The following is the exact mode of treatment which I would adopt in such cases. In recent punctures the caustic should be applied in the manner already described in cases of simple punctured wounds. When the case has been neglected, a small tumour is usually formed underneath the skin with smart stinging pain; this tumour should be removed entirely by the lancet, and the caustic should be applied, both to the surface of the wound and over the surrounding skin, to form an adherent eschar. When the case has been still longer neglected, and inflammation of the absorbents has supervened, a free crucial incision is to be made, the caustic is to be very freely applied, and afterwards a cold poultice and lotion, the usual constitutional remedies being actively enforced. * * * * * In connexion with punctured wounds I here subjoin several cases of the bites of animals. CASE IX. James Joynes, aged 12, was bitten by an ass, on each side of the middle finger; the wounds were severe, and almost immediately followed by swelling and great pain. The lunar caustic was well applied within half an hour after the accident. On the succeeding day, the eschar was found to be quite adherent, and the pain and swelling had subsided. The eschar separated in about twelve days and the wounds were healed. CASE X. Mr. Worth's daughter, aged six, was thrown down by a dog and bitten severely on the face and forehead in three places; one of the wounds in the cheek was deep from the penetration of the dog's front teeth, and the parts were much bruised. The lunar caustic was well applied in half an hour after the accident to each of the wounds, and the eschar was covered with gold-beater's skin. On the next day the eschars were adherent. There was some swelling from the severity of the bruise; but the child made little complaint. On the third day, the swelling remained as before and the eschar adherent. On the fourth, the swelling had nearly disappeared.--The eschar separated in nine days from the infliction of the wound, leaving the parts healed and free from scar. CASE XI. Mrs. G. was bitten by a little dog on forefinger about a fortnight ago. There is now a very irritable, inflamed, fungous sore. I removed the fungous by a pair of scissors and applied the lunar caustic to form an eschar. On the succeeding day, I found that the patient had applied a little lint before the eschar was dry, which had prevented it from remaining adherent. I reapplied the caustic and desired that the eschar might be exposed to dry. The eschar remained adherent, the inflammation subsided and the case gave no further trouble. CASE XII.