I must here close this slight sketch of diet in sickness. It is a large subject, but if I have succeeded in pointing out broad lines to guide us in giving directions for the dietary of our patients-if I have helped any to form clearer ideas on the subject than they formerly possessed, the aim of the study has been attained.

Ipswich, January 10, 1879.

THE PONTRESINA BOY.

By R. TUTHILL MASSY, M.D., Redhill, Surrey.
(With Illustrations.)

DURING my recent wanderings on the continent, and while taking a morning walk from the Hotel Saratz, where I resided at Pontresina, to the "Five-cornered Tower," my attention was attracted by a strange faced boy, of the Mongolian type with a vacant, meaningless expression. I beckoned him towards me, and by a little bribery got off his soft hat, and then saw and felt his extraordinary pyramidal head, which reminded me forcibly of the Doge of Venice's

crown reversed from the side view. In front the width across the eyes to the prominent temples and zygomatic arch on each side was unusual. The remarkable flatness

Review, Feb. 1, 1879.

above the nose gave this central organ a Wellingtonian outline. Next day I had a chat with Dr. Ludwig, the resident physician, and with his tact succeeded in getting a photograph. Both parents objected to have any exhibition made of this boy, but, as they had another youngerconsidered perfection-they finally consented to have the two grouped together, but not separate, and for this sitting they were to be presented with six copies.

After the first photograph was taken I managed to get the elder boy's side-face before the camera, and thus got this excellent profile. (See illustration.) The mother assisted

us here in pressing down his dark hair with her saliva, and making the deformity more visible on the cranium. On my return to Brighton I called on Mr. Edmund Wheeler, the photographic portraitist, to separate and enlarge the full face to correspond with the side view, and thus we are indebted to this art for the exact likenesses now before us. The boy is said to have a mathematical mind, at school keeps his place among the classes, and has a good character from the master. I have noticed this lad when playing on the road with bigger boys, to be their leader. His age is 13 years. The circumference of his head across the forehead and

temples measures twenty and a half inches. The greatest height from the ear openings over the elevation is fifteen and a half inches. From the same points behind the elevation, over the lowest part, measures twelve inches. This description will, I hope, give our phrenologists a distinct idea of this unique head, and the physiognomists of a Chinese face. As far as we could ascertain there was no skull shaping in infancy. The mother thinks the deformity is much less and the outline has greatly improved the last few years. His father, who is a member of the Guides Society, appeared to have a particular dread of my approach towards his house, for fear perhaps of my taking off the head of his precious son Luzin Lorenz.

Neither the father Hartm Lorenz, nor the son Luzin, have the physiognomy of the Saracenic type, which is oblong. The mother has a cast of that kind in the outline and expression of her features, which perhaps she has inherited from the Saracens, who built the tower about the tenth century to watch the traffic over the Bernina Pass. The entrance door is high up, like those in the Round Towers of Ireland, and would require a ladder to see the inside. The birds have taken up the seeds of the Cembran pine, for now this tree can be seen flourishing over the battlements. Its medicinal properties are especially anti-scorbutic.

I find by my diary that I entered Pontresina on the 25th of June, after spending a dull cloudy morning at St. Moritz. The day cleared up, and I witnessed a field day -the drilling of the Alpine volunteers. I met a Cambridge don walking off the accumulated fat of his superfluous dinners. Another day I ascended to the edge of the Morteratch Glacier. It was from the Piz Morteratch that Professor Tyndall, with his two friends and guide, were carried off by an avalanche, and found themselves all alive after tumbling and tossing a distance down of fully 1,000 feet. I may mention a little of my experience among the invalids I met in those "high altitudes." One gentleman, with his wife, who spent a sleepless week at the Bernina Hospice, 7,658 feet above the sea level, looked the very picture of wild misery; another had bilious vomiting; another diarrhoea. A young clergyman at St. Moritz was attacked with serious fainting fits; another felt great lightness in the head, and so on were many complaining and had to return to the plains.

P.S. From my Diary.-July 4th. Snow storms all day, cold, cloudy and damp at Pontresina, without the comforts of an English home. I did not believe that our English people were so gullible as to continue winging their way up here, and not observing and following the wise example of our Queen who seeks and finds health in the mountains of our island home.

July 5th and 6th. Clear sunny days from morning to evening, when the Roseg Glacier is seen clothed in all its beauty by the rays of the setting sun.

July 7th. Fine until 4 o'clock, then rain in torrents. The two mountain rivers rush and roar down the valley from the Roseg and Morteratch Glacier, to meet under my bed-room window, beating the boulders unceasingly by day and night.

July 9th. Dull, cloudy morning, valley overhung with mist after rainfall all night. Roads covered with thick mud. Sunshine at 1 o'clock, cleared up.

July 10th. Bright morning. Became dull and cloudy towards the afternoon with some rain, wind S., changed to N., became fine, and we drove up the Roseg Valley to the Glacier of that name.

July 11th. Cloudy; walked up the road with a cold wind and plenty of dust in our backs. Called on the collector of wild flowers, and then descended the pathway through the rich meadow, and over the wooden bridge to the other side, where I found the true arnica montana in full bloom. July 12th. Lovely morning; all sunshine without clouds their absence being felt by sensitive eyes.

July 13th. Fine all day until 8 p.m., when rain came down. July 14th. Sunshine. Three degrees warmer than yesterday. Church cold inside, and felt so by many. July 15th. Drove to the Bernina Hospice. Intensely cold biting wind.

July 17th and 18th. Dust, with great heat along the roads, so bad for the lungs. The Italian mowers have arrived with their short scythes.

Thus the days of July passed on, very uncertain sometimes, with cold winds and clouds of dust passing along the road. Some of our moonlight evenings were lovely, but the twinkling stars were not brighter or higher amid the orbs of heaven than I have frequently observed them from the Malvern range on the Worcestershire side, or from the Highlands in Scotland or Ireland.

A CASE OF CHRONIC CATARRH, WITH
EXCESSIVE EXHAUSTION.

BY GUSTAVUS PRÖLL, M.D., of Gastein and Nice. AN American widow lady, fifty years of age, the mother of two children, was brought to Nice in January, 1875, in what was supposed to be an advanced stage of consumption. So ill was she on her arrival, that the proprietor of the hotel to which she went was at first unwilling to receive her, fearing that she would die before reaching her bed, so great was her state of exhaustion.

On visiting her I found that she had suffered for many years from leucorrhoea, the discharge being thick and green. Her physician had, to check this, prescribed injections of zinc, of alum, and of a solution of tannin. This treatment so far succeeded, that the uterine discharge ceased. But as it did so, cough, at first dry, and subsequently attended by a whitish expectoration, came on. Cough and expectoration increased daily, rest was prevented, and emaciation progressed rapidly and alarmingly. Again the remedies used were zinc, alum, and tannin; but now in the form of inhalation. No improvement took place, on the contrary, the cough became drier and more frequent. The general symptoms of consumption being present she was advised to resort to the mild climate of Nice. So ill was she that her family regarded her surviving the journey almost as a miracle. Her condition when I saw her was as follows:

Face extremely pale; blue, lustreless eyes; fair hair; tongue coated white; very little appetite; great thirst; diarrhoea frequent, but painless; stools odourless; urine small in quantity, with white clouds and white deposit. The voice is weak; cough exceedingly troublesome, principally morning and evening, coming on in paroxysms every quarter of an hour, followed by profuse foul-smelling perspiration, and by the expectoration of a great quantity of stringy matter, resembling the white of egg, but without any blood. The respirations are 25; and the pulse 100, hard and not weak. The physical signs give no indications of tubercular disease in either lung, but simply of chronic catarrh, with commencing emphysema of the left lung.

The whole body is much emaciated, the skin very delicate, the perspiration emitting a foul odour. Her mind is clear, strong, and hopeful.