ed to make an addition
of a long line of figures, or the least business worry, without the
supervening headache. All treatment against these conditions was
useless; the colon was kept empty, the diet was changed; pepsin and
bismuth, tonics, frictions, Turkish baths, and all hygienic observances
and moral treatment were all of no avail. One day, on consulting the
writer, he complained of a pruritus at the head of the penis. On
examination it was found that he had a narrow, long prepuce, a
congenitally-contracted meatus, and was then suffering with a slight
balanitis. He was very careful to keep the parts clean, but, he informed
me, that in spite of all precautions, these attacks would come on. The
mucous covering of the inner fold of the prepuce and glans was so
irritable that connection often brought it about. The glans was small
and elongated, with the meatus red, and with lips oedematous and
congested. To free him from this tormenter, circumcision was advised.
The party could not, however, remain away from home for the time
required for the operation; so that a compromise operation was
performed,--one that would not keep him from business, and, at the same
time, relieve the contracting pressure on the glans. This was by
Clouquet's operation and bandaging back the prepuce over the penis, back
of the corona,--an operation that, in my hands, has often filled all the
desired purpose. The meatus was also incised. After the operation _all_
of his troubles disappeared, as they had done in the preceding case, and
he was soon a hearty and well man, able to chop wood, attend to
business, and, in case of need, do family duty for a Turkish harem
without recurrence of his old tormenting, dyspeptic palpitation or
sick-headache.

The writer has resorted to circumcision in many cases to improve the
temper and disposition of children, with the best of results, and in one
case, in association with another physician, performed the operation on
a lunatic, whose lunacy ran to women and girls, with whom he would fall
desperately in love, without any encouragement or provocation, or even
acquaintance; finally reaching spells of such incoherence of action and
speech that confinement would be required. The peculiarity of his
hallucinations called attention to the genital organs. This man had
never masturbated, and was, when well, a compactly-built, active, and
intelligent man. By occupation he was a contractor, and a man of more
than usual e