There are various instances, however, in which the membane of the tympanum has been lacerated or destroyed, without a total loss of the sense of hearing, or indeed any great diminution of it. A consideration of these circumstances induced Mr. Astley Cooper to think of perforating it, in cases of deafness arising from a permanent obstruction of the Eustachian tube, and he has often performed this operation with great success. Of this he has given an account in the last part of the Philosophical Transactions. This operation ought however only to be performed in case of the closure of the Eustachian tube. Cases of this kind may be distinguished by the followingcriteria. If a person on blowing the nose violently, feel a swelling in the ear, from the membrane of the tympanum being forced outwards, the tube is open; and though the tube be closed, if the beating of a watch placed between the teeth, or pressed against the side of the head, cannot be heard, the operation cannot relieve, as the sensibility of the auditory nerve must have been destroyed. In a closed Eustachian tube, there is no noise in the head, like that accompanying nervous deafness. There is one species of deafness, which occurs very frequently, and happens generally to old persons, though sometimes to the delicate and irritable in the earlier periods of life. Anxiety and distress of mind have been known to produce it. Its approach is generally gradual, the patient hears better at one time than at another; a cloudy day, a warm room, agitated spirits, or the operation of fear, will produce a considerable diminution in the powers of the organ. In the open air the hearing is better than in a confined situation; in a noisy, than in a quiet society; in a coach when it is in motion, than when it is still. A pulsation is often felt in the ear; a noise resembling sometimes the roaring of the sea, and at others the ringing of distant bells is heard. This deafness generally begins with a diminished secretion of the wax of the ear, which the patient attributes to cold. It may be cured, particularly at its commencement, by the application of such stimulants as are capable of exciting a discharge from the ceruminous glands; for which purpose thev should be introduced into the meatus auditorius.