Jail. 1% 1885.] THE BRITISH MEDICAL JOUBNAL. 69 . , .. followed by temporary inflammatory swelling, Nwhich, hiowever, soon subsides. The average interval I have allowed to elapse between each opera. tion, has varied from five days to a fortniglht, and the quantity of blood abstracted from one to three drachms. Smearing the surface with vaseline, and protecting from the outer air, especially in cold weather, is the only additional treatment ineeded, besides such internal remedies, saline

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... ts, alteratives, etc., as the general condition of the patient may indicate. I may add, I have seen no complication, or untoward symptom, result from this method. The use of alcohol must be emphatically denied. I repeat, in all instances, lasting and satisfactory results have been procured, and are attributable to the local depletion, which allows recovery of tone of vessels, the contractibility of which has not been permanently destroyed, and also to the invisible scarring which, by after-contraction, reduces the vascularity of the skin. This afterscarring is' hardly discernible. I regaid this method as capable of preventing cellular, and fibrocellular, hypertrophy, which results from long continued passive vascular congestion of the nose. CASE I.-Elizabeth W., aged 42, single. Duration, five years. She had frequently taken spirits for alleged "'weak heaft." Debility, dyspepsia, and dysmenorrhcea. Total, 15,750 punctures, distributed over fifteen sittings, and a period of seven months. Commenced January 1883. IResult permanent and satisfactory. CASE i. -A surgeon, suffering from acne rosacea and vascular hypertrophy. Duration, eighteen years; commencing at the age of 15. He had suffered from atonic dyspepsia. In twelve separate sittings, extending over a period of seven months, 11,150 punietures ; commenced January 1882. Result permanent and satisfactory. CAsE iii.-Patrick P., aged 50. Plethoric; health good. Duration, six years. Very abstemious. total, 52,200 puinetures, included in twenty-two stparate4 operations, over a petiod, of fivbi months. Commenced December 1882. Result to presenit, permanenit and satisfactory.