should form a part of military stores; position of the patient in gunshot fractures of the leg or thigh; splints, and their application; gunshot wounds of the leg; limb rarely to be amputated; removal of splinters; position of the limb; Mr. Luke’s the best apparatus for a compound fracture of the leg; illustrated by wood-engraving; bearers for wounded men; gunshot wounds of the arm; more probability of saving the limb; if an artery ulcerate, it should be tied at each end; primary amputation in such cases rare; secondary, only for mortification, or when the strength gives way; in incisions at a late period, the nerves and arteries to be avoided; splints for the arm. Hospital returns. pp. 141-162 LECTURE VIII. HOSPITAL GANGRENE: its synonyms; may be caused by the use of charpie, instruments, bandages, etc., which have been previously employed on infected parts; is a highly contagious and infectious disease; its prevalence at Leyden in 1798; if the disease be mild or chronic, wounds on the arm may continue healthy for some days after those on the leg are infected, but not so if the gangrene be acute; Mr. Blackadder’s description of the disease, as it occurred in his own person, from inoculation; M. Delpech attributed its spread in the French army to the misfortunes and sufferings of the soldiery; Dr. Tice on the attendant depression, apathy, and despair; description of the disease in its most virulent and less destructive forms; characteristic signs of the disease; the question as to its constitutional or local origin; character of the fever; opinion of the French surgeons that the disease was of local origin; local and constitutional treatment; use of mineral acids at Santander in 1813; Dr. Boggie on large bleedings in the disease at Bilbao; cases of hospital gangrene, with tetanus-bleeding curing the one, and failing in the other; Dr. Boggie on the treatment of phagedœna, and of inflammatory gangrene, after disorganisation; the introduction of Fowler’s solution of arsenic, as an escharotic, by Mr. Blackadder; dangers of that practice; Dr. Walker on hospital gangrene at Bilbao: Delpech on phagedœnic ulcer, and its treatment; attributes the first employment of mineral acids to the British surgeons in Spain, and especially to Mr. Guthrie; Deputy Inspector-General Taylor on hospital gangrene in India; considers it a local disease, to be cured by local treatment; uses nitric acid to the circumference of the ulcer; the burning, gnawing sensation removed by the acid; dirty fungous growths from wounds of the hands and forearm. CONCLUSIONS: Return of the number of cases in the hospital stations in the Peninsula during the last six months of 1813. pp. 163-175 LECTURE IX.