of the lower bowel was however a different affair, and so the 
 poor woman suffered indescribable misery for years — misery, the 
 cause of which might if ascertained, have been removed in 
 fifteen minutes. Resuming however the description of stone 
 symptoms, it may be remarked that blood appears from time 
 to time in the urine, and deposits with the mucus which 
 is streaked with it. Occasionally blood appears in very large 
 quantities, greatly alarming the patient. A patient declaring 
 that he had none of the ordinary symptoms of stone (that 
 which attracted his attention being the passage of a large 
 quantity of blood) was treated as for rupture of a blood vessel 
 in the bladder. " Sounding," however, at once discovered the cause 
 of the bleeding, which soon ceased when the cause was removed. 
 
 c 
 
34 
 
 Patients suffering from stone are nearly always better in bed. The 
 stone in these cases rolls from the sensitive neck to another 
 portion of the bladder, and the discomfort ceases. As the patient 
 gets into a standing posture the discomfort returns. In disease of 
 the prostate, the patient is on the contrary always worse at 
 night, and better in the day time. Another symptom of stone 
 is this : while the patient is in the act of urinating, the fluid as it 
 passes along the canal sucks the stone into the neck of the 
 bladder and suddenly stops the flow of urine — the stone however 
 soon rolls away by its own gravity, and the urine again flows 
 without interruption. 
 
 Where some patients pass water while in a lying posture, the 
 stone also rolls away from the direction of the current and the 
 urine flows uninterruptedly. When stone occurs in children the 
 symptoms are similar. Owing to the discomfort at the gland of 
 the penis, children frequently get into the habit of constantly 
 pulling the prepuce, whereby it becomes elongated and enlarged. 
 In a case having none of the usual symptoms of stone, the writer 
 was consulted for a habit the child had contracted from an 
 early period of wetting the bed. Finding the usual remedies 
 for such cases unavailing, and noticing the state of the prepuce, 
 he "sounded" for stone which was readily found. The 
 process of " sounding " is after all that which gives the most 
 positive indications of the presence of stone. A " sound " is a 
 polished steel instrument shaped like a catheter, but with a much 
 shorter beak and more acutely curved. In is introduced into the 
 bladder more delicately by an experienced hand, and may be 
 moved about in the bladder in all directions with little 
 inconvenience to the patient. It has a bulbous portion at the 
 extremity, the stem being made thinner for facility of movement 
 in the urethral canal. If a stone be present it is reached in the 
 majority of cases, and a distinct chck or tap may be heard by 
 both patient and manipulator. 
 
35 
 
 Of late years, electricity — by means of the cystoscope — has 
 been somewhat extensively employed as an illuminating medium 
 for examining the bladder ; but the limited field of vision it 
 affords, renders its adoption as a diagnostic agent — except in some 
 few obscure cases — of less value than was anticipated. 
 
 The old-fashioned " sound " was a very imperfect instrument, 
 and the stone unless very large was not discovered. For the 
 present instrument we are indebted to Baron Heurteloup. The 
 bulb portion of the " sound " is thicker than the stem, and was 
 introduced by the late Sir William Fergusson. The greatest 
 care and gentleness should be exercised in the use of this 
 instrument, which should only be handled by an expert. When the 
 patient is very sensitive to pain, it is better to administer ether 
 and sound the patient most thoroughly while you are about it. 
 
 Although this physical test is as perfect as it can be when the 
 stone is touched, there are notwithstanding instances where 
 patients have given full evidence of calculus, yet. when examined 
 no stone has been discovered. There are other instances where 
 able surgeons have discovered stone and have distinctly heard and 
 felt it at the first sitting, but entirely failed to do so subsequently. 
 The bladder sometimes acts towards a foreign body in the most 
 eccentric manner — especially in sensitive persons. The writer, 
 on one occasion demonstrated to a certainty the existence of 
 stone, and clearly made out the dimensions and nature of it in 
 the presence of others who afterwards verified it, yet subsequently 
 failed to discover the same stone, feeling confident that it was in 
 the bladder notwithstanding. The bladder has peculiar move- 
 ments of its own when under examination by instruments, and 
 seems to secrete its lodger in a most tantalizing manner, defying 
 detection. Sir Henry Thompson has appropriately called it 
 "playing at hide and seek with you." In these circumstances the 
 administration of ether arrests this peculiar behaviour of the 
 viscus and facilitates the discovery. 
 
 Stone in the female is by no means so common as in the male. 
 The urethra in the female being larger and shorter, calculi of large 
 
 C2 
 
36 
 
 size have passed without much inconvenience. Occasionally, 
 hov^ever, the stone does not pass. In most instances of stone in 
 the female occurring in the writer's practice it has happened in 
 women who have had large families. The womb has been more 
 or less displaced and the anterior wall of the viscus has been 
 dragged into the vagina, forming a cul-de-sac. This condition — 
 "cystocele," as it is termed — has given ready lodgment to the 
 calculus which, on that account has not presented itself at the 
 neck of the bladder during the act of urination, and consequently 
 has not been expelled as is most usually the case. 
 
 The womb in a normal position is situated immediately behind 
 the bladder. When the bladder is distended, the womb which is 
 in the median line alters the shape of the bladder, and projecting 
 (so to speak) from behind leaves a cul-de-sac on each side of the 
 median line. Civiale described this " bas fond " on either side of 
 the central prominence. In women who have borne large families, 
 and have gone a long time without emptying the bladder, the 
 culs-de-sac on each side are considerably enlarged and dilated, 
 consequently the bladder loses its contractile power. These two 
 recesses behind, like that in front, frequently give rise to the 
 lodgment of stone in the female bladder. One patient had been 
 sounded by two eminent surgeons, both of whom said there 
 was no stone. The writer examined the same patient and 
 concurred in the opinion. The symptoms, however, pointed so 
 strongly to calculus that, on a subsequent visit he gave the patient 
 ether, and a small stone was readily found in the left sulcus. 
 The mucus membrane of the bladder was in a most irritable 
 condition and rebelled persistently when the " sound " was used. 
 Ether overcame the sensitiveness of the bladder. This patient 
 had considerable displacement of the womb which partly projected 
 out of the vagina, serving as an impediment in discovering the 
 stone. The truth is that in such cases the practitioner is easily 
 misled. There is also another reason why stone in the female 
 bladder is frequently overlooked Women are very subject to 
 
37 
 
 displacement of the womb on to the neck of the bladder giving 
 rise to constant micturition, and not very subject to stone (for 
 reasons already mentioned), and displacement of the womb is 
 therefore the sole conclusion usually arrived at This conclusion 
 pronounced in so many cases coming under the writer's treatment, 
 had been arrived at in two of the cases reported in this edition. 
 In one the stone was discovered and removed, in the other the 
 patient was perfectly cured of a malady to which she would have 
 soon succumbed had the cause not been discovered and remedied. 
 
38 
 
 PART IV 
 
 SECTION I. 
 
 STONE, 
 Its Treatment and Cure. 
 
 The history of the various means employed in the treatment and 
 cure of stone in the bladder dates from a very early period. 
 From a remote period indeed and even to the present time, 
 attempts have been made to dissolve stone by secret and other 
 remedies administered in large quantities through the medium 
 of the stomach. Besides medicaments thus administered, the 
 operation of cutting for stone was also practised, and with 
 considerable success, notwithstanding it was performed in a very 
 primitive manner and by uneducated persons. 
 
 We have an account of this operation as early as the Augustine 
 era — it having then already been performed some hundreds of 
 years among the Greeks and Romans. Hippocrates (B.C. 460) 
 alluded to it in his works. He compelled his pupils to take an 
 oath to the effect that they would not practise lithotomy, and 
 advised them to leave it to those who were " specially famed for 
 it." In those days it was, as already mentioned, practised by 
 uneducated persons, the operation being called '' cutting on the 
 
39 
 
 gripe " — referring to the mode of operating. The stone was 
 seized in a very rude manner from the back part of the bladder, 
 through the lower bowel, roughly " griped " with the ends of the 
 fingers, and reached by cutting from the perineum — the patient 
 being firmly held by two men sitting side by side — hence the 
 term " cutting on the gripe." In the course of time the practice 
 fell into the hands of more competent, though still uneducated and 
 as it were itinerant operators, who invented a variety of instruments 
 for the purpose, and ultimately one of the fraternity Frere Jacques, 
 studied anatomy in Paris and became an accomplished anatomist. 
 But increasing acquaintance with anatomy, and perception of 
 the intricate nature of the operation he had so often successfully 
 performed while comparatively ignorant of the anatomy of the parts 
 implicated, is said to have intimidated him, and his operations 
 were ever after less successful. From the time of Pliny to the 
 present day a variety of solvents for stone have been suggested, 
 composed chiefly of alkalies from the animal and vegetable 
 kingdoms which, though worthless as solvents for stone in the 
 bladder, were nevertheless, as already mentioned (in Part I.) 
 useful as preventing further enlargement of the stone by checking 
 greater deposition of matter. Even at the present day the experi- 
 ments of Sir Wm. Roberts of Manchester prove that small stones 
 of uric acid may, under certain conditions, be somewhat reduced. 
 The result however is on the whole so unsatisfactory in respect 
 of positive cure that no enlightened practitioner ever thinks of 
 attempting the experiment. Sir Henry Thompson in his clinical 
 lectures on diseases of the urinary organs has given an interesting 
 account of these so-called solvents, and comes to the conclusion 
 that " if the stone be large the solution is impossible." 
 
 Until the year 1824, lithotomy, or the operation of cutting 
 for stone in the bladder was the only plan of treatment adopted 
 with a view to an effectual cure. In that year and in the presence 
 of a committee of the Academy of Medicine, Civiale operated 
 for the first time on two living patients by lithotrity. or the 
 
46 
 
 crushing operation. This method (Hthotrity) has since Civiale's 
 day undergone considerable improvements, both in respect of the 
 instruments employed and the facility with which the operation 
 is performed. 
 
 It is not necessary to detail the various changes and improve- 
 ments that have taken place, or to describe the opposition 
 with which the advocates of Lithotrity had to contend. It 
 may suffice to say that the operation is now admitted by its 
 strongest opponents to be most successful. 
 
 Thus the treatment for curing stone consisted, until very 
 recently, of the two operations above named — Lithotomy 
 and Lithotrity. Very large and very hard calculi are 
 generally selected as suitable for the cutting operation 
 (Lithotomy) — small calculi, up to about the size of a 
 chestnut being treated by the crushing operation (Lithotrity). 
 In calculi among young children, and up to the age of 20, 
 Lithotomy, or the cutting operation has proved very successful, 
 but not so in cases from the age of 50 and upwards. Age is, 
 therefore, a very important matter to be considered when deciding 
 which operation to select. Regard to the size of the stone to be 
 got rid of is equally important, it having been well proved that 
 when the stone is larger than about the size of a chestnut, and of 
 the hard kind (Oxalate of Lime) Lithotrity is liable to become 
 fatal in proportion to the size of the stone and the age of the 
 patient. A further objection to Lithotrity is that a repetition 
 of sittings is necessary, varying from five to ten, and even up to 
 twenty. The cases are very rare where one sitting has sufficed 
 — as for instance where the stone has been very small and soft, 
 luckily seized by the lithotrite in a fortunate direction, and there 
 and then thoroughly pulverized and the dehris passed away 
 without much inconvenience. The writer has not however met 
 with such cases in his own practice. 
 
 The difficulty of lithotrity has hitherto been the removal of 
 the de'bris. Where the stone is large and hard, the fragments 
 
41 
 
 fly about the bladder in all directions. In the case of an 
 oxalate of lime calculus the fragments are like bits of flint: 
 they terribly cut and tear the sensitive mucous membrane of 
 the bladder and urethra, and fatal consequences occasionally 
 result. This and other circumstances led Professor Bigelow, 
 of Harvard University, U.S., to endeavour to improve upon 
 LiTHOTRiTY, whicli in the writer's opinion, he has unquestionably 
 done. His innovation upon lithotrity (for the profession at 
 present regard it as such) Professor Bigelow calls "Lithola- 
 PAXY," which signifies " Rapid Lithotrity with evacuation." He 
 removes the majority of calculi by crushing with large instruments, 
 in one sitting under the influence of ether. When however the 
 stone is very large, or there is more than one stone, he does not 
 hesitate to increase his sittings to two and three, or to prolong 
 them to nearly four hours. 
 
 Moreover, his plan of treatment not having yet been tried on a 
 large scale, the professor wisely guides himself by a most careful 
 consideration of the tolerance (so to speak) of each particular 
 patient. One case which he reports, in his Essay on the subject, 
 is here subjoined : — 
 
 "Case 8 (Dr. C. B. Porter's case) August 12th, 1877. 
 Aged 61. 
 
 " A large flabby man, with a feeble pulse. 
 
 Date of symptoms, twenty-six years. 
 
 Two stones, one of which is so large that it is barely possible 
 to lock the lithotrite. 
 
 Passes water every fifteen or twenty minutes. 
 
 Three sittings. First sitting : — duration, one hour and a half 
 under ether ; size of tube, twenty-eight ; quantity removed, two 
 hundred and twenty-eight grains ; passed afterwards one hundred 
 and eight grains. Second sitting; — interval, four days; duration, 
 three hours under ether ; size of tube, thirty ; quantity removed, 
 seven hundred and forty-four grains ; passed afterwards sixteen 
 grains ; no after symptoms of importance. Third sitting :— 
 
42 
 
 interval, five days; duration, three hours and three quarters under 
 ether ; size of tube, thirty-one ; quantity removed, seven hundred 
 and six grains ; no pain nor discomfort afterwards ; total number 
 of grains, after drying, one thousand eight hundred and two. 
 Result: discharged well, two weeks from the date of the first 
 operation ; after a few weeks the patient could retain his water 
 from three to four hours."* 
 
 From the time of Civiale to the present day the teaching of 
 Lithotritists has been to the effect that the bladder and urethra 
 are very intolerant of instruments. Even Sir Henry Thompson 
 has spoken of "A sojourn, say of two minutes, in the bladder, 
 which I will allow you, although you know I do not occupy so 
 much time myself."f 
 
 The publication of Professor Bigelow's views greatly delighted 
 the writer, finding therefrom, as he did, that he also had been 
 working in the same direction. For the last twenty-five years the 
 writer has studied the question of dissolving stone in the human 
 bladder. Its possible accomplishment has been universally 
 laughed at and ridiculed. All the ordinary attempts for the 
 purpose have consisted in the administration of alkalies and acids 
 directed to the interior of the sensitive bladder, and the adminis- 
 tration of the same remedies by the stomach. The commonest 
 form of stone, lithic acid (said to be the basis of 19 out of 20 of 
 the calculi), is so insoluble that the corrosive alkalies or acids 
 necessary to dissolve it would burn through the tissue of the 
 bladder and destroy life, long before producing the slightest 
 effect upon the stone. Viewing the solution of calculus in this 
 light it would of course be an impossibility. To solve the 
 difficulty the writer worked in a totally different direction. His 
 idea was to isolate the stone so as to get it under perfect control, 
 
 *See Bigelow's Essay on Litholapaxy (1878), page 29. 
 
 f See " Clinical Lectures on Diseases of the Urinary Organs, etc." by Sir 
 Henry Thompson, 4th edition, page 188 — But for his present opinion see 
 p. 45, also the " Lancet," January 17th, 1880, page 79. 
 
43 
 
 and when thus isolated, or imprisoned, and away from the 
 sensitive mucous membrane of the bladder, to act upon it with the 
 requisite solvent. He calculated that a stone too large, or too 
 hard for crushing — one for instance only suitable for Lithotomy 
 — would require the residence of instruments in the bladder for 
 one, two, or more hours, according to the size and solubility of 
 the calculus. 
 
 Professional gentlemen reading this, will no doubt be inclined 
 to put the same question as was put by M. Mallez when the 
 writer mentioned the subject to him in Paris in 1878 — " But, my 
 friend (he asked), how are you going to get your platinum 
 machine (the only metal that will resist corrosive acids and 
 alkalies) into the bladder through the small urethral canal ?" The 
 answer now, as then, may be — " that is my business " — the writer 
 meaning thereby that in the present stage of his experiments, 
 and under present circumstances (more particularly alluded to in 
 another part of this work) he does not deem it desirable, or 
 feel called upon, at once fully to reveal the modus operandi by 
 which he proposes to apply his process. Suffice it to say here 
 that for many years he has, in association with the successful 
 treatment and cure of cases regarded as hopelessly incurable, 
 demonstrated that the human bladder and urethra are not 50 
 sensitive as Lithotritists have supposed — his own method of 
 treatment being nevertheless, such as to protect the mucous 
 membrane of the bladder from any possible injury. When it is 
 considered that the human bladder ofttimes retains calculi of 
 enormous size, and for many years, it is absurd to suppose that 
 beautifully polished instruments cannot be manipulated within its 
 cavity for more than "two or three minutes" at one sitting. True, 
 some patients faint when the smallest instrument is introduced for 
 the first time. Some indeed faint at the mere sight of a polished 
 steel surgical instrument, but in the majority of instances this 
 sensitiveness soon subsides. Such instances moreover are only 
 exceptional. Some people are so peculiarly constituted that they 
 
44 
 
 turn pale and sick if they smell a rose. It is not so however with 
 the majority of mankind. Again, when a bladder has been 
 accustomed to a stone for some time, it is often more tolerant of 
 instruments. A bladder accustomed for years to a calculus of 
 extravagant proportions, such as we find mentioned by some old 
 authors, would certainly not rebel against the introduction of a 
 fine polished instrument so readily as modern lithotritists would 
 lead one to suppose. We hear of calculi so large as to nearly 
 fill the whole cavity of the bladder. Enormous calculi have been 
 found after death in the horse, and notwithstanding which, the 
 animal lived a fair average equine life, and did as much work and 
 as nimbly as horses without such an encumbrance. The writer 
 firmly believes that the injury sometimes resulting from irregular 
 and pointed fragments of stone remaining after the operation of 
 LiTHOTRiTY has been performed, has been mistaken for effects 
 resulting from the use of the instruments, and he has the greatest 
 possible confidence that Bigelow's method of curing stone will, 
 if fairly put into practice, soon supersede Lithotrity as now 
 ordinarily applied. The readiness with which the writer removed 
 a large stone, weighing two ounces and three-quarters, in one hour 
 and thirty-five minutes, and another very hard lithic acid calculus 
 weighing very nearly one ounce, in less than an hour, and his 
 success in removing a very hard oxalate of lime stone, weighing 
 nearly four ounces (all which cases, with others, are reported in 
 this present edition), gives him the greatest confidence in the 
 
 future of TlTHOLAPAXY. 
 
 Just as Lithotrity had to fight its way into professional favour 
 amidst prejudice and jealousy combined with ignorance, so Avill it 
 be with LiTHOLAPAXY. Much however may be effected from the 
 recognition of it already accorded by some leading lithotritists. 
 Mr. Thos. Smith, Surgeon to St. Bartholomew's Hospital has 
 said : — " it is possible or rather, highly probable that it (Bigelow's 
 principle) will entirely reform our practice in the treatment of stone 
 in adults" — and further, that " if Bigelow's practice be founded 
 
45 
 
 on truer views of the whole subject (as it seems likely that it is) the 
 domain of lithotrity has been greatly enlarged, and a real advance 
 Vi^ill have been made in the treatment of stone in the bladder."* 
 
 Sir Henry Thompson speaking of Bigelow's method says : — 
 " This was a bold, but I believe it was also a happy idea. My 
 mind was already prepared by past experience to receive it 
 favorably, although the means Bigelow employed in the shape of 
 instruments, especially the lithotrites he proposed to use for the 
 purpose, it was impossible for me to approve. "f 
 
 In his last (5th) edition of " Clinical Lectures on Diseases of 
 the Urinary Organs,"! page 175, he says : — " Having referred to 
 Bigelow's aspirator, I may briefly state that he has recently 
 proposed to remove, at one sitting, all calculi of any size, and 
 whatever may be the condition of the patient, by means of large 
 lithotrites and the aspirator combined, devoting two hours or 
 more, if necessary, to the purpose. Of this proposal I feel 
 compelled to say that although the results may often be successful, 
 it is to be feared that they must sometimes be disastrous ; for 
 although there is no difficulty in achieving the object, as far as 
 mechanical power is concerned, we cannot overlook the fact, that 
 the vital conditions under which we are compelled to work must 
 often limit the employment of mechanical force. I am free, 
 however, to confess that the proposal to remove a large and hard 
 stone at one sitting is an attractive one. I only fear whether we 
 may not by adopting the system under consideration, pay too high 
 a price for the purpose of attaining the end proposed. And in 
 reference to this, I am bound to say that my own system has for a 
 long time been gradually inclining to the practice of crushing 
 more calculus at 'a sitting and removing more debris by the 
 aspirator than I formerly did. Thus I have, for some time been 
 in the habit of using in every case two lithotrites alternately in 
 
 *See " Lancet," January loth, 1880, pp. 43 and 45. 
 tSee "Lancet," January 17th, l8£o, p. 79. 
 J J. & A. Churchill, London, 1879. 
 
46 
 
 the manner already described. With these light and handy- 
 instruments, which pass with the utmost facility, employed in 
 this manner and followed by the aspirator, I can certainly 
 remove calculous matter from the bladder more safely, and 
 much more rapidly than with any large and unwieldly 
 instruments." 
 
 The teaching of lithotritists has, as already mentioned, been to 
 remove calculi not larger tha,n a chestnut by crushing — the larger 
 calculi being left for the cutting operation, which is fatal in 
 about one in seven cases. Small calculi can usually be 
 easily crushed. Sir Henry Thompson has done it successfully 
 with his " light and handy instruments " — and encouraged 
 prolonged sittings also. He says : — " The longest sitting I 
 have as yet ventured on is twenty-five minutes, during which 
 I removed 329 grains."* This is very different to his former 
 teaching : — " a sojourn of two minutes." 
 
 With small calculi these instruments have ample mechanical 
 power. Neither Bigelow or any other operator would need 
 stronger power for such small sized stones. But both Bigelow 
 and the writer have prepared instruments for dealing with such 
 calculi as cannot, with safety, be crushed by " light and handy " 
 instruments. 
 
 The two cases above referred to as treated by the writer,t where 
 the calculi weighed two ounces and three-quarters in one case, and 
 five grains under an ounce in the other, could not with safety have 
 been crushed by smaller instruments than those suggested by 
 Bigelow. We have heard of instruments breaking and bending 
 in the bladder, although they were manufactured by good 
 instrument makers. They were " light and handy'' but the calculi 
 were too large and hard for such light contrivances, consequently 
 the patients had to be cut not only for the stone but also for the 
 removal of the injured instrument, which further endangered the 
 patient's life. The writer cannot see the force of the objection 
 
 *See " Lancet," January 17th, 1880, p. 79, 
 t See page 43. 
 
47 
 
 raised against the larger lithotrites — on the contrary, he sees 
 immense advantage in the use of them. In the first place, 
 it crushes the stone most effectually, because it has ample 
 mechanical power, and ought not to injure the bladder at 
 all, if dexterously handled. The greater the power the greater 
 the effect, and in this case the greater the safety in avoiding 
 any injury to the instrument. In the second place, being strong, it 
 enables the surgeon to work with confidence knowing thai however 
 large or hard the stone be, the instrument cannot come to griet. 
 Take for instance a case, such as is related in Sir Henry Thompson's 
 last edition, page 143,* — " I crushed the stone four times, bringing 
 away a good deal of phosphatic material. I soon noticed that 
 my lithotrite never went through the stone ; it always went a 
 certain way and then there was a hard mass. After four sittings 
 I could not crush any more. It was clear that there was a very 
 hard centre stone on which my strongest lithotrite had no 
 impression, the crust only having been removed. I know from 
 experience, the recoil of the lithotrite from an oxalate of lime 
 stone so well, that I had no hesitation in saying such an one was 
 present. Accordingly I performed lithotomy and removed a 
 well-marked specimen of that kind." In another passage, he 
 adds, — " An oxalate of lime stone communicates a sensation when 
 grasped by the instrument as if you were laying hold of a piece of 
 iron — you make little or no impression upon it." Now, one of 
 BiGELow's instruments used in a case of this kind, would, the 
 writer doubts not, have crushed the calculus by a few turns of the 
 screw, and the patient would have been spared the operation of 
 cutting, which as before stated is fatal in about one in seven 
 cases. We are not told if the patient above alluded to recovered 
 or not. 
 
 Professor Bigelow does not however undertake to "remove 
 at one sitting all calculi of any size, and whatever may be the 
 
 *Diseases_of the Urinary Organs by Sir Henry Thompson. Churchill, 1879. 
 
48 
 
 condition of the patient." He has removed large calculi 
 at one sitting, but in the essay above referred to he gives 
 instances where he required three sittings, each occupying various 
 periods — the first sitting (in one of the cases) an hour and a half, 
 the second three hours, and the third three hours and three quarters. 
 The assertion or suggestion to the contrary has been objected to 
 by Professor Bigelow himself, as may be seen from his letter 
 published in the Lancet, 17th May, 1879, pages 693-4-5. 
 
 It is greatly to be regretted that in a matter so important in 
 relation to the advancement of medical science, any false or 
 mistaken views should, on either side, be presented to the 
 profession or to the public. 
 
 It is gratifying however, to know that a surgeon of known 
 experience, fairness and veracity — Mr. Cadge, of Norwich — has 
 operated successfully on Professor Bigelow's plan, and has 
 reported five successful cases.* He says (among other things), 
 " When I first became aware of the views of Professor Bigelow 
 on the treatment of stone in the bladder, by rapid lithotrity and 
 large instruments, I confess that they seemed to me crude in 
 theory and likely to lead to dangerous results in practice. A more 
 careful examination of the subject, and a perusal of his excellent 
 paper, have induced me to modify my first impression, and to 
 think that in the new method, it may be found that we possess 
 not only a novelty but a real advance in practical lithotrity." 
 
 What no doubt surprised Mr. Cadge, as it had Sir Henry 
 Thompson and others, was the impression respecting the 
 intolerance of the bladder to instruments. 
 
 For nearly 25 years the writer has been convinced of the 
 error of this teaching. Consequently Professor Bigelow's 
 announcement rather fascinated than surprised him — corrobor- 
 ating as it did a long cherished theory— a theory moreover 
 successfully applied — confirming too the confident belief that 
 
 *See "Lancet," 5th April, 1879, p. 471 
 
49 
 
 with apparatus suited to the purpose, the bladder or urethra need 
 not be at all injured by a manipulation extending over one, two, 
 or even three or four hours. The writer's experience goes to 
 prove that the male urethra may be dilated considerably more 
 than sufficiently to accommodate Bigelow's lithotrites and 
 evacuating tubes, if only the process of dilatation be very 
 cautiously and gradually done. In prolonged dilatation, where 
 patients are extremely intolerant of instrumental manipulation at 
 first, and where urethral fever is set up, accompanied by rigors, 
 cystitis, etc., patients have eventually tolerated dilatation to an 
 almost incredible extent. The writer has over and over again 
 verified this fact in his treatment of stricture of the urethra. 
 He has cured many cases of organic urethral stricture by 
 prolonged and unusual dilatation, that could only have been 
 cured by internal urethrotomy. Patients have thus been spared 
 severe and possibly fatal surgical operations. 
 
 The case of John Adams (see Part V., Cases) will give the 
 reader an idea of what may be done in the very worst form of 
 case. 
 
 Professor Bigelow's essay has indeed so satisfied the writer, 
 that he feels he need make very little further effort in the 
 direction of perfecting the instruments he has invented for use in 
 these cases. He sees now more clearly than ever the advantage 
 of one peculiar feature in his own method of treatment, viz., 
 isolation of the stone, thus facilitating its removal, and 
 obviating the possibility of fragments being left behind to from 
 a nucleus for other calculi. Professor Bigelow's process is very 
 perfect, still, there is just a chance of a very minute fragment 
 becoming entangled in the small sacculi of an inflamed and 
 thickened mucous membrane, serving as a ready receptacle for 
 additional deposition. This however cannot happen if the 
 bladder is brought into a healthy condition before operation, 
 which the writer's treatment effectually does. 
 
5° 
 
 The only obstacle he has had to encounter while using the 
 
 large instruments has been the clogging of the debris between 
 
 the blades, which gave him on one occasion some little difificulty. 
 
 This obstacle is entirely removed by a new 
 
 lithotrite which he has had manufactured 
 
 under his instruction by Messrs. Mayer & 
 
 Meltzer. 
 
 To facilitate the removal of debris in 
 BiGELOw's process, two or three lithotrites have 
 been used in succession, the blades of one 
 being cleaned while the other was in use. 
 Sir Henry Thompson informs us that with his 
 light instruments he adopts the same plan.* 
 The writer's new instrument however is so 
 constructed that by a moveable contrivance 
 between the male and female blades it 
 effectually removes the debris, thereby obviating 
 the necessity of re-introducing the instrument, 
 if care be taken to thoroughly crush the stone 
 before the aspirator is used.t 
 
 The diagrams which follow will, wiih the 
 explanations appended, enable the reader to 
 comprehend the working of this instrument. 
 
 DIAGRAMS. 
 
 No. I. 
 Dr. David Jones's Improved Lithotrite, 
 (shown in the margin of this page) to which 
 is attached a debris-cleaner, the addition of 
 which renders it unnecessary to use more 
 than one instrument during an operation. 
 
 *See "Lancet," January 17th, 1880, page 79. 
 
 t Mem.: — Almost all the advantages here mentioned 
 are referred to by Mr. Smith. See " Lancet," Janua,ry 
 loth, 1880, page 43. 
 
SI 
 
 No. 2. 
 Diagram of the Bladder on the lower part of which is seen 
 the prostate gland, enlarged and projecting into the interior of 
 the bladder, with the " spray" playing upon it. Behind the prostate 
 is seen the rectum. The reader will understand that as the 
 prostate enlarges it presses on the bowel producing discomfort 
 there, and may be felt by the finger projecting " like an apple." 
 
52 
 
 No. 3- 
 
 Straight and Curved Tubes through which the fragments 
 of stonejare sucked from the bladder into the glass receiver. 
 
No. 4. 
 
 Diagram of the Aspirator and Tubes, through which the 
 fragments of stone are sucked into an improved receiver used by 
 the writer. This plan introduced by Professor Bigelow, is a great 
 improvement upon the old method, where the fragments 
 (usually irregular and flint-like) were allowed to pass through the 
 urethra, not unfrequently tearing the mucous membrane severely, 
 and occasionally becoming impacted in the urethral canal, from 
 which they have had to be removed by cutting. 
 
The above diagram illustrates the working of the instrument. 
 The operator's hand is seen compressing the indiarubber 
 exhauster, thereby forcing a stream of water through the tube 
 into the bladder, and scattering the crushed fragments of stone 
 in all directions. On allowing the exhauster to expand, a current 
 of water is sucked up from the bladder, and carries with it as 
 many of the fragments as may be drawn into the opening at the 
 end of the tube. These pass along the tube and are finally 
 caught in the glass receiver as shown in the diagram. This 
 action is repeated until all the fragments are exhausted. 
 
 No. 6. 
 This diagram represents the search for stone with the writer's 
 flexible sound — most advantageously usable in obscure and 
 complicated cases. 
 
55 
 
 Figure i represents the prostate gland enlarged within the 
 cavity of the bladder — extending upwards and backwards, also 
 downwards and backwards— the latter portion of the enlarged 
 gland pressing on the rectum (figure 3) where on examination 
 (pev aniim) it may be felt projecting "like an apple." This 
 encroachment on the lower bowel often imparts to some patients 
 a sensation as if the bowels "wanted moving," — a form of 
 expression common with them. The operator's hand is seen 
 searching for the stone. The sound being flexible, and having 
 surmounted the enlarged and distorted gland, is seen above the 
 level of the urethral canal. During the search, it now meets 
 another obstacle, viz., the posterior wall of the bladder. The 
 sound, provided with a metallic tip is now rotated downwards, 
 and (being flexible) is made to glide gently and steadily till it 
 reaches the stone (figure 2) which is immediately recognized by 
 the sound it yields. In some cases the stone cannot be made to 
 roll from its position to the back of the bladder— hence the 
 great advantage of the flexible sound. Figure 4 represents the 
 ordinary sound which is stiff and inflexible. Comparing the 
 two, the reader will readily see what difficulties may beset the 
 surgeon when the prostatic portion of the urethra is tortuous 
 and unyielding. It was in fact this difficulty (in J. P.'s case- 
 see Cases) which led the writer to invent the flexible sound. 
 
5^' 
 
 SECTION II. 
 
 DISEASED PROSTATE, 
 
 Its Treatment and Cure. 
 
 Disease of the prostate gland is a subject too vast to be fully 
 dealt with in the limited space which can here be allotted to 
 the consideration of it — and the writer proposes therefore to 
 confine his remarks chiefly to that form of (supposed) " incurable 
 disease of the prostate" occurring in advanced and advancing life. 
 Many of the cases treated by the writer, and appearing in part V., 
 show that chronic enlargement ("hypertrophy" as it is termed) 
 of the prostate is far more amenable to treatment than authors on 
 the subject have supposed, particularly if taken in reasonable time. 
 Those who have written on the subject, ancient or modern, English 
 or Foreign, and whose works the writer has consulted, all seem to 
 have agreed in pronouncing the disease " incurable." 
 
 In a recent work written by Drs. W. H. Van Buren and E. L. 
 Keys of New York, authors of considerable renown on diseases of 
 the genito-urinary organs, the following occurs : "' In the present 
 state of our knowledge, hypertrophy of the prostate is not curable 
 by any means that have yet been used."* In a still more recent 
 
 *A Practical Treatise on the Surgical Diseases of the Genito-Urinary 
 Organs (1875) page 193. 
 
57 
 
 work on diseases of the urinary organs, by F. J. Gant,* i 
 similar opinion is expressed, as follows : — " In the treatment of 
 chronic enlargement of the prostate, palliative measures alone 
 have any effect — this prostatic hypertrophy, naturally incident 
 to advancing years, being incurable." The admitted inefificacy 
 of the ordinary modes of treatment of advanced prostatic, and 
 some vesical diseases, suggested to Sir Henry Thompson 
 operative means for the relief of these cases. The result, 
 however of five cases related by this able surgeon, is 
 unsatisfactory, all the patients so operated upon having it would 
 seem, succumbed shortly after.f These cases were however very 
 far advanced — and the ages were, respectively, 63, 75, 50 (this 
 patient having also cancer), 40 (a case of villous tumour) and 68. 
 In a still more recent work,;': Sir Henry says : — " Medicine is 
 powerless to diminish the hypertrophy. There may be temporary 
 enlargement from congestion, and that you can diminish by 
 treatment. But true h3'pertrophy cannot be diminished by any 
 known means. Numerous agents have been employed, both 
 internally and as local applications, for both of which, as might 
 be supposed, preparations of iodine and mercury, have been 
 particularly vaunted. And notwithstanding all that has been 
 claimed for such agents in certain quarters, I assure you, with 
 regret, but with the most complete confidence, that neither iodine 
 nor mercury does anything but mischief, however employed. 
 Besides these, other remedies as hemlock, hydrochlorate of 
 ammonia, liquor potassse, etc., have been tried. Nevertheless, 
 I have simply to say that, for the present, we know no means of 
 checking the progress of hypertrophic enlargement." 
 
 In another part of the sam.e chapter is the following :— *' The 
 first object of treatment is to relieve the partial retention of urine 
 
 * J. & A. Churchill, (1876) page 214. 
 
 fLectures on Diseases of the Urinary Organs, J. & A. Churchill, (1879) 
 page 284. 
 
 J "Clinical Lectures on Diseases of the Urinary Organs," J. & Ai 
 Churchill, New Burlington Street (1879), ehap^ 7, 79, et. seq. 
 
58 
 
 by the catheter. There are two causes which produce this 
 retention of a certain portion of urine, and which no efforts on the 
 part of the patient enable him to pass. The first is, as you know, 
 the obstruction of the enlarged prostate itself at the neck of the 
 bladder. But there is, moreover, an inability of the muscular 
 coats of the bladder to contract and expel its contents, and it 
 happens thus : — In order to overcome an obstacle to the outflow 
 of urine the muscular fibres are greatly increased, and Hypertrophy 
 of the vesical coat results to a large extent, just as the walls of the 
 heart thicken when obstruction exists in one of its main oudets. 
 The thickened bladder is much less distensible than the bladder 
 of normal character, and the organ is often equally disqualified for 
 retaining much urine or for expelling it entirely ; the cavity of the 
 bladder being diminished, and its function as a reservoir impaired, 
 in part by the protrusion of enlarged prostate into the interior, 
 and in part by the rigidity of the coats as above explained." 
 
 The writer fully agrees with Sir Henry that the "vaunted" 
 remedies, mercury, iodine, etc., etc., do not cure or relieve 
 this condition of disease. He believes moreover that they have 
 unquestionably killed many suffering, not from prostatic disease 
 only, but from many other diseases also. The writer himself 
 employs neither of the above-mentioned remedies. In fact, his 
 m.ode of treatment if applied in time, will dispense in many 
 cases with the use of the catheter also. (See the "Cases"). 
 The cause of the residuary urine is enlargement of the prostate 
 gland, occasioning mechanical obstruction. To overcome this the 
 muscles of the bladder make violent effort, and assisted by counter 
 effort (so to speak) on the part of the abdominal muscles, the 
 whole bladder becomes thickened in the attempt. Nevertheless, 
 it fails to expel the urine, and in proportion to the loss of power 
 in the expelling function of the thickened, decrepit and helpless 
 bladder, so proportionately is the residual urine retained. In 
 other words the enlarged prostate projects into the viscus — the 
 already thickened walls of the bladder render the function of 
 
59 
 
 propulsion impossible — and hence retention of urine. This urine 
 becomes decomposed, forming a strong, blistering, corrosive, 
 ammoniacal fluid. And the reader will thus see why in these 
 cases, there is such frequent desire to urinate, though only a very 
 small quantity can be passed with each effort. The acrid, 
 irritating urine is in contact with the most sensitive part 
 of the bladder producing a sensation often described as 
 "burning," "scalding," "stinging," or as some describe it, "a 
 feeling as of boiling lead or melted iron in the bladder." This 
 small quantity of corrosive urine is all that can be expelled, but 
 a large quantity, varying from, one to forty or more ounces 
 is left behind as " residual urine," constantly undergoing 
 decomposition,* The cases in Part V. shew how rapidly the lost 
 function of the bladder is restored by the treatment adopted 
 by the writer. Under that treatment the patient almost at once 
 passes more urine by his natural eftbrt, and the " residual urine " 
 becomes less and less — the expulsion power of the bladder 
 being restored. The urine loaded with mucus, pus and 
 blood, soon becomes changed — the decomposed, offensive, 
 bloody and putrid character of the excretion becomes substituted 
 by urine, normal as to consistency and odour, and the 
 patient is convinced that, despite the opinion of high authorities, 
 enlarged and (as generally supposed) " incurable " disease of the 
 bladder and enlarged prostate in the male, and bladder disease 
 in the female, can be cured in both sexes. The case of 
 Mrs. Tolly, of 27, Coburn Street, Bow Road, is highly 
 interesting. (See " Cases"). The celebrated surgeon who had 
 unsuccessfully treated Mrs. Tolly, on being told by her that 
 " Dr. David Jones positively assures me he can cure me," 
 replied, in the presence of her ordinary medical attendant, — 
 "Well, Mrs. Tolly, all I can say is, that no respectahh medical 
 practitioner would attempt at your age to do more than we have 
 
 In the case of a gardener from Elstree, the Writer's son removed 
 
 90 oimces. 
 
6o 
 
 done." Mrs. Tolly however was cured by the writer, and 
 continues quite well to this day, and since then has testified her 
 gratitude to the writer by giving him a subscription towards his 
 Home Hospital, thus helping poor sufferers who cannot help 
 themselves. 
 
 The writer does not however by any means profess that he can 
 cure every case of disease of the prostate that comes before him, 
 but he does feel convinced that his method of treatment by specific 
 local applications to the bladder and prostate is far more 
 rational, and more likely to effect a cure in such cases than either 
 medicine introduced into the stomach, or the ordinary kinds of 
 surgical procedure. Moreover in every bad case undertaken by 
 him, his treatment afforded more relief than could possibly have 
 been afforded by any other means within his knowledge. The 
 late Thomas Hall, Esq. (who testified his gratitude for services 
 rendered by the writer by a munificent gift of nearly ;^2,ooo) 
 wrote thus : — " You told me honestly when you first saw me, my 
 case was beyond cure, but your treatment has done more for me 
 than any other."* That gentleman had been treated without relief 
 by some of the greatest celebrities at home and abroad. Let the 
 reader carefully peruse the numerous " cases " embodied in the 
 present edition, and observe the accounts which patients 
 themselves have given of these terrible diseases. Let medical 
 gentlemen who cling to the opinion of high authority, investigate 
 the whole circumstances surrounding these "cases " : most of the 
 patients are accessible, names and addresses are at the writer's 
 disposal, as well as those of unimpeachable witnesses who knew 
 them in their supposed " incurable " condition ; also the names of 
 physicians and surgeons who had attended them, and pronounced 
 them beyond cure, before the writer commenced his treatment of 
 them. Possibly the medical profession will say that the cases in 
 which the writer has effected a cure were not really typical cases 
 
 *i]is attendant, Mr. Kevis, (io6, Licensed Victnallers* Almshouses, Old 
 Kent Road) still living, can testify to this. 
 
6i 
 
 of enlarged prostate, and that the ages of the patients do not 
 correspond with the period when enlargement of the prostate 
 (" chronic hypertrophy ") comes on. It cannot, however, be 
 denied that the ages of some ot the patients are precisely the age 
 admitted' by authorities as the most likely for the bladder and 
 prostate to become troublesome. With reference to other patients 
 who were younger, the writer merely adds that the whole of them, 
 though cured by him, had been given up as hopeless by physicians 
 and surgeons previously consulted. But the cases occurring, even 
 in the younger persons, were in fact " typical " cases of chronic 
 disease, and had (as the patients themselves have asserted) been 
 previously treated by surgeons of high repute. 
 
 The writer ventures to question the soundness of what has been 
 affirmed by many writers respecting the special pathological 
 condition of the prostate gland ; also the accuracy of the 
 classification of these prostatic diseases by those who assert diat 
 nothing more is to be done for patients simply because high 
 authorities have failed hitherto, to discover, and apply more 
 certain means of relief and cure. But is the scientific mind now 
 dormant? Are we for the future and for ever to leave off 
 searching for means to alleviate the most painful of human 
 diseases because high authorities affirm, that "medicine is 
 powerless to diminish the hypertrophy — it cannot be diminished 
 by any known means," etc., etc. ? Were not similar questions 
 propounded respecting the cure of ovarian dropsy ? The late Mr. 
 Robert Liston called the ovarian operation a •' belly ripping 
 operation." He said this to his whole class, the writer among 
 them, and ever persuaded us not, under any circumstances to 
 attempt it. The writer as well as many surgeons in London and 
 elsewhere. Sir Spencer Wells, Bart., and Dr. Keith in particular, 
 can now aftbrd to laugh at such advice.* But the writer is 
 
 *Ancl see "Tumours and other Diseases of Women," compiled by the 
 writer and puV)lished by Mitchell & Co , 13, Red Lion Court, Fleet Street. 
 
62 
 
 (denounced because he does not reveal his treatment. His reasons 
 to himself sufficient) for not doing so at present are given in 
 another part ot this work. 
 
 With respect to the disease itself, he believes that any real 
 difference between one prostatic disease and another is rather in the 
 length of time the disease has existed that in anything else. There 
 is doubtless a pathological difference between a disease in the prostate 
 of a man of 30 or 40 years of age, and that of a man between 55 
 and 65, just as there is in that of a man of 20 or 30, and of 
 another between 30 and 40. The diseases are more or less alike, 
 varying in degree only as already intimated, with the age, habit 
 of body, and peculiarity of constitution. There is a great 
 difference between a green blade of wheat three months old, and 
 the golden mature corn ready for the sickle : still it is 
 substantially the same, altered only by age. There is a similar 
 difference in the pathological appearances of incipient and fully 
 developed prostatic enlargement. The writer is convinced that 
 the prostate gland takes considerably longer time to grow into 
 an enlarged diseased condition than is commonly supposed by 
 professional men. It grows, nevertheless, though insensibly — in 
 other words it gives little inconvenience till the " last straw 
 breaks the camel's back." 
 
 It is in the early stage that this as well as other diseases should 
 be treated. For many years the sufferer may have had intimation 
 or warning of the approach of the disease, but as the warning was 
 not very urgent it has been disregarded. To guard such persons 
 against the certain consequences of this disregard, the writer will 
 here add some observations descriptive of the earlier symptoms 
 usually experienced, and as usually neglected. 
 
 The first symptoms of the approach of disease of the prostate 
 is merely an " uneasiness about the neck of the bladder.'' 
 Probably during cold weather there is more frequent desire to 
 urinate, — that is all, — and no more notice is taken cf it. In the 
 course of time the frequency becomes more urgent. Still no 
 
63 
 
 particular notice is taken of it — " it is only a slight inconvenience.'' 
 In months or it may be years, the discomfort increases, and a 
 nightly call becomes habitual. Byand-by the patient begins to 
 feel the discomfort of getting out of his warm bed. Still not 
 much notice is taken of it. He does not think it worth his 
 while to consult a doctor " for such a trifle." If he did, the 
 probability is that his doctor would say " it is nothing," or 
 possibly, " it is weakness of advancing life," — give a bottle of 
 medicine, and prescribe " whisky or gin," or some other more 
 powerful diuretic (the worst thing imaginable), and the patient 
 encourage himself in the belief that there was nothing the matter 
 with him. The disease is all the while getting worse. In the 
 course of time the patient has to get out of bed twice during the 
 night instead of once. Afterwards the frequency becomes still 
 more urgent, and the inconvenience becomes more evident, 
 and eventually pain is substituted for inconvenience, and then 
 the doctor is sought. But unless a specialist be consulted the 
 bladder will most probably not be examined : medicine will be 
 prescibed which only excites the kidneys to secrete more urine, 
 and which, as already mentioned in Part I., does more harm than 
 good — the disease slowly but surely progresses. Patients frequently 
 write after the manner indicated in the following, which is 
 extracted from a letter recently received : — '•' I have had 
 something wrong with my bladder for a good number of years, 
 having to urinate more frequently than I ought, generally having 
 to do so three or four times during the night, and from time to 
 time having great desire to do so — very frequently every half hour 
 or so, and not able to do it freely, but scantily and with pain. 
 This latter symptom was only occasional — -I mean, having to 
 void the urine so frequently. I don't think, however, that for 
 some time past I have been able to empty the bladder completely 
 at once. I have had to wait a minute or two, then try again. 
 Things went on in this way until about two years ago, when the 
 passage of the urine completely ceased, and for several hours I 
 
64 
 
 was in the greatest agony, until I had my bladder relieved by an 
 instrument which occasioned me great suffering and loss of blood. 
 The bladder had to be relieved for two days, after which the 
 urine began to flow again, — at first in very small quantities, but 
 afterwards much in the same way as it did before, and it 
 has continued much the same until a week ago, when I had 
 another complete stoppage, attended, as before, with intense 
 suffering, and was again relieved by the instrument, which gave 
 great pain and more bleeding than before. After the instrument 
 was used a few times, the water began to flow in small quantities 
 at first ; — this has left the neck of my bladder sore and irritable, 
 and I cannot empty it all at once. Besides the catheter, the 
 doctor used medicine, fomentation, and poultices." 
 
 The above presents a fair account of what usually happens in 
 these cases. Later on, or sometimes earlier the urine becomes 
 cloudy, and still later it is found to have deposited during the 
 night in the chamber utensil, a quantity of thick, tenacious, 
 offensive mucus. In addition to what has already been said, 
 there are other symptoms, often mistaken for disease, in the 
 region of the rectum — the discomfort alluded to being attributable 
 really to enlargement of the prostate gland, which from its 
 enlargement presses on the contiguous rectum. Occasionally, 
 the first intimation of enlarged or enlarging prostate occurs 
 through sudden retention of urine, and patients are under the 
 impression that there was nothing wrong with the organ 
 previously. Close questioning however, quickly elicits an 
 experience similar to that described in the letter quoted above. 
 The truth is, that however slight the inconvenience, it should not 
 be neglected. The symptoms should be brought under control at 
 the outset. Great as the mistake is, it is of very common 
 occurrence — too frequently turning out to be a, fatal mistake. It 
 is so, not only with diseases of the bladder and prostate, but with 
 most other diseases — pulmonary consumption for instance, or 
 even a case of toothache- Consumption never hegins in the lungs. 
 
65 
 
 These patients will tell you that for years before the lungs became 
 diseased they used to suffer from constant catarrh. Susceptibility 
 to nasal irritation has existed for probably some years — thence 
 it travels to the throat, and the patient becomes subject to sore 
 throat, and ultimately, after much suffering from this latter 
 complaint, the disease gradually passes (by the continuity of the 
 mucous membrane) into the lungs, constituting "pulmonary 
 consumption." 
 
 It seems hard to believe that before a person suffers from an 
 agonizing toothache the decay has been gradually progressing 
 without pain, but eventually the decay slowly but surely reaches 
 the sensitive part of the tooth, having occupied from seven to 
 12 years it may be to accomplish it. Just as the decay of the 
 tooth may be arrested by the early attention of the dentist, so 
 prostatic disease may, by early attention, be greatly relieved— and 
 by the writer's treatment be not only cured, but prevented from 
 recurring during the remainder of a long life time. Disease of the 
 prostate takes a long time to develope, and patients rarely seek 
 assistance until the gland has become so large as to be seldom 
 restorable to a size where mechanical means can be dispensetl 
 with. Independently of this neglect, surgeons are themselves too 
 much in the habit of depending on the catheter for the relief of 
 patients, and too readily at once instruct them how to use it — ■ 
 telling them, moreover, "this (the catheter) is to be your doctor 
 for life." No doubt, in the absence of better treatment, the 
 catheter has been of great service to many, and has undoubtedly 
 prolonged and even saved many a life. It is nevertheless a 
 remarkable fact, that the writer has been less successful with 
 patients who have habituated themselves to use the catheter than 
 with any others. The constant use of the catheter without any 
 treatment to prevent the growth of the diseased gland, or to reduce 
 its size, allows the gland to go on enlarging, — nay, more, the writei 
 is of opinion that the constant use of the catheter irritates the 
 prostatic portion of the urethra and assists in increasing its siz^ 
 
66 
 
 until, sooner or later the mechanical obstruction becomes so large 
 that it is impossible to have the bladder emptied without the 
 catheter. Independently of this, the writer has noticed during 
 his long experience that when the catheter is once commenced, 
 even when the hypertrophy is not very great, it is with the greatest 
 possible difficulty he can induce patients to leave off using it. 
 The urinary bladder becomes so accustomed to its use that 
 it jibs (so to speak) — in other words it refuses to obey the 
 will without help. The constant friction of the catheter irritates 
 the mucous membrane in the prostatic portion of the urethra, 
 occasioning inflammatory exudation. This extends to the 
 structure of the prostate, occasioning a morbid condition 
 described by authors as a " peculiar pathological condition of 
 chronic hypertrophy." 
 
 Corns and bunions on the toes form in a similar manner — 
 friction from a boot occasions inflammation in the skin. This 
 skin inflammation extends to the structures underneath, including 
 muscle-tendons, sheaths of tendons, fat, nerves, arteries, veins, 
 lymphatics, etc., — all these tissues become hardened and diseased 
 and form " roots," as they are termed, which occasionally reach 
 to the very bone itself. These mixed tissues (so to speak) form 
 a new morbid product, confusing the pathologist and microscopist, 
 just as does the tissue found in chronic hypertrophy of the 
 prostate. The truth is, that neglect and inappropriate treatment 
 impel (so to speak) the bladder and other organs to contract bad 
 habits. What with the catheter irritating by constant friction the 
 urethra and prostate, and the buchu, pareira, whisky, gin, and 
 mineral waters, working the bladder in the other direction, the 
 poor bewildered organ, in its attempt to get quit of the fluid 
 poured into it, becomes enlarged (hypertrophied), just as the 
 heart becomes enlarged (hypertrophied) when there is obstructive 
 disease. When the habit of drinking herb tea and diuretics by 
 the quart shall be done away with, it will go a great way towards 
 preventing hypertrophy of organs. The kidneys enlarge to an 
 
67 
 
 enormous size in diabetes, because they have to pump out quarts 
 instead of ounces — in other words they become hypertrophied, 
 just as the bladder, prostate, heart, or any other organ does if 
 unduly worked. 
 
 E? 
 
PART V. 
 
 CASES. 
 
 Note. — The following Cases are compiled from the writer's note 
 book, and wherever the language of a patient is quoted the 
 precise words, recorded at the time, are given. This plan has 
 been thought desirable, as being the one most usefully guiding to 
 general readers, enabling them to see therefrom in what 
 particular respects their own cases correspond with those here 
 described. It may be useficl also to mention that a list of the 
 names, etc., of the several patients whose cases are described 
 in this Part (V.) will be found in the Appendix, and that 
 in every instance in which the full name and address are 
 given, those patients may (by permission) be personally 
 communicated with by any one desiring information respecting 
 their cases. 
 
 No. I. 
 
 Disease of the Prostate Gland, with Inflammation of the Bladder, 
 and other Complications. 
 
 E. S., aged 58. — March ist, 1874. — He had been suffering 
 since 1872 from irritation of the bladder, causing much pain and 
 discomfort — lost flesh, looked very ill, was pale, and the expression 
 
^9 
 
 of countenance denoted great suffering; became very irritable,, 
 was feverish and disturbed at night. A bad cold considerably 
 increased his suffering, and brought on constant desire to urinate. 
 He states : " I had to run in a moment when the desire to pass 
 water came upon me ; if I did not immediately satisfy the call 
 of nature, the water came away from me by itself, attended by 
 severe burning and spasm." The acute symptoms somewhat . 
 subsided, but left considerable irritation and desire to urinate at 
 night, and afterwards during the day. His medical attendant, at 
 Brentford (w.), examined him with instruments, and pronounced ^ 
 his case to be "inflammation of the bladder, and disease, of the 
 prostate gland." Gradually getting worse, he had to leave off 
 his occupation on several occasions, and declare on his club; 
 and eventually he was laid up and confined to his bed. He was 
 invalided from March to August, 1872 (five months). 
 
 Getting little or no relief from his doctor's treatment, his late 
 employer, Mr. Whyrnan, 48, King Street, Harnmersmith, for 
 whom he had worked seventeen ye^rs, advised him to go to 
 Hammersmith Hospital. He consented, and was kindly treated 
 there by the medical officers who took charge of his case ; still, . 
 he got no relief — indeed, he became worse. 
 
 The Rev. Mr. Dribbles, of St. Paul's Church, Brentford, now - 
 interested himself on his behalf, and gave him admission to 
 St. George's Hospital. He was examined for stone six times, by 
 the surgeon there, who gave various opinions about his case. 
 The treatment he was subjected to was very trying ; and although 
 an inmate of the Hospital for three months, he got no relief. 
 In reply to his enquiries, the surgeon ultimately told him he was 
 suffering from enlargement of the prostate gland, and, possibly, 
 fleshy enlargement in the neck of the bladder in addition. It. 
 was, however, thought that as he got no relief in the Hospital, 
 fresh air and good living might be of use to him; and he was 
 accordingly removed to the Convalescent Home, belonging to 
 the Hospital, in Wimbledon. He received every attention from 
 
10 
 
 the House-physician, and was somewhat improved in gereral 
 health ; but his bladder disease was no better ; consequently he 
 returned to his occupation. He followed his work with difficulty, 
 and was compelled to adopt various expedients to give him ease 
 in sitting ; a cushion was placed under his right thigh, on which 
 the whole weight of his body rested, thus relieving the painful 
 pressure on his seat. After enduring a miserable existence, he 
 became much worse ; and having at this time purchased a copy 
 of the writer's little treatise on "Diseases of the bladder cured 
 by a new discovery," he consulted him on his case. His 
 symptoms were as follows : — (i) almost constant desire to pass 
 water, attended with violent burning and straining, day and 
 night, and thought himself pretty well if he went an hour without 
 micturating; (2) passed blood and thick discharge towards the 
 latter end of the act ', (3) was always worse during and after 
 exertion of any kind, and after walking, or riding in any kind of 
 carriage — this greatly increased the tendency to micturate, but, 
 though he had an urgent desire, he was only able to void a 
 teaspoonful about every ten minutes ; (4) severe burning pains 
 about an inch from the urethral aperture — this pain extended, in 
 a modified degree, along the perineum (the crutch), until it 
 reached the fundament, when it became more severe and 
 constant ; a gnawing, burning pain, which gave him sensation as 
 if the bowels wanted to relieve themselves, although such was 
 not the case; (5) the urinary secretion was cloudy and deposited 
 mucous discharge, offensive to the smell and alkaline in its 
 character ; (6) had slight stricture in the urethra ; (7) could not 
 thoroughly empty his bladder, about an ounce of offensive urine 
 remaining, which was drawn by the catheter ; (8) the prostate 
 was tender to the touch, and considerably enlarged. 
 
 The treatment adopted by the writer in this case was, to use 
 graduated catheters with a spray arrangement ; in this way the 
 stricture soon gave way, and one obstacle to the bladder 
 jnischief was thus removed. After the third application, which 
 
was administered on the loth of March, 1874, he expressed 
 himself relieved. On the 28th of the same month, he states: 
 "I passed a jelly-like substance, very slimy, not unlike a small 
 snail ; and I have been better ever since. If I could be sure 
 of remaining as well as I am now, I shall for ever feel grateful 
 to God for directing me to you." 
 
 April 8th — considers himself improving ; urinates only twice 
 during the night ; he still passes a little blood occasionally. On 
 introducing the catheter and spray, there is some difficulty in 
 getting over the prostatic portion of the urethra. 
 
 April nth — he states, "I am so delighted with myself that I 
 sometimes cry, and at other times laugh, when I think how 
 quickly you have cured me. I seem as if roused out of a dream, 
 and cannot tell what I think of myself." 
 
 April 22nd— after the last application he passed a good deal 
 of blood (not clotted), passed water only twice during the night, 
 and three times during the day. 
 
 April 28 — " I have had no return of my suffering, sir, " were 
 the first words with which he greeted the writer. " I used," 
 he added, " to suffer from a pulling, smarting pain in the act of 
 bending forward in my business, which was a great inconvenience 
 to me ; but this is now quite gone." Advised him to leave off 
 treatment for a few weeks. 
 
 May 27th — he had been worse on account of not continuing 
 the spray longer ; the spray was again repeated. 
 
 Sept. 2nd — the last spray was more efficacious than former 
 applications. He had, he says, "passed no blood for five weeks," 
 and thought himself now "perfectly cured." Another spray, for 
 safety, was, however, applied. 
 
 In reply to enquiries respecting his health, in January, 1875, 
 he writes, " thanks be to Almighty God, and your skill, 
 I continue quite well." In March, 1875, he called upon the 
 writer, looking well, and had had no return of his symptoms ; 
 exertion gave him no discomfort. On examination it was found 
 
72 
 
 that he could perfectly empty his bladder. The prostate had 
 been greatly reduced in size, but was still larger than it ought to 
 be in health. There was no tenderness on pressure. He said, 
 " I am as well as ever I was, and have not seen either discharge 
 or blood for months." 
 
 Dec, 1880 — he writes, "I think that you have made a perfect 
 cure of me : I return you my sincere thanks for your kindness 
 and skill. I hope you will publish my case for the benefit of 
 other sufferers. I shall feel it a pleasure to see any one and 
 verify your plan of treatment." 
 
 No. 2. 
 
 Disease of the Prostate and Bladder — Complicated with Spinal and 
 Kidney Mischief. 
 
 T. L., aged 58. — This patient has given so graphic an account 
 of his sufferings in the appended statement, that the writer does 
 not consider it necessary to add anything to what is there written, 
 — except a few words, for the benefit of enquirers. 
 
 This was a very remarkable case. The following particulars, 
 voluntarily sent to the writer, embrace almost a verbatim copy of 
 the letter received from the patient, with an express wish that his 
 name and address should be published for the benefit of sufferers 
 from similar disease. 
 
 The Vicar of the district in which the patient resides is well 
 acquainted with the case, and also with the medical gentlemen 
 who attended it previously to the writer being consulted upon it.- 
 These gentlemen, with others resident in the neighbourhood, 
 were very kind to the patient during his long and severe illness, 
 and could, if requested, corroborate his statement. 
 
73' 
 
 It may also be mentioned that this patient continues well up 
 to the present time. 
 
 STATEMENT. 
 
 "In the beginning of March, 1872, I met with an accident 
 through a boiler and coil, weighing about two hundredweight and 
 a half, falling against me, which gave me a sudden twist that 
 affected my whole system, and especially the lower part of back 
 and stomach. Rest and poultices restored me in about a month. 
 In three months after the accident I began to feel the first 
 discomfort of a burning-like sensation in the lower part of my 
 person, as well as a feeling as of a bunch of red-hot needles 
 being thrust into the fundament. I could only sit on the edge 
 of a chair; if I attempted to sit in. the usual way I had a 
 sensation as if the bowels and lower parts were being burnt with 
 red-hot iron. When in the workshop I have often had to hold 
 by the "vice" to prevent falling to the ground. At this time my 
 urine flowed very slowly from me and with great pain. My 
 bowels were also intensely confined. The water now commenced 
 to dribble from me. I have had to remain in the w.-c. for an 
 hour-and-a-half to two hours before I felt that the bladder and 
 bowels had been relieved. After dragging on for twelve months 
 under medical treatment, and quite unable to attend to business, 
 I was sent to the seaside. I did not improve, — on the contrary 
 I began to swell so that my things had to be let out three inches. 
 I soon got worse again in my bladder and bowels, and the red- 
 hot needles feeling increased greatly. I had to come home, and 
 being in every way worse I had to shut up my shop for seven 
 months. I was now told for the first time there was no cure for 
 me. I passed water in the greatest agony as often as six to seven 
 times an hour, in quantities of about half a teaspoonful at a time, 
 which I passed with fearful straining. All this while I felt as if 
 I could pass a gallon each time. I could not stand upright 
 without support. I got. no good from any of my doctors, so I 
 
74 
 
 was recommended to go to Guy's Hospital. I had to go by 
 omnibus, which tried me sorely, as 1 had to get out of the 
 omnibus four times on my way to Guy's to try to ease myself. 
 I went to and fro in the greatest misery for four weeks without 
 any relief. Here I was physicked dreadfully, and blistered until 
 I was so reduced as not to be able to put one foot before the 
 other without great pain and difficulty. It has taken me more 
 than an hour to walk from the omnibus to my house, a distance 
 of about 300 yards. I had to do this by holding to the raiHngs. 
 After five weeks' treatment I was worse than when I commenced. 
 I now got an order from a retired physician for St. Thomas's 
 Hospital. I attended here for four or five weeks. At the end 
 of that time I got an order to have my medicine repeated. 
 When I told the Doctor my water was not a bit better, and that 
 * repeating ' was not of the slightest use to me, and after telling 
 him all my terrible sensations, he ordered me to an adjoining 
 room to be examined. Here he tried to pass an instrument into 
 the bladder, but failed to do so, and had to put his finger into 
 the rectum to help the instrument into the bladder. After 
 examining me he said, 'There are two stones here.' I was 
 treated at St. Thomas's for 46 weeks, and examined five times 
 for stone by various doctors. I told one doctor I was not afraid 
 of the knife, and I would gladly have the stones cut out. He 
 first told me he must dissolve them, but afterwards that I was 
 not suffering from stone. At this time I had to try to empty my 
 bladder every five minutes, but instead of any water coming it 
 was a violent, burning, straining, forcing, gnawing pain, extending 
 from the bladder and private parts into the crutch, which gave 
 me a sensation as if the bowels wanted to be relieved. My 
 distress was so great at this time that I have had to get out of 
 bed 30 times an hour up to one and two o'clock in the morning . 
 after one to two o'clock I got two or three hours' sleep from 
 sheer exhaustion. I had to place the chamber utensil in a 
 slanting position and rested till the sudden burning came upon 
 
me, that drove me all but mad. Words cannot describe my 
 agony ; it is quite useless to try to do so. When I tell you that 
 my hair and whiskers, which were dark, had, by this time, turned 
 quite white, it may convey to you some idea of what I endured. 
 My age at this time was 42, but I was never taken for more than 
 35 before my disease began. At this period people took me for 
 a man of 60 to 65, — my continued suffering had so aged me. 
 At this period my wife went to Mr. W., of St. Thomas's Hospital, 
 and obtained for me admission as in-patient to the Institution. 
 I must indeed have been very near death at this time. The 
 doctor who had attended me so long had not the slightest 
 recollection of me. There was now a consultation with eight of 
 the physicians and surgeons of the Hospital. One after another 
 tried the bladder for stone, and came to the conclusion there 
 was none, but said I had a fleshy substance growing in the 
 bladder. The doctors were a long time consulting about me, 
 and it was ultimately settled I should be blistered all over my 
 back. God only knows my suffering at that time. After 
 twenty-four days treatment in the Hospital 1 was sent down to 
 the country for sea-bathing. I seemed here to get better, but no 
 sooner had I returned home for work, than all my old pains 
 returned worse than ever. The sensation of wanting to pass 
 water and unable to do so was fearfully trying. Any movement 
 of the body, as riding or v/alking, increased my suffering to an 
 intense degree. I had to be sent back to the hospital and was 
 placed under Dr. S.'s care. He did me no good, and at last 
 told me there was no known cure for my disease. I was now 
 placed under another doctor, whose name I forget. This 
 gentleman told me my case was ' quite hopeless, and that I had 
 better go home to die.' I was sent home, and made up my 
 mind to try Homoeopathy. A medical gentleman in my own 
 neighbourhood visited me at my own house from October, 1876, 
 to May, 1877. He inform.ed me 1 had chronic inflammation of the 
 bladder. Besides medicine which he gave me, he recommended 
 
76 
 
 a cold water compress round my abdomen and back every night 
 on going to bed. He was very kind and attentive to me, 
 but did me no good. When taking his leave of me, I was 
 comforted by words to this effect : — ' Mr. Ludlow, it is useless for 
 me to come to see you again ; it would be simply picking your 
 pocket; your disease is perfectly incurable. You had better 
 prepare for another world ; death alone will put an end to your 
 suffering.' I then asked him, 'Is there no hope whatever?' He 
 replied, * None whatever : there is no man in existence that can 
 cure the disease you are suffering from.' I was terribly depressed 
 after he left me, and felt I should like to try another 
 Homoeopathic doctor not far from my own house. I did so, and 
 certainly improved a little under his treatment. I became so far 
 better as to be able to crawl out of bed and go down stairs 
 back foremost, on my hands and knees, my wife standing at my 
 back to prevent me from falling backwards. I had my bed 
 made on the couch, where I remained for four months. When 
 the doctor found he could do me no good he took his leave like 
 his predecessor, and told me my case •' was a hopeless one — 
 death only would put an end to my pain.' My condition now 
 was such that no one can describe. I had tried in all ten or 
 eleven different doctors, extending over a period of five and a 
 half years, and during the whole time I was suffering most 
 acutely. My disease had been variously called * Stone in the 
 Bladder,' * Gravel,' ' Painter's Colic, * Inflammation of the 
 Bladder,' ' Irritable Bladder,' ' Disease of the Spine,' etc. I 
 looked like a poor worn-out old man between 70 and 80 years 
 old, — drawn double by pain and grief, — not even able to stand 
 unless I had support on each side of me ; indeed my countenance 
 bespoke that my time here below was fast coming to a close. 
 My toes were drawn in, and I was in all respects a helpless 
 wreck. Just as all earthly things appeared to be at an end, and 
 I had earnestly prayed that God would in His mercy help me 
 or put an end to my wretched condition, 1 saw an advertisement 
 
77 
 
 of a book on ' Diseases of the Bladder and Prostate, by David 
 Jones, M.D.,' which I procured. After reading it I became 
 convinced that the local treatment was more likely to cure me 
 than anything that had been tried. I made up my mind to 
 send for you, and I can confidently say that by God's blessing on 
 your skill I have been cured of a most painful disease by your 
 treatment. 1 have ever since been able to attend to my 
 business, which is that of a gas and hot-water engineer and 
 general ironmonger, with very slight interruption, from October 
 1877, and I continue well up to this date, 1S80. You first 
 visited me in August of the same year. The first spray you 
 administered commenced its work speedily. The relief I 
 experienced was magical. I went downstairs to tea in two 
 days, but only remained a very short time. After two more 
 applications, to the surprise of my neighbours and the joy of my 
 wife and friends, I was able to go to Bolton House in a cart. 
 After my third journey to you I was able to come to you in a 
 tram. After the fifdi, I could walk to Bolton House with slight 
 help. After the eighth journey I went to my workshop and 
 managed to do four hours' work a day. After seven weeks' 
 treatment I worked eight hours a day ; and after eleven weeks' 
 treatment I was discharged cured. On two occasions since 
 my cure, I have had slight return of my bladder symptoms, but 
 an application or two soon put me right again. I have lived in 
 this neghbourhood for 19 years, and am well known to rich and 
 poor. In case of any doubt of the truth of my statement, I 
 can give any amount of references to satisfy the most scrupulous 
 enquirer. If enquirers cannot come to me I will most willingly 
 go to them to explain the extraordinary effects of your treatment. 
 I write this to you, my dear doctor, with a heart brim full of 
 gratitude, and trust you will give the fullest possible publicity to 
 ' this statement for the benefit of helpless sufferers. I pray, 
 
78 
 
 moreover, that God will spare you long life and health to rescue 
 from the grave afflicted sufferers as you have me. 
 Believe me, 
 Your very grateful and ever obliged Servant, 
 
 Thomas Ludlow, 
 
 Ironmonger, etc." 
 149, Clapham Park R.oad, Clapham, S.W. 
 
 No. 3. 
 Disease of Bladder and Prostate. 
 
 W, R., Esq., aged 68. — January 9th, 1879. — Has been a 
 great sufferer for seven years, but considerably worse during the 
 past two years. Treated by several of the most eminent 
 surgeons in London, who pronounced the case to be as above 
 designated. The writer's diagnosis shewed the prostate gland 
 to be considerably enlarged. On being asked to urinate, he said 
 he had "not long done so," but would try. Urged to try 
 thoroughly to empty his bladder, he did so, and passed three 
 and a quarter ounces. The urine was alkaline and loaded with 
 thick mucus. On introducing a catheter, drew eight ounces 
 and a half of very offensive urine, highly ammoniacal, the last 
 drops loaded with very thick muco-pus, the urine was, moreover 
 albuminous. 
 
 January 13th: first spray administered. 
 
 January i6th : considers himself improving. Slept comfortably 
 after the first application. Urinated naturally five ounces ; drew 
 by catheter eight ounces. Urine still alkaline and ammoniacal. 
 
 January 20th : " I am," he states, " decidedly better." Urinated 
 naturally five ounces and a half; drew by catheter six and a 
 quarter ounces. Urine clearer ; no muco-pus with the last drops, 
 
79 
 
 January 27th : Still improving; has little or no inconvenience. 
 Urinated naturally six ounces, which was perfectly clear ; drew 
 by catheter only two ounces. He states: "I have not the 
 slightest pain or inconvenience, and fancy I pass water as well 
 as ever I did ; it is quite clear at all times. In fact, I feel cured 
 and sleep all night, thank God, in perfect comfort. How curious, 
 it seems that none of the physicians I saw did me the least good. 
 They do not of course understand these diseases." 
 
 January 30th : Has a bad cold, is chilly, has pain between 
 his shoulders, and feels worse in his bladder symptoms. There 
 is a little mucus in the urine, urinating naturally. Urinated 
 seven ounces naturally and without discomfort. Drew by catheter 
 two drachms (120 drops). 
 
 February 3rd : Recovered from cold ; urinated naturally ; 
 perfectly clear urine ; only a few drops came by catheter. Gave 
 him permission to go to Bath and leave off treatment, requesting 
 him to resume the applications immediately should his symptoms 
 return. The next account of him is in a letter sent on his return 
 from Bath : — 
 
 " Brixton Road, S.W., 
 
 24th March, 1879. 
 
 Dear Sir, — I have just returned from Bath, where I have 
 been staying some time, and am glad to say that I feel quite 
 well. With reference to the disease I was suffering from for the 
 last six years, viz., the prostate gland and bladder, I feel perfectly 
 cured. It is impossible for me to be thankful enough to you for 
 your kind attention and wonderfully perfect aire of the disease in 
 the short space of one month. When I think of the many 
 sleepless nights I have suffered from for the last two years, and 
 the several medical men I have applied to, viz., (here jolloiv the 
 names of three Physicians) and several others, none of whom did me 
 the slightest good, I feel more than surprised and thankful at 
 your success. For the sake of suffering humanity, I shall 
 consider 1 can iiever give sufficient publicity to the cure you 
 
8o 
 
 have effected in my case ; it fully bears out the several cases of 
 cure reported in your 2nd edition of ' Diseases of the bladder 
 and prostate ' in my possession. Should I at any time require 
 the services of a medical man, I shall with the greatest confidence 
 place myself in your hands again. Thanking you for your 
 successful cure, 
 
 I am, dear Sir, 
 
 Yours very truly, 
 David Jones, Esq., M.D. W. R. 
 
 P.S. — I shall feel obliged by your informing your Assistant 
 that I thank him very much for his kind attention." 
 
 In a letter bearing date loth June, 1879, he writes, in answer 
 to enquiry respecting his health, "I am glad to say I continue 
 quite well, and have had undisturbed sleep ever since I last 
 had the pleasure of seeing you," 
 
 A detailed account of the case is very lucidly given by the 
 patient himself in the following letter. The circumstance which 
 
 led to the letter was this: The Rev. Canon , who was a great 
 
 sufferer from prostatic disease (since cured under the writer's 
 treatment), had communicated with the writer requesting private 
 references. One of the three names selected was that of Mr. 
 
 W. R , and the following is published by consent : — 
 
 "April 16, 1879. 
 Dear Sir, — In reply to your letter of yesterday's date relative 
 to Dr. Jones' cure of the disease of the prostate gland and 
 bladder, from which I had been suffering for upwards of seven 
 years, the facts are as follows. On retiring from my profession 
 in Doctors' Commons some eighteen years since, I amused myself 
 by taking walking tours in different parts of the country, and, as 
 far as I can recollect, about seven years since, when in North 
 Wales, a slight attack took place, causing me some inconvenience 
 by compelling me to urinate more often than usual. This 
 continued, and gradually got worse from month to month, 
 affecting my rest, and compelling me to get out of bed to urinate 
 
Si 
 
 some five or six times of a night. This increased to such an 
 extent for the last two years that the irritation of the bladder 
 compelled me to get out of bed upon an average sixteen or 
 eighteen times each night. This, I found, was fast destroying 
 my health for want of rest. I should say also I was equally 
 disturbed in the day time, which caused great debility. During 
 the whole of the time I was in the hands of several celebrated 
 surgeons, who were stated to have made my complaint their 
 
 principal study, the last surgeon being Mr. C , of Guy's 
 
 Hospital, who, I believe, from reports, to be the most celebrated 
 man. None of them did me any good. I was attended by Mr. 
 C — — for ten weeks, and, when complaining to him I was not 
 better, he stated that I must have patience and leave it to nature 
 and his treatment. They all gave me a great quantity of medicine, 
 and advice what to eat, drink, and avoid. At length I was 
 despairing and low-spirited, when one morning I was looking over 
 the newspapers I by accident read Dr. Jones' advertised cure of 
 prostate gland. Although I was not a believer in advertisements 
 generally, and feeling I was getting worse seriously, I wrote to 
 Dr. Jones. He kindly sent me one of his pamphlets, and stated 
 he would refer me to some persons in my neighbourhood whom 
 he had cured. This he did, and I then called upon him at 15, 
 Welbeck Street ; and in conversation I soon found that he quite 
 understood the complaint I was suffering from. He then stated 
 medicine could not cure, and I then put myself in his hands. 
 The first thing he requested me to do was to urinate to empty the 
 bladder, which T did. He then asked me if I thought I had 
 emptied the bladder. I stated in reply I thought so. He stated 
 he felt certain I could not do so, and he would then show me 
 that he was right. He then introduced into the bladder a very 
 clever little instrument, not giving me the slightest pain, and 
 drew off no less than half a pint of water, of the most offensive 
 kind. This, he stated, was the first cause of the irritability, and 
 had been in the bladder getting decomposed daily by reason of 
 
 F 
 
82 
 
 the bladder, through the prostate gland, getting weak and larger 
 than its natural size. A spray was introduced into my bladder. 
 I felt wonderful ease the first time, and that night I got a good 
 night's rest, to my very great surprise. He then told me I must 
 go to his other establishment in the Clapham Road, to his 
 Assistant, each morning that I did not call upon him in Welbeck 
 Street, and he would draw the surplus water which I could not 
 discharge myself; so I arranged with Dr. Jones to see him twice 
 a week in Welbeck Street, and the other five days to call in 
 Clapham. This I did, and continued to do so for not quite a 
 month ; and the result, I am pleased and truly thankful to say, 
 I feel cured. It is now going on for over two months since I 
 left Dr. Jones, and I have had no return of the complaint, 
 gaining strength daily, and can sleep without being disturbed, 
 thank God. I should further inform you that from time to time, 
 through the same instrument, after drawing my water. Dr. Jones 
 injected into the bladder, touching the prostate gland, some 
 peculiar gas, or medicine, and this was the means for several 
 times of bringing away through the penis several strange looking 
 slimy substances, in appearance like a part of a snail. I doubt 
 not that was really the festering part of the prostate gland. 
 Neither of his operations gave me any pain, strange to say. I find 
 there is a great jealousy with the medical profession against him. 
 I find also from inquiry and medical works, that not being able to 
 empty the bladder causes a poisoning of the blood, which is very 
 dangerous. I was not aware until lately that more than a third of 
 the adult population suffer at some time of their life with the 
 disease of the prostate gland, and in many cases the causes are 
 not known. I trust I have made myself intelligible, and believe 
 me to remain 
 
 " Yours faithfully, " W. R. " 
 
 " The Rev. Canon C ." 
 
 Being desirous, before going to press, to ascertain whether Mr. 
 R had any return of his former svn"iptoms, he was written to, 
 
83 
 
 enclosing at the same time slips of test paper requesting him to 
 dip them in his morning urine and return them. The object in 
 doing so was to ascertain whether there was any tendency to a 
 return of his old complaint. The test papers— litmus— were 
 returned well reddened, thus giving evidence that the urinary 
 secretion was normally acid. (It may here be mentioned for the 
 information of readers, that the urinary secretion becomes alkaline 
 — which is abnormal — through the formation of ammonia. This is 
 always found in most forms of prostatic urine on account of the 
 chemical decomposition which takes place in the urine). The 
 
 following letter was received from Mr. W. R in reply : — 
 
 "Brixton, July, 1879. 
 
 " My Dear Sir,— I have just returned from Gloucestershire, 
 where I have been staying for some time, which is my reason for 
 not answering your letter sooner. I return the two slips of paper, 
 dipped in my urine Cas requested in your letter) at two different 
 times. I am very glad to say I keep very well, never better. 
 
 The Rev. Canon C called at my house as he promised, but 
 
 I am sorry to say I was not at home. When I saw him at 
 Bolton House he told me he felt you had nearly cured him, but 
 that he was going to stay with you another fortnight. I consider 
 his cure most wonderful from his statement made to me of the 
 deplorable condition he was in when he first went to you. 
 I cannot help mentioning wherever 1 go your great cure of 
 myself, and particularly to those who know how much 1 suffered. 
 I shall be very busy for some time in a matter of business, where 
 I am a trustee, but I can manage to look in at Bolton House next 
 Friday morning at any hour that will suit you, if you drop me a 
 line. After that I shall be very uncertain as to my being at home, 
 as I shall have to go to Exeter and other places. 
 
 I am, yours very truly, W. R. 
 
 " David Jones, Esq., M.D." 
 
 " P.S. — I feel if I had a few of your cards I could put them in the 
 hands of my numerous friends from time to time on chatting to them," 
 
84 
 
 On the 29th of July an examination of the Prostate Gland 
 showed it to have become considerably smaller, and there were not 
 more than four drachms of residual urine in his bladder, giving him 
 no inconvenience. 
 
 No. 4. 
 
 Very severe Disease of the Prostate, Inflammation of the Bladder, 
 and Senile Stricture of the Urethra. 
 
 The patient has described his own sufferings so accurately that 
 the writer does not consider it necessary to add to the statement, 
 except to say that the London surgeon, alluded to in the state- 
 ment, did not examine for stricture. 
 
 Statement of Genrl. Sir F. H. 
 
 August 20th, 1880. 
 
 '* In grateful acknowledgment of the wonderful and successful 
 treatment by Dr. Jones, 15, Welbeck Street, Cavendish Square, 
 and in justification of the efficacy of his new discovery, I am very 
 desirous of making the following statement of my case as public 
 as possible : — 
 
 " I was taken ill on the 5th February, 1880, with disease of the 
 bladder, and enlargement of the prostate gland, was attended by rny 
 country surgeon who ordered me warm baths, and prescribed the 
 usual medicines in such cases, but to no effect. I became worse 
 and worse, the constant desire and difficulty of emptying the 
 bladder, attended with violent burning and straining, continued 
 day and night. This pain extended along the perineum until it 
 reached the rectum, giving me constant desire to relieve the 
 bowels each time I relieved the bladder. The urinary secretion 
 too was cloudy, depositing a thick yellow ropy discharge, offensive 
 in its odour and alkaline in its character. I had also stricture in 
 the urethra. At last my strength and appetite failed me, and 
 
85 
 
 being considered in a critical, dangerous, state, the best surgeort 
 from Northampton was called in (want of power to relieve the 
 bladder having set in) who introduced with great difficulty (after 
 trying various sizes) a small catheter, which was left in for six 
 consecutive hours, causing an abrasion (found out afterwards by 
 Dr. Jones) the agony of which I can describe to no one, nor the 
 blessed relief when it was removed, and a warm bath administered. 
 This relief however did not last, and finding the Northampton 
 surgeon's treatment was of no avail, a celebrated hospital surgeon 
 from London (noted for having published and lectured on 
 *' Diseases of the bladder ") was called in. He stated that I 
 could not possibly have a stricture, as it ' never set in over the age 
 of 60.' He ordered nourishing diet and milk, also suppositories to 
 be administered at night, the warm bath and medicine, and 
 steaming the parts affected. But all these gave only temporary 
 relief, my strength and flesh left me, I had constant suffering, little 
 sleep and next to no food being taken the very sight and smell of 
 the nicest dish causing nausea. I must also mention I suffered 
 from continual sickness of the stomach, accompanied with 
 occasional vomiting. The surgeon now told me I might apply 
 two or three suppositories a day, they would do no harm, and 
 were better than taking opium through the stomach, as they act 
 directly on the parts affected by disease, without injuring the 
 stomach, and in this state (my country surgeon having met with 
 an accident which laid him up) I was left. 
 
 " I had now been 4 months and 10 days ill. My nurse in her 
 excessive grief and despair at my dangerous state was moved by 
 Divine Providence to search in the " Standard " if she could find 
 any medical treatise, or the name of any physician that might be 
 of service to me. She succeeded, and, without saying a word to 
 me, got Dr. David Jones' treatise on " Diseases of the bladder 
 and prostate," — read it first herself to be quite sure it would be of 
 service to me. She then read it out to me, and entreated me as 
 I valued my life, to place myself under Dr. Jones' treatment. I 
 
S6 
 
 consented, and truly I was in a dying state when first I presented 
 myself to Dr. Jones, and dried up like a piece of parchment by 
 opiates. Within six weeks (thanks to Divine blessing and his able 
 treatment attended with very little pain and suffering) I am 
 perfectly restored to health and vigour. The bladder now empties 
 itself completely, whereas when I first went to Dr. Jones he had 
 to draw off eight ounces and a half of decomposed urine. 1 can 
 solemnly declare that I have not for years enjoyed such excellent 
 health as I am doing at present. I beg to add that my age is 74. 
 " Should anyone desire to have further particulars of my case, I 
 shall be most willing to communicate with them privately, for 
 which purpose I subjoin my address. 
 
 " Genrl. Sir F. H." 
 [Here follows the Address ivhichthe Writer will forward to 
 any enquirer. 1 
 " To Dr. David Jones, 
 
 " 15, Welbeck Street, Cavendish Square, W." 
 February, 1890. — Up to this date Sir F. H. has experienced 
 no return of his former disease. 
 
 No. 5. 
 
 Chronic Enlargement of the Prostrate Gland and other Complications. 
 
 The Rev. Canon C , aged 66. 
 
 The above gentleman consulted the writer on the 14th May, 
 1879. The case is reported just as it was entered in the Case- 
 Book. 
 
 I . — Canon C states that he has been suffering from urinary 
 
 inconvenience " off and on for twenty years," but the trouble did 
 not necessitate medical treatment, till ten years ago, when his 
 suffering became more severe. His discomfort increased gradually 
 and from that time he became much worse. 
 
§7 
 
 2. — The climax of his present suffering he dates to have occurred 
 on the ist day of September, 1878, when in Bristol — he had total 
 suppression of urine. An eminent surgeon, Fellow of the Royal 
 College of Surgeons, Mr. C, was sent for, who treated him very 
 successfully for his immediate discomfort by drawing his water 
 from time to time. In five days he gradually regained power to 
 urinate naturally. 
 
 3. — He still continued to suffer from inconvenience in his 
 bladder, and was accordingly sounded for stone, twice by his 
 surgeon and once in consultation with a physician at Newcastle- 
 on-Tyne — one who may be said to stand at the head of the medical 
 profession in Sunderland. It was said by this physician that 
 Canon C had enlargement of the prostate gland. 
 
 4. — Besides his urinary discomfort he suffers from orchitis for 
 a second time — a diseasewhich occasionally troubles patients who 
 suffer from disease, or enlargement, of the prostate gland. 
 
 His present symptoms are — ( i ) Constant desire to urinate night 
 and day, but is worse during the night. (2) Constant pain in the 
 urethral canal for about an inch down, — this pain is worse after 
 urinating. (3) The urine is cloudy and mixed with blood and 
 mucus — it adheres to the chamber utensil, and is " thick 
 and ropy, and difScult to detach," — it smells offensively and has 
 an ammoniacal odour and an alkaline reaction. (4) He passed 
 in my presence half an ounce of urine, which was all he could 
 pass. (The writer drew by catheter eight ounces and a half of 
 foetid urine loaded with mucus and blood.) (5) Complains of 
 great discomfort in the rectum, which is as troublesome to him as 
 the bladder is. Treatment was administered. 
 
 On the 17th May a second consultation and application of 
 treatment, when he stated "I am better." On being asked to 
 specify in what way he was relieved he replied — " I have lost the 
 severe burning pain I had when urinating to a great extent, and 
 also the rectum discomfort which was very distressing to me — the 
 blood is also gone." He was asked to urinate — he did so to the 
 
amount (by measure) of two ounces — the writer drew by catheter 
 five ounces and a half. Two days previously he could only pass 
 half an ounce, and the catheter brought away eight ounces and 
 a half of very offensive urine loaded with blood and mucus. 
 
 May 19th. — The urinary secretion is clearing — the pain is con- 
 siderably abated — urinated naturally two ounces of water — drew 
 by catheter only four drachms (half an ounce) of urine — a great 
 contrast with the amount drawn on the 14th of the month — drew 
 by catheter five drachms of urine. 
 
 June 7th. — The patient states : " I am improving. I slept four 
 hours and a half last night without inconvenience — the pain is 
 quite gone. I go in the day-time occasionally from two to three 
 hours without inconvenience — in fact there is a decided improve- 
 ment—the pain in the rectum, which used to be very trying, is now 
 quite gone." Urinated naturally two ounces having not long 
 since urinated, drew by catheter two drachms. 
 
 June T5th. — To day he entered the consulting room with a firm 
 step, and without a stick or uro.brella, which had hitherto supported 
 him. He said " I feel so well that I really do not think it neces- 
 sary to enter your establishment. As far as my feelings go, I feel 
 I am quite cured. I slept without interruption several hours and 
 awoke refreshed, which had not been the case since my illness.'' 
 He then said — " I hope. Dr. Jones, for the sake of suffering 
 humanity, you will not let your secret die with you. How curious 
 it is that medical men are so incredulous. My disease is said to 
 be incurable. Your enemies are among the profession." 
 
 July 13th,— Continues very much better, but off and on has 
 inconvenience during the night. Examined his urinary secretion, 
 which was normally acid. There is not the slightest trace of 
 cloudiness or albumen in the urine. He empties the bladder 
 naturally and without discomfort — is occasionally inconvenienced 
 with irritability after exertion. Examined him for stone but found 
 none. 
 
89 
 
 July 15th. — Looks well in the face. Walks straight, has lost 
 the tendency to stoop and the old man-look which he had when 
 he first came for treatment. He states — " I feel so much better 
 in my general health. My legs used to give way under me, but 
 now I feel firm on my legs. Before I came to you I had given 
 myself up altogether, but now think if I could get rid of the 
 remaining slight inconvenience I might be useful for the remainder 
 of my days. I used to have total inability to urinate, but do so 
 now without any discomfort. The forcing pain I could only com- 
 pare to labour pain in women. This condition had existed off 
 and on since September, 1878, and without the catheter I could 
 not pass a drop of water. The constant pain in the perineum and 
 rectum has left me for some time. The blood and pus-like matter 
 used to scald me terribly while I urinated. This is now quite 
 gone, and I feel in all respects cured excepting that I pass water 
 a little more frequently than I used to do, which I suppose is not 
 uncommon to persons of my age.'* The urine is clear, of an acid 
 reaction — has no trace of albumen and has a specific gravity of 
 I '020. Went back to his family. 
 
 February 6th, 1880.— Comes to the writer after an absence of 
 ten weeks. There is no return of his painful symptoms, and with 
 the exception of slight frequency of urination thinks himself well. 
 
 February 28th, 1880. — Comes to the writer on a visit — stays a 
 night. Examined the prostate, which is considerably reduced in 
 size. The medium portion appears quite normal. He states — 
 " I feel quite well, excepting a little feebleness of age, and intend 
 resuming my duties the first Sunday in July, after an absence since 
 the 30th September, 1878 (one year and nine months). 
 
 September, 1880.— Comes to report himself on his way to Kent 
 to see a branch of his family. Has been doing duty for two 
 months, which he has continued " without any distress at all." 
 He adds moreover "I journeyed yesterday 300 miles without 
 any discomfort, and have to-day ridden in omnibuses without 
 any inconvenience." 
 
go 
 
 The following letter represents his condition at the date it was 
 written : — 
 
 July 8th, 1880. 
 
 " Dear Dr. Jones, — I send a few lines which will not impose 
 upon you the trouble of a reply, and which will I think be satis- 
 factory to you. There was a strong feeling here amongst the 
 medical men that no good would result from my London treat- 
 ment, and that the actual reduction of an enlarged prostate is 
 simply an impossibility. My own surgeon was in church the first 
 time I preached, to make his observations on my appearance and 
 power. A few days after he called, and expressed his surprise at 
 ray healthy looks and power of voice. Some conversation followed 
 on the treatment I had undergone and the gradual abatement and 
 disappearance of my painful symptoms. I told him that if it would 
 be any satisfaction to him he was quite at liberty to examine me 
 and judge for himself He called for this purpose this morning, 
 and after a careful examination (per anum) said that the reduction 
 was wonderful, that the prostate used to project into the rectum 
 " like an apple," and that now the enlargement is not more than 
 many, if not most, men of my age experience. This testimony of 
 a competent and prejudiced judge, giving an independent opinion, 
 and able to compare my present condition with the past from 
 personal investigation, is very satisfactory to me and will be pleas- 
 ing to you. And it must be remembered that Mr. M. (the surgeon) 
 had never known me at the worst, for in the four and a half months 
 which intervened between leaving Bishop Wearmouth and coming 
 to you, my ailment had no doubt progressed considerably. My 
 own daily experience, and to-day's confirmation of my state have 
 given me a fresh consciousness of how much under God's good 
 Providence I owe to your skilful treatment. 
 
 " With kindest regards to Mrs. Jones, 
 
 '* Very sincerely yours, Wm. C." 
 
No. 6. 
 
 Disease of the Prostate and Bright' s Disease of the Kidneys. 
 W. F. L., aged 65, widower. 
 
 October ist, 1877. —The history of his sufferings dates from the 
 year 1847. In that year he was for eleven weeks an inmate of 
 Guy's Hospital, during which time the catheter had to be used 
 repeatedly, under the influence of ether. On another occasion some 
 considerable time afterwards, he sought relief in King's College 
 Hospital; but after three months treatment with catheter and other 
 means, he left without deriving much relief. He remained some 
 time without any treatment, got worse, and went to St. Peter's 
 Hospital, where he was treated by the catheter and other means, 
 with little or no benefit. He now tried a local medical practitioner, 
 who after a long course of treatment without benefit recommended 
 him to enter Guy's Hospital again. He complied and on this 
 occasion was discharged in three weeks much better, but still not 
 free from urinary trouble. Some time after this his disease altered 
 its character and assumed a much more severe form. The 
 patient himself described his suffering as being of " greater 
 poignancy." He had been constantly under medical and surgical 
 treatment for twenty months previously to his consulting the writer, 
 and during which time he had become much worse. The writer's 
 note book records the following : — " He has constant desire to 
 pass water night and day but is much worse during the night. 
 He says, " I used to be in and out of bed continually, until at last 
 I found it useless to try to lie down, and therefore sat in front of 
 the fire wrapped up in blankets the whole night. I have taken so 
 much sleeping medicine to relieve me that I feel perfectly stupid 
 all night. When I am seized with a spasm, the forcing is so 
 severe that I am afraid something will give way in my bladder. 
 The more I force the less the water comes ; and I have to wait in 
 agony till the spasm is over. When I pass water I can only ge 
 
^2 
 
 away about a tablespoonful at a time, which is attended with great 
 agony." He further said " The medicine taken made me so 
 bewildered that I hardly knew whether I was recovering from the 
 effect of the last effort to pass my water or from a desire to pass it 
 afresh. I strain so much that I am afraid of forcing my bowel 
 down : there is a sensation as if there was a large motion impacted, 
 but it is not so." 
 
 In treating his case, the catheter drew urine to the amount of 
 17I ounces. The urine was loaded with thick muco-purulent-like 
 discharge — a discharge resembling pus and mucus mixed : it was 
 alkaline and albuminous. On examining the prostate by the rectum, 
 it was found to be considerably enlarged and hard, the right lobe 
 larger than the left. 
 
 After treatment, and on the 10th October (1877) he stated, 
 *' I have been able to go to bed and sleep comfortably ever since 
 I last saw you." On this occasion he urinated naturally three 
 ounces. Drew by catheter 14J ounces which was cloudy and thick 
 towards the end. On the i8th he said : " I have been able to go 
 to bed ever since the second application on the 4th October." 
 October 22nd, continuing to improve, he said "Before I saw you 
 T could not pass more than about a tablespoonful of urine at a 
 time, and that I was constantly called upon to do. On the 17th 
 of this month I was able to pass three ounces of urine the first 
 thing in the morning, four ounces about one o'clock in the day, 
 and seven ounces at five o'clock in the afternoon. Each act was 
 performed naturally, and without straining or other inconvenience." 
 He had however now taken a severe cold which somewhat 
 renewed his suffering. On this occasion (22 October) he urinated 
 naturally eight ounces much clearer than the last ; no traces of 
 albumen ; the urine slightly acid. Drew by catheter four ounces. 
 November ist his cold is well. He says: "I passed water 
 yesterday at intervals of about five hours, four times, and once 
 in four hours during the twenty- four hours without any discom-- 
 fort. Indeed there was a grateful feeling of satisfaction after 
 
93 
 
 each act, and I passed in quantity as nearly as T could judge 
 from six to seven ounces each time. It is now three weeks 
 and three days since I first saw you. It is truly wonderful 
 the number of good doctors I have consulted ; yet they knew 
 nothing of my disease, or I am sure they would have cured me." 
 He urinated naturally seven ounces and threequarters ; drew by 
 catheter only two ounces. 
 
 On the 31st January, 1878, he called to report himself and 
 his language was noted as follows : — " I am quite well, sir, 
 I keep my water the whole night and sleep like a babe. God 
 bless you ! I shall now begin work again as ship -carpenter. I 
 have done nothing since the 14th Ma}'-, 1876." On this occasion 
 he urinated 11 j ounces of perfectly clear urine. Drew by 
 catheter sixty drops of urine. He appeared perfecdy well. The 
 large prostate had gradually reduced in size during the course of 
 treatment but was still large — slightly larger than normal for a 
 man of his age. The portion of gland which had encroached 
 on the bladder and occasioned the serious inconvenience was 
 undoubtedly perfectly cured. At all events, the patient has not 
 had the slightest inconvenience since he was discharged as cured 
 in January, 1878. 
 
 On the 7th February, 1878, he called again and said : " I have 
 brought you a testimonial which you can do as you please with. 
 I have got a berth as ship-carpenter in the "Shannon" bound for 
 Melbourne, Australia. God be praised for directing my attention 
 to your advertisement and sending me to you. What misery and 
 pain as well as money it would have spared me if I had known 
 of you sooner. Good-bye, dear doctor, and may God bless your 
 efforts and prolong your life to open your hospital for the good of 
 others.'' The original testimonial alluded to was mislaid. The 
 patient being written to however for another, the subjoined letter 
 was received in reply ; — 
 
94 
 
 " Upper Market Street, Woolwich, 
 
 "July 23rd. 1879. 
 " Dear Sir, — I have not kept a copy of the testimonial but I 
 send you from memory a summary of what I think I wrote. I 
 first applied to Guy's Hospital in 1847 and was there eleven weeks 
 during which time the catheter was used under the influence of 
 ether. I then went to King's College Hospital some considerable 
 time after I was in Guy's, and was there for three months under 
 the usual treatment by catheter, but did not derive much benefit. 
 I then went to St. Peter's Hospital for six weeks where the catheter 
 was also used. I soon got tired and then employed a local doctor, 
 who honestly confessed he could do nothing for me and advised 
 me to go to Guy's to another surgeon. On this occasion I was 
 an inmate for only three weeks, and derived some little benefit. 
 After a short time the pain returned with greater poignancy 
 preventing me from going to bed of a night for many months. I 
 applied to you on the first of October 1877, when you withdrew 
 from the bladder 1 7^ ounces of thick glutinous urine of a most 
 offensive character. From the first application you gave me I 
 steadily got better. I have continued well ever since ; and now 
 instead of having to attempt to pass water every ten minutes in 
 pain indescribable, I only require to do so three or four times 
 a day in perfect ease scarcely ever being disturbed of a night 
 I make my case known to all I find similarly suffering, and hope 
 you may be spared many years to assist suffering humanity. 
 " I am, dear Sir, with grateful thanks, 
 
 "W. F. L." 
 
 " PS. — The names of the medical gentlemen that attended me 
 are as follows : — [Here follow the names.'] 
 
 Up to the end of September 1881 the above patient continued 
 quite well. 
 
95 
 
 No 7. 
 
 Chronic Disease of the Bladder, with Stone in the Bladder.* 
 
 E. B. consulted the writer in November 1874. — His appearance 
 gave evidence of great physical suffering — complexion sallow — 
 face careworn — tongue red and irritable — pulse small, weak, and 103 
 per minute — was feeble generally — very irritable and unable to 
 take much exercise without intense suffering and exhaustion. 
 After he had urinated (which he did with considerable pain and 
 straining), a catheter was introduced and drew about an ounce of 
 fluid which the bladder was unable to expel. The prostate was 
 enlarged, but more on the left side, and tender to the touch. 
 The urinary secretion was highly alkaHne, albuminous, cloudy, 
 ammonical and deposited thick ropy mucus. Specific gravity 
 I '006. His case was considered a very grave one, and after 
 having been under eminent Allopathic a.nd Homoeopathic physicians 
 and surgeons without relief, he was advised to come to the writer's 
 establishment and receive his personal attention. He consented 
 to do so, and the new treatment was soon commenced. After a 
 few applications he expressed himself somewhat relieved, but 
 unfortunately he took a severe cold which went on to a low form 
 of bronchitis, and continued upon him nearly the whole time he 
 was under treatment. The writer has every reason to believe that 
 this circumstance delayed his recovery. However he slowly 
 improved, the pain lessened, the urinary secretion assumed a clear 
 aspect, the mucus disappeared, and with it ammoniacal odour and 
 albumen, the urine soon gave the normal acid reaction, and the 
 specific gravity became i'023 instead of i'oo6. The patient was 
 under treatment thirteen weeks. Six months after he left London, 
 viz. July, 1875, many of his old symptoms returned which 
 greatly alarmed him and he soon presented himself again for 
 advice. He then informed the writer : " I continued well until I 
 
 * The patient affirms he is cured, but the stojie still remains. 
 
96 
 
 drank a bottle of wine with a friend one evening : the next day I 
 rode in an open carriage — it was raining the greater part of the time. 
 I took a bad cold and my symptoms returned." On this occasion 
 he remained under treatment about ten days. At the expiration 
 of this time he came saying " I am perfectly well again ; in fact I 
 thought of returning home without seeing you. I put myself to a 
 severe test yesterday by being on my legs nearly all day without 
 experiencing the slightest inconvenience-" He returned well satis- 
 fied with himself and the writer was gratified at the success of the 
 new treatment. The following letter received from him fully 
 explains his case : — • 
 
 "November 13th, 1875. 
 " My Dear Sir, 1 have pleasure in forwarding you the 
 following particulars of my case of which I beg you will make any 
 use you please. From a very early age I suffered inconvenience 
 and pain in passing urine, and at times I remember having 
 difficulty in emptying the bladder at all. I went on thus until 
 the age of 14. When at school I lost all control over the urinary 
 organs being unable at times to pass urine when strongly desiring 
 to do so and equally unable at other times to retain it one moment 
 after feeling the desire to pass it. None but those who have 
 suffered the like can have any idea of the pain I endured at that 
 time, and it would be futile to attempt to describe it, but (like 
 many another schoolboy who rather than run the risk of being 
 called a 'sham ' will grin and bear anything) I made no complaint 
 and consequently received no medical treatment of any kind. The 
 attack nevertheless gradually disappeared, and I was not seriously 
 troubled again for some five years when owing as I supposed to 
 the effects of a severe cold, I passed from the bladder large 
 quantities of blood both liquid and coagulated together with 
 mucus. I had advice from a physician of considerable reputation 
 but to little purpose. After being in this condition for about nine 
 months this disease suddenly disappeared but returned again after 
 a month or so with more fury than ever. It would be impossible 
 
97 
 
 to describe in detail the condition of the urine at this time. It 
 was foul in the extreme containing blood mucus and sediment ot 
 various kinds to an almost incredible extent and emitting a most 
 disgusting odour. The pains became very great ; intense throb- 
 bing at the neck of the bladder ; urging cutting and burning pains 
 in the urethra, stinging at the extremity of the penis, gnawing in the 
 groin, soreness inside the thighs, aching over the lower part of the 
 abdomen, continual desire to urinate and intense pain (which 
 I cannot describe on paper) while doing so. I again sought 
 advice, and after about six months the blood disappeared but I 
 continued to pass great quantities of mucus and the pains 
 increased rather than otherwise. Thus I went on for about four 
 years when I sought the advice of another physician the late 
 
 Dr. R (Homoeopathist) but did not get relieved to any 
 
 appreciable degree. Another year passed : I was no better and 
 totally unable to do anything that required the least exertion. I 
 then obtained a copy of your pamphlet on ' Diseases of the 
 Bladder,' and eventually placed myself under your care. I 
 persevered with your treatment until the condition of the urine 
 became healthy. I then discontinued for a time but finding that 
 some of the pains still clung to me I again sought your advice, 
 and am thankful to say that after about ten days further treatment 
 I became thoroughly well. I then began to enjoy the pleasurable 
 sensation of existence without pain — a sensation which I assure 
 you none can appreciate but those who like myself have suffered 
 inconvenience and pain almost constantly for many years. Should 
 any " Didymus" require confirmation of the above facts do not hesi- 
 tate to give him my name and address and believe me to be, 
 •'* Faithfully yours, 
 
 Some time after E. B. was cured he called on the writer 
 complaining of a sensation as if something was rolling about in his 
 bladder, but he had no pain or urinary discomfort. Suspecting 
 the presence of calculus he was with difficulty examined by the 
 
98 
 
 smallest silver catheter] procurable when a stone of considerable 
 size was detected. One of the writer's assistants who was 
 present at the time verified its presence. The patient was strongly 
 urged to have the stone removed but refiised to assent on the plea 
 that as he had " no pain or serious discomfort " he did not care 
 to have it interfered with. Some considerable time after this he 
 was written to and the following reply was received : — 
 
 July 15th, 1879. 
 " My Dear Sir, — Thanks for your note. I cannot make up 
 my mind that I have stone ^it seems to me that if I had I should 
 necessarily be more plagued than I am. However it is a matter 
 that can be easily corroborated some day when I have the oppor- 
 tunity of paying you a visit. Just now for various reasons it would 
 be difficult for me to get away. With kind regards, hoping to see 
 you in health when the fates permit my coming to Welbeck Street. 
 " Believe me, &c., 
 
 "E. B." 
 
 NOTE. 
 
 One element in the treatment of the above case though more 
 particularly referred to in a preceding part of this present edition, 
 nevertheless seems to deserve special mention here inasmuch as 
 its application so greatly contributes to the success attained in 
 such cases. The treatment alluded to has reference to the prepar- 
 atory treatment adopted by the writer — a treatment which renders 
 the bladder remarkably tolerant of the existence within it of a 
 stone, and which as the writer has found diminishes to a minimum 
 the chances of death under subsequent operation in even the 
 severest of cases, and gives to the writer the utmost confidence in 
 the application of his own peculiar plan — peculiar that is in the 
 sense of its being wholly distinguished from the methods of 
 treatment generally applied. 
 
 The case too (of C. I. W.) brought under notice in the following 
 observations and which was similarly treated furnishes a further 
 
99 
 
 illustration (out of many that might be adduced) corroborative of 
 the foregoing remarks. 
 
 This patient came to London to be treated for disease of the 
 prostate gland. While under the writer's treatment a large stone 
 was detected in the bladder and the patient was accordingly urged 
 upon to have it removed. He repeatedly told the writer in the 
 presence of other medical gentlemen, *' I am so much better from 
 your treatment that I care not for the stone. You have cured my 
 prostate, and I don't care for the stone as it does not inconvenience 
 me." The following letter shows this patient's improved condition 
 when he left London : — 
 
 "August, 1880. 
 
 " I, C. W. L, Postmaster of -, Northamptonshire desire 
 
 to testify to the great benefit I have received from the treatment 
 of Dr. David Jones, of Welbeck Street, and 192, Clapham Road, 
 London, and I wish for the benefit of others who are suffering 
 from the most distressing complaint that mankind can be afflicted 
 with and from a desire to manifest my gratitude to Dr. Jones to 
 make this statement, viz. — That after having been afflicted from 
 February, 1880, to the middle of July of the same year from 
 enlargement of the prostate gland, and all that time being under 
 my own family doctor who could give me no relief only what I 
 could obtain from morphia which was fast taking away my life, 
 and being told that 1 must patiently bear it and get as much fresh 
 air as I could, as there was no cure for it; my life became a burden 
 to me. I happened at this time to see Dr. Jones' advertisement, 
 and wrote for one of his books on ' Diseases of the Bladder 
 and Prostate Gland,' and although against the advice of some 
 of my friends I felt determined to try what the doctor could 
 do for me. Accordingly I appHed to him and was admitted into 
 his establishment at Bolton House. From the very first applica- 
 tion of Dr. Jones' treatment I received some relief. After the 
 second considerable improvement was manifest, and after being 
 with him a month and under his treatment twice a week, I 
 
 G2 
 
have nearly lost all the bad effects of the enlargement of the gland 
 and I hope in a day or two to return home perfectly cured with a 
 heart full of gratitude to the doctor for having (through the 
 blessing of God) restored me to my family and friends again. I 
 shall be happy to answer any inquiries respecting Dr. Jones, who 
 has restored me to comfort and happiness. 
 
 Since the above date Mr. C. W. I. has had the stone removed 
 with great relief Fears are entertained however that there is 
 another stone impacted in the bladder. 
 
 No. 8. 
 Chronic disease of the bladder and prostate. 
 
 Mr. R, C, aged 29, single, residing at Stanwell, near Staines, 
 came to consult the writer. Being himself absent, the patient on 
 the 29th June, 1876, consulted the assistant, who attended him till 
 the writer saw him, viz., till the 12th July, 1876. 
 
 He stated that two years previously to bis coming he was 
 suffering greatly from pain in the back and bottom of his spine, 
 constant desire to pass water and great pain at the tip of urethra 
 extending down the canal for some distance ; also intense pain 
 during defecation, i.e., when the bowels were moved. His club 
 doctor had attended him for " prostatitis " without affording 
 any relief. He then went to St. Peter's Hospital — was there 
 three months as an out-patient, and for a similar period as an 
 in-patient. Two of the surgeons there said that he had enlargement 
 of the prostate ; another that he was suffering from paralysis and 
 irritation of the bladder. Deriving no real benefit either from 
 medicine or from catheters (kept in the canal for three hours at 
 a time) he was told that no more could be done for him, and was 
 advised to drink gin and water. He left the hospital continuing 
 to experience great suffering. Shortly afterwards and by 
 
ioi 
 
 recommendation he went to St. George's Hospital. Whilst there 
 as an in-patient five surgeons examined him, and he was treated 
 for abscess in the neck of the bladder and prostate. No 
 satisfactory result following he was advised to go to the Wimbledon 
 Convalescent Home but declined to do so. 
 
 The spray treatment was applied for the first time and special 
 instructions given regarding diet and for improving the general 
 health (an important item in all cases). 
 
 On the 19th July, 1876, seven days after the writer first saw 
 him, and after twelve days' treatment by his assistant, he wrote : 
 " I am better ; the pain in the neck of the bladder is not so bad; 
 the intense pain I had when my bowels were opened is nearly 
 gone." On the 29th July, in further consultation he said (his 
 words being recorded at the time) : " I am very much better ; the 
 coldness and pain is substituted by a feeling of warmth and 
 comfort. I get a natural inclination to pass water and pass it 
 without pain. Before I came to you I had a constant desire to 
 pass water, and when I tried to relieve myself I could only pass a 
 few drops at a time, which made me feel as if liquid fire was 
 passing. I can now sleep seven or eight hours and wake in 
 comfort ; I pass water about five times a day and plenty comes, 
 instead of a few drops every quarter to half an hour night and 
 day. Formerly during the first hour at night, I had to get out of 
 bed about ten times ; during the second hour seven or eight 
 times j the third hour about six times, but towards the morning 
 I generally got better. When I retired to sleep last night I felt 
 as if I had never had anything the matter with me, and I heartily 
 thanked God I had come to you." 
 
 On August 14th he states that for some reason he " is worse ; 
 great pains in the groin, more inconvenience in the fundament, 
 an itching on the right side of the urethra and a burning on the 
 left side." His skin was found to be hot, his circulation too 
 rapid — he had taken cold. Appropriate remedies were applied, 
 and he gradually improved in health and strength, and ultimately 
 
t62 
 
 be quite recovered. In a fortnight afterwards he returned to his 
 occupation which he had not been able to follow for a long time. 
 Satisfactory intelligence was received — his disease never returned. 
 On the 23rd February, 1877, he wrote as follows : — 
 
 " Stanwell, near Staines, 
 
 "February 22nd, 1877. 
 " Dear Sir, — I write to tell you that I feel quite well, and shall 
 not require any more treatment. I feel better than I have done 
 for the past two-and-a-half years : I consider you have done me 
 more good than all the doctors I have been under. You can 
 make any use of my name you think proper, and I shall be most 
 happy to answer any questions or letters sent to me respecting the 
 wonderful cure you have made of me, after being under many 
 medical men and being in different hospitals. I return my sincere 
 thanks and shall for ever feel grateful to you. I will come up in 
 the course of a week or two and then I will call and report 
 myself. 
 
 " I am, dear sir, 
 
 " Your ever grateful patient, 
 
 '^R. C. 
 
 " To Dr. Jones." 
 
 As two years had elapsed since the above letter was received, 
 he was written to in the early part of April (1880), and the 
 following reply was received from his sister : — 
 
 " Stanwell, 
 
 " 17th April, 1881. 
 " Dear Sir, — My brother having a bad finger, wishes me to 
 write for him. I am happy to say he is quite well ; thank God he 
 has not had the slightest return or symptoms of his complaint. 
 He wishes me to say that he shall be most happy for you to 
 publish his case and use his name, as he is indebted to yoU) and 
 
you o«/y, for his extraordinary cure, and the very good health 
 he now enjoys, and that he can never be sufficiently grateful to you 
 for your successful treatment of him. 
 
 " I remain, dear sir, 
 
 " Yours truly, 
 
 "S. C. 
 
 " To Dr, Jones." 
 
 The subjoined is from the copy of a letter handed to the writer 
 
 by the Rev. Canon C , who, previously to consulting him for 
 
 himself, had made enquiries, through a friend, as to the genuineness 
 
 of the above case, as also of the case of S. H. T. (see Cases). 
 
 " S Vicarage, 
 
 " 17th April, 1879. 
 
 " Dear Sir, — I very gladly went this evening to see my 
 
 parishioner, R. C, respecting the subject of your letter. He told 
 
 me that it was under Dr. Jones' treatment that he was cured of 
 
 his painful disease, and that all the particulars contained in his 
 
 statement were quite true. He is now perfectly restored to health 
 
 and strength and daily follows his arduous trade of a blacksmith. 
 
 . . Hoping that you may soon obtain benefit and yet awhile 
 
 be able to return to your people in good health. 
 
 *' I am dear Sir, 
 
 *' Faithfully yours, 
 
 " R. P. B. 
 «' The Rev. Canon C ." 
 
 No. 9. 
 
 Stone in the bladder relieved — apparently cured — while the 
 calaihis was still in the bladder. 
 
 I. B., aged 61, married. 
 March 9th, 1878. — The history of this case led the writer to 
 suppose that it might be stone or prostatic disease, or both. The 
 following is a summary of the writer's notes of the case :— 
 
to4 
 
 (i) Has passed reddish sand with his water for a long time. (2) Has 
 suffered from pain in passing water for ten months, gradually 
 increasing in severity. (3) Passes about a teaspoonful of water 
 every ten minutes during locomotion ; but does not think the pain 
 worse after urinating than before the act. (4) Has occasionally 
 seen specks of blood imbedded in the thick ropy mucus which 
 is always deposited in the chamber utensil. (5) Has had con- 
 siderable forcing discomfort in the rectum from an early period of 
 his suffering. (6) Urinated in my presence about a table-spoonful 
 of thick urine, which appeared to fall perpendicularly from the 
 meatus, as happens in prostatic disease. (7) Had been told by 
 the physicians and surgeons previously consulted that he had 
 stone, and operation advised. This frightened him. He com- 
 plained of the pain he had experienced from various examinations 
 he had undergone. As there appeared some doubt about the 
 case, and the patient being very nervous about being " sounded," 
 a mild spray was administered, and he was requested to come 
 three times a week. 
 
 March nth. — On entering the consulting room he said, " I am 
 better, sir; last night was the best night I have had for four 
 months. I have been out of bed only twice during the whole 
 night since I last saw you." Introduced the catheter, and drew 
 about two ounces of urine and gave a second spray. 
 
 March i6th. — Drew by catheter half an ounce of urine, which 
 was much clearer. He states : " I have seen no blood since the 
 first application." 
 
 April ist. — Has rapidly improved since last consultation. He 
 states : " I have only had occasion to get out of bed once during 
 the night since I was here. My water is quite clear. There is no 
 mucus in the chamber; it used to be thick and just like a pan- 
 cake at the bottom." 
 
 April 6th. — He entered the room with a nimble step and a 
 cheerful countenance, saying, " This is the best week I have had 
 for the last twelve months. I can hardly believe it. I noticed the 
 
165 
 
 improvement particularly on getting upstairs from the kitchen. I 
 used only to get up one leg at a time. I had to drag one leg after 
 the other, so to speak. The water is quite clear. It is such a 
 comfort to be in bed all night without being disturbed." 
 
 April 15th. — Drew about half an ounce of urine before applying 
 treatment. He states, " I continue to improve. I went to bed 
 at ten, and got seven hours' sleep right off. When I passed water 
 I did so without any pain ; and I feel I shall soon be well now." 
 
 June 19th. — The patient came as usual, apparently all but well. 
 On this occasion a firmer instrument was used with which to 
 administer the spray, the patient being in a standing posture. For 
 the first time a heavy stone was apparently felt grating distinctly 
 against the catheter. This led to a more careful examination by 
 a metallic " sound " ; the result showing unmistakeable physical 
 evidence of stone. " Click " after " click " was elicited audible to the 
 bystanders and to the patient himself. At this period the writer 
 was very desirous of curing stone in the bladder by dissolution and 
 took considerable trouble to ascertain the exact measurements of 
 this one in all directions. This was no doubt trying to the 
 patient— the irritation in the bladder annoying him. Before 
 this he had appeared perfectly well satisfied with the treatment. 
 Now he became vexed at the discovery of the stone and never 
 came again. Some time afterwards his son informed the writer 
 that the stone had been removed by another surgeon. 
 
io6 
 No. lo. 
 
 Spermatovrhcea and urethritis, followed hy gonorrhceal 
 prostatitis and cystitis. 
 
 W. P. aged 21, single. 
 
 October 28th, 1875. — (i) Had been suffering for four years (but 
 worse during the past two-and-a-half years) from most distressing 
 symptoms which resisted every kind of treatment — had consulted 
 some of the most eminent physicians and surgeons in London in 
 vain — ^had been guilty of a common indiscretion for eight years 
 Four years ago he abandoned the habit for a time. (2) After- 
 wards however contracted gonorrhoea of a severe kind which for 
 six months resisted ordinary remedies. (3) Soon after, considering 
 himself well, he began to suffer from bladder discomfort. (4) 
 After this he became troubled with nocturnal discharges which 
 occurred frequently twice and more during one night. (5) 
 Constant bladder irritation now came on, which worried him 
 greatly day and night — had more pain before passing water, half 
 an hour afterwards extending to the groin along the course 
 of the spermatic cord which was enlarged. (6) He had a very 
 dejected look, constant depression of spirits, occasionally a suicidal 
 tendency. (7) Enlargement of the spermatic vessels for which he 
 had worn a truss for several years. (8) His disease had been 
 variously called " disease of the bladder and prostate," " chronic 
 inflammation of the prostate," " irritable bladder," &c., &c. On 
 examination were found two ounces of residual urine common in 
 most cases of prostatic disease and irritable bladder. The urine 
 was turbid but retained a slightly acid reaction and was slightly 
 albuminous. Under the microscope were seen blood globules j 
 specific gravity of the urine was 1,018 j it was highly phosphatic, 
 turned thick on heating and effervesced briskly on the addition of 
 nitric acid but on account of the albumen it contained 
 continued cloudy. — Medicine and galvanic treatment were tried. 
 
I07 
 
 On the 4th of November he reported himself better : " Very 
 much better; I only pass water three times a day. I have a 
 natural desire to do so, and satisfaction after the act is over." 
 
 November 20th. — Without any explainable reason thinks 
 himself worse — irritation of the bladder returned. He states, " I 
 am a great deal more troubled during the night. I lost the 
 nightly discomfort soon after commencing your treatment but the 
 inconvenience during the day continued." Drew by catheter 
 (after he had urinated naturally) two ounces of urine ; it was very 
 slightly turbid through an excess of phosphates. Heat and nitric 
 acid quite cleared it, so that there was now no evidence of blood — 
 could not account for his suffering — altered his treatment and he 
 soon became much better. 
 
 January 19th, 1876. — The patient was as on a former occasion 
 very despondent. It appeared that he was desirous of getting 
 married, but feared he would never be able to do so. Further 
 appropriate remedies were employed and towards the end of 
 March he reported himself " quite well." The writer saw him 
 from time to time and found his prostate was reduced to its 
 normal size. He could empty his bladder thoroughly, and the 
 urinary secretion was quite normal. He was accordingly 
 pronounced cured and advised to call if discomfort of any kind 
 should return. But no intelligence was received from him 
 till the following was received — 
 
 "October 28th, 1878. 
 
 " Dear Sir, — I daresay you have long considered me ungrateful 
 for not writing as I promised to bear testimony to the beneficial 
 results of your treatment. 
 
 " When T consulted you it was the last resource left for me — I 
 never expected to get well as all my previous efforts were fruitless. 
 I was so truly wretched that words cannot express my condition. 
 You know how stubborn my disease was and how frequently I 
 told you that I would leave off all attempts to get well ; how I 
 came week after week and month after month in utter despair. I 
 
Io8 
 
 assure you sir that but for your kind assurance to the contrary and 
 your conviction that I should ultimately be cured I know not 
 what would have become of me. Should you have any patient in 
 the same condition as I was in, please give them the same 
 assurance as you did me and tell them the number of times I came 
 to you shaking my head and saying " no better, no better sir," 
 still thanks to God and you I am perfectly restored to health. 
 " I am your ever grateful patient, 
 
 "W P." 
 
 This case was intended for publication in the last edition, but 
 was omitted. The writer wrote to Mr. W. P. in February, 1880, 
 and received the following reply from which it seems that the 
 bladder inconvenience dates much earlier than is specified in the 
 history given of his suffering. In a letter dated 15th February, 
 1880, the following passages occur : — 
 
 " Dear Dr. Jones, — In answer to your note of the 7th instant, 
 it gives me great pleasure to again bear testimony 16 the beneficial 
 results of your treatment. I think if I remeiiiber rightly my 
 bladder first became affected when about eleven years of age, 
 although many years ago I can recollect being continually obliged 
 to pass Water. I can also recollect being chaffed by members of 
 my family accordingly. The discomfort left me for a time but 
 returned when I was about fifteen years of age (my present age 
 being twenty-six) and I continued in that miserable state (suffering 
 at the same time from another disease) until I came to see you. 
 I tried one medical man after another but gradually got worse. 
 My life proved a burden instead of a pleasure, when with friends 
 I was unsociable and was so irritable that it seemed I could not 
 treat any one with even common civility. You can willingly show 
 your patients these roughly written lines and if their disease is like 
 mine, bid them to live in hopes, and persevere under your 
 treatment as I did. I need not say more except to again thank 
 you for the attention you paid to me and the care with which you 
 studied my disease while under your treatment. Thanks to your 
 
109 
 
 inquiries I have continued well since I last saw you. I shall 
 always be too happy to testify to the benefit I have received at 
 your hands if at any time you feel disposed to refer to me ; trusting 
 you will accept my heartfelt thanks. 
 
 '* I remain yours gratefully, 
 
 " W. P." 
 
 No. II. 
 
 Disease of the prostrate of long standing — occupying nearly a year 
 before treatment could he left off — the remote cause gonorrhoea in 
 
 early life. 
 
 B. H., aged 64. 
 
 The description given by this patient of the sufferings which pre- 
 ceded his more recent and severe attacks, made it evident to the 
 writer that the gonorrhoea contracted on two distinct occasions 
 in former years, had greatly contributed to his present condition. 
 Though attended by eminent medical men from time to time, 
 gonorrhoeal prostatitis had unquestionably existed for some time. 
 In the early part of 1880 he became worse and consulted various 
 medical men. Though fluctuating in his condition under 
 treatment he was nevertheless seldom free from discomfort. 
 
 In the year i88r he presented himself to the writer at the 
 Home Hospital in Dean Street, Soho, with well marked symptoms 
 of chronic enlargement of the prostate. He had frequent urina- 
 tion at night, attended with considerable pain. The urine was 
 cloudy and loaded with mucus. 
 
 Soon after the treatment had commenced, under the care of one 
 of the writer's assistants, he had a sharp attack of orchitis, and the 
 treatment had to be suspended. The urinary trouble now became 
 
no 
 
 more alarming, and he had to pass water at times every five or 
 ten minutes at night, — the frequency during the day being about 
 once every hour. 
 
 On the 27th April, 1881, he came under the writer's personal 
 attention. His symptoms were then about the same as those 
 above described. — Specific remedies and the spray treatment 
 were administered. 
 
 The urine, which could not be expelled by natural efforts, 
 amounted only to two-and-a-half ounces, and it took a long time 
 to reduce it, and even when there was evidence of improvement 
 it did not last, as in the majority of similar cases treated by the 
 writer. For instance, the entry in the " case book " under date 
 i8th June, 188 r, showed the residuary urine reduced to six 
 drachms only : he nevertheless stated : "I am very much better — 
 the pain is quite gone, and instead of passing water every few 
 minutes I can go two hours, and when the call comes on me 
 while serving a customer 1 can wait for ten minutes without the 
 same uneasiness I used to experience, and when afterwards I 
 empty the bladder I do so naturally and with very slight pain." 
 
 The treatment was pursued and on the 29th of June the 
 residuary urine is found to be seven drachms, i.e., one drachm more 
 than on the former occasion. 
 
 On the i6th July the residuary urine is reduced to two drachms. 
 
 On the 30th of the same month the patient reports himself " all 
 but well." 
 
 In August (23rd) he is again a little worse, but the residuary 
 urine amounted to two drachms only. 
 
 On the loth September he is much better again — the residuary 
 urine is only thirty drops. 
 
 From this latter date down to the present time he has 
 had little or no discomfort, the amount of urine which he cannot 
 expel from the bladder has not increased and his condition is such 
 as to enable him to say : — " I would never grumble if I continued 
 always as I am now." 
 
Ill 
 NOTE. 
 
 This case is by no means typical of ordinary chronic enlargement 
 — but of chronic enlargement coming on very gradually after 
 disease contracted in early life. In other words, it was a case of 
 specific chronic inflammation of the prostate. The gland had been 
 enlarging very gradually. The length of time it had been growing 
 had produced more compactness, more hardness so to speak in 
 the gland structure. The enlargement was not great so that the 
 residuary urine never amounted to more than two-and-a-half 
 ounces. The median portion ot the prostate was the part chiefly 
 affected— a slight enlargement of which portion will occasion more 
 discomfort than considerable enlargement of the lateral portions, 
 inasmuch as it interferes more with, the function of urination. 
 Cases of prostatic enlargement which take a long time to become 
 hypertrophied (enlarged) are always more difficult to cure. And 
 if in addition there is or has been specific disease such as 
 gonorrhoea or syphilis, the cure is still more tedious. Tubercular 
 and cancerous depositions partake of the same character. 
 
 These remarks are added to show the reader that much more 
 time is required for the cure of specific cases than for the cure of 
 the more common forms of enlarged prostate which generally 
 yield readily to the writer's treatment. 
 
 No. 12. 
 
 Stricture — aire without cutting. 
 
 J. A., aged 48, unmarried. 
 
 This patient's sufferings extended over a period of 22 years 
 
 originating in an attack of gonorrhoea ; the ordinary treatment (by 
 
 stimulating diuretics copaiba and cubebs, &c.) had been applied. 
 
 The acute stage passed, a gleet remained, for which he was treated 
 
112 
 
 by injections of nitrate of silver and other strong astringents such 
 as lead and copper. Soon after using these, acute orchitis 
 followed and laid him up for several weeks. The inflammatory 
 symptoms subsiding the discharge returned and he became as bad 
 as ever. St. Bartholomew's, Guy's, and Charing Cross Hospitals 
 were then resorted to but with little or no benefit. The patient's 
 own statement further explains consultations from time to time 
 with " private doctors " (as he termed them) without any real 
 benefit but with varying consequences, involving a large amount 
 of con tinned suffering — fresh symptons following remedies applied — 
 skin disease, serious disturbance and derangement of the 
 digestive organs and general ill-health. Discouraged and 
 despairing (as he said) he resolved to leave "things to nature," 
 and he suffered on more or less for many years, during which 
 time serious symptoms in connection with the bladder were 
 presenting themselves. To use his own words, " he was worried 
 with discharge and difficulty in passing water. The stream 
 became twisted, and sometimes it would splutter in all directions as 
 water coming out of a watering pot." Eventually "he could pass no 
 stream at all — there was perfect obstruction and the urine 
 dribbled away involuntarily night and day — had to wear flannel 
 and other contrivances to absorb the urine as it dribbled away." 
 Though shuddering to think of consulting another doctor, his 
 sufferings nevertheless led him to call in a neighbouring 
 practitioner, who he says, " treated him very roughly while 
 attempting to pass his instruments and made him bleed con- 
 siderably." At this juncture he was recommended by a friend to 
 send for the writer as one who "never used violence." Accord- 
 ingly the writer was sent for. The patient was in a deplorable 
 condition when first seen. Most tender treatment was essential. 
 The smallest French bougie could not be introduced without 
 occasioning rigors followed by fever. The flow of urine became 
 less and less and ultimately stopped entirely, and the bladder 
 became greatly distended. To give temporary relief, the bladder 
 
1^3 
 
 had to be punctured and aspirated three times, and in the interval 
 attempts were made to dilate the urethra. A very fine fi-ench 
 bougie was ultimately introduced and retained in the canal. At the 
 end often days, some progress had been made. The parts were 
 beginning to resume lost function. As the bougies increased in 
 size, the meatus (the narrowest part of the canal) had to be freely 
 divided. Long continued treatment was called for and gradually 
 pursued till No. 38 french bougie was reached. [No. i french is 
 about the size of a small bristle, No. 38 about the circumference 
 of a lady's finger (i in. f). This will give the reader an idea of 
 the amount of dilatation carried on.] As the patient had 
 intimated his intention to go to Australia, and objected to other 
 or more rapid surgical procedure, it was considered desirable to 
 carry on the treatment of dilatation (thus far successful) much 
 longer, in order to effect anything like a permanent cure, and to 
 obviate retraction of the urethral tissue, which is very liable to 
 occur after treatment by ordinary bougies. The treatment of J. A.'s 
 case was in fact continued for fully three months— a period by no 
 means too extended in cases where permanent benefit is to be 
 gained. As the patient underwent the treatment it was gratifying 
 week by week to see the urine becoming clear, the pain subsiding, 
 the stream increasing in size, and being expelled naturally with 
 the usual force, to which he had been unaccustomed for many 
 years. With this physical improvement his general health also 
 improved — the wretched-looking pinched and pale face, so 
 characteristic of long suffering, became placid and healthful in 
 appearance ; he gained flesh, weight, bouyancy, and courage. 
 The case which gave little or no hope of recovery, responded very 
 satisfactorily to the treatment, although (as already stated) it 
 occupied considerable time. After visiting some friends in the 
 country for a few weeks he made preparations for carrying out 
 his long cherished wish to go to Australia. The friend who had 
 
IT4 
 
 recommended J. A. informed the writer four years aftewrards that 
 J. A. was quite well and had not experienced any return of 
 former discomfort. 
 
 NOTE. 
 The writer has treated several cases of organic stricture in a 
 similar manner, and has every reason to be satisfied with the results. 
 The method adopted and applied by him may, to some, 
 seem tedious compared with other methods, but where a patient 
 has great aversion to the use of purely surgical means, the writer 
 would unhesitatingly and with confidence pursue it in preference 
 to the usual mode of treatment. Stricture treated as by Otis's 
 method is by far the most satisfactory, but the writer is acquainted 
 with patients so treated by other surgeons (one in his own practice) 
 where contraction showed itself in less than twelve months. The 
 speedy return of the stricture in that case was very exceptional, 
 the patient having undergone three operations by different sur- 
 geons. The wriler is persuaded that where this happens it is due 
 to want of more assiduous attention, the strictured part is not 
 divided in its whole length, some fibres of the diseased tissue 
 being left undivided, and the after treatment by bougies is not 
 carried out for a sufficient length of time. Ten to fourteen days 
 as mentioned by Dr Otis is not sufficient in the writer's opinion 
 to ensure a perfect cure, and in a manner so vital to the patient's 
 interest two or three weeks treatment more or less should not be a 
 matter of consideration to him. For the reader's information 
 whether professional or lay the writer would add a few general 
 remarks respecting his own m^ode of treatment. He has termed 
 the treatment '• unusual dilalion," and he is satisfied that unless 
 this is carried out, that is to say, unless the canal is unusually 
 dilated, the urethral tissue is sure to contract and the stricture 
 resume its original hard and unyielding condition and the treatment 
 prove not to be curative, but like the ordinary bougie treatment 
 only palliative , One difficulty however is that sometimes patients 
 
"5 
 
 will not go on with the treatment, saying, " I am quite well doctor ; 
 why treat me any longer? " and other such-like expressions. The 
 writer's experience however convinces him that the dilatation must 
 be carried on until the area of the canal is dilated beyond the size 
 given by Otis as the normal size. This appears to have the 
 effect of destroying the tonicity of the structures so to speak and 
 thereby obviating the tendency to retraction as happens after 
 ordinary treatment. Where patients have a dread of cutting as 
 sometimes is the case and there be ample time to devote to 
 "unusual dila-tion," the writer can confidently recommend it. 
 
 No. 13. 
 
 Stone in the bladder, weighing one ounce (minus 5 grains). 
 Mr. G. H., Southampton, aged 63. 
 
 About seven years ago while apparently in good health he was 
 suddenly seized during the night with very severe pains in the 
 back extending to the hip of the right side, front part of the right 
 half of the abdomen, the generative organs, as well as the front 
 part of the thigh. This was attended with cold sweats and 
 coldness all over the body. His medical attendant 
 administered the usual remedies, aided by hot bottles to the feet, 
 sides and perineum. He soon got better and was able to resume 
 business again. This attack was clearly that of passing stone from 
 the right kidney. Previously to this attack as well as afterwards 
 he had noticed that the chamber utensil was frequently covered 
 with gravel, but as this gave him no trouble he thought no more 
 about it. 
 
 Six months after the first attack he was again seized with similar 
 symptoms and in like manner got better by a repetition of the 
 treatment. Twelve months later however he was seized for the 
 third time, 
 
 H2 
 
ii6 
 
 Soon after this he was quietly sitting in his office when an 
 urgent desire to urinate came on without any warning. In the 
 act of doing so a small stone "shot out" with seme violence, 
 which satisfied him he was suffering from stone in the bladder. 
 He suffered little or no inconvenience for a long time after this, 
 but always noticed that he urinated more frequently than other 
 people, which made him fidgetty. As a small stone had passed 
 he flattered himself that he had got rid of his enemy, but such was 
 not the case. He was able however to attend to his business in 
 the usual manner until a year ago when he went out some distance 
 on horseback. The riding exercise increased his suffering tenfold, 
 — the bladder irritation became unbearable, and he passed a 
 large quantity of blood at variable intervals. From this date he 
 became worse until he consulted the writer on the 22nd October, 
 1879. He was ordered to take rest, and appropriate remedies 
 were administered. When his symptoms had subsided and the 
 writer's spray treatment had got the bladder into a healthier state 
 the patient was operated upon. 
 
 The patient was placed under the influence of ether, and a very 
 hard lithic acid calculus was most effectually reduced into 
 fragments by Bigelow's large lithotrite, and removed by the tubes 
 and aspirator in 55 minutes, including the time occupied in 
 overcoming the impaction of the lithotrites and cleaning them. The 
 debris when dry weighed 475 grains, i.e., five grains under an 
 ounce. The only difficulty that presented itr.elf wasthe impaction 
 of the lithotrites in the narrow part of the urethral canal. The 
 debris became clogged between the blades of the instruments. 
 Mr. Meltzer (of the firm of Messrs. Mayer & Meltzer) who 
 was present saw the difficulty which the writer had to encounter 
 and has since manufactured for him, under his instructions, an 
 improvement upon Bigelow's instrument which is mentioned 
 in Part IV. The patient made a rapid recovery and returned 
 home in a few days. He might indeed so far as his health was 
 concerned, have left some days sooner, 
 
117 
 
 So completely did Bigelow's aspirator wash out the debris that 
 not a grain was passed with the urine afterwards. With the excep- 
 tion of slight bleeding from the urethra not a single bad symptom 
 occurred. 
 
 Mr. H. called on the writer in January, 1880, and reported 
 himself in perfect health. 
 
 No. 14. 
 
 Tivo lithic acid stones, weighing collectively 220 grains, 
 
 G. G., aged 67, Leeds. 
 
 This gentleman's case presented the usual signs of stone with- 
 out any complications. The writer, when first consulted by this 
 patient, could not help remarking to himself, " This gentleman 
 ought to have stone." He had the appearance of a perfectly 
 healthy man, whom (so to speak) no one would pity — tall, stout, 
 commanding, with a ruddy countenence — the picture of a good- 
 tempered English gentleman. His countenance brightened with 
 a smile when spoken to. He looked less like a patient and much 
 less serious than his anxious son who accompanied him. 
 
 Many stone cases occur in such persons. He gave the 
 history of his case in a manner the writer has often wished other 
 patients would follow — clearly and truthfully. No case of 
 stone could be detailed with more accuracy and faithfulness. He 
 said, " I have been suffering, doctor, for two years. I first noticed 
 bits of gravel in my water, attended with uneasiness at the tip of 
 my penis, and a worrying desire to pass water more frequently 
 than natural, which gradually got worse till I had to urinate every 
 ten minutes. I v/as always vvorse after exertion, such as riding in 
 a trap over roughish ground. This brought on shivering fits, and 
 not infrequently large particles of stone came away from me 
 with a lot of blood. The pain and uneasiness were always worse 
 
ii8 
 
 after I had passed water, very bad indeed, but went off in a few 
 minutes after considerable straining, until I wanted to pass water 
 again. I am quite well when lying in bed or on the sofa, but as 
 soon as I get up I have to be at it again." 
 
 The process of "sounding" soon revealed that he had two small 
 calculi. He was sent to Bolton House, and after slight prepara- 
 tion the stones were removed, under the influence of ether, in 
 nineteen minutes. He made a rapid recovery ; the only little 
 trouble he suffered from afterwards was inflammation of the testicle, 
 which occasionlly — very occasionally — follows the use of 
 instruments in the urethra, independently of stone. The patient 
 soon recovered from his secondary discomfort, and has enjoyed 
 good health ever since. 
 
 No. 15. 
 
 LitJiic acid stone, half a drachm iindey an ounce in weight — 
 complicated with two strictures. 
 
 G. F. v., aged 38, Widower. 
 
 This patient had been engaged in very heavy work, necessitating 
 a considerable amount of stooping. For many years he had been 
 subject to pain in the back, which he generally attributed to his 
 occupation. His discomfort increased, which induced him to 
 employ various domestic remedies, but without benefit. His 
 doctor told him he was suffering from lumbago, and treated him 
 accordingly. Getting no relief he went to St. George's Hospital 
 as out-patient and remained under treatment for three months. 
 At that time he suffered considerable uneasiness, and passed blood 
 in his urine occasionally. Eventually his urinary symptoms 
 became more troublesome, and his urine occasionally became 
 tinged with blood. This led his hospital surgeon to sound 
 him for stone, but none was found. Getting no relief after three 
 
ii9 ■ 
 
 months' treatment he went from doctor to doctor without deriving 
 reUef until uUimately he left off doctoring altogether and was 
 just as well without medicine. Afterwards additional symptoms 
 troubled him. He passed water more frequently and was in more 
 pain. He consulted another doctor who likewise " sounded " him 
 for stone, but he also failed to find one. Finding ultimately and 
 after enquiry that the writer had treated such cases with success, 
 he accordingly in September, 1879, presented himself with very 
 severe symptoms. An examination revealed two strictures in the 
 urethral canal, one two inches from the meatus and another about 
 five-and-a-half inches. Both were very contracted strictures 
 admitting only No. 2 French catheter. In the course of a few 
 weeks he was much relieved ; still he passed blood with urine and 
 had considerable straining after urinating. A microscopic 
 examination revealed lithic acid. An examination for stone 
 by " sounding " made his case beyond doubt. He was advised 
 to enter the writer's " Home Hospital for Stone." He was placed 
 under ether, and in five minutes under the hour a calculus weighing 
 an ounce less half a drachm was removed. He made a rapid re- 
 covery and left the Home Hospital in a fortnight. Since then he 
 has been perfectly well — all his painful symptoms (his back-ache of 
 seven years' duration included) have disappeared — and the writer 
 has been informed that he is now married to a second wife. 
 
 G. F. V. called on the writer in January, 1882, in perfect 
 health and has been so ever since he left the Home Hospital. 
 
 No. 16. 
 
 A remarkable case of stone, complicated with a very large prostate^ 
 
 occupying the writer three months before he could get entrance 
 
 into the bladder and ^^ sound '^ the patient. 
 
 J. P. 
 
 J. P. had been suffering from urinary trouble for a long time, 
 
 and had been getting gradually worse, but more particularly 
 
 during the last eighteen months. 
 
I20 
 
 Getting no relief from the treatment of several medical 
 gentlemen he had consulted (in his own neighbourhood) he came 
 to a London physician associated with Guy's Hospital, whose 
 prescriptions he followed but without benefit. He now sought 
 the writer's advice. His symptoms were as follows: — 
 
 (i) Intense irritation in passing water, which he has to do 
 every hour or two hours during the day but less frequently at 
 night. (2) He is always worse for two or three minutes after 
 emptying the bladder. (3) The pain extends to the perineum 
 (crutch) and fundament, so that during each act of urination there 
 is severe involuntary straining in the rectum (back passage). [The 
 above symptoms were so severe that the writer entertained serious 
 doubt as to whether there was not some malignant disease of the 
 lower bowel. The spasmodic seizures were so violent, sudden, 
 and uncontrollable that the patient could seldom reach the 
 commode without great unpleasantness.] (4) At the commencement 
 of his illness he passed a large quantity of blood after emptying 
 the bladder and after any kind of exertion. (5) He has been 
 examined for stone four or five times by his various medical 
 attendants, who assured him one and all he had no stone. His 
 London physician however told him he "thought he had." (6) 
 Is worse when lying on his back, and easier when lying on either 
 side, and easier on the left than on the right. (7) The urinary 
 secretion is loaded with mucus, pus, and blood. (8) An examination 
 per amim (by the lower bowel) discovers the largest prostate 
 gland the writer ever examined. A small elastic gum catheter 
 was introduced with some difficulty, and six ounces of very foetid 
 residuary urine, mixed with blood and mucus, was withdrawn from 
 the bladder. (9) Under the microscope are seen pus and blood 
 globules and crystals of oxalate of lime, "dumb-bell " as they are 
 called (from their resemblance to a dumb-bell). (10) The 
 prostate so large that an ordinary " sound " could not be 
 introduced — the passage also so sensitive that the operation 
 of *' sounding " was abandoned for another day. He was, 
 
121 
 
 moreover, very corpulent, and it was with the greatest possible 
 difficulty he could remain on his back without a sense of painful 
 suffocation — in fact, it was postponed till it could be properly 
 done under ether. In about a week this was tried without effect. 
 He took the anaesthetic very badly, and it had to be left off on 
 several occasions to avoid accident. After repeated attempts it 
 was found on examination that the part of the urethra cor- 
 responding to the prostate was dilated into a pouch, which 
 resembled a second bladder, so that the "sound" appeared to 
 enter the bladder but did not do so. He was examined over and 
 over again by the " sound," but it never could be coaxed to enter 
 the bladder ; this will account for the patient's former medical 
 attendants failing to find stone. These examinations tried the 
 poor fellow sorely. The symptoms above described appeared 
 very conclusive, and indicated that he had the worst and hardest 
 form of calculus, oxalate of lime, complicated with an enormous 
 prostate. Still, it is a rule in surgery never to assert the presence 
 of stone without the physical proof which "sounding" elicits.* 
 To afford permanent relief it was clear the foreign body (stone) 
 must be removed, and it was all but decided at one time that 
 the operation of " cutting " (lithotomy) was the only means of 
 adopting to relieve him, but considering how fatal the " cutting " 
 operation (lithotomy) has been, and considering also the 
 peculiar constitution the writer here had to deal with, a resolute 
 attempt was m.ade to dilate the urethral passage and reduce the 
 size of the prostate and remove the stone by the writer's method 
 aided by Bigelow's operation.! 
 
 It was clear that the first thing to do in this case was to attempt 
 to do what high authorities say cannot be done " by any known 
 
 *Cases are on record where patients have been "cut" for stone and no 
 stone as been found. Cases have also been recorded where the stone has 
 been struck (sounded) with the instrument called "a sound " at one time and 
 not at another. 
 
 fOne in about three-and-a-half to four patients treated by the "cutting " 
 operation in adults die. 
 
means,"^ but which the writer maintains not only can be done but 
 has been done, viz., to ndtice the size of the prostate. The writer's 
 system (the spray treatment) was now put to a fair test, and as 
 this patient (and scores more) can testify he was greatly relieved 
 during the spray treatment. 
 
 In this case the enlargement was in the median as well as lateral 
 lobes — the quantity of residual urine (only six ounces) clearly 
 indicated that such was the case. A very small am.ount of 
 enlargement of the median lobe gives a considerable amount 
 of discomfort, while a very great amount of enlargement of 
 the lateral lobes might exist without much discomfort being 
 co-incident with the disease. After treatment for the prostate 
 had been employed for some time it was thought advisable to 
 employ additional means with a view of enlarging the urethral 
 canal for the purpose of " sounding." This was done for some 
 time, and another attempt was made to " sound " the patient 
 again while under the influence of ether. The ordinary " sound " 
 would not pass into the bladder, notwithstanding repeated 
 attempts by the writer aided by attempts made by three other 
 medical friends present. All attemps were ineffectual — it was 
 found impossible to " sound" him. The question of " cutting " was 
 put before the patient in a day or two as being the only means of 
 getting rid of the stone. The patient replied " but, sir, you can't 
 be certain, you say, there is stone without sounding me, which 
 appears to be the only safe test." The writer could not but assent 
 to this as true, and he might have told the patient that patients had 
 been (apparently) sounded and afterwards cut for stone and no 
 stone found. The rule is that the "sound " must touch the stone by 
 more than one surgeon at the time the operation is about to be 
 performed. In this case this could not be done, the "sound " would 
 not go into the bladder. All these circumstances weighed 
 heavily on the patient's mind as well as on that of the writer. The 
 
 *See opinions of Sir Henry Thompson, Van Buren, Keys, Gant, and 
 others in article on the prostate (pages 5^, 55, and 56 in this publication). 
 
123 
 
 \VrIter was morally certain (though not physically so) that stone 
 was present, still he might be mistaken in his diagnosis, and a 
 fellow-being's life might be sacrificed. The treatment was proceeded 
 with and with good results. 
 
 Finding the ordinary (stiff) "sound " could not be introduced 
 into the bladder, in the emergency the writer attempted another 
 kind of "sound." The ordinary "sound" appeared to be 
 obstructed long before it reached the bladder, which he thought 
 was due to its being straight and stiff. On this account he asked 
 Mr. Meltzer of the firm of Mayer & Meltzer to make a longer 
 " sound " with a flexible shaft and metallic tip. A shaft of this 
 kind of " sound " would give or bend according to the tortuosity 
 of the canal. The circumstance that actuated the writer was this : 
 If (he argued) there is a stone it would no doubt be found behind 
 the enlarged prostate. Even if a stiff " sound " could be coaxed 
 into the bladder the stone would not be reached, consequently the 
 physical test (the most reliable one of all) would not be available. 
 He argued also that if a flexible "sound" could be coaxed 
 into the bladder, it might be cautiously gUded along the posterior 
 part of the bladder, and meeting with an obstacle the flexible 
 handle would bend and bring the metallic tip forward towards 
 where the stone usually lies. The writer's view proved true — the 
 first trial verified his reasoning — the stone was at once discovered. 
 The stiff " sound " could never have been brought in contact with 
 the foreign body. It is not to be wondered then that J. P.'s 
 former medical attendants failed to discover the stone, but the 
 writer is of opinion that at the stage of the disease when he was 
 examined the " sound" never really passed beyond the pouch-Hke 
 dilatation already described. The wished-for object now accom- 
 plished, the writer was encouraged, as was the patient, and it was 
 decided to continue the spray treatment for awhile longer. " If 
 I can be cured (said the patient) without the knife, I won't mind 
 the time occupied. I am wonderfully better already." He also 
 said, " They are grumbling at home about the length of time I 
 
124 
 
 have been away, and many have said that I should never return 
 home alive, but by God's blessing I hope to disappoint them." 
 The treatment was continued with vigour, and by the aid of dilators 
 and the spray treatment a lithotrite was ultimately got into the 
 bladder. Accurate dimensions of the stone, said not to exist, 
 were soon taken, and in a few more days a hard stone, composed 
 of oxalate of lime was removed, and the suffering patient was 
 speedily relieved. 
 
 Mr. J. P. visited London in November, 1881, in perfect health 
 and well pleased with all that had been done for him. 
 
 No. 17. 
 
 Oxalate of lime stone, zveighing nearly four ounces. — Two instvn- 
 ments broken during the operation. — Recovery. 
 
 G. S., aged 28, married. 
 
 The following narrative of this patient's sufferings was given by 
 himself, and it is here presented in extenso, partly as information 
 to other like sufferers, but chiefly as both suggesting and justifying 
 the remarks appended respecting the instruments used in this 
 particular case. The patient's statement is as follows : — At the 
 early age of 19 years he had a most unusually constant desire to 
 urinate, accompanied by pain at the end of the penis. He kept 
 on at his work (fireman on a locomotive engine) for twelve months, 
 when he got worse, passed blood, and had to urinate every few 
 minutes. He consulted a doctor at Castle Bridge, who sounded 
 him and suspected stone but could find none, and recommended 
 him to a doctor at Carlisle, who also sounded him, discovered a 
 stone, said it was a large one, and sent him into the Carlisle 
 Infirmary, of which he was a consulting surgeon. He went in, 
 and the house surgeon and some of the visiting surgeons examined 
 him several times, but could find no stone. After he had been an 
 in-patient for six weeks and had been examined several times 
 
T25 
 
 unsuccessfully, the before-mentioned consulting surgeon came in 
 and said, " Why are you keeping this patient so long ? " and he 
 was told that the patient had not got a stone. Upon this he sent 
 for his instruments, and using them at once discovered a stone. 
 Two weeks after this he was put under chloroform and 
 again examined by the consulting surgeon who said the stone 
 was smaller than on his first examination he thought it was, and 
 that it was prickly like a horse chestnut. It was decided that the 
 patient should be " cut," and he was told that the " cutting 
 operation " would be better, and not so painful or protracted as the 
 crushing operation. He had now been in the hospital nine 
 weeks ; and at the end of eleven weeks he had to leave the 
 infirmary owing, to domestic troubles which culminated in the 
 death of his wife. His father now would not allow him to return 
 to the infirmary as he was afraid that the operation might prove 
 fatal, so the patient started work again. Soon however he began 
 to pass blood in the urine, and a friend advised him to try a 
 medicine known as " Dutch drops." This stopped the blood and 
 brought away a great quantity of mucus, and in fact did him much 
 good, but it soon lost its effects and he got as bad as ever. He 
 was then off work for eight months, when although still very ill, 
 he tried to start work again. He fortunately got an easy place 
 and worked on and off till Christmas, a period of four months, 
 when a friend recommended him to try some herbs which he 
 declared had dissolved a stone from which he had been 
 suffering for a long time. He accordingly took these herbs for a 
 week but got much worse and gave them up in disgust. He 
 began work again, and in about another week he thought the 
 stone was being dissolved and passing away as he passed a 
 quantity of urine of a sandy consistency. From this time he 
 gained flesh and rapidly got better. He worked at his previous 
 occupation, and continued to do so without any very material 
 inconvenience for five years. It should be noted that although 
 apparently well (for he concluded that the stone was entirely 
 
126 
 
 dispersed), his urine was always more or less clouded during the 
 whole of these five years. 
 
 The patient had in the meantime married again. About two 
 years ago when on his engine he suddenly felt something move in 
 his bladder, accompanied by the old pain at the end of the penis. 
 This discomfort lasted for a fortnight, and he then got better. He 
 continued to work for another twelve months, during which time 
 he was sometimes better and sometimes worse. The following 
 Christmas however he broke down entirely. All the old and 
 worst symptoms came on again. His urine dribbled away from 
 him involuntarily, and he continued in this state for three months. 
 He then got slightly better again and went to work for seven 
 weeks, but ultimately soon succumbed to a return of his old 
 symptoms — at this time he lost all control over his bladder. 
 
 The foregoing statement narrates the circumstance under which 
 this patient consulted the writer, and which led to arrangements 
 being made to receiving him into the Home Hospital in Dean 
 Street, Soho, on the 12th day of September, 1881. He was 
 examined on the same day by Dr. Jones, who at once found a 
 very large stone and determined to operate. Unfortunately the 
 patient caught cold, and the operation had to be postponed for 
 nearly a month. After preparatory treatment to subdue the irritable 
 and inflammatory state of the bladder, which the spray treatment 
 most effectually does in some cases, the patient was placed under 
 the influence of ether. The stone was seized with one of Bigelow's 
 large instruments, but was soon found to be so large as to prevent 
 the lithotrite locking, and though seized in several directions the 
 screw would not bite. An attempt was then made to bring the 
 male and female blades together, by forcibly opening and closing 
 the blades, but the stone would not give way. The writer now 
 attempted to break the stone by tapping with justifiable force with 
 the ball of his hand. This was repeatedly done without effect. 
 
 The stone measured two-and-a-half inches in the largest 
 direction, two-and-a-quarter in another, and two inches in the 
 
127 
 
 narrowest direction, thus showing it to be nearly as broad as long, 
 — in fact, nearly alike in measurement in all directions. Until 
 BiGELOw's lithotrites were introduced, surgeons never attempted 
 to crush an oxalate of lime stone larger than a small chestnut, but 
 unhesitatingly reserved it for the "cutting" operation. Authors 
 have written of this kind of calculus — "The lithotrite recoils from it 
 and feels as if a bit of iron were between the blades." What was to 
 be done ? lithotomy (the " cutting '' operation) seemed the only 
 practical way of removing the stone. Knowing, however, the 
 fatal results so often attending this operation, as applied to large 
 calculi, in cases other than those where the patients are children 
 or under the age of 21, the writer resolved to try the effects of 
 comminuting the stone with a hammer, as had been successfully 
 done in the case of E, H. (see cases). Every precaution was 
 taken to avoid injury to the bladder by sharp fragments which 
 might unavoidably happen in forcibly crushing such a stone as he 
 had to deal with. For instance, the bladder was filled with warm 
 water— the hard stone was brought as near as possible (between 
 the blades of the instrument) to the centre of the bladder before 
 the process of crushing commenced, thus securing an arrest, so to 
 speak, in all directions, of the splintered fragments — in other words, 
 the fragments must in this way be impeded in all directions before 
 reaching the walls of the bladder. By this means mechanical 
 injury (the chief drawback to ordinary lithotrity) was avoided.^-' 
 
 *For many years in the performance of ordinary lithotrity, the writer 
 employed with considerable advantage liland and thick, yet soothing fluids, 
 such as gruel, linseed tea, gum water, quince, glycerine, and emulsions of 
 various kinds. These fluids, he is assured, are of great use, since they inter- 
 cept to a great extent the contact of hard fragments with the coats of the 
 bladder, and by this precaution mechanical injury to the already inflamed 
 bladder was done away with. With his own mode of treatment, however, 
 this is not necessary, inasmuch as his preparatory spray treatment in most 
 cases subdues inflammation. Nevertheless, he still, in some cases of very 
 irritable bladders, employs these bland and soothing fluids, and in case of 
 liihotrity, or even Bigelow's operation, in the hands of other surgeons, he 
 would still strongly recommend that f Un of treatment, 
 
128 
 
 All things being arranged, and the stone being well secured 
 between the male and female blades of the lithotrite, the male 
 portion was struck with a good sized hammer severely and suc- 
 cessively, when, after a considerable amount of hammering, the 
 stone gave way. On attempting now to seize again other frag- 
 ments, the lithotrite was found to be crippled. It had to be 
 withdrawn and substituted by another of equal strength. A large 
 fragment was now seized measuring an inch and a half All the 
 strength the writer could bring to bear was exerted. The stone, 
 now reduced to a much smaller size, was still too tough. Attempt 
 after attempt was made, but without effect. Dr. Buck, a medical 
 gentleman present, was asked to steady the handle of the lithotrite 
 while the writer was working the screw. Finding his attempts 
 were ineffectual, another gentleman present was asked to try his 
 strength, but failed in his attempt. The physician who had charge 
 of the aneesthetic (ether), a powerful man nearly six feet high, and 
 proportionately strong and muscular, was asked to try his strength. 
 He also failed. The hammer was again employed, but this litho- 
 trite, like its predecessor, came to grief An attempt was made to 
 unlock it, but it was found impossible — it was immovable. Fears 
 were entertained that one of the blades of the lithotrite within the 
 bladder was bent. It was, however, soon found that the obstruc- 
 tion was in the handle. It was found that the concussion of 
 hammering had, by accident, partly locked the instrument. The 
 male blade of the hthotrite had been battered (so to speak) into 
 the female blade and the instrument became perfectly disabled. 
 A messenger was dispatched to the makers of the instruments 
 asking them to bring proper tools to overcome the difficulty. Messrs. 
 Mayer & Meltzer were soon on the spot. The instrument was 
 unscrewed and liberated, the obstruction being (as anticipated) 
 found to be in the handle. The operation now proceeded, large 
 instruments being emjjloyed, and in the course of one hour and 
 thirty-five minutes (including the delay) the whole of the stone 
 was satisfactorily removed with the exception of one small 
 
129 
 
 fragment, which was removed in about a week after the operation. 
 The patient made an excellent recovery, and has continued 
 perfectly well ever since. 
 
 NOTE. 
 
 The above case suggests a few remarks, additional to those 
 already made in the earlier part of this present edition, in reference 
 to the objection urged in various quarters against the use of large 
 instruments. His own experience convinces the writer that down 
 to the present time lithotrites including those used by Professor 
 BiGELOW, are rather too small than too large. 
 
 The above case is in proof of the writer's view. One reason 
 urged in favour of small lithotrites is that we now discover calculi 
 before they reach the magnitude of former years where they were 
 occasionally found to nearly fill the cavity of the bladder. This 
 is no doubt true in many instances, but cases of very large calculi 
 still every now and then present themselves. The above is only 
 one of several instances coming under the writer's notice, — cases 
 in which " small and handy instruments " would not, could not 
 be of effective service. Even where a calculus does exist, 
 circumstances sometimes afford the patient temporary relief, 
 nevertheless the stone is in the bladder and grows insensibly larger 
 and larger, without it may be exciting much attention. It was so 
 in the above case, it was so in J. B.'s and E. B.'s case, and it was 
 so in the case cited by Mr. Cadge, of Norwich (see page 7). 
 
 The whole history of oxalate of lime calculi, as suitable 
 
 in the one case for crushing and in the other for cutting 
 
 confirms the conclusion that the writer has ventured to express. 
 
 With the view of meeting emergencies unexpectedly arising, the 
 
 writer has had an instrument made specially for his use by Messrs. 
 
 Mayer and Meltzer, — an instrument which supplies the 
 
 deficiencies found even in Bigelow's instrument. In the first 
 
 place the instrument thus specially made is stronger in every 
 
 I 
 
I30 
 
 direction. Next, Bigelow's instrument has nothing on the handle 
 to indicate whether it is locked or open. This accounts for the 
 accident unexpectedly occurring in the above case. The reader 
 will remember that when it was found that the lithotrite did not 
 lock on the stone, a hammer was used which doubtless broke the 
 stone into several fragments, and the instrument by the jar 
 occasioned became accidentally partially locked, and continued 
 hammering led to the disablement of the instrument, in which 
 state the lithotrite could neither be locked nor unlocked until 
 it was taken to pieces — the male screw was jammed into 
 the female screw. Again, even if Bigelow's instrument 
 were strong enough, its globular handle does not afford sufficient 
 leverage for crushing a stone like that in the above case, 
 and the palm of the hand after usage in a prolonged case 
 becomes blistered and so far disabled. The writer has therefore 
 had fixed to his new instrument a long transverse handle seven 
 inches in length, affording considerable leverage, and, in 
 case of necessity, two persons can work it, while the larger handle 
 and screw respond to the increased power exerted, and should it 
 become necessary to use die hammering process the index, as well 
 as the long transverse handle, will at once indicate to the operator 
 its locked or unlocked condition, and here again a defect found in 
 the ordinary lithotrite is obviated. 
 
 The reader must not be alarmed at this array of mechanical 
 force. The force is not directed against the urinary bladder, or 
 indeed against any part of the urinary apparatus, but only against 
 or upon the stcne, and ought (in dexterous hands) hardlj' to come 
 in contact with the bladder at all. The instrument is within the 
 bladder, in which there is abundance of fluid to keep the walls of 
 the organ apart. The writer employs, or has at hand, in these 
 cases a large and powerful mechanical appliance, just as he would 
 employ a powerful horse for hunting or carriage Avork. A horse 
 of more power than may possibly be requisite for the weight, does 
 not injure the rider or carriage if properly handled, but there is 
 
131 
 
 reserve power at hand, and available, should necessity for 
 its use arise. A large instrument may as readily dispose of a 
 small stone as of a large one, but a small instrument cannot 
 dispose of a large stone, hence the larger, and more powerful 
 instrument is on all accounts to be preferred. 
 
 The writer conscientiously believes that with such appliances 
 as above described, the " cutting " operation in adults might be 
 abandoned, save, perhaps, a few very exceptional cases. In 
 a few more years he hopes to be enabled to offer an opinion from 
 accumulated experience in his own practice, and that of others — 
 showing the results of Bigelow's method when dealing with stone 
 in children and persons under the age of 21 years, as compared 
 with lithotomy, which, as applied to children and young people 
 has been very successful, while, as applied to cases in advancing 
 and advanced life, it has proved not only dangerous, but very 
 fatal. 
 
 No. 18. 
 
 Disease of the bladder of long standing, with dangerous condition of 
 the kidneys, and other complications caused by stone which had been 
 
 overlooked. 
 
 [ This case, as well as the preceding one, is presented as showing 
 the importance of having at hand, and available for use, me- 
 chanical appliances of sufficient power to meet emergencies 
 arising where the stone is found to be unusually large and hard.] 
 
 E. T., aged 39, married. 
 
 Had he stated been suffering for thirty years. When only nine 
 years old he had pain in the back, and blood was noticed in his 
 urine in considerable quantities on several occasions. His mother 
 was told that he had disease of the kidneys, and the doctors 
 feared he would not survive the age of 17 or 18. Besides blood, 
 which was said to come from the kidneys, he suffered pain in 
 urinating, usually worse at night, and after emptying his bladder. 
 
 12 
 
132 
 
 His school fellows accused him of being idle, as he seldom joined 
 in school games — running or jumping he could never indulge in, 
 as violent exercise of any kind greatly distressed him. From the 
 age of nine till eighteen he suffered off and on great pain — 
 always wanting to pass water. On several occasions the school- 
 master accused him of " shamming," till his parents assured him 
 and satisfied him it was not so. About the age of eighteen his 
 symptoms became gradually more urgent. His condition 
 fluctuated during several years, and although always looking ill, he 
 got on with his work pretty well. He was told that married 
 life would improve his health, and he accordingly married, but 
 became worse, and had to " declare " on his club for many weeks 
 at a time. The certificates given him by the club doctor stated 
 that he was suffering from " inflamm^ation of the kidneys and 
 bladder." In the early part of 1880 he consulted one of the 
 writer's assistants, and got some relief, but, as hitherto, he was 
 laid up from time to time under the club doctor. 
 
 On February 19th, 1881, the writer saw him for the first time, 
 when he said that he had been " on the club for some months, 
 and that the club members were getting tired " of him. 
 
 His symptoms were: — (i) Considerable pain night and day, 
 but ''worse at night." (2) He had to urinate about every twenty 
 minutes. (3) The urine was intermixed with mucus and blood. 
 (4) The urine, loaded with albumen, was very offensive. (5) His 
 countenance sallow and careworn — eyes puffy. (6) No appetite, 
 (7) Constant vomiting. (8) Breath very short. (9) Ankles and 
 legs slightly swollen. The writer noted in his case book : — 
 "poor fellow, death is depicted in his face." 
 
 On examination a large calculus was discovered — introduced 
 catheter — twenty-four ounces of ammoniacal urine withdrawn — 
 washed the bladder with water at 98°, acidulated with acetic 
 acid. These operations over, a spray was contemplated, but the 
 catheter having become impacted by the large stone, an appli- 
 cation had to be administered through the catheter. After a little 
 
13^ ■ 
 
 gentle manipulation the catheter was withdrawn, and instructions 
 were given to empty the bladder twice a day and to wash it with 
 a warm solution, which was done. He was seen and treated 
 several times during the next month, giving decided evidence of 
 continued improvement. 
 
 April 2nd he said, " I am decidedly improving in every way; I 
 have less pain. [ go an hour-and-a-half to two hours at a time 
 during the day, and at night I am also better in myself. I go 
 half-an-hour and three-quarters of an hour at night, which is 
 always my worst time." 
 
 April 23rd. — Told to empty his bladder — -result of effort, one 
 ounce and a half, clear and without pain — drew by catheter 
 twenty-six ounces — very little mucus, but urine still albuminous 
 — more pain in his loins than he has had for weeks. 
 
 May 7th. — " Slept two hours without awaking last night, and 
 feels better day and night than for many months. The urine, 
 however, comes away unconsciously when asleep." 
 
 May 2 1 St. — Has made further progress. Ether had been given 
 three times at intervals from the 7th May, which he took well, and, 
 with the exception of extensive mischief in the kidneys, great pro- 
 gress made in general health. He has still pain over his loins, also 
 headache. He was made aware of the risk of the operation of 
 removing the calculus by cutting, and of an equal risk, indeed, of 
 any operation, owing to his bad state of health, and particularly 
 having regard to the disease in his kidneys, lioth he and his 
 friends, who knew the improvement he had made under the 
 preparatory treatment, felt sanguine of success. So, indeed, did the 
 writer and several medical friends who had seen him. The kidney 
 mischief was a chief object of concern, still it was hoped that on the 
 stone being removed, and the health of the bladder restored, that 
 mischief would itself become corrected. It was, therefore, decided 
 to perform the operation on Sunday, May 22nd. The stone was 
 found to be a very hard lithic acid formation, and measured two 
 inches and three quarters in one direction, two inches and an 
 
134 
 
 inch and a half in other directions, tapering, therefore, towards 
 one end. Ether was administered. The stone was readily seized, 
 but the lithotrite would not lock. Tapping, however, with the 
 hand soon crushed a portion of the stone, and the remainder 
 of the process was less difficult. Some of the fragments were 
 evidently round and hard, and kept continually slipping away 
 from the blades of the instrument, and for some time a process of 
 nibbling (so to speak) was repeated. When the patient had been 
 under ether for an hour, the gentleman who had charge of it, 
 having never before administered it in a prolonged operation, 
 became very anxious and nervous. The writer seeing this 
 released him from his responibility and administered the ether 
 himself, handing over the lithotrite to another gentleman who 
 was present, who completed the operation in another thirty-five 
 minutes, most satisfactorily. 
 
 May 23rd, 9.30 a.m. — Has passed a somewhat restless night, 
 constant micturition, and passed some blood, but on one occasion 
 slept an hour-and-a-half, face pinched, nails blue, hands quite 
 cold, temperature loi. 
 
 Same day, 4 p.m. — Temperature risen to io2"2, hands still cold 
 and nails blue, slept an hour. 
 
 Same day, 8.20 p.m. — No perceptible change, but is cheerful, and 
 has slept an hour-and-a-half since 4 p.m., urination still painful. 
 
 May 24th, 10.30 a.m. — Temperature loi'i, slept three hours 
 during the night and shorter intervals at variable periods ; passed, 
 since the operation, blood and mucus in good quantities, but no 
 debris; urine clearing, takes food well, is very cheerful, hands 
 quite warm ; urine still clearing, and he passes it with more ease. 
 
 May 25th. — Improving in every way ; countenance natural, 
 slept well at intervals during the night, lakes food well, temper- 
 ature normal, water still cloudy, and the patient says : — ''What a 
 comfort it is to be able to pass water so freely and in such 
 quantities !' ' 
 
135 
 
 May 28th.— Does not seem quite so well in himself, a little 
 blood again intermixed with the urine ; slight fever. On exami- 
 nation a small fragment of stone discovered in the bladder, but 
 at once easily removed. 
 
 May 31st. — Much better in himself, but complains of pain in 
 the loins. 
 
 June 5th. — Has continued gradually to improve, but, for some 
 reason, the urine is cloudy and foetid. 
 
 June loth. — Improving but "thinks he has taken cold, which 
 has increased his back pain ; " the urine has again become cloudy 
 and is very foetid, feels chilly, and has no relish for solid food. 
 The urine is albuminous and alkaline. He is suffering from 
 secondary cystitis, which usually occurs about the fourth to the 
 seventh day. This condition at so late a period (eighteen days 
 after the operation) is very unusual. The urine is intensely foetid, 
 resembling the foetor noticed in cancer of the bladder. The 
 temperature is 99°. 
 
 June 22nd. — Has had a bad night, and appears to have had a 
 shivering attack, very much resembling urethral fever. Fear is 
 entertained of suppuration at the seat of pain in the loins ; 
 temperature 100-2 ; cheeks flushed. To have a bath at 100°, 
 and another in twelve hours, if not better. Aconite to be given 
 in five-drop doses of the first decimal dilution every two hours, 
 and a compress of Hepar Sulphuris to be applied to the seat of 
 pain, and the same remedy to be substituted for aconite in twelve 
 hours, if not better. 
 
 June 23rd. — Is much improved — no return of fever. 
 
 June 24lh. — Continues to improve. 
 
 June 28th. — Is very much better ; takes food with a relish and 
 wants to go to the seaside for change of air. 
 
 From the above date he continued to make fair progress — the 
 variations being due to his sensitiveness to cold, and affecting 
 his kidneys. Although he did not quite recover while in the 
 hospital, he was sufficiently restored to take leave of it, and 
 
136 
 
 before going to the seaside he went to his own home for a time. 
 While making preparations to go into the country the kidney mis- 
 chief again presented itself, his general health failed, he had several 
 severe shivering attacks, and considerable swelling over the region 
 of the right kidney. Soon afterwards he felt something " give 
 way " in that region. The urine became very much thicker and 
 very foetid, the feet and legs began to swell, and it became evident 
 he could not long survive. An abscess had formed in the kidney, 
 which broke and discharged itself into the bladder. He soon 
 became comatose, and died from a complication of disorders — 
 blood poisoning, bronchitis, and abscess of the kidney, and not- 
 withstanding the very successful removal of a large stone weighing 
 5 ounces and 30 grains. Although the above patient died; it 
 cannot be said that the death was due to the operation. The 
 length of time he suffered with stone (though not discovered), the 
 irritation and disease of the kidney — in a word, long standing 
 disease — contributed chiefly to the fatal result. 
 
 No, 19. 
 
 Tivo small calculi, ivcighing collectively only twenty grains. Patient 
 
 unsuccessfully sounded by several surgeons, 
 
 F. L., aged 42, 
 
 But appeared many years older, stated that " he had been a great 
 sufferer from urinary trouble for six years — had been under the 
 treatment of several surgeons of celebrity without relief, who agreed 
 in saying he had kidney disease." He looked pale and emaciated, 
 and had the appearance of a man suffering from what one of his 
 medical attendants called his disease, viz., "Bright's disease of the 
 kidneys." Finding no relief from the surgeons consulted, he went 
 to St. George's Hospital. He had been examined for stone by all 
 the doctors he had been under, but no stone was found. The 
 writer's record of his case (in addition to the foregoing), is as 
 
137 
 
 follows: — "His appearance is pale, his countenance giving 
 evidence of great physical suffering. The cellular tissue under his 
 eyes is slightly swollen and puffy. He says he is worn out with 
 pain and anxiety on account of not being able to attend to his 
 business. He has passed eight or nine small fragments of gravel 
 at uncertain and irregular intervals from the commencement of his 
 suffering. Has always more pain after urinating, and after 
 unusual exertion. Occasionally while in the act of passing water 
 the stream of urine suddenly stops." The writer gave the patient 
 to understand that he had most of the typical evidences of stone 
 and that if he did not get better he must be again examined for 
 stone, but he replied, "I don't think it is of any use; all the 
 doctors have examined me for stone but none of them found any." 
 He continued under the writer's care without any benefit for a 
 considerable time, and ultiinately consented to enter the Home 
 Hospital. He was "sounded" from time to time for stone 
 without success. Eventually he was examined in the standing 
 position, and a small foreign body was discovered. After some 
 preparation lie was placed under ether, in the presence of several 
 medical gentlemen. Although the writer was absolutely confident 
 there was a small calculus in the bladder, he searched in vain for 
 more than twenty minutes. The medical gentlemen were asked 
 in their turn to search for the foreign body, which they did, each 
 in turn, and each confidently affirming that the writer had " made 
 a mistake," and that if there had been a stone in the bladder it 
 must have been found. The writer tried once m.ore and brought 
 away a fragment not larger than a barley-corn. The operation 
 was discontinued and the patient put to bed. In a few days the 
 patient said he was better. At the end of a fortnight the urine 
 did not clear, and the discomfort, though not so bad, was still very 
 trying to the patient. A lithotrite was now introduced and 
 another fragment laid hold of and extracted. The patient rapidly 
 recovered, gained health and strength. The urine became quite 
 clear, he lost all his trouble and has been perfectly well since, and 
 
138 
 
 continues so now — after the lapse of several years from the 
 time when the small fragments were removed. 
 
 It is difficult to understand how such a small body could bring 
 a man nearly to death's door, while, in another case the foreign 
 body (alluded to on page 17) weighing nearly nine ounces remained 
 quiescent and harmless during many years of a man's lifetime. 
 
 No. 20. 
 
 Stone weighing only eighteen grains. Patient sounded in London, 
 Liverpool, and Manchester iinsnccessftilly. 
 
 J. B., aged 52. 
 
 Had been suffering for nearly five years, under several 
 physicians and surgeons of distinction in Liverpool, Manchester, 
 and London, and had been " sounded " for stone about twenty 
 times. When he came to the writer the following was recorded : 
 " Has all the symptoms of stone in a marked manner, has to 
 make water twenty times a day, passes blood with his urine every 
 time he goes to stool, and occasionally at other times ; passes 
 water in a moderately full stream, but occasionally it stops 
 suddenly during the act ; is worse after his day's work ; being a 
 town traveller he has to get in and out of his trap a great many 
 times during the day ; has great discomfort at night when in bed, 
 and passes water six or seven times during the night, and after 
 doing so has great discomfort in his rectum, and a feeling as if his 
 bowels wanted to be relieved ; has drank gin and whisky pretty 
 freely. The urinary secretion is normal in quantity, and is of an 
 acid reaction, but traces of blood are seen when examined under 
 the microscope ; has an ounce and a half of residuary urine." 
 
 He was treated by the writer for three months with considerable 
 benefit, and was perfectly satisfied with the progress he was 
 making, until one day he was seized with intense discomfort, and 
 passed, he thought, " about a pint of blood." The writer was 
 summoned to his bedside, and after some trouble the blood was 
 
i39 
 
 arrested by suitable treatment, including the application of ice 
 into the lower bowel. In about a fortnight he was well enough 
 to be removed to the Home Hospital. 
 
 After a number of *' soundings " a small hard stone was 
 discovered. He was prepared for the operation of removal, and 
 a day was appointed for its performance. When well under ether 
 a search was made but no calculus could be found. Four medical 
 gentlemen present were asked to search, and each in succession 
 said he could " find no stone." The chloroformist was now asked 
 to search. He did so very carefully, but with the like result. 
 The patient was under ether for a full hour, and during this time 
 the writer was rather taunted — " Ah, doctor ! you have made a 
 mistake this time ! " — in fact, all present concluded that the 
 writer had made a mistake. The patient was put into bed and 
 further operation was postponed. 
 
 Four days afterwards one of the gentlemen who had been 
 present at the unsuccessful operation called at the Home to 
 enquire after the patient and was told that he had had a good deal 
 of haemorrhage, but that the bleeding had been arrested. He was 
 invited to visit the patient, which he did in company with the 
 writer and one of his assistants. The lithotrite was introduced, 
 and in an instant the stone was seized and brought away bodily 
 on the spot. From that time the patient improved daily and in a 
 few days all the unpleasant symptoms passed off, the urinary fluid 
 gradually cleared, and very shortly afterwards the gratified patient 
 left the Home perfectly cured. 
 
 Probably so small a stone could not have been in the bladder 
 during the five years the patient had been suffering. Doubtless 
 the prostate and bladder were first diseased, and gave rise to 
 symptoms of stone (which now and then happens). During treat- 
 ment before and after the stone was removed, the bladder and pros- 
 tate had been cured by the spray — at all events, the patient informs 
 the writer that he has had no return of his unpleasant symptoms. 
 
f 4b 
 
 No. 21. 
 
 Stone nnsiispected — enlarged prostate — suffering protracted, chiefly 
 
 through not being sounded. Patient assured by two surgeons there 
 
 ■was no stone and sounded by another surgeon unsuccessfully. Sounded 
 
 later on, and two oxalate of lime stones discovered and removed. 
 
 E. O., aged 67, 
 
 Consulted the writer in September, 1879, after having been 
 treated by several medical men, three of whom were eminent 
 surgeons. It appeared that the patient's urinary trouble had 
 commenced about six years previously to 1879. A discharge was 
 seen in the urine and was called by the medical man then consulted 
 "gravel gout." Medicine was administered for three months, 
 but without relief. Another eminent surgeon next prescribed the 
 use of the catheter at repeated intervals. This being done some 
 relief was experienced; and the patient continued better, more or 
 less, for some time. Not satisfied, however, with the progress, he 
 consulted another practitioner, but still without relief — the 
 discharge and discomfort continued. Another surgeon was now 
 consulted, and by his suggestion quinine (first introduced by Mr. 
 NuNN, surgeon to Middlesex Hospital) was injected, but without 
 avail. When first seen by the writer the left lobe of the prostate 
 was found to be enlarged ; the right lobe also, but not to the 
 same extent. The urinary secretion was loaded with mucus, the 
 deposit representing forty-two per cent., the residuary urine being 
 six to eight ounces. Under the microscope it gave evidence of 
 blood and oxalate of lime crystals. After several applications of 
 the writer's treatment had been used the urine cleared and the 
 mucus was greatly reduced, but the residuary urine was never 
 reduced beyond five ounces. 
 
 On several occasions the writer observed to the patient that 
 he distinctly recognised something against the catheter like a 
 stone, and suggested the propriety of '' sounding." The patient 
 
141 
 
 objected to this, remarking that as he had none of the usual 
 symptoms of stone he would not consent to be '' examined for 
 stone." Meanwhile the patient improved under the treatment, 
 and was so satisfied with what was being done that hesitation was 
 felt further to urge examination for stone. And inasmuch as, for 
 a time, the sensation (as of a stone) was not felt, the patient 
 persuaded himself, as others had done, that stone was not present. 
 The treatment having to be prolonged, and the patient not 
 recovering, the writer remarked to him that his case was almost 
 the most obstinate one he had ever treated. Eventually, and as 
 no real improvement showed itself, it was again urged, and 
 agreed to by the patient that " sounding " for stone should be 
 gone through. An examination (under ether) was made, and a 
 very hard oxalate of lime stone was found — also another smaller 
 stone. A day was fixed for removing them. On the 12th 
 day of June, 1881, ether was administered, and the stones 
 were removed in fifty minutes. . The time occupied was 
 longer than usual, having regard to the size of the stones (a little 
 over half an ounce), and owing to the enlarged prostate and the 
 hardness of the stone and other complications.* 
 
 Since the above operation the patient has been well, but never 
 able to discontinue the use of the catheter, owing to the enlarged 
 prostate which still exists. The writer has not been able, since 
 the removal of the calculi, to apply his special treatment for the 
 ])rostate. The patient has been moving about from place to place 
 with his family, and quite contented v/ith the removal of the 
 stones. Having lost all his serious discomfort, and sleeping well, 
 he is quite satisfied with the improvement effected. 
 
 * The writer considers it safer to perform all these operations with perfect 
 deliberation. Hurrying, as some operators have done, is neither justifiable 
 nor necessary, since it is proved beyond doubt that if a patient be kept 
 fifteen to thirty minutes longer under ether, it does not in any way protract 
 his recovery, while hurrying over it is likely to injure the coats of the 
 bladder — or, fragments may be left behind, causing the patient great 
 discomfort afterwards. 
 
142 
 No. 22. 
 
 Stone in the bladder — not discovered by several surgeons, 
 J. B., aged 54, single. 
 
 Gave the history of his case as follows: — "Early in 1875 ^^ 
 began to suffer inconvenience in the bladder. In the summer of 
 the same year he noticed gravel in his urine, attended by frequent 
 desire to urinate, and a burning sensation at the end of the 
 penis. The gravel soon ceased to pass, but the urinary discomfort 
 continued, — he had to urinate at shorter intervals. This 
 continued till the spring of 1879, when the irritation became more 
 troublesome — the urine became cloudy, and tinged with blood 
 and soon after pure blood passed. His condition fluctuated till 
 the end of t88o. He had consulted several surgeons, was under 
 treatment in the North London Hospital for two months, and 
 although several times sounded for stone none was discovered. 
 
 On the 29th January, 1881, he consulted the writer. His 
 symptoms then clearly indicated stone ; but, in addition, he had 
 also symptoms of prostatic mischief, and very severe straining 
 had, moreover, caused an inguinal rupture. He urinated almost 
 every hour. The chief pain was at the bulb of the penis and 
 lower part of the belly. He was very irritable and excited, his 
 pulse 140 per minute, temperature nearly loi ; looked ill and 
 thin. The urine contained blood as well as uric acid cr)'stals. 
 Sounding soon revealed that he had a hard uric acid calculus. 
 
 After appropriate preliminary treatment he was, on the 9th 
 February, 1881, operated upon for stone, under the influence of 
 ether. The debris removed was composed of lithic acid, and 
 weighed three-quarters of an ounce. He made a good but slow 
 recovery. In a fortnight after the stone was removed treatment 
 was directed to the enlarged prostate. This discomfort gave way 
 slowly, but was not cured till the end of March in the same year. 
 The writer has seen him twice since that time. In January, 1889, 
 he was quite well, and contemplated marriage. 
 
143 
 No. 23. 
 
 Chronic and obscure disease of the bladder ivhich had resisted allopathic 
 
 treatment from the faculty of Leeds, and homceopathic treatment. 
 J. H. (Leeds), aged 42, married. 
 
 In October, 1874, unfavourable symptoms appeared, which, 
 increasing, became very severe. His family doctor said he was 
 suffering from irritable bladder. Medicine doing him very little 
 good, he became impatient, and consulted another doctor, who 
 attributed his disease "as much to indigestion as to his bladder," 
 and promised him " speedy relief." At this time he suffered 
 acute pain — could not urinate at all for considerable intervals, 
 the desire being, nevertheless, very pressing ; had also pain in the 
 lower part of the abdomen ; treated for four months without 
 relief; now sounded for stone but none found. In one of his 
 letters to the writer the patient says : — " The doctor was as much 
 disappointed as I was, and glad, I believe, to get rid of me, as I 
 constantly had to tell him I was no better." 
 
 J. H. now consulted a herbalist of known reputation, who told 
 him that he had had " great experience in bladder diseases, and 
 had as many as thirty patients suffering from the disease then 
 under his treatment." This raised the patient's hopes. He took 
 "herb medicine for six weeks," but without the slightest relief. 
 Two other medical practitioners at Leeds were now resorted to. 
 One said his disease was " chronic inflammation of the bladder, 
 which was very difficult and troublesome to cure," and treated the 
 case for several weeks, but without benefitting the patient. The 
 other told him his disease was "gravel," adding "I will soon 
 cure you." J. H. says : — " I carried out his injunctions most 
 faithfully and took all the medicine he gave me without the 
 slightest relief" 
 
 Gradually getting worse, and more and more disheartened, he 
 consulted a homoeopathic physician in Leeds, who carefully noted 
 all his symptoms and told him, "Your disease has been coming 
 
144 
 
 on so long that I do not think I can remove it, but I will do my 
 best." The patient was six weeks under homoeopathic treatment 
 without any relief. 
 
 J. H., speaking of the homoeopathic treatment, says : — " I was 
 in hopes that the new system was an improvement on the old, but 
 I was grievously disappointed. At this period I was much worse, 
 which, to me, was a serious matter, I could do little or no work 
 and had a wife and family to keep." Seeing about this time, in 
 the Leeds Mercury, an advertisement of one of the writer's books 
 on " Diseases of the bladder cured by a new discovery," he 
 obtained the book, and found cases reported in it resembling his 
 own, and thereupon decided to try what the " spray" treatment 
 would do for him, feeling, as he said, that " it had, at all events, 
 common sense to recommend it, the medicines being conveyed 
 direct to the diseased part." He came to London and consulted 
 the writer in June, 1875, the "spray" treatment was applied 
 (though not, of course, exclusively as a specific, as the patient's 
 expression might imply), and in nine weeks he was perfectly 
 cured. 
 
 J. H. has continued well up to 1890. In a letter dated March 
 8th, 1890, he writes : — " It is over sixteen years since I returned 
 to Leeds cured of my painful malady, that had resisted the treat- 
 ment of eminent allopathic and homoeopathic doctors. Since then 
 I have passed through great trouble. Nevertheless, my health has 
 kept well, excepting an attack of colic, and inflammation in ray 
 throat. I have had no return of my bladder disease since I left 
 your care. I know, too, of your superior skill in other cases also. 
 Two of these patients whom you cured of stone in the bladder 
 without cutting are now spreading your fame and deservedly so. 
 Should any one require confirmation of my statement I shall be 
 pleased to give it for the sake of suff'ering humanity, and also to 
 testify to you that I am very grateful to you for the marvellous 
 cure wrought in my own case. — I am, my dear doctor, yours very 
 sincerely, J. H." 
 
M5 
 No. 24. 
 
 Obstinate organic stricture of the nvethva. 
 J. A., aged 38, married. 
 
 The particulars furnished by this patient show the following : — 
 After succession of gonorrhoeas in early life, he began to suffer 
 from difficulty in urinating, which gradually increased till the 
 stream became very small and ultimately dribbled away from him 
 night and day. He was treated simply as for difficulty in passing 
 water, without any examination of the urethra being made. 
 Becoming eventually so ill as not to be able to attend to his daily 
 duties, he resorted to Guy's Hospital, and was admitted 20th 
 August, 1879. 
 
 Before admission five surgeons had tried to introduce very small 
 bougies but had not succeeded. He remained in the Hospital until 
 20th November, 1879 (thirteen weeks), during which time 
 the surgeons succeeded in getting the very smallest bougie 
 only into the urethra. Even the smallest bougie introduced 
 could not be introduced a second time. Numerous surgeons were 
 taken to see J. A., his case being so unyielding. Indeed one of 
 the surgeons used to call him the " Curiosity Shop." One 
 surgeon took him in hand for a fortnight, then another, but 
 without success. Ultimately one (who had previously treated 
 the case) succeeded in finding a passage. The bougie was tied 
 in for four hours, but it " worked out." After another attempt, 
 for a whole week a small instrument was again introduced, and 
 kept in for seven days, when this was taken out and an attempt 
 made to insert another. After unsuccessful efforts made during 
 another fortnight, other and more violent means were resorted to. 
 He said : — "Olive oil and carbolic acid were injected and larger 
 instruments employed by another surgeon. This brought on severe 
 rigors, and made me so ill that I could hardly stand. I lost my 
 appetite, and lost flesh; my temperature went up to ioi-8, and 
 my pulse rose to 130. The case was §0. severe and unusual that 
 
146 
 
 Mr. S. gave a lecture on it." J, A. stated further as follows : — 
 "At this juncture I felt that they were experimenting upon me. 
 I was getting worse instead of better, and being just able to crawl 
 out of bed I came out, and as soon as I could found my way to 
 Dr. David Jones' Home Hospital in Dean Street, Soho." 
 
 J. A. entered the Hospital on December 2nd, 1879. His 
 symptoms at that time were in perfect accord with the foregoing 
 statement. After a succession of warm baths, and preparatory 
 treatment, attempts were made to get through the stricture, which 
 was at a distance of a little more than five-and-a-half inches from 
 the meatus. The writer was just as unsuccessful with the usual 
 method of employing bougies as were the other surgeons, but 
 by adopting another plan, which he has found successful where the 
 usual orthodox method has failed, he succeeded in dilating the 
 stricture sufficiently to admit the urethrotome. The patient was 
 placed under ether and operated upon, and ultimately, perfectly 
 cured. 
 
 The treatment after operation was very tedious, a succession of 
 drawbacks having to be encountered. He had cystitis and orchitis 
 — which occasionally follow the operation of ''urethrotomy" — 
 particularly in bad constitutions such as his. Each attack subsided, 
 however, under gentle and soothing treatment; but to effect the 
 cure nearly three months treatment was requisite instead of the 
 usual fourteen days, or at most twenty-one days. In the latter 
 part of 1 88 1 the patient called on the writer and reported himself 
 as being perfectly well. 
 
 No. 25. 
 
 Paralysis of the bladder. 
 
 S. H. T., aged 35, single. 
 
 In this case the patient consulted the writer on the 5th \ugust, 
 
 1878. He stated that his general health had been pretty good 
 
 from childhood, 
 
Hi 
 
 On Whit Monday, 1876, he excursioned by train to Liverpool. 
 On the return journey he felt an urgent desire to urinate. No 
 opportunity, however, presented itself, and the discomfort painfully 
 increased. On the train reaching Wrexham he endeavoured 
 to obtain relief, but while urinating he heard the slamming 
 of doors and the railway whistle, and to regain the train 
 hurried back. The train continued its course for six hours, 
 and no opportunity presented itself until he reached his des- 
 tination, when the bladder would not respond. He went 
 to bed in great trouble of rnind, and with considerable 
 physical suffering in the region of the bladder. Next morning he 
 consulted his club doctor, and took medicine for some time, with 
 but little relief. He further described his suffering thus : — 
 " Constant desire to urinate — could only pass a few drops at short 
 intervals — constant burning pain increasing in severity — -after a 
 time desire still more urgent, the period between the desire and 
 the act becoming longer." 
 
 He now sought further medical aid, resorting from time to time 
 to no less than ten physicians and surgeons, the most notable in 
 Birmingham. Getting worse however rather than better he 
 applied to the Birmingham Free Hospital, but with no better 
 result — -being told there that his case was incurable. 
 
 Allopathic treatment proving ineffectual, he became an inmate 
 of the Birmingham Homoeopathic Hospital and was there two 
 months, and though every attention was paid to his case scarcely 
 any relief was afforded. Medicine failing, galvanism was applied 
 night and morning, but with no decided benefit, and he was 
 accordingly discharged as suffering from "paralysis of the spinal 
 cord and bladder," and " incurable." Again however resort- 
 ing to the Birmingham Free Hospital, the surgeon told him that 
 medicine was useless, and gave him a catheter to use, without 
 which he only urinated "in dribbles." An operation was likewise 
 performed on the urinary meatus, which relieved him partially for 
 
 J2 
 
148 
 
 eight or nine days, but he soon relapsed into a "helpless, 
 miserable condition." 
 
 When the writer first saw him (August 5th, 1878) he complained 
 of pain in his back ; had an unsteady gait ; said his legs did not 
 respond to his will, and that he had to be very carefiil in turning 
 suddenly, lest he should fall; his urine "dribbled from him 
 occasionally;" had difficulty in starting his urine, and he added 
 " I have a constant desire upon me, but I have no power. I have 
 often had to try for three-quarters of an hour at a time before I 
 could pass any water, and when it comes it does so only in drops." 
 The writer drew by catheter twenty ounces of urine, which was 
 cloudy, very ammoniacal and offensive; administered a "spray" 
 and requested him to call every other day, and to continue the 
 use of the catheter. 
 
 August 7th. — He said : " I am better, sir ; I am a great deal 
 easier. I have not such a miserable and constant desire to pass 
 water, and when I have a desire I pass it naturally which is a 
 great comfort to me. I have on that account not used the 
 catheter." Drew by catheter two ounces and five drachms — a great 
 contrast compared with twenty ounces only two days previously. 
 
 August nth. — He stated, " I have passed water naturally 
 several times a day since I saw you." 
 
 August 14th. — " I am better, I retain my water longer. I have 
 lost the false attempt to pass water to a great extent." 
 
 August 17th. — Urinated naturally in the presence of the writer 
 to the amount of eleven ounces and a half; drew by catheter only 
 half an ounce. 
 
 The reader will note that up to this time the patient had made 
 considerable progress, which so satisfied him that he left London 
 nearly cured. The writer saw nothing of the patient afterwards 
 for nearly five months. 
 
 On the 6th of January, 1879, he again presented himself. He 
 said that he had been much better since his last visit in the middle 
 of August, 1878, — " better in every respect." He could pass 
 
149 
 
 water with perfect ease, and had not used the catheter since he 
 left London in August, 1878. ''Your treatment," he added, ''is 
 the only thing that did me any good, but I fluctuate a little, and 
 I have come this time to let you finish curing me. My greatest 
 trouble is the back and limbs. I have to be careful in walking — • 
 I stagger, and without care I should be down. I am weak-like in 
 myself, and feel tremulous on the least exertion. I have no spring 
 in me, but as far as regards my bladder, it is wonderful ; still, it 
 takes me a few minutes to start it, but it comes, and in a good 
 stream. Before I came to you it was just a dribble; in fact, it 
 was endless unless I used the catheter, which I always did." 
 The writer drew by catheter two ounces of urine which had an 
 acid reaction ; it was clear but of a somewhat pale colour — heat 
 made it cloudy. The addition of nitric acid cleared it, showing 
 the presence of phosphates. Gave him a " spray " and told him 
 to call three times a week. 
 
 January gth, 1879. — He steps into the writer's consulting room 
 with a happy countenance, and says : " Your treatment is con- 
 tinuing to act. Yesterday was the best day I have had since I 
 have been ill. I went for three hours without urinating, and when 
 I did so it was quite natural. I only went twice last night." When 
 told to urinate he said, "Ah, that is where 1 am fixed, you must 
 wait a bit j it is not long since I passed water." He urinated, 
 however one ounce, and on introducing the catheter about two 
 drachms were drawn. 
 
 January nth. — He came again and said: "I am decidedly 
 better, your treatment is doing its work well. I experience a 
 degree of pleasure in life that 1 have not done since I have been 
 ill. I passed water only twice last night, and did it like a man, in 
 a natural quantity. When I first came to you I was always at it 
 every hour if you remember, and in perfect misery — never satisfied. 
 The desire was always on me, without any satisfation ; it used to 
 cling to me and never leave me. I have made more progress this 
 time than last." 
 
150 
 
 January 15th. — He quite emptied his bladder — not a drop left. 
 Has not used the catheter. 
 
 January 20th. — Has continued to improve. Emptied his bladder 
 naturally and thoroughly without any discomfort. 
 
 January 29th. — He wishes to know whether he may go home, 
 saying, " I feel quite well, doctor. I have no pain or uneasiness 
 of any kind. I pass water like other people three and four times a 
 day, and once at night, which to me doctor is a great consolation." 
 
 February 8th. — Came for the last time. He is quite cured — 
 empties his bladder, being able to urinate freely and fully. 
 
 The patient went home perfectly satisfied, and has so continued, 
 as the following correspondence will show : — 
 
 " Hawthorne Street, West Smethwick, Staffordshire, 
 " loth March, 1879. 
 
 "Dear Sir^ — After being at home three weeks, I feel very 
 pleased to inform you that I am getting on very nicely ; and I 
 believe that before long I shall be able to get work. I am 
 feeling some pleasure in life again, for I can venture anywhere 
 now without fear of pain or inconvenience. In fact, I have no 
 pain at all in the region of the bladder. All that I can complain 
 of now is feeling a weakness in the back. I have felt considerable 
 pain at times just below the loins, and I have scarcely got my old 
 strength in my legs, but still I can do wonders in the way of 
 locomotion to what I could previous to being under your care. 
 A great number of people have expressed astonishment to see 
 me go about with the old speed and spring. I cannot express 
 the gratitude I feel to you, sir, for the wonderful difference you 
 have made in me. I can only thank you, but shall always con- 
 sider you ray benefactor and the saviour of my life. With fervent 
 thanks and sincere regards, 
 
 " I am, sir, yours truly, 
 
 " S. H. T - — -. 
 "To Dr. Jones." 
 
±5i 
 
 On the 9tli June, 1879, he writes : — ''You have my consent t6 
 publish my case in any form you think proper. I am quite well, 
 and a living witness to the success of your treatment, when neither 
 allopathic or homoeopathic treatment was of any avail." 
 
 In a further letter dated 14th December, 1879, the patient 
 verifies the accuracy of the foregoing statement of his case (a copy 
 of which had been sent him for perusal), and mentions that he is 
 in suitable employment, and has " felt better in every way since 
 he commenced," experiencing occasionally a " slight weakness " 
 but " no pain or inconvenience from the bladder." 
 
 The subjoined letter authenticates the above. The copy of it 
 was handed to the writer by the gentleman who had received the 
 letter from his son-in-law, as the result of enquiries made by him 
 in reference to the case. 
 
 26th April, 1879. 
 
 "My dear Father, — I have just returned from seeing T . 
 
 The Vicar of had not returned from Leamington. It was 
 
 not, however, of importance, as T has long been connected 
 
 with the Rev. E. A 's congregation as a member of the choir. 
 
 It was Mr. A who helped to send him to London. T 
 
 showed me a list of subscribers to the fund to send him to London. 
 He is a very intelligent man, aged thirty-seven. His disease arose 
 from too long retention of urine when on a rail journey. His symp- 
 toms were very like yours. The letter to Dr. Jones is genuine. 
 He is quite in his old usual state as respects his bladder, and says 
 he is gradually gaining strength. He looks very well. He is told 
 that what he is now suffering from, and that slighily, is connected 
 with the spine. His description of his painful feelings, in trying 
 to make water, is much like what you have told me of yourself, 
 only he says he never discovered any appearance of blood ; but 
 that may be accounted for by the fact that he used to sit in the 
 water-closet for an hour at a time, the water just coming in drops. 
 
152 
 
 He described the sensation of ease after the first operation as 
 something delightful. He says the operation did not give him 
 much pain. He strongly advises your going immediately to Dr. 
 Jones, and I would do the same. By delays you are only risking 
 the desired-for success of the treatment, and continuing your pain." 
 S. H. T. continues well up to the present time. May 1890. 
 
 No. 26. 
 
 Disease of the bladder, with enlarged prostate — catheter wholly 
 discontinued after having been continuously used for upwards of two 
 
 years. 
 S. M., aged 66, gardener. 
 
 This patient consulted the writer on the 7th November, 1877. 
 He had been ill for more than two years, his urinary discomfort 
 having commenced with more frequent desire to urinate than 
 usual, ultimately however so increasing as seriously to affect his 
 occupation during the day, as well as his rest at night. He said : — 
 " My urine became hot — it cut me like a knife — it got thick like 
 glue. The doctor relieved me with instruments, for a time, but 
 my disease getting the upper hand he sent me to Guy's Hospital, 
 where I attended every fortnight for two years, and was there 
 taught to use the catheter, which I have done regularly ever 
 since." 
 
 An examination revealed an enlarged prostate — urine highly 
 alkaline and loaded with mucus — the aperture of the urethra very 
 inflamed and swollen. The writer drew by catheter twelve ounces 
 of thick ammoniacal fluid, administered spray treatment two or 
 three times a week, and advised disuse of the catheter. Each 
 time the patient came he reported himself better. 
 
 On the 5th December (just a month from the time when first 
 seen) he stated: — "I think I am well sir. How pleased I am 
 that I heard of you. Just think of the length of time 1 have 
 been to and fro to the Hospital. I now only pass water three or 
 
153 
 
 four times a day, have no pain, and my water is quite clear." 
 Residuary urine found to be not quite two ounces, and normally 
 acid. The spray treatment again applied at intervals for a 
 fortnight, then discontinued. 
 
 On the i2th of June, 1878, S. M. called on the writer and said : 
 " I am quite well, have no urinary trouble of any kind, and am 
 quite free from pain." Drew however an ounce of residuary 
 urine, normally acid. No further treatment recommended. 
 
 On the 7th June, 1882, the writer again saw S,M., who then 
 said: "I have been perfectly well since you cured me in 1877, 
 but my poor master is dead. It is curious sir that (as far as I 
 could learn) he died of a similar complaint to that I suffered from 
 myself I had told the butler that master knew how bad I was 
 and that Dr. Jones had cured me. Some London physicians 
 were however sent for, but unfortunately did him no good." He 
 added : — " I met my old doctor three months back ; he asked me 
 if I still used the catheter. I said No, and that I should have 
 died had it not been for Dr. Jones." 
 
 On being questioned, S. M. assured the writer that he was as 
 well and as free from pain as he had ever been in his life, and 
 that he had not suffered any urinary discomfort since he left off 
 treatment— more than four-and-a-half years ago — nor had he 
 again used any catheter. On examination per anum the prostate 
 was found still large, but there was no tenderness on pressure. 
 On being asked if he had any rectum discomfort, he replied that 
 the uneasiness there was cured when the bladder was. This 
 patient expressed his willingness to have his case published and to 
 answer any questions any enquirer might wish to put in reference 
 to it. He has been gardener, in the employ of the same family, 
 for more than thirty-five years, his present employer being a 
 clergyman, son of his late master, and who now resides in the 
 same house. 
 
154 
 No. 2~. 
 
 Paralysis of tJu bladder. 
 H. D., aged 45, married. 
 
 This case illustrates paralysis of the bladder, greatly relieved — 
 apparently cured — various previously applied means having failed 
 to take effect, galvanism included. 
 
 This patient consulted the writer on the 13th December, 1877. 
 Nine months previously he had been seized with loss of power in 
 his lower limbs and had been treated in a hospital and at other 
 places for paralysis. Soon after was seized with considerable 
 pain in his back which increased the paralytic sufferings, and 
 occasioned inability to retain his urine, which (as he said) 
 •''dribbled away night and day." The like loss of power extended 
 to the bowels, and greatly added to the patient's discomfort. 
 
 When first presenting himself he was in a most deplorable state 
 and ha\'ing no urinal, flannel and similar contrivances were 
 made use of. Ever)' one he approached perceived an offensive 
 odour. He had extreme irritation of the bladder, and was 
 obliged to urinate in very small quantities continually, and 
 \\ithout much relief. On introducing a catheter, thirt}^ ounces 
 of highly offensive turbid urine loaded with mucus were with- 
 drawn, and a •'• spray '" was administered. He was instructed to 
 wear an urinal (of which he had not previously heard^ — was 
 treated twice a week, and made very rapid progress. 
 
 December 24th, — Residuary urine, heretofore very muddy 
 thick and offensive, now clearer and inoffensive, and reduced 
 from thirty ounces to four ounces. Constant urination not so 
 frequent, and feels in every way a better man than he had since 
 his seizure. For safety administered another spray. 
 
 January 3rd, 1878. — He declares he is cured, urinates 
 naturally, and says: "I can do without the urinal night and day." 
 No treatment was used, and was told to corne again in a few 
 weeks. 
 
^55 
 
 January 21st. — Came to the writer for the last time, considers 
 himself cured as far as the bladder is concerned. Discontinued 
 treatment, but advised to come again if necessar)'. 
 
 May 25th. — Came to the writer and reported himself " quite well 
 in the 1: ladder," but added — " My limbs are still very weak. Can't 
 you cure my legs now that you have made such a wonderful job 
 of my bladder ? " No treatment on this occasion. 
 
 October 23rd. — Came again — slight return of bladder irritation 
 — says : — "I have done my work very well since you cured me, 
 but 1 am afraid of this scalding." In answer to a question 
 respecting the urinal, he said : — " I have had no occasion to use 
 it since I left it oft'." Urinated naturally six ounces of clear 
 urine. 
 
 November 6th. — He says : — " I am very much better sir. I 
 think I shall do now." Emptied his bladder naturally. On 
 introducing the catheter no residuary urine was withdrawn. No 
 spray used — was told to come again in twelve months. 
 
 October i6th, 1S79. — Called ^"^^i^ said: — "I have fallowed 
 my occupation without interruption as far as my bladder is 
 concerned." H. D. gi\es the same report up to this date, 1S90. 
 
 NOTE. 
 
 The above case is not one presented as perfectly cured, but as 
 illustrating the ameliorative eftects of the writer's treatment. He 
 is not aware of any case of the kind in which any real or lasting 
 benefit has been derived from the ordinary method of treatment, 
 all such cases being invariably regarded as beyond relief. Under 
 the ameliorative treatment alluded to, the paralysis and inflamma- 
 tion of the bladder consequent, upon the retained and decomposed 
 urine, are markedly subdued, as shown in the foregoing case — 
 the helpless, paralysed condition of the bladder soon responding 
 to the treatment. A thorough and permanent cure cannot, 
 however, in all cases be expected, for the brain and spinal 
 degeneration continue to get worse ; still, the patient's life may 
 
156 
 
 be prolonged, his sufferings greatly mitigated, and comfort and 
 consolation derived from the conscious ability to pursue the active 
 duties of life. In the above case the patient was enabled to earn 
 the means of subsistence for himself and his family. He had, 
 moreover, the satisfaction of seeing his children grow up until 
 capable of helping themselves, which was in itself an inexpressible 
 joy to him. 
 
 NOTE. 
 
 The subjoined cases illustrate the cure of disease in the female 
 
 bladder, etc., and the attention of the reader is desired to the 
 following preliminary observations — applicable more especially to 
 cases where the disease is connected with sterility. 
 
 These cases are often very complicated — having a variety of 
 causes. 
 
 1. Irritability in unmarried women, when unattended with pain, 
 but attended with frequent micturition, (the urine being as a rule 
 clear and not indicating inflammatory action) is generally 
 sympathetic in its origin. Such cases are usually complicated with 
 hysteria, and the primary cause is essentially uterine. 
 
 2. Irritability of the bladder in unmarried women attended with 
 constant and painful micturition without the usual manifestations 
 of hysteria, i.e., urinary secretion clear and watery, without 
 inflammatory indications. In these cases there is a morbid 
 sensitiveness of the spinal cord, at the spot where the uterine 
 nerves are given off. The symptoms are due to uterine disturb- 
 ance, hence the treatment must be directed to the general health, 
 spinal, and uterine systems. 
 
 3. Irritability of the female bladder in married women who 
 have not borne children, or who are married to old men, and are 
 also sterile. 
 
 4. Irritability attended with considerable pain of an inflamma^ 
 tory kind, where the urinary secretion is cloudy and sometimes 
 bloody. These symptoms appear in sterile women, married to 
 
157 
 
 men of suitable age, and are due solely to uterine irritation — a 
 condition which the writer has called " disappointed womb." It 
 is only curable by removing the sterile condition. 
 
 The writer has frequently met with cases of the kind above 
 referred to, which he has cured by removing the cause, without 
 treating the bladder at all. The bladder symptoms are as a 
 rule purely sympathetic. 
 
 The writer has met with such cases where all the usual forms of 
 medical and surgical treatment had been applied — and in no 
 instance has he been more unsuccessful than in cases where the 
 treatment called " rapid and forcible dilatation " had been 
 adopted. He recalls four cases — two in Leeds, one in Newbury, 
 and the other (wife of a physician) in Birmingham. In two of 
 them, the patients had been literally lacerated from the entrance 
 of the urethra to the neck of the bladder, and rendered miserable 
 for life. In both the urine dribbled away night and day without 
 the slightest power of control. 
 
 In addition to the foregoing, there are cases of disease of the 
 female bladder of a painful and inflammatory kind, occurring 
 during pregnancy. 
 
 These cases are, as a rule, seldom cured by the modes of 
 treatment ordinarily adopted. The consolation which patients 
 
 get is, " Well, Mrs. , you see the irritability is due to your 
 
 pregnancy, and will pass off when you are confined." They are 
 treated by palliatives — opium, morphia, belladonna, etc., — and by 
 suppositories, warm baths, etc. Unless relieved by miscarriage, or 
 premature labor (a common occurrence) the patient drags on a 
 miserable existence until her confinement is over. No doubt in 
 many cases patients get better after this, but where such treatment 
 has been applied, there is aWays liability to a return of the disease, 
 especially on exposure to cold, and cases of this kind not 
 infrequently become chronic. So severe a form of the disease is 
 however not of very frequent occurrence. In cases treated by 
 the writer, one was under treatment for six weeks, and was 
 
158 
 
 cured within that time — another in five weeks — a third in 
 four weeks and two days — a fourth in three weeks, and the 
 last case (now very advanced in pregnancy) was discharged 
 cured after four weeks' treatment, but the writer feels, at 
 present, a little uncertain, whether this favourable condition will 
 continue until the end of gestation. In the first four cases, 
 the patients continued well till after they were confined. One of 
 them has since had three confinements. Another three, and 
 another one, and all without any return of their former distressing 
 symptoms. 
 
 Most pregnant women suffer more or less from irritability of the 
 bladder during the early months, the discomfort being merely a 
 frequent desire to micturate, without pain however of an 
 inflammatory character. Such discomfort is bearable, and is to a 
 great extent, under the patients' own control, and requires no 
 particular treatment, save abstinence from fluids and stimulants. 
 As pregnancy advances the gravid uterus is elevated (so to speak) 
 from the pelvis and ceases to press on the bladder, and the 
 irritation ceases. 
 
 But the cases now to be alluded to differ very materially from 
 those first referred to in these observations. In the following it 
 was not only desirable for the comfort, but important to the 
 health of the patient, that relief should be aff"orded by the 
 application of a treatment really curative. 
 
 No. 28. 
 Mrs. R., aged 29. 
 
 The following is a case illustrating uterine irritation in the 
 unmarned, as well as in the mar vied sterile female. 
 
 The discomfort commenced before marriage, establishing one 
 set of symptoms, and continued after marriage, establishing a 
 different set of symptoms, both nevertheless due to uterine 
 
159 
 
 sympathy. For many years she suffered from frequent micturition 
 unattended by pain, the urine being clear and not inflammatory, 
 as in unmarried women predisposed to nervousness and hysteria. 
 
 Three years previously to 1879, when the writer was first 
 consulted the irritation suddenly became worse, culminating in a 
 slight discharge of blood in the urine. This later symptom soon 
 yielded to mild treatment, the patient being left with merely 
 frequent micturition without pain. 
 
 She married in 1874. Eight months afterwards she suffered 
 pain of a more decided character extending from the region of 
 the bladder to the left hip. Soon after she took a violent cold 
 which aggravated her bladder discomfort, and brought on bearing 
 down and forcing pains in urinating. She had cold shivers, 
 alternating with heat and fever. Dr. D., a neighbouring prac- 
 titioner was sent for, but treatment was of no avail. Mr. C. H., 
 hospital surgeon, now held a consultation with Dr. D. and 
 said " she had a florid growth in the urethra," and removed it under 
 the influence of ether which did her good for a time — former dis- 
 comfort soon however returned, and her old symptoms of forcing, 
 burning and intolerable pain were as violent as ever. " All these 
 doctors did me no good," was her complaint. Another physician's 
 treatment also proved fruitless of benefit. 
 
 When the writer first saw her, she had been confined to her 
 bed for five months. She was considerably emaciated — had a 
 small and almost imperceptible pulse, no in a minute — urine 
 turbid and albuminous — micturition constant and painful, 
 and passed with spasmodic violence. She said, " the urine 
 stops every now and then, and comes on again." The writer 
 diagnosed the case as due to a " disappointed womb," and 
 treated it accordingly. 
 
 After about a fortnight's treatment she was able to get out of 
 bed a little, and in three weeks she was removed to the Home 
 Hospital, 10, Dean Street, Soho. Under the treatment here 
 applied her severe symptoms soon subsided — she visibly improved 
 
i6o 
 
 in general health — her local symptoms disappeared one by one — ■ 
 spasmodic forcing pains first gave way — nights improved, slept 
 for long intervals at a time— appetite returned — lost the yellow 
 cast of countenance borne for so long a time, and in fact health 
 was restored. She soon left the Home Hospital for her own 
 home in Switzerland, where she has been ever since in the full 
 enjoyment of health. 
 
 In less than twelve months after her return, the writer received 
 intelligence that she was safely delivered of a healthy child. 
 Since then she has had a second child, and just previously to 
 
 April, 1S82, the writer heard from a friend of hers (Mrs. C , 
 
 Peckham), informing him that another addition to her family was 
 then expected. 
 
 The reader will see from this case that in the first instance the 
 old routine treatment was adopted from beginning to end — 
 medicines for the bladder (which was only sympathetically 
 affected), removal of a " florid growth " which was the effect and 
 not the cause, and sounding for stone by a surgeon of one of the 
 principal of our metropolitan hospitals on the principles taught 
 30 years ago. 
 
 The following, extracted from the patient's letter, bearing date 
 13th March, 1881, corroborates the writer's successful treatment. 
 
 " Switzerland. 
 " I left your Home Hospital in 10, Dean Street, on the 13th 
 September, 1879, feeling confidence in what you told me, which 
 came quite true. We left for Switzerland soon afterwards. At 
 the end of October I found I was enceinte, when my bladder 
 became a little troublesome,, which no doubt was caused by my 
 condition. I was confined on the 29th of June, and my bladder. 
 became better. Unfortunately I was torn in my confinement, 
 which has made me think that my bladder might be a little 
 troublesome through that circumstance. November, 1880, 
 arrived, ^nd 1 was again enceinte, I often think of your telling 
 
ibi 
 
 me that "all nervousness would disappear if I had children," and 
 so it has, but my kidneys are bad, which makes me feel I am not 
 quite well. I must tell you that you alone had the talent to replace 
 me on my feet after five months passed in bed. Hoping that this 
 letter will find you in good health, I beg you dear Doctor Jones, 
 to accept the assurance of my high regard, and to receive the best 
 wishes of my husband and self. " Yours sincerely, 
 
 "J R ." 
 
 No. 29. 
 
 Uterine misplacement (mistaken for tumour) producing disease oj 
 the bladder^ and sterility . 
 
 E. R., aged 28, married. — Sterile for three years. . 
 This patient dated her discomfort from an early age. When a 
 young girl had been assistant to a greengrocer and had to stand 
 about for many hours every day, and lift heavy weights. The 
 labour connected with this led to serious disturbance in her 
 monthly courses, associated with constant irritability of the 
 bladder and repeated attacks of sickness. The bladder irritation 
 though very inconvenient, was not accompanied with much pain 
 until she was married (at the age of 24) when serious symptoms 
 quickly developed themselves, married life being extremely 
 painful. Medical advice and assistance were sought. The 
 ordinary family doctor, and subsequently several others were 
 consulted, but without relief. Then the Hospital for Women, 
 Soho Square, was resorted to. Her case was there considered a 
 serious one. The medical men attached to that institution all 
 agreed that she was suff"ering from ulceration of the womb —one of 
 them also affirming the existence of a tumour " as large as an 
 orange." After remedies applied for two months, she was advised 
 to enter the hospital as indoor patient, to which however she 
 
l62 
 
 objected. Next Bartholomew's Hospital was resorted to, the 
 physician there (a specialist in diseases of women) saying it 
 was lucky she had not impregnated, adding that she had a 
 tumour and that there was no room for a child to come away. 
 She received however no benefit from his treatment — his successor 
 at the same hospital being equally unsuccessful, and he also 
 said that she had a tumour as large as an egg. The writer 
 was consulted on the 14th August, 1878, three years after her 
 marriage. Her symptoms at the time were (i) bladder irritation 
 gradually getting worse, signs of inflammatory pain, frequent 
 urination with scalding pain, urine cloudy ; (2 ) constant pain in 
 the region of the bladder; (3) a gnawing pain extending to the 
 hips and loins; (4) constant nausea and dizziness of the eyes; 
 (5) constipation attended with pain when the bowels were 
 opened. 
 
 A careful internal examination revealed a swelling the size of a 
 small orange in the hollow of the sacrum, while the neck of the 
 womb was turned upwards and forwards. It was this swelling 
 which had been mistaken for a tumour — it was in fact the fundus 
 of the womb pressing on the bowel, while the neck of the womb 
 pressed on the bladder, occasioning the discomfort complained of. 
 The treatment adopted by the writer was directed to the removal 
 of the sterile condition of the patient, the womb was replaced by 
 gentle means that is to say by gradually levering it to its proper 
 position by means of cotton pads (not by pessaries as usually 
 en ployed in such cases) .and by attention to position. In the 
 course of three months the unfavourable symptoms disappeared. 
 In the fourth month signs of pregnancy presented themselves. 
 This also contributed to the lifting of the womb from the pelvis, 
 so that the bladder and lower bowel were left undisturbed,— in 
 other words the patient was cured. In due course she was safely 
 delivered of a healthy child and made a good recovery. 
 
 Since then E. R. gave birth to a second child, and is now (1882) 
 expecting a third. 
 
163 
 
 The above lady has h'ved in the same house in Bedford Row, 
 Holborn, for twenty years and will gladly verify the above state- 
 ment if requested. 
 
 No. 30. 
 
 Chronic and ^^ inairahle^' disease of the bladder, previously unsuc- 
 cessfully treated in Russia, Germany, France and England, by 
 allopathic and homeopathic physicians. 
 
 S. M., a lady advanced in years, was travelling from Paris to 
 St. Petersburg by train in 1863, when a severe frost set in for 
 which she was not suitably prepared. The sudden reduction 
 of temperature during the journey occasioned — contrary to her 
 usual habit — a painful desire to micturate (empty the bladder). 
 To effectuate this during one stage of the journey was however 
 impossible, by reason of the distance to the next station. On 
 arriving at St. Petersburg considerable uneasiness and painful 
 irritation was experienced, but ultimately after considerable 
 difficulty relief was obtained. The consequence of this retention 
 was the establishment of constant irritation at the neck of the 
 bladder — forcing pain and false attempts to urinate. This 
 discomfort continued, despite the aid of able professional men. 
 Various kinds of medicines prescribed by physicians gave only 
 temporary relief. A change to Germany was now recommended, 
 and a physician of the University of Heidelberg was consulted. 
 Stone in the bladder was supposed to be the cause of the 
 continued irritation but an examination by " sounding " proved 
 that such was not the case. The professor suggested various 
 remedies and soothing fomentations. These failed even to give 
 relief. The waters of Ems were suggested, and the most able 
 physicians there were consulted. A long course of treatment 
 resulted in similar disappointment. The next step was to France 
 — Vichy waters were strongly recommended — a noted physician 
 
 K2 
 
164 
 
 was consulted, and his advice strictly followed, but with no 
 better success. Next a physician of world-wide reputation, in 
 Luchon, in the Pyrenees, was resorted to, who prescribed 
 sulphur baths and fomentations of famous herbs. Notwithstanding 
 all these efforts her malady still gained ground and for some time 
 she was unable even to walk without pain. Coming to England 
 in 1865, she consulted several physicians of eminence, was 
 examined at repeated intervals, and treated for " stone " ; but 
 still without any success. Being strongly advised by one of these 
 English physicians to go into St. George's Hospital, she did so ; 
 and having been admitted there, underwent several painful 
 examinations, and had the advantage of consulting the medical 
 and surgical staff. Of her hospital life the patient thus writes — 
 (and it may be here mentioned that, following the plan 
 adopted in compiling these cases, the foregoing as also most of 
 the subsequently stated particulars are taken from her own 
 narrative) : — " I conformed to the hospital rules for some time, 
 but was no better ; and the physicians failing to do me any good, 
 were glad, I suppose, to get rid of me, and dismissed me, as my 
 former advisers had done." She then proceeds to narrate the 
 circumstances under which, widi forlorn hope, and in the midst of 
 much solitary suffering she consulted another physician whose 
 advice she followed for about nine month, but without success. 
 Then homoeopathy was recommended, and with hope raised she 
 consulted eminent physicians of that school, — still however 
 without beneficial result. After this a medical practitioner at 
 Uckfield in Sussex was consulted who liberally administered 
 morphia, iron and blue pill. She found herself nevertheless 
 getting worse instead of better. Her narrative then proceeds : — 
 " My suffering changed its character. Every now and then I was 
 seized with spasmodic or cramp-like paroxysms of intense agony 
 which made me scream. This would continue from one, two, and 
 even three hours. At this time I hardly ever slept half an hour 
 together, — the extreme urging to pass water awoke me from 15 to 
 
i65 
 
 20 and more times during the night — and not unfrequently during 
 the day I was troubled in the same manner, 10 or 12 times in an 
 hour." Then, after detaiHng the hopeless and almost despairing 
 condition of mind into which she had fallen, and the circumstances 
 under which she had been led to consult the writer, she says : " I 
 paid Dr. D. Jones a visit, who carefully noted all my varied 
 symptoms ; and the better to secure his personal attention I 
 entered his Home. The first week passed without apparent 
 difference as to suffering but after that time I improved so 
 rapidly that in three weeks and three days I went to church for 
 the first time for years. The pain and all its inconveniences left 
 me ; no vestige of past suffering remaining. Thus contrary to 
 hope (humanly speaking) Dr. Jones vvas the instrument in God's 
 hands of curing me after eight and a half years continued suffering, 
 and after so many attempts of other physicians, of unquestionable 
 repute in Russia, Germany, France and England." 
 
 This lady continues perfectly well now (1882), more than 
 eight years since she left Bolton House, and has had no 
 return of her disease. She will willingly verify the foregoing 
 statement, and if requested will furnish the names of the 
 several physicians whom she had consulted. Since then she has 
 undergone an operation for cataract by an eminent oculist. 
 
 No. 31. 
 
 Chronic and supposed incurable disease of the bladder, cured in 
 six weeks. 
 
 Mrs. E. M. A., aged 54. 
 
 This case was very nearly identical with the case of S. M., 
 above described. The symptoms were as severe, the duration of 
 suffering was 18 months more, its incurable character was equally 
 marked, while the exciting cause was entirely different. The 
 
1 66 
 
 patient resided at 164, Piccadilly, premises known as "The 
 Religious Tract Society."* She had lived there for upwards of 20 
 years, and is well known to the Secretary of the Society and the 
 neighbours. Her suffering commenced 10 years ago, during the 
 "change of life," she being at that period 44 years old. The 
 exciting cause she attributes to tripping accidentally against a door 
 mat, and falling down stairs, which shook her considerably and 
 brought on a pain in her side, as well as discomfort in the lower 
 part of the abdomen. This was soon followed by irritation in the 
 bladder at irregular intervals. Soon after, the irritation became 
 
 more troublesome. Mrs. A describes her sufferings thus : *' I 
 
 had to pass water at first three or four times an hour, which was 
 attended with acute forcing or bearing-down pain, as if my inside 
 would be forced out." " These inconveniences," she adds, 
 " became more and more troublesome, the bladder having to be 
 emptied every few minutes. For several years, at intervals, the 
 irritation and constant urging to pass water were so severe that at 
 night no sooner was I in bed than I had to get up again. 
 Finding it useless to try to get a little sleep, I adopted the plan of 
 propping myself outside, and on the edge of the bed, wrapped in 
 blankets, with the chamber utensil conveniently placed; by this 
 arrangement I was not so thoroughly roused from sleep. When 
 going out of doors, I had to make preparations for it, and was 
 compelled during the paroxysm of pain to cling to posts or rail- 
 ings, or anything I could get hold of. Occasionally I had to sit 
 down on the doorsteps, screaming with pain." In'another part of 
 her narrative she states : " My poor husband was so anxious about 
 me that he spent over 100 guineas in obtaining the advice of the 
 most eminent physicians in London, who variously described my 
 disease as inflammation of the neck of the bladder — chronic 
 disease of the mucous membrane of the bladder — stone in the 
 bladder — impacted stone^tumour pressing on the bladder — 
 falling of the womb^gravel — disease of the nerves of the bladder 
 
 * For Mrs. A.'s present address see the Appendi:i. 
 
167 
 
 — ulceration of the lining membrane of the bladder — malignant 
 disease of the bladder, &c., &c. All agreed that I was incurable." 
 This patient (from whose narrative as in the former case these 
 particulars are taken), afterwards became a patient of the writer. 
 She was under treatment for six weeks, was discharged 
 cured, and continues well without the slightest return of her old 
 symptoms. She writes in a book recently presented to the writer, 
 
 as follows : — " The gift of a grateful patient, E. M. A , who had 
 
 suffered from an internal complaint for 10 years, had been an in and 
 out-door patient of five hospitals and unsuccessfully treated by up- 
 wards of 20 physicians, and was cured by Dr. Jones in six weeks." 
 
 The hospitals to which Mrs. A resorted were, Guy's, St. 
 
 George's, Middlesex, Hospital for Diseases of Women, Soho 
 Square, and the Samaritan Free Hospital. 
 
 NOTE. 
 
 In this case, the writer did not in the first instance apply his 
 own new method of treatment only, but the specifics (so called) 
 in the allopathic and homoeopathic pharmacopoea, though without 
 success. As a homoeopath, he can afiirm that full justice was 
 done to homoeopathy and homoeopathic remedies as used in such 
 cases, and in further justice to allopathy, it may be stated that the 
 
 old system was (as appears from Mrs. A 's own statement) 
 
 fairly tried by some of the most eminent practitioners in England; 
 
 concerning whom, and her case generally, Mrs. A has 
 
 expressed her readiness to furnish any information which may be 
 desired. 
 
 No. 32. 
 
 An obscure case of bladder disease resembling cancer, previously 
 unsuccessfully treated both by allopathic and homoeopathic means. 
 
 Mrs. S. C, aged 53, married. 
 October 14th, 1875. — Her own statement of her case was 
 
 substantially as follows. — She had been suffering for five years 
 
i68 
 
 and a half, her disease being, as she beUeved, exacUy the same as 
 that described in Mrs. E. M. A.'s case, which case had come 
 under her notice in perusing a previous edition of this work. The 
 doctors dififered in opinion as to the nature of her disease, and 
 told her that she could not be cured. She was treated by an 
 experienced homoeopathic physician for twelve months. Getting 
 no relief, she went to the Samaritan Free Hospital for several 
 months, without benefit. She afterwards went to St. Peter's 
 Hospital for twelve months, still she got no better. Lastly, she 
 went to another hospital (one inaugurated by a lady M D.) for four 
 months : one month as in-door, and three months as out-door 
 patient, — the result being negative, but rather an aggravation of her 
 sufferings. Since the commencement of her disease she had been 
 gradually getting worse. She had felt wretched and miserable in 
 herself and was a trouble to others. 
 
 Mrs. C.'s appearance presented the characteristics usual in such 
 cases. She looked pale, dejected, and worn out with pain, owing 
 to an almost ceaseless straining effort to urinate. The writer's 
 note-book records the following symptoms when first he saw 
 her: — "(i) has emaciated considerably during her illness, 
 countenance sallow, resembling patients dying in the last stage of 
 cancer — (2) pulse very small, weak, and frequent — (3) tongue 
 furred on the dorsum j the anterior portion, and the edges, 
 extending as far as the root, are red, irritable, and cracked — (4) 
 has constant nausea and disagreeable taste in her mouth — (5) the 
 urethral canal, extending to the bladder, is nearly closed ; and it 
 is with difficulty that a small catheter can pass; it is also thickened 
 considerably (as thick as a thumb), and feels as hard as a cord, 
 and very painful on pressure; the bladder bulges into the vagina, 
 forming what is called ' cystocele' (projection of a portion of the 
 bladder into the vagina) — (6) has considerable pain over the 
 regions of both kidneys extending along the course of the ureters 
 into the groins — (7) she can only partially empty the bladder — 
 (8) the urinary secretion is cloudy and deposits a thick sediment 
 
i6g 
 
 which under the microscope proves to be pus and mucus with a 
 large quantity of spheroidal and tesselated epithelium with 
 crystals of triple phosphates of ammonia and magnesia, such as 
 is frequently seen in prostatic disease in the male — (9) the 
 urine highly alkaline and albuminous — (10) has most of the 
 symptoms complained of by Mrs. A.," (see Mrs. E. M. A.'s 
 case). The wide-spread imphcation of the whole viscus had 
 occasioned extension of the mischief into the ureters (the tubes 
 which convey the urinary secretion from the kidneys into the 
 bladder), and from the ureters into the interior of the kidneys. 
 This was evidenced by the albuminous condition of the urine. The 
 kidneys were rendered incapable of removing urinary products 
 from the blood. These irritating secretions were partially retained, 
 occasioning the constitutional symptoms from which the patient 
 suffered ; in other words, there was a degree of ursemic poisoning 
 which is common in " Bright's disease of the kidneys," which 
 proves fatal in thousands of cases annually, and to which Mrs. C. 
 must have succumbed had not the cmise of her disease been 
 discovered and removed. Clearly the above case presented very 
 grave peculiarities and complications, and was (so far as any 
 ordinary plans of treatment went) utterly hopeless, and must soon 
 have proved fatal. This conclusion was fully justified by the 
 then unfavourable results. Allopathic and homoeopathic physicians 
 alike pronounced her incurable, and her bountiful friends beginning 
 to feel the drain on their resources, threatened to withdraw their 
 help when they saw that no benefit was derived from their 
 generous outlays. 
 
 Under these circumstances, and the patient believing the case 
 to be within the reach of the writer's treatment, — a belief in which 
 he greatly encouraged her, — he gave her a free admission to his 
 Private Hospital for Women. She entered, much against the 
 wishes of her friends, and to their astonishment, returned home 
 in four weeks cured. After a few weeks she fancied she had a 
 slight relapse. Two more applications with the ** spray," however, 
 
completely cured her, and she continued well up to i88i.''' When 
 once the cmise, which was in the bladder and urethra was removed, 
 the kidneys, which were only secondarily affected, soon got well* 
 The back pains complained of shortly vanished, and the 
 urinary secretion quickly gave evidence that the kidneys were 
 doing their work healthily j and as a general result, the haggard, 
 worn-out aspect gave place to a healthy hue and happy 
 countenance. 
 
 This case is well known to a large number of friends at St. 
 Peter's Park Baptist Chapel, the minister of which is ready and 
 willing to verify the above statement if requested to do so. 
 
 No. 33. 
 
 Chronic bladder disease of six years' diiration, occurring after 
 a confinetnent. 
 
 F. T., aged 28, married, and mother of four children. 
 
 April 12th, 1880, stated as follows : — " I have been ill since my 
 confinement six years ago, and have been to several doctors who 
 have done me no good : they do not seem to know what my 
 disease is. It came on three days after my last confinement. My 
 own doctor treated me without success for some time — when, 
 thinking myself a little better and trying to move about I found 
 myself worse. The doctor tried a great many different remedies 
 but without avail. I was now sent to the Hitchin Infirmary, but 
 I got worse the whole time I remained, viz., three months. 
 Deriving no benefit I thought it was no use to continue any* 
 longer. I suffered great pain, and had to pass water every few 
 minutes night and day. I lingered on in this way for two yearsj 
 and being only a poor man's wife I felt it all the more, as I had to 
 neglect my husband and children. Getting worse and worse, 
 
 * On two or three occasions she was somewhat inconvenienced by another 
 disease. 
 
1:71 
 
 tiie rector of our parish took my case up, and was very kind to 
 me, and wrote me a letter to take to the doctor [ had been 
 under for three months on a former occasion. He paid me every 
 attention, and said he had done all he could for me and hardly 
 knew what was the matter with me. I was under his treatment on 
 this occasion for two months longer, still without relief, and 
 accordingly left off doctoring again. I lingered on this time in 
 great agony for another year, and became pregnant again. I 
 suffered at this time more than ever. I thought I must have died 
 before my confinement, but everybody kept telling me I should be 
 better when the child came. I got over my confinement better 
 than I expected, but my sufferings were very great day and night. 
 
 At the end of three months I got much worse and was advised 
 to go to another doctor in Hitchin. I told him the doctors I had 
 been under, and asked him if he could really tell me what my 
 disease was. He replied that he thought it must be severe 
 ulceration of the bladder, and he examined me very carefully on 
 two occasions during the five months I was under his care, but he 
 did me no good ; no one did me any good ; I did not even get 
 relief. I think I became worse after the treatment of every doctor 
 I was under. At this time I had more burning pain than ever — -I 
 can only compare the pain as if boiling water was passing from my 
 bladder. I had sometimes to go every three or four minutes, but 
 usually six to seven times an hour. After five months doctoring I 
 tried another doctor living in Halsey. This doctor thought I had 
 stone, and examined me for stone twice but found none. I gave 
 him three weeks' trial, and took his medicine regularly without any 
 relief. He said he did not really know what my disease was — the 
 disease was " a very curious one." It is just two months since I 
 left off his treatment and have come to you to see what your skill 
 will do. I have no faith in you or anyone else now, but as The 
 
 Rev. Mr. M urged upon me to come, I have no objection 
 
 to let you try what you can do." 
 
172 
 
 The writer after making notes of the case in his case-book, 
 administered the first "spray," but before doing so, the patient was 
 asked to empty the bladder, which she tried to do. Catheter 
 introduced — eight ounces of muddy and ammoniacal urine 
 drawn which upon standing deposited 50 per cent, of mucus and 
 blood. The clear fluid contained 5 per cent, of albumen, the 
 usual test of heat and nitric acid having been applied. 
 
 April 15th. — Second interview. She said, "I am really better, 
 I slept more last night and the night before than I have since my 
 illness, I am better also in the day time." Drew by catheter same 
 quantity of urine of same character as before, but clearer, and on 
 measurement it yielded only 30 per cent, of mucus or muco-pus. 
 
 April 19th. — Third interview. She said, " I am so thankful to 
 tell you that 1 am getting well. I slept from 10 o'clock last night 
 till 4 this morning, and when I passed water it was clear and gave 
 me no pain in passing. I have also been out for a walk with my 
 sister and walked a mile and a half without much fatigue. I only 
 passed water four times the whole of yesterday, and this I did 
 without any pain." Emptied her bladder — catheter introduced — 
 about an ounce of urine only remained — the urine still a little 
 cloudy — slightly acid — deposited i per cent, only of mucus — only 
 slight traces of albumen — scarcely distinguishable by nitric or 
 picric acids. 
 
 April 22nd. — The patient states she is "quite cured, I slept 
 from 10 o'clock till half past 7 in the morning, which I have not 
 done for years. I go out every day and walk like anyone else" — 
 told to empty her bladder — this done, showed that the function of 
 urination had quite returned. She said, "the urine is perfectly 
 clear- I sleep all night without being disturbed and I do a great 
 deal of walking during the day." The patient was told to come 
 again in about a week. 
 
 April 29th. — The urine examined — normally acid, and of the 
 specific gravity of healthy urine. She walks out daily, eats her 
 food naturally and has gained flesh. Discharged cured (in less 
 
'73 
 
 than three weeks) but for safety advised to remain with the friend 
 she was staying with for a week longer, and to call on the writer 
 in case of any of her former symptoms returning. She accordingly 
 
 remained with her friend, Mrs. M •, Victoria Road, Holloway, 
 
 for about a week. 
 
 The patient's friend, whose address is appended above, will be 
 glad to verify the truth of the above statement if requested to 
 do so. 
 
 The following is a letter received from the Rev. Mr. M , 
 
 the gentleman who sent the patient to the writer : — 
 
 "October 20th, 1880. 
 " My Dear Sir, 
 
 "The young woman you so kindly treated at my 
 request wished me to write and inform you that she continues quite 
 well, and has not had a smgle pain of the kind for which you treated 
 her, since she came home. Full of gratitude for the wonderful 
 cure so quickly wrought, she is anxious that you should make 
 some use of her case, for the benefit of others. She also wishes 
 me to say that she would be pleased to answer any questions, go 
 anywhere, or do anything in her power to induce any poor 
 sufferer in a similar condition to try your skilful treatment. 
 
 " It is certainly a very remarkable case. For six years her 
 sufferings were most distressing, no relief could be obtained either 
 at home, or at the hospital. When I wrote you her case appeared 
 hopeless, and when at the end of one month, you sent her home 
 cured, I was still afraid the relief was only temporary. She is, 
 however, perfectly well, and says she never enjoyed better health 
 in her life than she does now. I have known the case from the 
 commencement, and if you are disposed to publish any statement 
 respecting it, shall be pleased for you to make use of my name, or 
 to answer any enquiries that may be addressed to me. 
 
 " I am Dear Sir, yours sincerely. 
 
 " D ^I — . ' 
 
174 
 
 Some time having elapsed since she returned home, it was 
 thought desirable before going to press to communicate with the 
 gentleman who sent her to the writer, to know her present state of 
 health. The following is a reply. — 
 
 " January 19th, 1889. 
 " My Dear Sir, 
 
 " I found F. T. quite well and at work. Her case 
 is so complete that she appears years younger than she did, and 
 tells me there has not been the slightest inconvenience since she 
 came home. She may well be so desirious of inducing any other 
 poor sufferer to come to you. She is daily expecting to be 
 confined, 
 
 " I am, sincerely yours, 
 
 " D M ." 
 
 No. 34. 
 
 Stone in the female bladder weighing two otinces and three quarters. 
 E. H., aged 37, married. 
 
 This case illustrates in a marked manner the importance of 
 careful diagnosis — as to which too much is perhaps sometimes 
 expected from the general practitioner, who, having all kinds of 
 diseases and ailments to deal with, has little or no time for devot- 
 ing attention to any one in paticular, as a speciality. But the 
 like allowance can scarcely be made in favour of hospital treat- 
 ment, where one might reasonably expect that special diseases 
 would be treated by physicians or surgeons specially qualified. 
 Though even there (as happened in the present case) a sufficiently 
 careful and accurate diagnosis is not always observed. 
 
 This patient had been ill off and on for five years, her illness 
 culminating in a very severe form of suffering. She was at first 
 attended by a medical gentleman practising in the vicinity of her 
 
175 
 
 own residence, who attributed her suffering to " internal abscesses 
 or misplacement of the womb," and advised " instruments," and 
 sent her to Finsbury Pavement to procure the requisite appliances. 
 The instrument used gave her excruciating pain for three weeks ; 
 it occasioned m.oreover the passage of more blood. Getting no 
 relief the instrument was removed. She was now advised to go to 
 St. Bartholomew's Hospital, which she entered as an indoor patient. 
 There her suffering was attributed by the assistant obstetric physi- 
 cian to uterine disease, and treated accordingly. Several pessaries 
 were introduced, but these only intensified her sufferings. Here, 
 too, they drew her urine by catheter. She said to the writer, "I 
 was taken on four occasions to the Theatre of the Hospital on 
 Tuesdays and Fridays in the presence of several doctors." After 
 the first examination she got worse, and had to get up twelve times 
 in the night. The nurse was told that her disease was inflam- 
 mation of the bladder. The second time, when she went to the 
 Hospital Theatre, she was again examined before about twelve 
 doctors. She says : — "Dr. ■, when asked what really was the 
 matter with me, said he thought it was stone, but the stone was 
 too large for operation, and that I would do just as well at home 
 as in the hospital." She had been in hospital a month and 
 three days and got no better. Went again a fortnight after being 
 
 at home and saw Dr. in the presence of four other doctors. 
 
 She asked him if he thought it was stone. He said, " Who 
 told you so ? it is no stone at all," and added, "take all the rest 
 you can." The other doctor had before told her it was stone. 
 
 Entering subsequently the Hospital for Women, Soho Square, 
 the physicians there took the same view of her case as had been 
 taken at St. Bartholomew's Hospital, and she was treated for 
 " disease of the womb." The womb was said to press on the 
 bladder. Leeches were applied to the " congested womb " and 
 medicines prescribed. After five weeks treatment under a 
 physician there, and getting worse instead of better she declined 
 to continue any longer under treatment. Her suffering increasing 
 
176 
 
 very considerably, and acting under the advice of friends, she 
 
 again went to St. Bartholomew's Hospital. Dr. and several 
 
 other doctors saw her. She says : — " They seemed cross when I 
 still complained of the water, and said ' when the womb gets well 
 the other will." When I complained in the same way in Soho 
 Hospital they said the same thing, I took my water three times 
 to Soho Hospital and urged upon them to examine the bladder, 
 but they said it was the womb. The instruments made me 
 worse, but all along when I assured the doctors I thought it was 
 the bladder, and not the womb, they said, * Do you think 
 you know better than we do ? ' I said (crying), ' 1 am sure it must 
 be the bladder and not the womb.' The two doctors laughed at 
 me and told me to ' go away ' and that I v/ould ' soon get better.' " 
 Her suffering now became intolerable and in great despair 
 she left the hospital and went to her home. Becoming impressed 
 with the notion that she was pregnant, the family doctor was sent 
 for, and a very skilful physician's advice was sought, who said 
 that pregnancy was the sole cause of her suffering, and gave 
 instructions fur premature labour to be brought on forthwith. 
 The physician was evidently under the impression that a gravid 
 womb pressing on the bladder accounted for her suffering, and 
 that bringing on the labour would remove the cause. At all 
 events both patient and friends were assured that it would result 
 in her being cured. During the time this was going on, the 
 bladder was to be relieved by catheter three times daily. This 
 was done for seventeen days, before labour came on. She had a 
 very critical confinement. But to the patient's great disappoint- 
 ment, her previous sufferings and inconvenience continued as 
 before. She now came to the writer "as a last hope." She 
 had all the ordinary symptoms of stone in the bladder, such as 
 constant desire to urinate, which was worse after the act ; had 
 great pain also during locomotion. The urine at first was cloudy, 
 but afterwards contained blood and mucus in large quantities — 
 which increased as she became worse. In addition to the above 
 
177 
 
 and other ordinary symptoms of stone, she had supplementary 
 symptoms peculiar to her own case. " I have (she said) been 
 worse for two years, and have been unable to lie on my left side. 
 I have not been able to stoop the whole time without excruciating 
 agony— if I went on my knees, I could not get up without help. 
 I have tried to raise myself by the help of a chair, but failed to do 
 so, and was at last obliged to ask my husband to pull me up." 
 
 After examination a large stone was found in the bladder, 
 measuring respectively in three directions twenty-five, thirty-six, 
 and forty-seven millemetres (about two-and-a-half inches) when 
 seized by the lithotrite. The patient was at once sent to 
 the writer's establishment in Clapham. Satisfactory efforts 
 were made to improve the inflamed condition of the bladder by 
 the spray treatment, and this improved also her general health and 
 thus greatly contributed to the very successful issue of the case. 
 The success met with in other cases gave the writer the fullest 
 confidence that his treatment would in this case bring the patient's 
 bladder into a state tolerant of instrumental interference, and in 
 fact a rapid subsidence of the inflammatory symptoms followed. 
 The case fully exemplified the superiority of the writer's method of 
 treatment of stone in respect of the following auxiliary advantages. 
 The extreme morbid sensitiveness witnessed in stone cases is 
 perfectly commanded and kept in abeyance ; renewed Hfe (so to 
 speak) is given to the patient ; the subsidence of cystitis gives 
 sleep, — hence tranquil nights ; the patient awakes in the morning 
 refreshed and without the peevishness and fevered tongue usual in 
 some cases; the stomach regains tone; the alvine secretions (from 
 the bowels) assume a healthful condition and become abundant ; 
 and the patient feels satisfied with hiniself and with the physician. 
 In short, the patient is conscious that improvement is taking place. 
 The fact is, that more is done in these cases by the writer's /re- 
 pavatovy treatment than has been done before, hence the patient's 
 hope and confidence as to ultimate recovery is established, and 
 this alone is an influence greatly helpful to both patient and 
 
178 . 
 
 physician. When the patient in the present case was in a fair 
 condition for undergoing the operation, she was removed to the 
 writer's Home Hospital, lo, Dean Street, Soho, to be more within 
 reach of his personal attention. On the 29th June, 1879, she was 
 placed under the influence of ether, and in the presence of five 
 medical gentlemen, and the patient's sister, the stone was thoroughly- 
 removed in one hour and thirty-five minutes, nearly half an hour 
 of which was occupied in rectifying unexpected difficulties which 
 had arisen, and placing the patient comfortably in bed. 
 The stone was seized in its longest diameter. It was so long that 
 the lithotrite could not be locked. Mr. Banks (from the firm of 
 Messrs. Maw, Son & Thompson) was present to witness the 
 behaviour of the instrument, which had been manufactured ex- 
 pressly for the occasion. He was requested to test the strength of 
 his manufacture by tapping it with a mallet, which he did with 
 considerable force, as well as confidence. The stone was now 
 sufficiently reduced to come within the grasp and lock of the 
 lithotrite. Being thus reduced into smaller fragments, the whole 
 of the calculus was pulverized to be brought away through the 
 evacuating apparatus, and this was done without difficulty. 
 
 The debris on being weighed was found to be 1320 grains, or 
 two ounces and three quarters. There were scarcely sixty drops 
 of blood lost during the whole operation. The patient made a 
 rapid recovery and left the Home Hospital in ten days perfectly 
 well. Scarcely a grain of i^&m was passed after the operation. 
 The abundant mucus and blood which the patient had been 
 passing the whole of the time she had been ill rapidly 
 disappeared, and the urine soon became clear and abundant — 
 thus proving the absence of further mischief. 
 
 Before the patient left the Home Hospital she was well 
 examined lest another stone or any debris had been left behind 
 to form a nucleus for other trouble. Nothing was, however, 
 found, and the patient has continued in perfect health up to this 
 date (April, 1882). 
 
179 
 
 No. 35. 
 
 This case like the preceding had been unsuccessfully treated by 
 practitioners of both schools. T'he disease ivas due to uterine mischief. 
 
 Mrs. M. C, aged t^T)- 
 
 This case was very peculiar, and deserves special and extended 
 extracts from the writer's notes. The patient's experience during 
 many years of suffering (as stated by herself) may usefully be 
 summarized, in the first instance ; the application of the treatment 
 which effected her cure may then be described and a few 
 general observations added — -observations suggested by certain 
 pathological features which the case presented. 
 
 Suffering from irritation of the bladder she had gradually 
 become worse, and down to the year 1876, three confinements (with 
 still-born children), six miscarriages, and one healthy living born 
 child, characterized her married life. In 1872 she became preg- 
 nant, which condition made her bladder disease more troublesome 
 than usual, and a homceopathic physician was consulted. His 
 treatment of her case as one of " coming down of the womb," 
 being without benefit, he ultimately recommended change into the 
 country. While there (at Middlesbro', in Yorkshire), Mrs> C. 
 was seized very suddenly just before dinner with unusually 
 severe symptoms, accompanied by " dreadful, awful torture," 
 constant desire to pass water v/ith intense forcing pain, extending 
 to the back passage, hips, back and groins, — pain " ten times 
 worse than that of child-bearing." Dr. P. of Middlesbro' attended 
 her for " acute inflammation of the bladder ; " but six weeks 
 treatment not affording relief, she returned to London for further 
 advice. The journey was exceedingly trying and fatiguing, the 
 constant desire to urinate being attended with spasms so severe 
 that she nearly fainted several times while in the train. On 
 reaching her residence she sent for her usual medical attendant, 
 who visited her and prescribed hot fomentations and opiates, 
 without benefit. He consoled her however by saying that he 
 
i8o 
 
 hoped she would be better after her confinement, which was ex- 
 pected in five months. After five long months of terrible 
 torture she was delivered of a still-born child. Her bladder 
 symptoms however were in no way better, but a great deal 
 worse, and laudanum injections were essential in order to obtain 
 ease and a little sleep.* After three months further unsuccessful 
 treatment he told her he did not know what more to do for her, 
 did not understand the nature of her complaint, and had never 
 during the whole of his experience met with a case so persistently 
 unyielding to the remedies he had been using. Expressing great 
 regret, he urged recourse to some hospital physician who had made 
 a special study of female diseases. The late Dr. P., obstetric 
 physician of Guy's Hospital was accordingly consulted. He pro- 
 nounced the cause of all her discomfort to be " misplacement of 
 the womb," and recommended an instrument (a pessary), which 
 was introduced and worn, but gave no relief, and in December, 
 1872, her sufferings became intolerable. In January, 1873, 
 another homoeopathic physician was consulted. By his advice 
 the instrument she was wearing was removed, and rightly as 
 will be seen from the sequel ; but after treatment for five months 
 he also expressed regret that he could do no more for her. She 
 describes her sufferings at this time as " continued torture." She 
 says, " night and day the desire to pass water was repeated every 
 few minutes, attended by cutting, burning, urging pains." She 
 also adds, " my eyes, during these terrible paroxysms, seemed to 
 be violently forced out of their sockets ; my back and hip bones 
 felt as if they were being wrenched asunder, forcibly reminding 
 me of the grinding pains of labour. To bear the pains during 
 these severe spasmodic attacks, I found relief by pressing the 
 knuckles of both hands on any hard substance, as a table : this I 
 repeated so often that corns were formed on my knuckle-joints." 
 
 * Mrs. C. informed the writer that her suffering was so great that she took 
 chlorodyne for a year-and-a-half, and for the last six months Ijefore she saw 
 him she had taken 60 drops three times a day. 
 
i8i 
 
 The next visit was to the Hospital for Women, Soho Square. 
 The physician in attendance treated her for " falling of the womb/' 
 and applied a pessary, saying, in reply to a doubt expressed 
 by the patient, that '' the pain she had in urinating and the 
 frequency were occasioned by the womb pressing on the neck of 
 the bladder ; and that as the womb went into its proper position, 
 the bladder symptons would get well." The patient attended the 
 hospital regularly until the day before it closed for repairs, in 
 September, 1873. It was at this juncture that Mrs. C., then 
 residing at Lewisham, had personally to transact a matter of 
 business away from home, and not being able to go in 
 any kind of carriage, as shaking increased her suffering, she 
 "crawled out," but was obliged every few minutes to enter 
 shops, begging permission to ease herself. At one of 
 these, the shop-keeper (Mrs. H.), seeing her distressed 
 condition, and sympathising with her, strongly urged her 
 to consult the writer, and at the same time handed her a copy of 
 his phamphlet on '* diseases of the bladder, cured hy a new 
 discovery." This resulted in her seeking his aid. When Mrs. C. 
 consulted him, though only thirty- three she appeared at least ten 
 years older, and as usual in such cases her body inclined forward 
 to relax the muscles of the abdomen, and thus relieve pressure on 
 the bladder. This condition, as well as the oft-repeated doses of 
 thirty to eighty drops of laudanum which she had been in the 
 habit of taking, accounted for her sallow, haggard and worn-out 
 appearance. 
 
 The case required a succession of operations which were always 
 conducted under the influence of anaesthetics. Improvement 
 began after the fourth application ; after the fifth the " awful pain" 
 as she described it entirely left her, though frequent desire to 
 micturate still continued both day and night for a considerable 
 time ; but this the patient " did not mind so long as the pain did 
 not return." The improvement was only very gradual, yet in four 
 months she had occasion to pass water three times (inly during the 
 
t82 
 
 night ; during the day no inconvenience was suffered, and at the 
 end of five months the case was cured ; but for precaution, 
 treatment was continued another month. 
 
 Her husband on returning home from a long voyage found her, 
 contrary to expectation, quite well. When subsequently signs of 
 pregnancy presented themselves some of her old symptoms 
 threatened to return, but no severe pain ; the comparatively 
 slight irritation felt being attributable no doubt to her pregnant 
 state. In due course she gave birth to a full-time healthy child. 
 Some months after this bladder symptoms again caused a little 
 uneasiness, which was effectually removed by the application of 
 a few more sprays, and in November, 1876, she was ..apparently 
 perfectly cured. 
 
 The peculiarities of Mrs. C.'s case call for special observation. 
 All the medical gentlemen (one excepted) consulted on her case 
 previously to the application by the writer of the treatment which 
 effected the cure, concurred in the opinion that her bladder disease 
 was due to " falling of the womb." Now it is a well-known fact 
 that usually when " falling of the womb " causes pressure, and the 
 woman becomes pregnant, the womb ascends from the pelvis (the 
 bony cavity in which the womb and bladder are placed), thus 
 removing both the pressure and its attendant inconvenience. In 
 the present instance, however, the patient became ivorse as 
 gestation advanced, the instruments introduced (the pessaries) 
 doing no good, but positive harm. It is astonishing how many of 
 these patients present themselves with all sorts of clumsy 
 mechanical contrivances, showing how various have been the 
 unsuccessful attempts to effect a cure. The constant straining 
 bearing down pains experienced in bladder diseases dislocate the 
 womb ; in other words the uterine misplacement, " falling of the 
 womb," is the effect not the cause of the bladder mischief. It is 
 not intended by this to convey the idea that "falling of the womb," 
 does not occasionally produce bladder inconvenience : but the 
 majority of bladder diseases in women are not attributable to that 
 
183 
 
 cause (tailing of the womb). Mrs. C.'s case well illustrates this. 
 Previous to her cure, nine pregnancies resulted in three still-born 
 children and six miscarriages. After her bladder disease was 
 cured she gave birth to a full-time healthy child — the object of her 
 heart's desire. Explanation of all this is found in the anatomy 
 and physiology of the uterine system. The same plexus of nerves, 
 " hypogastric plexus," supplies the uterine and vesical organs with 
 nervous power : it likewise supplies the rectum (the lower bowel) : 
 hence the sympathy existing between all these organs; hence too, 
 when impregnation takes place women commonly enough experi- 
 ence irritation of the bladder sympathetically ; but this is quite 
 independent of any mechanical pressure caused by the enlarging 
 uterus, inasmuch as this kind of bladder irritation occurs during 
 the first few weeks of pregnancy, while the womb is as yet too small 
 to produce irritation of the bladder through pressure. Certainly 
 a converse sympathetic condition sometimes exists through 
 pregnant women inadvertently taking strong aperient medicine j 
 in this case the irritant acts on the rectal branch of the hypogastric 
 plexus, and the irritation set up is thence conveyed to the gravid 
 uterus through the uterine branch of the same plexus, and prema- 
 ture labour is often-times the consequence. Many married women, 
 seemingly barren, have borne children after the removal of a slight 
 bladder disturbance and this in cases where uterine treatment 
 had proved of no avail.* The truth is that comparatively little is 
 known by the medical profession respecting bladder pathology j 
 and hence bladder diseases in both sexes remain uncured, and 
 scarcely to any appreciable extent relieved by ordinary treatment. 
 If physicians more generally made one disease only their special 
 study, something like accuracy of diagnosis in special diseases 
 would be attained, and suitable treatment applied. 
 
 * The \Vfiter had the good fortune to treat a case of this kind successfully 
 after three obstetric celebrities in England, France, and Scotland had unsuc= 
 dessfuUy treated the cause of the barrenness as uterine. 
 
i§4 
 
 Notwithstanding the writer's large experience and practice in 
 connexion with the peculiar and intricate diseases of the bladder, 
 and the successful application of the treatment, — to the discovery 
 of which he was led by careful study, — he feels, as mentioned in 
 the preface, that more time, systematic study and careful practice, 
 are still needed before he can adequately present the subject or 
 his mode of treatment to the profession generally. In Mrs. C.'s 
 case, the patient was under the personal care of the writer for six 
 months, and for some time he despaired of curing her. The 
 patient's statement, " I felt I could not hold my water another 
 moment ; ray desire came on suddenly, just as I was going to take 
 tea," reminded the writer that the descent of stone from the ureter 
 into the bladder, generally comes on precisely as the patient 
 described her case ; her disease, however was not stone. But 
 careful observation, steady perseverance and special noting 
 and study of each peculiarity and minutia, gave the key-note. 
 The case had been one of long duration severe symptoms 
 apparently only coming on suddenly. This is frequently 
 the case in many dangerous diseases and derangements of vital 
 functions. The suddenness of the disease is sometimes to the 
 bladder what the " last feather " is to the "camel's back." It is 
 so in acute pleurisy which not unfrequently ushers in an attack 
 of pulmonary consumption. It is so with active hoemorrhage from 
 the lungs (spitting of blood) ; the tubercular mischief, perhaps of 
 years' duration is the cmise. It is quite an error to suppose that 
 spitting of blood come on primarily and consumption secondarily. 
 It is true no very marked symptoms of consumption evince them- 
 selves before spitting of blood sets in ; but the disease has been 
 dormant perhaps for years. The first serious visible symptom is 
 spitting of blood which is simply the effect, — not the cause. It 
 is so with disease of the prostate gland in the male. The sudden 
 acute pain attended with retention of urine is only the effect of 
 a long-standing enlargement of the prostate gland. 
 
185 
 
 No. 36. 
 
 Villous tumour and stone in the bladder. — The patient was in a 
 
 dying condition when brought under the writer's notice. 
 
 Mrs. S., (written by herself for publication). 
 
 [Copy — Names only being omitted]. 
 
 "June 26, 1874. 
 
 " In consequence of severe domestic affliction in January, 1871, 
 I was constantly exposed to changes of atmosphere such as rush- 
 ing from heated rooms to the external air which gave me severe 
 colds and discomfort in the bladder. This at length became very 
 severe and caused irritation of the bladder; the desire to micturate 
 soon became constant. I sent for our family doctor, Dr. N., who 
 gave me some medicine saying I would soon get better. At the 
 end of three weeks I became much worse and my doctor told me 
 my disease had turned into inflammation of the bladder. I was 
 now very ill, and could not empty my bladder at all in the natural 
 way, but had to stand in the erect posture, and then suffered excru- 
 ciating cutting pain. I was ordered more medicine, linseed tea, 
 and twelve leeches, which gave me some relief. At the end of a 
 fortnight I became worse : the irritation and desire to pass water 
 were now intolerable ; twelve more leeches were applied, but 
 receiving no benefit the doctor made a further examination, and 
 found (as he said) that the cause of my trouble was the womb 
 pressing on the neck of my bladder, and intimated that as he had 
 found the cause I should soon be relieved. I was ordered to 
 wear a pessary which increased my suffering tenfold. I was now 
 quite confined to my bed and applied hot sponges, laudanum 
 poultices, and took morphia. In March of the same year my 
 symptoms increased in severity, when a physician was called in 
 consultation. 
 
 I was examined without success for stone. Both the physician 
 in consultation and the family doctor concurred in the opinion 
 that my disease was chronic inflammation of the bladder, the 
 result of previous acute inflammation. A fresh form of misery 
 
now presented itself. Spasmodic attacks of retention of urine 
 lasting sometimes for several hours seized me at repeated intervals. 
 I was often compelled to take as many as six warm baths in one 
 night; the baths and repeated doses of morphia were necessary to 
 give me sleep. This state of things continued till the middle of 
 April, when I made a superhuman effort to dress myself and was 
 conveyed in an invalid carriage by rail to Hull to be under the 
 personal care of the same physician who had seen me before. He 
 saw me daily for ten weeks. J became worse after reaching Hull ; 
 the pain and constant urging to urinate were more severe than ever ; 
 I could not remain in bed, but had to sit in an arm chair propped 
 up with my knees drawn up, from nine in the evening till two 
 o'clock next morning. 1 was in this condition for ten weeks, 
 during which period I was examined for stone on several occasions. 
 My physician was as kind to me as any parent could have been, 
 and regretted much he could do me no more good. He advised 
 however that Sir H. C. should be invited to a consultation. My 
 bladder was again examined. Sir H. C. confirmed the physician's 
 opinion, and said I was suffering from chronic inflammation of the 
 bladder. I was grievously disappointed when I was told that 
 nothing more could be done for me. I was recommended to 
 return home, and was told that ag the warm weather was 
 approaching (it was now the end of June) I might receive benefit 
 from the genial breezes of summer. I returned to Bridlington 
 Quay, and my husband who was just as disappointed as I was, 
 sent for another doctor (Dr. H.), who went over the same ground 
 as the other doctors had done. He called my disease a reflex 
 irritation arising from the brain and spine. He tried a change of 
 medicine and injected a solution of nitrate of silver and occasional 
 leeching. The injection made me ten times worse, and I now 
 was left in a most pitiable condition. My physicians resigned my 
 case to nature. I believe nature did more than the doctors. I 
 got well enough towards the end of August to go to London. I 
 remained with some of my husband's friends in the vicinity of 
 
i87 
 
 Wandsworth. Mr. S. J., of St. Thomas's Hospital was recom- 
 mended to me as a very clever surgeon in diseases of the bladder. 
 I sent for him and was under his care more than two months. 
 He made repeated examinations of the bladder for stone or any 
 other existing cause to account for my continued suffering. I 
 took acid medicines to correct my urine which was (he said) in a 
 highly phosphatic condition. Under this treatment my general 
 health somewhat improved; but as Mr. S. J. could not discover 
 the cause of my disorder he took a final leave of me, hoping it 
 would wear off in time. I returned hom.e in November to my 
 sick husband, who had become worse during my absence. I did 
 all I could to conceal my own miserable state so as not to depress 
 him. The family doctor again took me in hand but did me no 
 good. From December, 1871, to 1873 I dragged on a most 
 miserable weary life of unceasing pain ; nothing that was done for 
 me gave the slightest relief. 
 
 " I was recommended at this period to try what change would 
 do again. My brother, living in the vicinity of Manchester, 
 invited me there, with a view of seeing a medical gentleman of 
 great repute, who had only recently come from Guy's Hospital. 
 Having pat myself under his treatment, I had to undergo a 
 succession of examinations and applications of a most painful 
 nature, which gave me more pain than all previously had done. 
 He could discover no cause for my great distress, and gave me 
 nothing that afforded any relief. I was again dissatisfied and 
 disappointed, and told him so. The doctor, feeling full 
 confidence in his own infallibility, was angry with me, and said 
 there was not much the matter with me except nervous fancies. 
 So much for his mature judgment ! My next step was to 
 Liverpool, to the medical celebrities there. I was again examined 
 and again disappointed : I got no better. I was well nigh tired 
 of doctors, and of my own wretched bodily and mental condition, 
 and returned home in February, 1874, completely worn out with 
 repeated examinations and failures. I was now quite exhausted 
 
and bewildered, and looked upon my case as hopeless, t 
 gradually got worse : I was only able to crawl from one room to 
 another. For four years my suffering was such that I had not 
 been able to sit with any comfort in a chair for ten mmutes 
 together. I had not sufficient strength to stand in an erect 
 posture : 1 was obliged to lie in a recumbent position, till the 
 spasmodic urging and bearing down compelled me to make 
 attempts to urinate, which I could only do in a small quantity at 
 a time. I was obliged to take morphia at repeated intervals, 
 which appeared to enfeeble my mind. My malady and the 
 morphia together so upset me, that I could neither read nor even 
 do a little needlework. I was comforted somewhat by the doctor 
 saying I might be better after change of life took place. In 
 March, through the blessed intervention of Providence, my 
 brother, at Nafferton (on the York Wolds), sent me a ' Treatise 
 on Diseases of the Bladder, Cured by a New Discovery,' by 
 David Jones, M.D., of 15, Welbeck Street, Cavendish Square, 
 London. Alter perusing it I determined at once and contrary 
 to advice to place myself under his care, and made arrangements 
 accordingly. Dr. Jones informed me I had impacted stone, and 
 a vascular tumour in the neck of the bladder, I was operated 
 upon successfully. I was so relieved after the operation, that in 
 a few days I was able to leave off my morphia pills (which I had 
 taken with me), and to sleep the greater part of the night, and 
 awake refreshed, — a pleasure I had not experienced for years. 
 In three weeks my disease was cured, having suffered very little 
 pain throughout. I was now able to take my seat at the table, 
 walk out in the garden daily, and sleep soundly and naturally. 
 I remained under Dr. Jones' care some weeks longer, to regain 
 my strength. I owe a debt of gratitude to the doctor for his 
 skilful and successful treatment of my case, and for his gentleness 
 and kindness during my stay with him. The domestic arrange- 
 ments of his hospital are very comfortable ; every department is 
 well managed ; the house-surgeon was kind, attentive, and 
 
189 
 
 courteous to every one. I can only add, for the benefit of those 
 who may be suffering as I was, or from any kind of internal 
 disease, they ought to lose no time in being restored to health, 
 wliich my experience proves they will be, if once under the care 
 of Dr. Jones." 
 
 No. 37. 
 
 Tumour in the neck of the bladder, behind which was a rough and 
 pointed calculus. 
 
 Mrs. E. A., aged 52. 
 
 It will have been seen from previous pages that the cases of 
 bladder diseases which the writer has so successfully cured, have 
 been called by numerous names by various physicians and 
 surgeons consulted by the patients. Thus : — " inflammation of 
 the bladder," "catarrh of the bladder," " nervous disease of the 
 bladder," "ulceration of the mucous membrane of the bladder," 
 "stone in the bladder," &c. Why should there be so many 
 different opinions on bladder diseases ? The writer can only 
 offer one solution, viz., because bladder diseases are not under- 
 stood. If a dozen physicians were consulted on a case of pleurisy 
 (inflammation of the pleura), pneumonia (inflammation of the 
 lungs), or ague (intermittent fever;, they would all diagnose 
 pneumonia as inflammation of the lungs; pleurisy as inflammation 
 of the pleura ; and ague as ague (intermittent fever) ; because 
 these cases are of common occurrence and easy to recognize ; in 
 other words these diseases are tolerably well understood by the 
 majority of the medical profession, each being known by one name 
 and that the right name. The reader may take it for granted 
 that when several different names are given to any one disease, 
 the disease in question is an obscure pne or is not understood or 
 
190 
 
 requires special skill. No disease can readily be cured that is not 
 correctly diagnosed. No class of diseases more clearly proves 
 this than diseases of the bladder, prostate, and urethra. The 
 following case is one in point. 
 
 Mrs. E. A. had been suffering from distressing irritation of the 
 bladder for many years, which troubled her night and day, and 
 eventually quite disabled her from attending to her domestic 
 
 duties. She was under the care of an old friend Dr. , a 
 
 homoeopathic physician for a considerable time who called her 
 disease by a variety of names. He did all in his power to afford 
 relief but without success. Finding homoeopathic remedies of no 
 use, he suggested a consultation with an eminent physician 
 attached to Guy's Hospital. She was sounded for stone and 
 underwent a variety of examinations with a view of ascertaining 
 the cause of her discomfort. All the means employed failed to 
 give her the slightest relief Another eminent physician (and an 
 author of a recognised work on midwifery, and physician to two 
 hospitals) was consulted. After long continued treatment and 
 great attention from him she was advised to try change of air. 
 She left Norwood for Llandudno in North Wales, where she 
 remained a considerable time. She became worse during her stay 
 there. All her symptoms increased in severity. After consider- 
 able difficulty and inconvenience and by the aid of various 
 urinary contrivances she reached home. Finding that all ordinary 
 means had failed to give relief she consulted the writer. The case 
 was diagnosed to be a very small calculus which was impacted 
 in the mucous membrane of the bladder. On the second visit she 
 was placed under an anaesthetic and the calculus removed. The 
 patient was very speedily relieved, the severe spasmodic pain 
 which she suffered from being cured, but owing to other 
 complications the desire to urinate continued very troublesome. 
 On the whole the case was very obstinate, but she ultimately 
 recovered and still continues well. After her recovery, which to 
 her was quite unexpected, she wrote to one of her former 
 
191 
 
 physicians to say that Dr. Jones had cured her ; he wrote to 
 congratulate her and ultimately paid her a visit. When he met her 
 he greeted her and complimented heron her improved appearance, 
 and then, taking both her hands, said, " I have come to you with 
 three words, — ' ignorance,' ' congratulation,' 'rejoicing.' " 
 
 The following letter has been received since the patient's 
 recovery and is (with permission) published verbatim : — 
 
 [copy.] 
 
 '' Upper Norwood, 
 
 "Sept. 23, 1876. 
 " Dear Dr. Jones, — Your remark the other day did not 
 escape my observation that you * intended publishing all your 
 successful cases of bladder disease ; ' and as through your skill 
 and attention I am amongst the happy number, I beg you will refer 
 any one suffering to me for confirmation. I would with pleasure 
 tell any one particulars of my case, and express with all earnestness 
 the gratitude I feel towards you, as well as the high opinion I have 
 of you which might be called flattery, were I now to write my senti- 
 ments. Trusting that my recovery may lead others suffering from 
 so painful and distressing a disease to a consultation with you is, 
 dear Dr. Jones, the sincere wish of 
 
 " Yours very faithfully, 
 
 " E. A." 
 
 No. 38. 
 
 Disease of bladder and urethra. 
 
 Mrs. T., aged 68. 
 
 Consulted the writer on the 24th April, 1879. — Her sufferings 
 had been of three years' duration. She had been attended by 
 several medical practitioners, not only without cure but with little 
 or no relief. The case had been thus treated by two local 
 
192 
 
 practitioners and by two eminent surgeons attached to two of our 
 principal metropolitan hospitals. The enlightenment of the 
 patient amounted in effect to this (using her own words) that " I 
 had no stricture, cancer, or tumour, but they did not tell me 
 what was the matter with me." When Mrs. T. consulted the 
 writer he told her after a careful examination that he could cure 
 her by a surgical operation. She at that time refused her consent 
 desiring first to mention the matter to one of the surgeons 
 previously consulted. On doing this and telling him that Dr. 
 Jones had said he could " cure her by an operation " the reply was 
 " well, Mrs. T., all I can say is that no respectable medical 
 practitioner would do more for you than we have done at your 
 age." This prevailed for a time, but after considerable delay the 
 treatment pursued by two of these "respectable" medical prac- 
 titioners still continuing ineffectual either for cure or for permanent 
 relief, Mrs. T. became for a time an in-patient at Bolton House, 
 Clapham Road. While there she was very ill and intensely 
 nervous, and declared that she could not then undergo the 
 treatment. It was accordingly arranged that the writer should 
 attend her at her own home. The symptoms of her case were 
 very severe — (i) Frequent total retention of urine, so much so 
 that she was obliged to have it drawn four times on one occasion 
 at very short intervals with instruments— (2) Constantly recurring 
 desire to urinate : for instance ten times during the night, and in 
 extreme pain — (3) Spasmodic contraction and relaxation of the 
 sphincter situated at the neck of the bladder (a small muscle that 
 regulates the discharge of urine). 
 
 After short preparatory treatment, a day was fixed for operation 
 the principal object of which, as practised by the writer, is at 
 once to remove the cause of the sufferings, with a minimum of 
 danger. 
 
 The patient was placed under the influence of ether, and the 
 operation was performed in the presence of two other medical 
 gentlemen, the result being eminently successful. 
 
193 
 
 The patient experienced very slight inconvenience and made 
 a rapid and very satisfactory recovery. 
 
 From early in the year 1879, the patient has had no return of 
 her former disease to the end of 1881 and during that period 
 Mrs. T. has seen the writer twice only, once to present him with 
 a subscription for the Free Beds of his Home Hospital, and on 
 another occasion to be relieved of a slight cold which she was 
 afraid might affect her bladder, but which did not do so, 
 
 No. 39. 
 
 Chronic disease of the bladder and incipient Brighfs disease of the 
 
 kidneys. 
 
 A. L., aged 41, spinster. 
 
 April 3rd, 1878. — The writer's notes of this case furnish the 
 following : — Has been suffering for four years from intense 
 irritation of the bladder, which (to use her own language) " has 
 become worse and worse, and now it is dreadful to bear." She 
 has been under medical treatment constantly for two years. Her 
 suffering has been of gradual growth. She did not think much of 
 her discomfort at first, as it only amounted to greater frequency 
 in passing water, the act increasing however both day and night. 
 Her symptoms gradually changed in character : burning pain soon 
 added — ultimately " bearing down," throbbing, and indescribable 
 discomfort. Has been under the care of several doctors with 
 only very partial relief. For the last two years, finding medical 
 treatment " perfectly useless " (as she said), she has done the best 
 she could by simple means, patiently resigning herself to her 
 sufferings. At the time when she consulted the writer she 
 urinated every five minutes during the day, with great pain and 
 forcing, having to get up many times during the night without 
 
 M 
 
194 
 
 effect. The urinary secretion is cloudy and full of threads and 
 clots of mucus ; it is highly alkaline, and smells ammoniacal. 
 There are also traces of albumen — the specific gravity ioj6. 
 Since the urine has become more cloudy she has complained ot 
 pain in the loins, giving evidence no doubt of the kidneys being 
 implicated : the specific gravity and albuminous state of the urine 
 shows this. Administered a spray, and told her to come again at 
 the end of a week. 
 
 April loth. — Seven days after the first application she greets 
 the writer with a smile, adding " I am better. I have gone as 
 long as an hour without passing water, and when I do so it is not 
 attended with so much forcing and bearing down pain." 
 
 April 13th. — She says, " I am so much better, sir. I have 
 gone two hours, and the pain has quite left me." 
 
 May i8th. — " I am quite well ; indeed, I have been well for the 
 last fortnight. I only pass water four times a day, and once 
 during the night. I should not have troubled you to-night only 
 that we are going out of town, and I thought I should feel more 
 satisfied. My affliction had made me so nervous that I cannot 
 make up my mind that I am cured, as it is only six weeks since 1 
 first came to see you." 
 
 Having written to ask if she continued well, the following reply 
 was received : — 
 
 " Belsize Park, July 3rd, 1878. 
 " Dear Sir. — I am most happy to say that I consider myself 
 perfectly well. I cannot find words to express my gratitude for 
 the kindness and benefit I have received at your hands. I can 
 never repay you, even if I had means to do so. Will you please 
 sir to accept my poor, humble, but most grateful thanks ? 
 
 " I am, your obedient servant, • "A. L." 
 
 / , April, 1882. — A. L. continues quite well up to this date, more 
 ;tb^n three-and-a-half years since she was cured- 
 
195 
 No. 40. 
 
 Chronic and (supposed) incurable disease of the bladder and womb, 
 unsuccessfully treated by allopathic and homoeopathic means, 
 
 Mrs. E. L., aged 35 years. 
 
 This patient consulted the writer in the year 1878. She had been 
 suffering for eight years, and although under medical treatment 
 for the greater part of that time, both allopathic and homoeopathic 
 yet without cure or even permanent benefit. In the subjoined 
 letter (which somewhat fully describes her case) she says " It is 
 only since I have placed myself under your care that I know the 
 happiness of being free from suffering," adding in another part of 
 the same letter, " I only regret that I should so long have allowed 
 the opinion of prejudiced professional and other persons to 
 prevent me consulting you." Her symptoms were of the most 
 aggravated kind — constant urination night and day — severe 
 burning spasmodic attacks lasting for a lengthened period, 
 attended with bearing down pain attributable to uterine 
 complication. The treatment employed was purely local and 
 mechanical, and effected a perfect cure in six weeks, thus making 
 it manifest that the patient's continual sufferings whilst undei the 
 treatment of her former medical attendants during the preceding 
 eight years, must be attributed either to inaccurate diagnosis, or 
 inappropriate treatment of her case. 
 
 The subjoined letter was subsequently received from the 
 patient with full liberty (as will be seen) to publish the same. 
 
 During a tour through Hampshire in the summer of 
 1881 the writer called on Mrs. L. and found her perfectly well. 
 In answer to questions relating to her health she replied " I am 
 quite well and have not had an ache or pain since you cured 
 me. I got over my confinement without any return of former 
 
 symptoms.'' 
 
 M2 
 
196 
 
 Southampton, 19th December, 1878. 
 "Dea.r Dr. Jones, — I sincerely hope that my long silence has 
 not caused you to think that 1 have so very soon forgotten '• Bolton 
 House" and my associations with it during the three months 
 I was a patient there. The gratitude I feel for the kindness and 
 comfort experienced as well as for your skilful medical treatment 
 cannot be expressed. My only reason for not writing before has 
 been that I might be able when I did so to speak with greater 
 confidence and assurance of the cure effected. I have now been 
 home six weeks during which time I have been busily engaged 
 with domestic duties without having had the least return of my old 
 symptoms. I have been quite free from pain and feeling quite 
 well. When I contrast this happy state of experience with the 
 eight long years of almost continual pain, which when I was 
 seized with a spasm amounted to indescribable agony ; and tlien 
 think too of all the weariness, debility, inconvenience inseparable 
 from a diseased state of the bladder, I feel deeply and intensely 
 grateful to God who directed me to place myself under your 
 treatment and also to you as the instrument in His hands for 
 effecting so happy a result. My first illness from this dreadful 
 malady took place in 1870 — it was brought on by getting up too 
 soon after a miscarriage and by taking a severe cold. I was under 
 allopathic treatment for three years but experienced very little 
 benefit ; the latter part of the time I grew worse rather than 
 better. This being the case I determined to try homoeopathy 
 and informed my doctor of my intention. He kindly expressed a 
 wish that I might derive benefit from the change of treatment but 
 said that he had very little hope that it would be so ; on the 
 contrary he feared I should never be cured. Much depressed and 
 almost in despair (for at this time 1 was a fearful sufferer) I con- 
 sulted Dr. C , a clever homoeopathic physician. He cheered 
 
 by assuring me my case was by no means hopeless — that he con- 
 sidered it curable. Three months of his treatment effected more 
 than all before; but still the disease was far from being conquered. 
 
197 
 
 Through his removal to a distance I subsequently consulted two 
 other homoeopathic physicians. I derived great benefit but only 
 up to a certain point beyond which I never got, having always 
 more or less pain when urinating, great debility, and occasionally 
 those dreadful spasms already referred to. 
 
 " It is only since I have placed myself under your care that I 
 know the happiness of being free from suffering. I quite believe 
 that the bladder affection was perfectly cured in a month and that 
 I should have left Bolton House in that time had it not been for the 
 misplacement of the uterus, which you discovered and also cured. 
 
 " I shall but consider it to be a pleasure as well as a dtcty to 
 recommend your treatment to those suffering in like manner, and 
 shall always most willingly give my testimony to any that may be 
 referred to me. You are quite at liberty to publish any extract 
 you may think proper from this letter and I hope this may be of 
 use in inducing others to consult you. I only regret that I should 
 so long have allowed the opinion of prejudiced professional and 
 other persons to prevent me consulting you. 
 
 " Trusting that your life may be preserved many many years 
 to be a blessing to sufferers, 
 
 " I am, dear Dr. Jones, 
 
 " Yours faithfully, 
 
 " E. L." 
 
 " P.S, — I should prefer my initials being used rather than my 
 name in full ; but you are at liberty to give my name in full to any 
 one desiring to communicate with me. — E. L." 
 
 No. 41. 
 
 Disease of the bladder in a very elderly widoiv lady. 
 
 E. D., aged 77 years. 
 This patient consulted the writer on the 29th September, 1881. 
 She was accompanied by a friend. From their statements (noted 
 at the time) it appeared that Mrs. D. had during seven or eight 
 
months been under private allopathic and homoeopathic treat- 
 ment, and in the Bloomsbury Dispensary and the Homoeopathic 
 Hospital, Great Ormond Street, — her last ticket there being 
 numbered 148,582, and dated August 30th, 1881. Mrs. D. 
 said : — " None of the doctors appear to me to know what is 
 really the matter with me, and call my disease by such different 
 names. Some say I have a cancer, others that it is old age and 
 that at my age T ought not to expect to get well; others, 
 inflammation of the bladder, and as I get no relief I suppose 
 they don't know what it is. Hot fomentations have given me 
 more relief than all their medicine." Other notes respecting this 
 patient show the following : — Comes from a long-lived family — 
 her mother died at 94 — has now a sister living 91 years old, and 
 says, " I might attain a similar age if only I could get cured of my 
 painful disease." She attributes the actual commencement of her 
 sufferings to an accident — falling down stairs — and, when 
 consulting the writer, described her symptoms thus : — " I pass 
 water every half-hour during the night, but am always better in 
 the day time, and don't pass water quite so often. I am seized 
 with a sort of spasm, which is killing me. No one can tell how 
 dreadful my sufferings are who have not seen me during my long 
 suffering. The constant straining and want of sleep at. night is 
 dreadfully trying. One would think that doctors ought to give 
 me some relief. Do you think your treatment will do anything 
 for me ? " In diagnosing the case the writer found the bladder 
 so irritable that the smallest quantity only of urine could be 
 retained — it being rejected, spasmodically (so to speak), as soon 
 as secreted. The urethra also was in such an irritable condition 
 that the catheter could only with difficulty be introduced. 
 Treatment was applied, and a spray administered. 
 
 October 1 2th. — The patient said: — "I have been better, sir, 
 I am so truly thankful that I can get a little sleep. I still pass 
 water very often, but you have eased the spasm, and I rest 
 between times." Similar treatment again applied. 
 
t99 
 
 October 24th. — The patient looked better and said : — " I anl 
 very much better thank God. You are the only doctor that has 
 done me any good. Since I was last here I have only had to get 
 out of bed three or four times during the night, and I pass water 
 in larger quantities without pain, which is a great comfort to me. 
 All that the other doctors did for me was to change my medicine, 
 and look at my tongue." The writer this time administered a 
 tonic spray to the patient, and requested that on the next visit 
 she would come with her bladder as conveniently full as possible. 
 
 October 31st. — The patient said: — "I am quite well sir, and 
 am going to run away from you to live with my daughter in Uck- 
 field, ten miles from Tunbridge Wells. My cure is really a 
 miracle sir ; I never expected to get well. I have kept my water 
 as you wished me since breakfast, and could keep it still longer." 
 Catheter introduced — twelve ounces of urine drawn, clear and 
 natural, — all the irritability was removed, — the case was cured. 
 
 The patient, in expressing a wish to have her case published 
 "for the benefit of others," added: — "Thank God I saw your 
 advertisement. My daughter (Emma Dosseter), who lives with 
 Mr. Woods, Dane Hill, Uckfield, first showed it to me, knowing 
 what a great sufferer I was." 
 
 NOTE. 
 
 The above case suggests the following observation : — The writer 
 has found that in almost every such case coming under his notice 
 and treatment the patients have been discouraged, both by their 
 medical attendants and others by being told : — " Poor old soul, 
 what can be expected at your age ? " The writer has always felt 
 that the more infirm or aged the patient the greater the reason for 
 something being done to at least ameliorate the suffering and 
 render life tolerable — and he has had the gratification of witnessing 
 such a result attending his treatment of many such aged persons, 
 
206 
 
 and moreover oi curing bladder and other diseases in them,— thus 
 contributing to the prolongation as well as to the comfort of their 
 declining years. 
 
 No. 42. 
 
 S. S., widow, aged 71. 
 
 This patient consulted the writer three years ago (June, 1879). 
 The following statement of her case was given by her daughter. 
 
 Her mother was quite well till October, 1878, when she had an 
 attack of neuralgia and rheumatism. In February, 1879, she 
 began to complain of pain in passing water which gradually 
 increased in severity despite of all her doctor did for her. Her 
 disease was called " chronic inflammation of the bladder." The 
 inflammation was said to have run on to " ulceration of the neck 
 of the bladder." The doctor tried everything he knew of without 
 effect. The bladder was washed out twice a day, still the patient 
 got worse. A month before the writer commenced his treatment 
 a physician from Maidstone had been sent for who corroborated 
 the opinion of the family doctor, adding " it is a thorough break- 
 down of nature." The physician's prescriptions were nevertheless 
 carried out faithfully. Mrs. S. got no relief from all that had 
 been done. Finding that the case was "incurable" the family 
 doctor after three months constant attendance said " I can do no 
 more for her and I will only call occasionally." 
 
 The condition of the patient when first seen by the writer was 
 thus related also by her daughter : — she said, " My mother is so 
 weak she cannot talk to you. I will tell you how she has been. 
 She has had to pass water in extreme agony every half-hour to an 
 hour — the urine is very thick and sticky and smells very 
 ofiensively— once it had blood in it. We have used all kinds of 
 disinfectants but they do no good, the smell makes us all sick. 
 
20I 
 
 Three or four of us have been constantly with her night and day 
 for the last three months. She was continually wanting the 
 chamber so that we could not leave her and we are obliged to 
 support her while on it — she is so weak — she has had no appetite 
 during the last three months but we have kept her up with a bottle 
 of champagne a day. On one occasion we thought she was gone 
 — her breath seemed to have left her body, but we brought her to 
 by dipping a feather in brandy and putting it between her lips. 
 The doctors said her heart was weak and gave instructions that 
 she was never to move quickly — the vessels about the heart they 
 said were wrong." 
 
 The writer carefully examined the case and administered 
 treatment though with some difficulty the parts being unusually 
 irritable, Full instructions were given how to proceed till the 
 writer should see her again. On visiting her a second time at 
 Tunbridge he was gratified to find her propped up in bed and 
 able to converse pretty freely — she said in a distinct voice : — 
 " the first spray you gave me produced beautiful sleep and con- 
 forted me for three days — it was new life to me, I had only to pass 
 water three times all night." Another spray was administered. 
 On paying her a third visit she said " the second spray relieved 
 me so much that I slept nearly the whole night." On seeing her 
 for the fourth time she said " I am so much better doctor that I 
 really think I am cured. I was out of bed and moved about a 
 good deal yesterday and tired myself a little. I was only out of 
 bed once the whole night and passed water very comfortably 
 without pain. I have lost all the pain that used to torture me 
 fearfully." The patient although apparently cured was not really 
 so. She was so much relieved however as to lead everyone around 
 her to suppose that she was cured. In this case as often in similar 
 cases there is a vascular growth in the bladder needing removal 
 by surgical means. The patient was with little or no inconvenience 
 removed to London — surgical treatment was applied and the 
 growth was effectually removed. 
 
202 
 
 Since then Mrs. S. has been perfectly well, and now (In \\et 
 75th year) is in perfect health and free from any bladder incon- 
 venience. She will willingly communicate with any enquirer and 
 confirm the above statement. 
 
 No. 43. 
 
 Reputed paralysis of the bladder of ^o years' duration with occasionally 
 severe paroxysms, endangering life. 
 
 The Hon. L. D. E., single. 
 
 The following case bears the characteristics of romance, but the 
 facts from a professional point of view are only too sober. The 
 central feature is the dismal tragedy of false diagnosis. 
 
 The Hon. Miss L. D. E. , as the daughter of a distinguished 
 
 man in public life, was surrounded with all the advantages of 
 wealth and station. Health however is a higher endowment than 
 material means. She was reduced by physical means to a condi- 
 tion which the meanest could afford to pity. From the infantile 
 age of two years the state of the bladder was such as to be 
 incapable of any retention; and the water passing away as it 
 dripped from the kidneys : she lived in the deplorable plight of 
 nightly urination. A vague notion prevails among the 
 physiologically ignorant that the capacity of urinary retention is 
 subject to the will ; and a naughty habit, therefore, was visited in 
 after years with the extremities of scholastic discipline. The reality 
 of the situation was eventually recognised, but the ablest and most 
 eminent advice was unavailing, and for thirty years she passed her 
 life in the hopelessness of what was pronounced as incurable 
 paralysis of the bladder. Occasionally the sufferer was subject to 
 aggravated paroxysms referred by the surgeons to inflammation, 
 and these as years passed on grew more frequent and severe, until 
 life itself was jeopardised. In the year just passed she chanced to 
 
203 
 
 light on the fifth edition of the present work and with the hopeful- 
 ness however desperate which a suffering patient rarely relinquishes, 
 the writer was consulted to enquire if anything could be done. The 
 case was one demanding preliminary treatment before an effective 
 examination could be made, and when the bladder had been 
 cleared it was conducted under the influence of ether. The result 
 was a distinct apprehension that the reputed paralysis of the 
 organ had no existence. To the writer's perception the real 
 source of the mischief moreover was sufficiently plain. Meeting 
 the mother's somewhat anxious enquiry he offered the tranquil 
 assurance, " Madam, I think I can cure your daughter." " Cure !" 
 returned the lady in astonishment, "What can you mean? You 
 know doctor that all the best surgeons of the day who have seen 
 my daughter have pronounced her case to be incurable. The 
 most eminent men whom we consulted all echoed the same thing: 
 that it is paralysis, and that it is incurable. I only ventured to 
 hope that your special skill might devise some methods of relief. 
 Surely (in incredulous but appealing tones) you cannot cure ! " 
 The truth was the writer had discovered what other surgeons had 
 failed even to suspect, the presence of w^hat he anticipated from 
 the first, an enormous stone. The bulk of the calculus filled the 
 whole cavity, the bladder was intensely hypertrophied, and grasp- 
 ing the substance forced it into the left side of the neck of the 
 organ, and thus obstructed its function, insomuch that there was 
 no retentive capacity, and the urine flowed away involuntarily. 
 Hence the former medical and surgical advisers perceiving the 
 effect but ignorant of the cause, pronounced it "paralysis of the 
 bladder," " which," they added " is incurable." The writer 
 thereupon told the mother of the discover}', and advised the 
 removal by lithotomy (the cutting operation). At the same time, 
 he made no concealment of the element of risk in the case. The 
 patient's health was delicate, and her natural strength was reduced 
 by social privation and physical suffering. Consent however was 
 given, and it was agreed that the opinion of an eminent surgeon 
 
204 
 
 should be taken as to the chances of success. Further, the 
 writer's view was confirmed, on a second examination, by two 
 surgeons of distinction. They agreed that lithotomy was the only 
 available resource, since the lithotrite (for the crushing operation), 
 owing to a difficulty of entrance to the bladder, could not be 
 employed. The patient having elected a sojourn at the writer's 
 residence, and day and night nurses appointed, the operation was 
 successfully performed by Dr. Gordon G. Jones (the writer's 
 son) ; and, not without considerable difficulty, the stone was 
 removed. It was found to weigh over three ounces. The severe 
 injury occasioned by it to the neck of the bladder was a 
 complication ; but the patient nevertheless made a good though a 
 slow recovery. 
 
 Thus is illustrated the prolonged mischief of a wrong diagnosis 
 to which even " eminent authorities " are liable. The writer 
 forbears to speculate what might have happened if the positions 
 of the homoeopath and the allopath respectively had been reversed. 
 If disastrously wrong treatment had been pursued for over thirty 
 years by sundry homoeopaths, and at the last moment an allopath 
 on being appealed to had discovered it, how the whole social 
 fabric had been convulsed with indignation ! "Actions-at-law," 
 " Malapraxix," and even " the gaol," on many an impassioned lip ! 
 The world, however, is just at heart, save only when it happens to 
 be prejudiced. 
 
 NOTE. 
 
 The above cases are typical of bladder affections such as 
 frequently present themselves to the physician,— each case having 
 its own individual peculiarities, — but to which down to the present 
 time no plan of treatment other than that adopted by the writer 
 has given more than temporary relief. The majority of the cases 
 treated by the writer have been radically cured in from three to 
 
205 
 
 six weeks. Some have occupied nine weeks. When the 
 symptoms do not yield within the ordinary time the case is 
 regarded as very stubborn, and although the writer does not give 
 up such cases as beyond cure he thinks it desirable to mention 
 such possible stubbornness in order that patients a?ay not be 
 disappointed if the disease does not so speedily respond to treat- 
 ment as desired. Usually when the case proves difficult to cure 
 there is some organic complication such as " B right's disease," or 
 some other disease of the kidneys, liver, or lungs. Impacted 
 stone in the kidneys or bladder is another complication very 
 difficult to manage. Cancer of the same organs also very seriously 
 interferes with and retards the treatment. But be the cause what 
 it may relief at least is obtained by the writer's method of treat- 
 ment and far more effectually than by the administration of opiates 
 or chlorodyne, whether administered medicinally or by subcu- 
 taneous injection, or by suppositories. Disease of the bladder is 
 said to be far more common in the male than in the female, owing 
 to the more complicated nature of the genito urinary organs in 
 the male sex. Although prostatic disease enters very largely into 
 the cause of many of the symptoms of urinary trouble and stone 
 in the bladder is more common in the male than in the female 
 the writer's experience nevertheless leads him to the conclusion 
 that the proportion in both sexes is after all nearly equal. For 
 while the prostate plays an important part in producing urinary 
 troubles in the male, the womb and ovaries produce a great 
 number of urinary troubles in the female arising mostly from 
 mechanical causes such as tumours, uterine misplacement or dis- 
 turbance of the nerves which supply those parts, curable by 
 removing the mechanical causes or treating the nervous origin — 
 as will be seen by reference to the cases of women reported in 
 this edition. 
 
 Considering the frequency with which diseases of the bladder 
 occur in women it is somewhat surprising that no medical or 
 surgical writer has heretofore drawn special attention to the 
 
206 
 
 subject. There are numerous works on " diseases of women," 
 and of recent date too in England, France, Germany, and America, 
 but disease of the bladder in the female has been passed over 
 with very few remarks. No attempt appears to have been made 
 to classify them as has been done with diseases of the bladder in 
 the male sex, on which subject plenty of books have been written. 
 
 No. 44. 
 
 Obscure presence of stone in the bladder discovered by means of the 
 spray treatment, after baffling the search of several notable 
 surgeons, Mr. Berkeley Hill and Mr. Christopher Heath (senior 
 surgeons to University College Hospital), and Mr. Barker 
 {surgeon to the same institution). 
 
 Mr. David Bowtle, of 36, Sidney Street, York Road, 
 King's Cross. 
 
 To quote the patient's own account, as recorded in the writer's 
 case book : — 
 
 " When I move about much, or go to pass water, or stoop to 
 lace my boots, my sensation is as if a needle were being thrust 
 into the neck of my bladder. During a long illness of four years 
 I have been attended on and off by my local doctor who sounded 
 me for stone but could find none. As I continued to get worse 
 he sent me for further advice to University College Hospital. 
 Going there on the nth October, 1888, and being seen by Mr. 
 Barker, one of the surgeons, I received the same opinion ; and in 
 like manner he examined me for stone but without finding any. 
 To afford further opportunity for sounding me, he advised me to 
 enter as indoor patient, and I was admitted next day and sent to 
 ward No. i. Mr. Christopher Heath, Mr. Barker's senior, 
 having examined me in his turn, likewise thought I had stone, but 
 I do not think he found it for he did not say so. On the 15th 
 
207 
 
 October I was further examined with the same result as before. 
 Though my local doctor and the hospital surgeon all thought I 
 had stone, yet none of them were able to find it. After exami- 
 nation on this occasion Mr. Christopher Heath said however, ' I 
 will put you under ether one day and crush it for you.' Saturday, 
 the 1 7th October being fixed for the operation, Mr. Berkeley Hill 
 and Mr. Christopher Heath, both senior surgeons to the hospital, 
 were present with the doctor who gave me ether. Two days 
 afterwards Mr. Christopher Heath said to me, ' We examined 
 your bladder thoroughly ; I examined you myself for a quarter of 
 an hour but could find no stone ; I do not think in any case it is 
 larger than a pea, and it will come away without an operation if 
 you go on your hands and knees and strain when you are passing 
 water.' Glad to hear such good news and afraid of an operation 
 when so many doctors had failed to find the suspected stone. I 
 willingly consented to follow Mr. Heath's advice. Accordingly I 
 strained violently at great inconvenience and increased suffering, 
 but no stone came. Finding after fair trial that no one either 
 found stone or gave me relief I came to you." 
 
 After hearing the candid statement of Mr. Bowtle, the writer 
 requested to see him pass his water. The test was sufficient. 
 He thereupon told him emphatically that he was quite sure he had 
 stone ; but if he examined him in his present condition he would 
 be unsuccessful like all the former surgeons in finding it, inasmuch 
 as the stone was covered with thick mucus and blood, or possibly 
 embedded in the folds of the bladder and could not be discovered 
 until alter an application of the spray treatment for clearing the 
 bladder, the only known means of revealing stone under the 
 circumstances. Here it may be discerned is an explanation of 
 the fact that surgeons, otherwise able, fail in the case of patients 
 suffering from bladder disease, and, prejudiced against means 
 which they do not understand, endeavour to pacify them with the 
 assurance (as for example to Mr. H. J. Barrett, of Hull)* that they 
 
 *See case No. 45 in this edition, 
 
208 
 
 are suffering from an incurable malady namely enlargement of 
 the prostate. To resume : When in such cases as Mr, Fowtle's 
 the urine is collected after several urinations, it resembles the 
 sputum (expectoration) of sufferers in the last stage of consump- 
 tion, which is often called " oyster-like expectoration." Hence 
 from the condition of the bladder the concealment of the stone 
 and the necessity for the spray. 
 
 The patient entered the Home Hospital on the 6th November, 
 1888. The administration of the first spray brought away nearly 
 a wine-glass full of thick clotted mucus of such a consistency that 
 no one could be surprised at not finding a stone in it, however 
 prolonged the examination. A few more sprays served to clean 
 the bladder and the urine also, and at the same time relieved the 
 patient from the suffering he had endured so long ; indeed, the 
 complexion of the case was materially altered. The " burning, 
 pricking, cutting pain " he had hitherto experienced passed away ; 
 and, from being highly nervous and irritable, through constant 
 anguish and repeated straining, he became cooler in temper, 
 comfortable in aspect, and happy in his existence. The manager 
 and inmates generally were not slow to remark on the change : 
 " How much more cheerful Mr. Bowti,e looks, and how his face, 
 has brightened up. He has lost the worn expression he had 
 when he came ! " They began to think, too, rather precipitately, 
 that "the doctor would cure him without an operation." In truth, 
 the patient became well enough to take a three days' interval to 
 go home and look after his neglected business, while under 
 preparatory treatment for the operation which was in fact 
 contemplated. 
 
 Nor is this an unusual incident. Not infrequently, patients 
 under similar circumstances, have found themselves so well under 
 the writer's preliminary course, as to lead them to believe no 
 stone was present. The cases of E. B., I. B., and I. C. W. I. may 
 be cited as examples.* 
 
 *See Cas3s 7, 8, & 9, in the present edition pf" Disease? of the Bladder," &c, 
 
209 
 
 When the bladder had been well cleared, and the mucous 
 membrane recovered from its inflamed and ulcerated state, a day- 
 was fixed, the patient was placed under ether, and the operation 
 was satisfactorily performed by the surgeon to the Home (Dr. 
 Gordon G. Jones, the writer's son), to which cases, of course, 
 he is well accustomed ; he quickly found the stone and promptly 
 removed it. Thus, without hitch or hindrance, was easily 
 accomplished what other surgeons, eminent though they be, had 
 regarded with vain perplexity. The removal of the fragments, in 
 the form of lithic acid, occupied no more than twenty-five 
 minutes ; their weight, when dry, was over half-an-ounce. 
 
 Mr, BowTLE made a satisfactory recovery but was not ready to 
 leave the Home till the 7th of December. His unusually long 
 stay — a whole calendar month — was due to the serious injury to 
 the bladder occasioned by the long residence of the calculus, a 
 period of four years. He is however well pleased with the result 
 and has since been actively and contentedly engaged in his 
 business. He speaks highly of the spray treatment, and with 
 good reason is convinced of its advantages, only regretting that 
 he did not know of it years before. 
 
 No. 45. 
 
 Eiilargcjiient of the prostate pronounced ^^ mcurable" hy three 
 surgeons of repute — stone removed — said not to exist. 
 
 H. J. B. 
 
 This patient had been unsuccessfully treated by three well 
 known surgeons, and was told (as many others have been), he was 
 suffering from " enlarged prostate, from which he was not to 
 expect any relief." " One and all declared " he had " no stone." 
 
 These adverse opinions naturally made the patient unhappy 
 about himself Casting his eye — as he expressed it — one day 
 over a newspaper, he saw an advertisement of the " writer's 
 
210 
 
 book" and consulted him. The patient was told his doctors had 
 diagnosed his disease as enlarged prostate correctly enough, but 
 were wrong in saying it was " incurable." 
 
 The " spray " treatment was administered with decisive effect; 
 frequency of urination and pain consequent upon it, were speedily 
 relieved, and the urine became clear. In other words, large 
 quantities of mucus (the results of inflammation) was removed, 
 and inflammation of the mucous membrane was cured. 
 During the course of treatment the writer suspected stone in the 
 bladder, which opinion was verified by an examination, and the 
 stone was subsequently removed. The patient made a rapid 
 recovery, and was soon out of doors. This case resembles 
 the cases of Admiral Sir George Elliot, K.C.B., Captain 
 A. C. Clark, R.N., of Bombay, and many others that might be 
 named.* These cases go to prove two things : first, 
 defect of the means ordinarily employed to discover 
 stone in the bladder; second, the errors of physicians 
 and surgeons who say that disease of the prostate is 
 *' incurable." When the patient was so far relieved and comfort- 
 able as to know that enlarged prostate was not " incurable," he 
 stated in one of his letters, — " I consulted you afterwards for a 
 chronic functional disorder — constipation, for which physicians in 
 my experience have found no permanent cure. My present 
 experience is that I have better health than I have had for the 
 last ten years ; I have no return of the pains and distressing 
 symptoms I had before you took me in hand. I have no bladder 
 troubles and have had no occasion to take a dose of medicine for 
 constipation since I left you — this is an experience unknown to 
 me for twenty years." In a letter dated 12th May, 1890, he writes, 
 " I have been frequently in London lately, and several times pro- 
 posed calling upon you, not that I require any professional advice, 
 
 *See cases I. and II. in second edition of writer's book on urinary 
 diseases, Simpkins and Marshall, Paternoster Row, and Mitchell & Co,, 
 Red Lion Court, Fleet Street, 
 
but merely to report to you that as it is now about two years since 
 I placed myself under your treatment, for disease of the prostate 
 gland and stone in the bladder, and that I have had no return 
 whatever of my troubles in this way. 
 
 " You are at liberty to make use of me in any way you like as a 
 reference, as the thorough manner in which you did your work is 
 tested by my past two years' experience. Hoping you will be 
 spared many years to be a benefactor to suffering humanity, I am, 
 my dear sir, Yours faithfully, 
 
 Henry J. Barrett. 
 
 No. 46. 
 
 Urethritis, spermatorrhoea, and tumour in the bladder, 
 
 O. A. R. 
 
 [copy of letter.] 
 
 "Bristol, 
 
 "October nth, 1889. 
 
 " Dear Sir, 
 
 " I have reason to fear that I have by my long 
 silence deserved to be placed on the list of ungrateful patients- 
 
 " And I think the ingratitude of patients must be one of the 
 hardest things a doctor has to bear. 
 
 "Yet. I trust I am not ungrateful for your kindness, and I 
 assuredly do not forget that to you I owe my cure and my life. 
 
 " You will remember the wretched state I was in when in the 
 summer of 1886 1 entered your " Home Hospital " reduced 
 almost to a skeleton by urethritis, spermatorrhoea and tumour in 
 the bladder. That [ had been treated for a long time but only to 
 grow worse ; by four other English doctors and two medical gentle- 
 men of high standing in Spain ; and how with the application of 
 your " spray " treatment the work of restoratiori commenced. 
 
 N2 
 
Under your treatment large quantities of black foetid pus and blood 
 were passed with some pain but without any surgical operation from 
 the bladder. 
 
 " Now I am thankful to say that increased vitality and strength, 
 though accumulated gradually, warrant the confident anticipation 
 that I shall soon have the complete restoration I have so much 
 longed for. 
 
 " When in a better position, I hope to seek you out a second 
 time, to thank you personally for all that you have done for me. 
 
 " In the meantime, please, in the interest of poor sufferers, 
 consider yourself at liberty to make any use whatever of this 
 letter, reserving only for private reference the name and address. 
 
 " I shall be most happy to write out at any time, for any 
 inquirer, as concisely and correctly as I can, a synopsis of my case 
 and the history of its treatment, and shall always consider it a 
 privilege to attest the genuineness of my wonderful cure, and to 
 answer private inquirers recommended by you. 
 
 I desire to offer to your son. Dr. Gordon Jones, for his 
 unremitting kindness and attention to my case, my sincerest 
 thanks and deepest regards. Accept, dear sir, this slight 
 expression of gratitude, already too long delayed, from one of the 
 many whom you have restored to life, and believe me, ever 
 devotedly yours. 
 
 "O. A. R." 
 
 THE SPRAY TREATMENT IN VETERINARY 
 SURGERY. 
 
 While the writer has no wish to encroach on the domain of 
 veterinary surgery, he is yet desirious of proving the universality 
 of his " spray treatment " in diseases of the bladder, and publishes 
 the following as a case in point, 
 
213 
 
 A valuable and favourite cob, the property ofC. G. Duff, 
 Esq., of I, Lennox Gardens, had been suffering for a long time 
 with disease of the bladder, occasioning constant and painful 
 urination. When in harness, or at exercise, the animal would 
 suddenly stop and strain violently, his body at the same time 
 being convulsively distorted ; this was attended with groaning and 
 occasionally sweating. His head would be turned anxiously 
 towards the flank, indicating that the pain came from that region. 
 In addition to the above symptoms, hs was frequently seized with 
 a paroxysm, when he would shift from side to side in his box 
 kicking violently j which symptoms, veterinary surgeons inform the 
 writer, are evidence of acute pain in the bladder. The owner 
 sought the advice of an experienced veterinary surgeon in his 
 neighbourhood, who closely attended upon the patient for some 
 time; but the poor animal deriving little or no benefit, a 
 consultation was suggested with an eminent surgeon, a Fellow of 
 the Royal College of Veterinary Surgeons. For nearly an hour 
 an attempt was made to introduce a catheter, but the instrument 
 failing to reach the bladder, owing to (as was supposed) 
 " thickening of the urethral canal," further attempt was declared 
 useless. The animal was declared to be incurable, and the 
 owner advised to get rid of it. The veterinary surgeon who first 
 attended the cob, being acquainted with the writer, and knowing 
 his success in bladder cases, said to be "incurable," in the 
 human species, called upon him and asked if he would undertake 
 the treatment of such a case. He gladly did so, feeling assured 
 that the " spray " treatment would meet it. An examination of 
 the urinary secretion was first instituted, which was found to be 
 alkahne in character, and contained mucus to the amount of 33 
 per cent., very thick and highly adhesive and offensive, clearly 
 showing severe cystitis. After consultation on the case, a plan 
 of treatment was laid down and carried out : The administration 
 of a few " sprays " speedily restored the poor suffering cob to the 
 owner, perfectly cured. 
 
214 
 
 The writer does not claim the above cure to be due entirely to 
 himself; indeed, it is but just to say that, but for the useful 
 mechanical hints of his son, in the preparation of the necessary- 
 instruments, and the valuable and intelligent co-operation of the 
 surgeon in attendance, it is very doubtful if he would have been 
 able to carry out the treatment ; all admit however, that but for 
 the " spray " treatment the cure would not have been effected. 
 
 The owner has wilUngly consented to verify the above 
 statement, as will be seen by the following letter, written seven 
 months after the treatment. 
 
 I, Lennox Gardens, 
 
 May 12th, 1890. 
 Dear Dr. Jones, 
 
 Please make any use you like of my name as a 
 reference. Your cure of my cob was perfect, and I am most 
 grateful to you. 
 
 Yours truly, 
 
 C. G. Duff. 
 
 MEMORANDUM. 
 
 It may be useful to the general reader to mention that the 
 specific title of this work : — " stone and diseases of the bladder 
 and prostate " does not by any means express all the forms ot 
 disease ofttimes associated with or resulting from the diseases 
 thus specified, and coming within the cognizance of the specialist. 
 
 Many diseases having ordinarily certain distinctive names, and 
 likely therefore to be regarded as not having a genito urinary 
 origin, may notwithstanding have such an origin. A long list 
 might be given — a few only can be here mentioned. For 
 instance, — (1) In young persons : — diseases of the nervous 
 
215 
 
 system, due to early indiscretion, loss of nerve power, inducing 
 depression of spirits, and not unfrequently epilepsy, the treat- 
 ment of which, if applied without reference to its originating cause, 
 is little likely to be successful. (2) In adults: — dyspepsia, 
 irritability of disposition — softening of the brain and spinal cord — 
 general paralysis — disease of the kidneys, not unfrequently 
 associated with and treated for " Bright's disease of the 
 kidneys," the real cause being, probably, some chronic urethral 
 discharge or stricture. Affections of the eye, skin, throat, and 
 lungs, also frequently supervene on a poisoned state of the blood, 
 traceable, it may be, to syphilis or other debilitating causes. 
 
 All these, with others, may really have more or less remotely 
 a genito urinary origin. Such, indeed, is the connection 
 ofttimes existing between one disease and another, that amid the 
 large number of cases presented to the specialist he frequently 
 finds himself compelled to treat diseases which would not, 
 perhaps, be regarded as strictly within the range of his speciality, 
 and thus his attentions may embrace a sphere not dissimilar, in 
 extent, to that of the general physician. The peculiar value, 
 however, of the services of the specialist is shewn where his 
 diagnosis reveals the origin of the disease, thus leading to 
 treatment of its cause, rather than of its effects, and consequently 
 inspiring more reasonable and better grounded hopes of success. 
 
 STRICTURE OF THE URETHRA. 
 
 Nothing is more common than for patients to say they have 
 " stricture " when it does not exist : it is equally common for 
 stricture to exist when the generality of medical men say there is 
 none — even specialists make grave blunders in this respect — they 
 introduce a good sized English bougie apparently without difficulty 
 and tell the patient he cannot have stricture as the instrument 
 goes in. 
 
2t6 
 
 The writer cannot conceive a greater fallacy: he would rather 
 take the opinion of a patient in incipient stricture than the 
 opinion of the generality of medical men. There is great signifi- 
 cance in what a patient himself says about stricture and he is 
 usually right, while surgeons are frequently wrong. The patient's 
 daily experience of his complaint has much to back it against that 
 of a medical man. He knows he has had gonorrhoea or has com- 
 mitted early indiscretion, or may be has been violently kicked in the 
 crutch, or has met with some other mechanical injury which is an 
 occasional cause of stricture, and he sees a gleety discharge glueing 
 up the entrance to the urethra, but he is laughed at and told he is 
 nervous and that there is nothing the matter with him. The 
 writer maintains that this "gleet " is the incipient stage of stricture. 
 Gleet is a mucus discharge and whenever it is present it is the 
 effect of chronic inflammation of the urethra, and although possibly 
 it does not considerably narrow the canal, nevertheless accurate 
 measurement will discover the commencement of contraction. 
 Gleet is not present in a healthy urethra, consequently it is the 
 effect of an unhealthy inflammatory state which will lead to more 
 trouble if left to itself. When the cause of this gleet is not 
 removed more trouble follows, and then m.edical men begin to see 
 that all is not right ; the patient will now tell you that the stream 
 is smaller than it used to be ; he passes water more frequently 
 than he should, and has to force more to get rid of it and when it 
 passes it does in two or more streams. Sometimes it splutters 
 like water coming out of a watering pot, at other times it is 
 flattened or passes in a spiral stream like a corkscrew. 
 
 There are many cases of incipient stricture which give no 
 discomfort : the patient passes a good stream and the urine is to 
 all appearances perfectly clear and normal. Such however is not 
 the case. Let the patient pass some of his morning urine into a 
 clean glass and hold it up to the light and he will see shreds of 
 mucus or floating particles— flocculi — in a state of minute sub- 
 division, contrasting greatly with healthy urine, which is absolutely 
 
clear and transparent. So it happens that a man may have 
 stricture for years without knowing it, but let him examine his 
 urine as directed above and if it contain flocculi it is incontro- 
 vertible proof of the existence of stricture. It is very necessary 
 that this early stage should be diagnosed as soon as possible, for 
 the earlier a stricture is treated the quicker and more certain are 
 the chances of cure. If left to itself it will slowly and surely get 
 worse, until at length all the troublesome symptoms of stricture 
 will become fully developed. Persons who use injections to try 
 to cure gleet or gonorrhcea, or to prevent gonorrhoea, suffer from 
 worse strictures than those who do not do so — indeed injections 
 cause stricture and orchitis quite independently of contagion. 
 
 In due course the stricture becomes more obstructive and more 
 pain follows ; inflammation from the urethra extends into the 
 bladder producing cystits ; the urine becomes loaded with mucus 
 and before long the patient is unable to command his water 
 during sleep, and it dribbles away from him unconsciously and 
 wets the bed clothes. Not unfrequently it results in "impotency." 
 The writer has known this advanced condition treated for all sorts 
 of complaints : some have been told they had stone; some Bright's 
 disease ; others paralysis of the bladder, or disease of the prostate, 
 or kidneys even. In many cases the patient's urethra had never 
 been examined. The writer remembers seeing one case from 
 Eccles near Manchester where the patient declared it took him 
 (by his watch) six hours each day to empty his bladder : i.e., he 
 set aside two hours three times a day for that purpose, and then 
 he could only pass water drop by drop with fearful straining . 
 yet this patient had been treated for years by various medical men 
 who never examined the canal to search for stricture but merely 
 gave him medicine. 
 
 Stricture in many instances is of very slow growth, sometimes 
 taking five, ten, twenty, and even thirty years before it becomes 
 very troublesome and on this account it is overlooked and 
 
2l8 
 
 mistaken for some other disease and only discovered after pro- 
 longed mischief has been established. If stricture does not show 
 itself in a few months or in a year or two, the cause of it (in most 
 cases gonorrhoea) is overlooked and stricture under the circum- 
 stances is said to be out of the question. By far the greater 
 number of cases of stricture that come under the writer's observa- 
 tion date their origin a considerable time back. 
 
 It has been asserted for years by surgical writers that once an 
 organic stricture is established there it will be for life. Take for 
 instance a paragraph from a modern and able writer on urinary 
 disease — he states, " Once acquired it cannot be dispersed by any 
 known means. It cannot be removed by absorption although 
 the contrary has often been affirmed. You may dilate it, you 
 may cut through it, but there it will always be. When a man 
 once has organic stricture he has it for ever."* 
 
 It was due to the opinions entertained by surgical writers in 
 England and on the Continent of the incurability of stricture that 
 made "the writer thirty years ago determine if possible to erase 
 that impression from his mind and such an opprobrium from 
 surgical. literature, and he satisfied himself at least that authorities 
 in those days as in the present were too dogmatic in their views 
 on the pathology and cure of stricture and urinary diseases in 
 general. The cases of stricture which he has cured by " unusual 
 dilatation " are so numerous as to allow of no doubt upon that 
 point. Thirty years' experience may not be long enough to 
 establish a principle, but surely it is ample time to establish 
 confidence in the plan above-named, and but for the length of 
 time which this treatment takes he would never adopt any other 
 method. To say the least of the treatment it negatives the 
 assertion made in old and modern works on surgery, as to the 
 incurability of stricture. 
 
 * " Clinical Lectures on Diseases of the Urinary Organs," by Sir HenrY 
 Thompson; London, J. & A. Churchill, New Burlington Street, 1876, p. 31. 
 
219 
 
 We are indebted to Dr. Otis of New York for urging this on 
 the profession, and irrespective of the criticism of Mr. Berkeley 
 Hill and others; the writer mentions for the benefit of sufferers 
 that he has cured over a thousand cases of organic stricture by his 
 own plan and that of Dr. Oxis's during the thirty years he has 
 been in practice ; a veny great many of these patients have been 
 seen years after the operation, and in very few instances has the 
 stricture evinced any signs of vitaUty ; in those few cases in which 
 it did return all the patients confessed to having contracted a 
 fresh attack of gonorrhoea. 
 
 The ordinary treatment of stricture by bougies does undoubtedly 
 give temporary relief: but it is only temporary, for sooner or later 
 the stricture will reassert itself and in a more severe form. The 
 longer it is in existence the more aggravated does it become, it 
 grows more cartilaginous and unyielding, and is consequently 
 more difficult to cure. 
 
 It is a well known fact however that " continuous dilatation " if 
 fairly carried out will enlarge the strictured urethra most effec- 
 tually, and at the end of a year or two or more it will have 
 contracted possibly a millimetre or two. The writer asserts that 
 more prolonged continuous or tmusiial dilatation if carried on to 
 a greater extent will leave the canal as nearly as possible normal. 
 
 The treatment adopted by the writer is so perfect that he knows 
 of only one case which returned. This case was both an obstinate 
 and obscure one, and had been operated upon three times by 
 another surgeon. The patient however is so far cured now that 
 it is believed he will require no further treatment. 
 
 Doubtless organic deposition in any part of the body is rarely 
 resolved into its absolute original condition ; still this does not 
 justify the wholesale refutation we see in surgical books as to the 
 incurability of stricture. Once the stricture is cured it can in no 
 way interfere with the genito-urinary functions or in any way 
 exercise an injurious effect upon the health of the patient. 
 
220 
 
 Besides the usual organic stricture there are other strictures of 
 the urethra dependant upon a variety of causes which not 
 unfrequently come under the notice of the specialist — such as 
 I. Congenital stricture. 
 Traumatic stricture. 
 Hereditary stricture. 
 The masturbator's stricture. 
 
 Spasmodic stricture, etc., to the treatment of which a 
 chapter will be devoted in a future edition of the 
 author's book on " Diseases of the bladder and 
 prostate, and the cure of stone without cutting, &c." 
 
 ELECTROLYSIS IN URETHRAL STRICTURE. 
 
 Electrolysis is a technical expression from two Greek words, 
 signifying a loosing or relieving by electricity, and may be 
 popularly described as " the electric cure." Within the past few 
 years it has received considerable development as a curative 
 agent, and from a position of suspicion and distrust, has come to 
 take a recognised place in medical science. Its claims are great 
 and its character specific ; and various diseases, before regarded 
 as incurable, are held to be cured by its aid. Its consideration is 
 certainly of surpassing interest, and plainly demands the attention 
 of every one concerned in the treatment of disease.' In respect 
 of one intractable malady in prarticular, a recent article in an 
 American professional publication is suggestive of thoughtfulness, 
 *•' The New England Medical Monthly," of December last^ 
 inquiring " What is the present status of electrolysis in the 
 treatment of urethral stricture," remarks that " Not long ago, 
 ph3'sicians and surgeons of repute flouted the treatment of 
 urethral stricture by electrolysis ; now, it is so generally and 
 successfully practised that scarcely any one opposes it." This 
 
221 
 
 decisive change of opinion, it explains, " is undoubtedly due, 
 first, to the better understanding of the electrolytic treatment as 
 distinguished from ' galvano caustic ; ' and, secondly, to the 
 successful treatment without relapse of a large number of cases 
 (fully reported) by many physicians of high repute. It is 
 undeniable," the article further declares, " that the method now 
 adopted was first grasped and put forward by Dr. Robert 
 Newman, of New York, who, despite misrepresentations and 
 abuse of the ignorant, has zealously laboured for eighteen years 
 to perfect the instruments used and the technique of the 
 operations, until by manifest success the most sceptical are 
 convinced," Coming to details, the success of " Newman's 
 method " is attributed " entirely to the weak currents used, and 
 the frequency of their application, which result in galvano 
 chemical absorption of the diseased structure ; " while the failure 
 of Mallez and Tripper is set down to the employment of a 
 stronger current, " galvano caustique/' involving a caustic 
 current, and not to electrolytic action. Hence the " failure of 
 their method, and the triumph of the Newman method." 
 
 Obviously, this new curative agent commends itself strongly to 
 the consideration of every specialist, in the particular branch of 
 surgery indicated ; and the present writer cordially sympathises 
 with his transatlantic brother, Dr. Robert Newman, in the 
 indomitable courage with which he has borne up against boorish 
 opposition and ignorant clamour, and is ready to appreciate with 
 candour, his magnificent efforts in the cure of stricture by 
 electrolysis. Moreover, he has no hesitation in expressing 
 implicit confidence in the development of the new agent for 
 purposes of urinary surgery. He feels constrained, however, 
 to reserve his final judgment until he has been able to realise in 
 his own practice, and in the experience of others a wider range of 
 cases than is yet available. Meanwhile, he will only remark, as 
 to its application to stricture, that since this condition takes a 
 long time, in some cases as much as thirty years, in fairly 
 
asserting itself, it is a moot question whether, after apparent cure 
 by electrolysis, it might not recur, though in similar slow degree. 
 On the general question something more may be said. 
 Electrolysis is now so frequently employed in ordinary surgery, 
 that by a steady perusal of current medical records, fair ground is 
 afforded for a right estimate of its value. Much of the range of 
 inquiry has been satisfactorily cleared. Dr. Apostoli has 
 convinced the medical world that fibroid tumours of excessive 
 proportions can be dispersed by it, and illustrative casts in this 
 regard which the writer was enabled to see in the Doctor's 
 Clinique in Paris, inspired him with the belief that electrolysis 
 has a brilliant future before it. Haemorrhage, again, of the most 
 uncontrollable character, has been arrested and cured under its 
 influence ; and patients thus suffering have been restored from a 
 dying condition to hopefulness and health. Polypi in the uterus, 
 in the rectum, in the nose, and in the ears, have given way before 
 it ; and fistulte and sinuses, chronic ulcers, deposits in the throat 
 and eyes, have yielded to it. These results are well ascertained 
 and sufficiently established. Respecting the treatment of 
 enlarged prostate, urethral and bladder affections, the writer 
 hopes in the near future to record more extended experiences. 
 He has already had many very successful cases, but is afraid of 
 being premature in offering his opinion. 
 
 A VINDICATION 
 
 The objections of the pvofession — verification of cases — ^^professional 
 
 delicacy " — publication of the nuriter's views and experiences 
 
 — categorical formidation of his claims — their confirmation. 
 
 If the vvriter was unconscious of the need of authenticating 
 his published cases, which of course he never was, there has been 
 no lack of watchful critics to bring the deficiency home. In the 
 earlier issues of the present work, those presented by way of 
 
223 
 
 illustration it is true were generally distinguished only by the 
 initials of the patients, without mention even of their places of 
 residence. Not from a motive of concealment on the part of the 
 writer, but because the patients themselves were entitled to have 
 their privacy respected. His professional adversaries, of whom 
 he is honoured with many, were not slow to perceive their advan- 
 tage. Tacitly admitting that the cases for the most part were 
 pregnant with significance, they found occasion to point the sneer, 
 " any one may publish wonderful cases that can be palmed off on 
 the public with initials." Really however the writer is under no 
 temptation to manufacture professional experiences. Those 
 which he has published are typical selections prominent among 
 hundreds occurring in the course of years. The implied reproach 
 was unworthy of answer, but the public to whom the writer 
 addresses himself, have a right to the assurance that the examples 
 before them are something more than mythical. In more recent 
 editions therefore permission was obtained, generally with willing- 
 ness and rarely with reluctance, either for the open publication of 
 patients' names and addresses, or else for a reference by which 
 identity could be verified. Furthermore, in most cases the 
 recovered patients expressed themselves perfectly ready to furnish 
 any relevant information. An appendix at the end of this volume 
 affords full authentication, with the facility also of direct communi- 
 cation. The cases published in so much detail both in the present 
 work and in the second edition of "Urinary Diseases"* (edited 
 by the writer's son, Dr. Gordon G. Jones) ought, in truth, to 
 satisfy the professional critics as they evidently do the suffering 
 portion of the public concerned. With a view, too, of obviating 
 further cavil, the names of physicians and surgeons treating 
 
 * Urinary diseases : analysis of 500 cases of stone, stricture, diseases of 
 the bladder and prostate, and obscure and supposed incurable diseases of 
 the genito urinary system in both sexes. By David Jones, M.D., &c. 
 Second edition. Edited by Dr. Gordon Jones, surgeon to the Home 
 Hospital for urinary diseases, 10, Dean Street, Soho, London. Simpkin, 
 Marshall & Co.; C. Mitchell & Co. (Red Lion Court, Fleet Street). 
 
224 
 
 patients unsuccessfully who were afterwards successfully cured by 
 the writer were also set out ; but to avoid the appearance of 
 individual reproach they were not allocated as they might have 
 been, but only given collectively. Again however the writer falls 
 short of satisfying his professional objectors who are first dis- 
 satisfied with the want of means for verification, and then M'ith the 
 best and fullest means that can be offered. They are evidently 
 driven into a corner. They now complain of the indelicacy of 
 publishing the names of professional men. Why then, by taunts 
 and inuendos, did they practically compel it ? They throw every 
 doubt that can be suggested on the writer's published records, and 
 next complain of the necessary information afforded for clearing 
 them up. AVhat is it they want ? Their requirements are 
 mutually contradictory and cannot be met. The writer therefore 
 relinquishes his eff'orts to satisfy them, and henceforth will consider 
 only the suffering part of the public with whom he is immediately 
 concerned, and whom alone he will seek to assure that his 
 methods of diagnosis and his means of cure are such as to bear 
 out what he professes to accomplish. Nothing, he would add 
 meanwhile, is more congenial to him than the cultivation of that 
 professional delicacy of which he is severely reminded ; but 
 delicacy that is not reciprocal is apt to eat itself away, and his 
 professional friends ought not to be surprised when, in vindicating 
 himself against their too obvious jealousy, he is compelled to 
 disregard it. 
 
 As to the propriety of publishing his views and experiences, if 
 that is to be contested the writer will offer only one remark. His 
 exceptionally successful diagnosis as well as the value of his 
 treatment are either true or they are false. If true, the afflicted 
 portion of the public ought clearly to have the fact brought home 
 to them. If false the medical profession at large are bound to 
 inquire into the pretension and expose the error. In either case, 
 where so much is claimed publication is justifiable as a duty. 
 That the profession who are recognised as the guardians of the 
 
225 
 
 public interest in all that pertains to health and physical well- 
 being may be facilitated in doing their part in the writer's regard, 
 he herein furnishes materials for examination and criticism, and 
 formally invites a systematic refutation of what he has done in the 
 past and continues to do in the present. Therefore if the reader 
 will pardon the apparent presumption for the sake of the logical 
 accuracy, he categorically formulates his pretensions : 
 
 1. That every case he has published is in every essential 
 and material respect absolutely true. 
 
 2. That he has peculiar means at command of diagnosing 
 stone as well as other diseases of the bla.dder and 
 prostate ("obscure" as they are called), which high 
 medical and surgical authorities the world over do not 
 possess, and have therefore failed to diagnose, to cure, 
 or even to relieve cases in which he has perfectly 
 succeeded. 
 
 3. That, further, in many of the cases he has cured the 
 patients must otherwise have died years ago of stone in 
 the bladder, without any one being cognisant of it had 
 not his timely help been sought. 
 
 In confirmation of this last assertion he points particularly to the 
 cases of Captain A. C. Clark, R.N., of Bombay, of Admiral Sir 
 George Elliot, K.C.B., of the Hon. L. D.E , of the Rev. Thomas 
 Heathcote (since however deceased), of Mr. David Bowtle, and 
 Mrs. E. Harsant, and he could easily add many more. In 
 many of them the success was mainly due to the " spray 
 treatment," which enabled the cause of the trouble to be 
 discovered, and allowed the stones to be removed. In these 
 cited cases, or most of them, in fact the most eminent specialists in 
 England, France, India, and in Germany, had made repeated exami- 
 nations, and declared that no stone was present, yet the applica- 
 tion of the spray treatment soon made it evident they were wrong, 
 and the writer was with little or no difficulty enabled to remove 
 the calculus. In conclusion the writer will only add that, tg 
 
 c 
 i 
 
226 
 
 establish the fact that his treatment has immense advantages 
 over all other known means, he offers the best evidence in his 
 power, and the cases above cited, taken alone, ought surely to 
 bring home conviction to every unbiassed mind. If indeed the 
 reader would take heed of the pitiful accounts of the patient's 
 sufferings, as given by themselves in coming for the writer's 
 assistance as contrasted with their satisfaction and gratitude on 
 recovery after failure elsewhere, he would cease to regard the frivo- 
 lous complaints of interested medical men. The objections of the 
 profession are often worse than frivolous. A certain practitioner 
 in Tavistock Square, for example, refused to come and witness an 
 operation by the writer upon that gentleman's own relative, 
 because forsooth, the writer was a homoeopath. What immediate 
 connexion is there between homoeopathic treatment and operative 
 surgery ? And where, the writer may be permitted to ask, is the 
 " professional delicacy ? " 
 
 No. 48. V. DE M. 
 
 Leading Article from the London Weekly Telegraph, Aiignsf 
 17th, 1889. — Stone in the bladder and enlargement of the prostate, 
 the stone could not be discovered till after the spray treatment was used. 
 
 Now that Parliament is about to inquire into the management 
 of our hospitals, we would direct the attention of the public to a 
 self-supporting hospital, that is quietly doing a vast amount of 
 good and turning out patients thoroughly cured, many of whom 
 have been pronounced incurable by the most eminent physicians, 
 patients who have tried many of our most popular hospitals, only 
 to be told th^t they were incurable, 
 
227 
 
 The hospital we refer to is the Homceopathic Home Ho^^jital 
 in Dean-street, Soho, for stone and diseases of the bladder, of 
 which Dr. David Jones, of Welbeck-street, is the founder. 
 His name has now become far and near as a household name for 
 these peculiar diseases, some of the most distressing to which 
 humanity is heir. We speak from personal knowledge when we 
 assert that he has effectually cured thousands of cases, many so 
 difficult that they have baffled the skill of medical practitioners 
 whose names stand highest upon the scroll of fame, men whose 
 decision would be looked upon as final, and whose inability to 
 cure would, in the usual course of things, be the death-knell to all 
 hope. But where these sufferers have been fortunate enough to 
 come to Dr. Jones, he has performed miraculous cures, even upon 
 patients long passed the allotted years of three score and ten. 
 Both men and women who have tried the most popular hospitals 
 and their most skilful doctors and bean discharged as incurable, 
 have in a short time been thoroughly cured by Dr. Jones's 
 treatment. He has brought to bear the knowledge and skill of a 
 long life upon the cases he undertakes, with the most satisfactory 
 results. So that there should not be the slightest doubt as to what 
 he affects, he gives in print the names and addresses of the 
 patients he has cured, together with their letters, also the names 
 of popular London hospitals, and the most eminent surgeons and 
 physicians of the day who treated them unsuccessfully, and in 
 many cases pronounced them incurable. 
 
 Such astonishing facts are indisputable, and aftbrd indubitable 
 proof of the extraordinary powers possessed by one whom w^e 
 believe to be the greatest specialist extant. We feel all the more 
 pleasure in penning these lines, knowing what he has done in our 
 own individual case. For a year we were suffering most acute 
 pain, which our West-End physician said must be stone. He 
 examined us, but could find no evidence of stone ; therefore, said 
 it could not exist. The pain still continuing, we went to a large 
 hospital, and another medical man said we had not got stone 
 
 02 
 
228 
 
 After suffering months of pain, we came across a gentlemen that 
 had been cured of a similar disease by Dr. Jones, after having 
 been given up by other doctors. He could scarcely move about 
 when he first saw Dr. Jones, but was soon permanently cured. 
 On our first visit to this eminent specialist, he said he felt 
 assured we had stone, but that he was certain he would soon cure 
 us. After several applications of his spray treatment to reduce 
 the enlargement of the prostate gland, we were placed under ether 
 and a search made for the stone which was found embedded in 
 the bladder. After more spray treatment, the stone was released, 
 then we were placed again under ether, and the stone crushed and 
 brought away painlessly. An instrument containing an electric 
 light was inserted in the bladder to see that it was thoroughly 
 cleared. We were able to do some writing the second day after 
 the operation, and on the third day we left the hospital and went 
 by railway and walked some distance home. We were told that 
 we were a walking miracle. For the first time in a year we were 
 free from pain, and feel no ill effects of the operation. Our case, 
 which seems so extraordinary is only one in many, and we simply 
 cite it to give honour where honour is due, and to let suffering 
 humanity know where it can be treated and restored to health. 
 We need only add that Dr. Jones's invaluable services are within 
 the reach of the poor as well as the rich, and we consider such a 
 man is a public benefactor, whose name and fame should be 
 known wherever there is a sufferer that can be cured by his 
 treatment. 
 
^^9 
 IMPROVED TREATMENT. 
 
 Dr. David Jones's treatment improves, of course, under the 
 suggestions of accumulative experience. Medical skill and 
 resources have no finality. The subjoined group of cases serve 
 to show that his methods have advanced since the publication of 
 the last edition of his book. They illustrate in particular, the 
 immediate relief given and cure effected, after prolonged and 
 unsuccessful treatment by medical specialists. The cure of severe 
 cases given up by others, Dr. Jones has been wont to compute 
 by weeks ; here it is reckoned by hours ;— 
 
 No. 48. 
 
 The first case is that of \V. M. R., solicitor, from Norfolk, who 
 had been troubled severely with urinary irritation for two years — 
 he had consulted his local medical attendant without relief — after 
 this, he came to a medical friend in town (who had purchased his 
 late father's practice) and he, in turn, sent him to a specialist for 
 urinary diseases, who examined him for stone twice, but getting no 
 relief from his treatment, he suggested an operation, necessitating 
 his keeping in bed for a month, as he believed there was some- 
 thing in his bladder that wanted removing, and added, there 
 might also be a stone in the folds of the bladder, not discovered 
 by sounding. 
 
 The writer only saw the patient once, and administered a 
 " spray," requesting him to send a report in three days, as to th^j 
 effects of the treatment. 
 
230 
 
 Norfolk, 
 
 April 8th, 1886. 
 Dear Sir, 
 
 The three days having elapsed since you treated me, I 
 gladly drop you a line to report the result. I can most truthfully 
 say that I am considerably better, suffer comparatively no pain, 
 and (wonderful to relate) I have slept better for the past three 
 nights, than I have done for quite two years past. Instead of 
 jumping out of bed eight or ten times, I have had three nights 
 sound sleep. Monday and Tuesday nights I got out of bed once, 
 but last night I went to bed about eleven, and never had occasion 
 to get out until about half-past five this morning. This is 
 marvellous for me, and you certainly have given me ease, I hardly 
 dare hope permanently, it would be a miracle if you had, but you 
 have put me in a state of freedom from pain and irritation, that I 
 have long been a stranger to. 
 
 With best regards, 
 
 Believe me, yours faithfully, 
 
 W. M. R. 
 Mr. W. M. R. again writes after an interval of seven weeks. 
 The " miracle" which he hardly dared to hope for, seems to have 
 been nearly realised, and the freedom from irritation which he 
 experienced the first three days, was but little broken afterwards. 
 As appears from his letter, he is now fairly restored and jubilant" 
 The following letter was an answer to an enquiry after his health : — 
 
 Norfolk, 
 Mv Dear Sir, May 29th, 1886. 
 
 According to your desire, I now drop you a few lines to 
 let you know how I am going on, and have much pleasure in 
 being able to state I am progressing most satisfactorily, so much 
 so that I intend going to Newmarket to-morrow to see the " 1000 
 Guineas." I urinate on an average from five to six times a day, 
 and with very little, sometimes not any pain, and my nights are 
 easy : I seldom get up to urinate until about six in the morning, in 
 
fact, I have had but one recurrence of pain since t last wrote 
 you ; I attend most strictly to your instructions, the only rule I 
 break is smoking, as the weather has been so horribly cold down 
 here, that I have had my pipe more frequently indoors than out. 
 This is a dreadful country for easterly and north-easterly winds ; 
 we are not more than eleven miles from the sea as the crow flies, 
 and the coast is flat, so that we get them in perfection. 
 
 I most sincerely thank you for the interest you have taken in 
 my case, and I will write you from time to time as to how I go on ; 
 should I have a relapse, I shall certainly come up at once to see 
 you. It seems incredible that 1 should have suffered as I did 
 for two years, and that you should have comparatively set me all 
 right with only one application of your marvellous treatment] I am 
 truly grateful to you, and with kind regards, 
 
 Believe me, yours faithfully, 
 
 W. M. R. 
 
 No. 49. 
 
 The next case, that of E. H., Esq., more than confirms the 
 immediate success for which Mr, R. was so grateful. Mr. H. was 
 cured from the date of his first visit, after vainly trying other 
 doctors for four months, one of whom was a specialist of high 
 standing. 
 
 E. H., Esq., aged 66. 
 
 Consulted the writer on June 20th, 1885, giving the following 
 account of his sufferings : — 
 
 I. In November, 1884, took a bad cold which affected the 
 neck of the bladder, occasioning intense irritation, and a constant 
 desire to urinate. 
 
^32 
 
 2. He was attended by his medical man four months, but 
 getting no better, a specialist noted for bladder diseases was called 
 in consultation, and prescribed various remedies, but without any 
 benefit. Medicines seemed to upset him. 
 
 3. Being unable to attend to his professional duties he became 
 anxious and disheartened, when by accident he saw, and purchased 
 the author's book on " Diseases of the Bladder and Prostate," and 
 after reading it, placed himself in his care. 
 
 4. In addition to the usual symptoms of inflammation of the 
 bladder — due to prostatic disease — there existed numbness and 
 itching of an unbearable character at the neck of the bladder. 
 
 5. The urine was highly alkaline and loaded with foetid mucus. 
 
 6. After emptying the bladder to the best of his ability, there 
 still remained three ounces of residuary urine which he was unable 
 to pass, and which were drawn off by catheter. 
 
 The "spray" treatment was administered, and the patient 
 assured that in all probability he would soon be well. 
 
 On June 24th, he visited the writer, and said he thought he 
 was really cured, and added, he had had no pain since his former 
 visit, with the exception of a little irritation after the spray. 
 
 All his former discomfort had disappeared, and the urine instead 
 of being dirty and full of stringy offensive matter, had become 
 clear and natural. The burning pain had quite gone, and in fact 
 he felt quite himself again. 
 
 After nearly a year had elapsed, the patient wrote the following 
 letter, in answer to one sent to enquire after his health : — 
 
 Portland Place, W. 
 
 15-3-86. 
 Dear Sir, 
 
 It affords me much pleasure to be able to testify to your 
 successful treatment of my case. I was under two doctors for 
 about four months, one of whom is of very high standing in the 
 profession, and a specialist for urinary diseases. I took eight 
 
233 
 
 different kinds of medicine without any improvement, indeed they 
 quite upset my general health. 
 
 Happening to see an advertisement of your book in a newspaper, 
 I procured a copy, and after perusal came to you. From the Jii'st 
 visit up to the present time, I have felt no pain or inconvenience 
 whatever. I have taken wine and spirits in moderation, but have 
 had no return of my painful disease. My friends tell me (and I 
 believe myself) that as it is now twelve months since I came to 
 you, I may conclude I am perfectly and permanently cured. I 
 shall be very pleased to see anyone requiring confirmation in respect 
 to your treatm.ent of my case, and with heartfelt thanks to you. 
 
 I remain, dear sir, 
 
 Yours faithfully, 
 
 E. H. 
 
 E. H. continued well up to June, 1890, and writes,— 
 Dear Doctor Jones, June 5th, 1890. 
 
 It has given me the greatest pleasure to testify to Mr. P ' 
 
 of your successful treatment of my case, and the straightforward 
 manner in every way of your dealing with it : fancy being told in 
 1886 I would never be better, and be a sufferer all my life ! ! ! 
 — I have been well ever since you cured me. 
 
 E. H. 
 
 No. 50. 
 
 A third case, that of Mr. Holmes, of Cambridge, shows the 
 perfection of the spray treatment, two applications of which 
 brought a derelict sufferer back to the full satisfaction of life. 
 Cambridge has a high repute for medical skill, and is a centre of 
 medical teaching; but five months of its best physicians and 
 surgeons in this case failed to afford relief. This patient regards 
 the promptness of Dr. Jones' cure as marvellous : — 
 
234 
 
 44> Panton Street, 
 
 Cambridge, 
 
 May 31st, 1886. 
 My Dear Sir, 
 
 1 intended writing to you sooner, but thought it better 
 to wait awhile after such speedy cure as you effected on me, in 
 case of a relapse of my painful disease. I am thankful to say I 
 continue quite well, and have no pain or inconvenience of any 
 kind. Instead of having to get out of bed 12 or 14 times every 
 night to pass water, which I did with severe forcing and scalding 
 pam, I only get up once or twice to urinate with perfect ease and 
 freedom. 
 
 I consulted three of the first physicians in Cambridge, and a 
 homoeopathic physician, and was under their care for five months 
 without deriving the slightest benefit. Before I came to you, my 
 doctors (very eminent ones too) said all that could be done for me 
 had been done, so I gave myself up to fate, and asked them not 
 to come again. Soon afterwards I saw an advertisement of your 
 "Home Hospital" for stone, &c., in the " Christian World," and 
 decided to come to you. Strange as it may appear, you did for 
 me with two applications of your spray, what my other doctors 
 could not do in five months. Life is now a pleasure to me; I eat 
 well, and take stimulants (which I was forbidden to do before) 
 without any discomfort. I am truly thankful I ever came to you. 
 My friends say my cure is nothing less than a miracle. 1 shall 
 be very pleased for you to make any use you like of my name and 
 case. I make it my duty to talk to all I meet about your 
 successful cure. 
 
 1 am, yours gratefully, 
 
 Wm, Holmes. 
 
 June, 1890, Mr. Holmes writes, "Thank God I am perfectly 
 
 well." 
 
235 
 
 No. 51. 
 
 Disease of the prostate gland, and severe inflammation of the 
 
 bladder of several years' standing, cured hy the administration 
 
 of three ^'■sprays.''' 
 
 Mr. William Reynolds, aged 75, Barrington, 
 Cambridgeshire. 
 
 Consulted the writer, accompanied by his son, on July 12th, 
 1886, and stated that he had been suffering from weakness of the 
 bladder for many years, but as the inconvenience was not very 
 great; he attributed it to advancing age. Three years ago, however, 
 he was seized with complete stoppage of the urine, and was obliged 
 to send for his local doctor, who gave him relief by using a catheter 
 and drawing off about a quart of water. The same treatment had 
 to be adopted on the following day, and he was then advised to 
 go into the Cambridge Hospital. He did so, and was there for 
 a week, when he was discharged, and told to continue using a 
 catheter himself. He followed out this advice for more than a 
 year, but the catheter set up such pain and soreness that he was 
 compelled to leave it off. After that he got gradually worse, and 
 for more than a year and a half before his visit to the writer, he 
 had been obliged to urinate every ten or fifteen minutes day and 
 night (generally worse at night), the act being attended by intense 
 scalding and straining, the pain being more severe at the anterior 
 part of the perin^eum, and just above the scrotum. 
 
 Occasionally during the daytime there would be longer intervals 
 of relief, but when such was the case, they would invariably be 
 followed by severer paroxysms than usual. 
 
 The patient had heard of the successful case of Mr. W. Holmes, 
 44, Panton Street, Cambridge (the case immediately preceding 
 this one), and was on that account advised to try the "spray 
 treatment" himself. 
 
 An examination satisfied the writer that he had the usual form 
 of prostatic enlargement, accompanied by severe ** cystitis " 
 
APPENDIX. 
 
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 13 S 
 
BOOKS 
 
 BY THE 
 
 SAME AUTHOR 
 
BOOKS BY THE SAME AUTHOR. 
 
 URINARY DISEASES ; being an Analysis of 500 Cases of 
 Stone, Enlarged Prostate and Stricture, &c. Edited by Gordon 
 Griffiths Jones, Surgeon to the Home Hospital, Dean Street, Soho. 
 Second Edition. — Post Free, 2/6. 
 
 HOMOEOPATHY : Its Truth, Its Law of Cure and Its 
 
 Statistics, with thirty years' experience in the cure of cases pronounced 
 " incurable " in men, women and children, and some accounts of 
 "The Times" and Lord Grimthorpe on Homoeopathy. — Price, 2/6. 
 (Epitome of the above. Post Free for 3d.) Containing very interesting 
 Cases, with names and addresses of patients (by permission). 
 
 In Course of Piihlication. 
 
 Epitome of the Sixth Edition, embracing the Cure of DISEASES 
 OF THE BLADDER AND PROSTATE with the Spray Treatment and 
 the removal of Stone without Cutting ; also the Cure of Obscure and 
 (supposed) Incurable Diseases of the Bladder in both Sexes. Illustrated 
 with Diagrams. — Price, i/- Post Free. 
 
 TUMOURS and OTHER DISEASES OF WOMEN: their 
 Treatment and Radical Cure, without the knife. Will contain:—:. 
 Tumours of the Breast. 2. Tumours of the Rectum, Polypus, Piles, 
 Fistula, their Cure, &c. 4. Tumours of the Vagina, and other 
 Impediments to Reproducton ; Tumours of the Throat : Wens 
 (Derbyshire Necks). 5. Tumours of the Bladder, &c. 
 
 The HISTORY and PROGRESS of OVARIOTOMY (The 
 
 Radical Cure for Ovarian Dropsy), with Statistics, and the Analysis 
 of 500 successful Cases. 
 
9 
 AxD BY Dr. GORDON GRIFFITHS JONES : 
 
 STRICTURE, GLEET, and OTHER DISEASES of the 
 GENITO-URINARY SYSTEM. 
 
 WORKS PUBLISHED FORMERLY BUT OUT OF PRINT. 
 
 ALLEGED DEATH FROM HOMCEOPATHY ; being the 
 report of an Inquest on a Patient who died under an Allopathic 
 practitioner in Harley Street. The Certificate implied "neglect of 
 the Homoeopathic practitioner to open the bowels, &c." A Post- 
 Mortem examination proved the said Certificate to be false — the bowels 
 were found empty. 
 
 WHY THE CLERGY ADVOCATE HOMCEOPATHY: a 
 
 reply to a Member of the Royal College of Physicians and Mr. 
 W. J. Cox (Surgeon) on the "Errors of the Clergy in advocating the 
 doctrines of Hahnemann," 
 
 CHOLERA NOT A DISEASE OF THE BOWELS (as 
 entertained by the President and Members of the College of Physicians), 
 but a Disease of the Blood as proved by the Writer. 
 
 ORIGINAL VIEWS ON INFLAMMATION, proving the 
 
 Views entertained by the Profession to be questionable. 
 
 THE ELECTRO-CHEMICAL BATH for Extraction of Mer- 
 cury and other Metallic Substances from the Body, illustrated by 
 Cases cured by it. 
 
STATEMENT 
 
 RESPECTING THE SELF-SUPPORTING 
 
 HOME HOSPITAL. 
 
STATEMENT RESPECTING the SELF-SUPPORTING 
 
 HOME HOSPITAL 
 
 FOR 
 
 STONE and URINARY DISEASES in Men, Women, 
 
 and Children, 
 
 10, DEAN STREET, SOHO, LONDON. 
 
 TERMS : Two Guineas weekly, for Board, Residence and Medical 
 Treatment, EXCLUSIVE of Special Surgical Operations. 
 
 For the reasons appearing in the following statement, Dr. David Jones is 
 desirous of making known the establishment of the above SELF- 
 SUPPORTING HOME HOSPITAL. 
 
 That there is urgent need for such a " Home" will scarcely be denied 
 by any person at all conversant with the wants in times of sickness of large 
 masses of society. 
 
 There are well-endowed hospitals for the very poor. Surely there ought 
 also to be some institution for the better class of artisans, the small 
 tradesman, shop assistants, milliners, &c., &c., many of whom have no 
 homes suitable for times of sickness, but who would willingly pay a small 
 sum per week for medical or surgical attendance, good food, nursing, &c. 
 More than thirty years' experience in London has convinced Dr. Jones 
 that a " Home " or " self-supporting hospital " such as is here presented will 
 when known, be highly appreciated by the classes alluded to, and preferred 
 by them to any mere charitable institution. 
 
 It is not overlooked that, since the statement, similar to the present one, 
 appeared (appended to previous issues of the first edition of this work) the 
 authorities of some of our great metropolitan hospitals have entertained 
 arid practically dealt with the subject and provided "pay-wards" for 
 patients. Dr. Jones cannot but rejoice in this practical adoption (though 
 without acknowledgement) of an idea long urged by him on the attention 
 
13 
 
 f the public. He is notwithstanding convinced that there is need for the 
 fullest possible extension of the proposed benefit, and moreover that the 
 hospital which he has erected will by many be preferred to those larger 
 and, in the main, charitable institutions in which the arrangements can 
 scarcely be expected to be so homelike. 
 
 Much suffering may be prevented, much domestic inconvenience avoided, 
 and many useful lives preserved, by careful treatment iii a "home " where 
 sick persons may secure for themselves (at charges suited to their means), 
 those indispensable auxiliaries to successful medical and surgical treatment, 
 — undisturbed rest, suitable diet and careful nursing,— which can rarely be 
 secured at their own homes; where, too frequently, the rooms are badly 
 ventilated and over-crowded, and where the noise of children is intensely 
 painful to the patient, and generally highly prejudicial to recovery. 
 
 There are many cases in which sickness in the first instance, not perhaps 
 serious, is intensified and ultimately rendered fatal by the exertion and 
 exposure which persons are obliged to undergo whilst attending as out- 
 patients at the general hospitals. Whilst going to and fro and tirefully 
 waiting their " turn " in the out-patients' room, these poor people often take 
 fresh cold, and thus cold upon cold results in very many instances in acute 
 bronchitis and consumption, and it is not too much to say that apart from 
 the suffering endured, fatal results ensue in thousands of cases annually, 
 which might, humanely speaking, have been avoided by proper, timely, 
 preventive, and protective care. 
 
 Again, there is a very numerous class who altogether object to cast them- 
 selves upon the charity of any public hospital or institution ; they know 
 that they can afford to pay something in return for the care and treatment 
 their cases require, and they are willing to contribute that something to 
 ensure the means of cure. 
 
 There is also a large class — domestic servants— to whom such a "home" 
 would be a great boon. The lot of the sick female domestic servant is a 
 peculiarly hard one. In many instances she has no home, no friends or 
 relatives, able or willing to support her during her illness ; her sickness, 
 though sufficient to incapacitate her from fulfilling her duties is not 
 sufficiently severe to entitle her to admission into the wards of a general 
 hospital ; — the employers are not perhaps able to retain the sick person in 
 their house, yet would be willing to contribute for the maintenance and 
 cure in any "home" available for the purpose. Male domestic servants 
 are sometimes similarly circumstanced. 
 
 Knowledge of these and similar cases, the exigences of which are not 
 fully met even by the partial adoption of the principle by the managers of 
 
14 
 
 6ur large metropolitan hospitals has led Dr. Jones to carry on to completion 
 and to open the above " home " for the reception and treatment of persons 
 circumstanced as before mentioned. The cases more particularly treated 
 are diseases of the bladder and prostate, stone, and kindred affections of 
 the urinary system in both sexes. The arrangements in the " home" are 
 made with every regard to the comfort of the patients and tending to 
 accelerate their recovery. A gift of nearly ;^2000 from the late Thos. 
 Hall, Esq., presented in grateful recognition of professional services 
 rendered him by Dr. Jones, has greatly facilitated the erection of the 
 hospital, and has enabled him to endow two FREE beds for MEN in 
 perpetuity ; these have been very helpful, but as might be supposed, the 
 number is very inadequate to meet the increasing demand for free 
 admission. 
 
 Dr. David Jones has several times volunteered his professional services 
 for life if any charitably disposed persons would take the freehold premises 
 off his hands and suitably endow them. He is moreover authorised by his 
 son Gordon Griffiths Jones to say that he in like manner heartily 
 co-operates in the much needed object. 
 
 Meanwhile efforts are being made to raise /?,ooo to establish two FREE 
 beds for WOMEN ; many have promised help, while others have already 
 contributed as will be seen below. 
 
 Anonymous ; requesting acknowledgment in the Morning Post £ s. d. 
 
 of December 28th, i 
 A. U. ; who desires her name to be withheld for the present 
 
 Miss Munns 
 
 Miss Emily Munns (the late) . . 
 
 T. W. Braithwaite, Esq. (the late) 
 
 Ditto (second donation) 
 
 J. H, Alston, Esq. 
 
 David Price, Esq. 
 
 H. Custance, Esq. 
 
 Mrs. Morton 
 
 Wm. Ryder, Esq. (Annual) 
 
 Clement Bagshaw Dixon, Esq. 
 
 Mrs. Burnaby 
 
 50 
 
 
 
 
 
 50 
 
 
 
 
 
 6 
 
 
 
 
 
 3 
 
 
 
 
 
 10 
 
 
 
 
 
 10 
 
 
 
 
 
 2 
 
 
 
 
 
 9 
 
 9 
 
 
 
 5 
 
 
 
 
 
 5 
 
 
 
 
 
 I 
 
 I 
 
 
 
 10 
 
 lO 
 
 
 
 I 
 
 I 
 
 
 
Respecting Subscriptions and Donations for the 
 
 IN-DOOR DEPARTMENT. 
 
 A Donation of £1,000 provides ONE FREE BED 
 IN PERPETUITY. 
 
 A Donation, or Annual Subscription, of £35, provides 
 ONE FREE BED for ONE YEAR. 
 
LONDON : 
 
 LANGLEY and SON, 
 
 EUSTON PRINTING WORKS, 
 GEORGE STREET, N.W,