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MISCELLANEOUS EXPENSES.

Paid for the physicians and the attendants' dinners

on the 18 public days,
dinner at the end of the season,
Aour cakes for breakfasts and tiffins,
dinner at the beginning of the season,
dinner to the apothecaries,
Pr. Min's boat hire a nd postage,
Dr. Kaou's boat-hire,
candles for the altar,
tea,
tobacco,
200 pencils and 400 sticks of ink,
5 subscription books,
paper for prescriptions,
folding paper for medicines,
red paper for placards,
70 prescription books,
register books,
envelopes for powders, &.., &c.
1,700 patients' tickets,
cooks wages,
attendants 279 days' work,
paper for plasters,
7 tea-pots,
211 towels,
subscription papers,
carving physicians' seals,
rice baskets,
2 water tobacco pipes and 20 common pipes,
sundries,
loss on bad cash,

Crish 106.316 19,356 29,460 12,893 13,000 15,300 10.480 10,060) 3,440) 3,678 3,660 2.7.30 3,990 3,833

460 3,150)

900

885 12,148

6,300 IN,974 2,774 1,484

840 939 866

426 1,054 2,347 2,680

294,495

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BALANCE OF ACCOUNIS.

Cash Entire amount of receipts from Subscriptions,

980,805 Total amount of Expenditure,

949,017 Balance in hand,

31,788 From this Report and the notice of the Humane Society it will be seen that the charge brought against the Chinese in common with all other heathen nations, that among all are found no Hospitals or other Institutions for the relief of the sick and desiitute, is not correct. For there are in the city of Shanghai the above two establishments, also a foundling Hospital, an Alins house for the aged and infirm, poor fund, and fund for the providing of coffins, and perhaps other establishments which have not ye: been discovered.

While as may be seen from our Report now presented, medical relief has been afforded to the people of this place, their spiritual necessities have not been neglected. The in-patients are asseinbled every morning for the reading of the scriptures and prayer in the native

dialect; and Mr. MEDHURST addresses the whole of the patients, that is the out patients and in-patients, three times during the week on the leading doctrines of the Gospel, also on the Sabbath afiernoon. Books and portions of the Scriptures are also freely distributed to the patients, when they return home, which thus find their way to all parts of the country, and it is known that these are not only taken home, but in many cases read and carefully examined. It is hoped that by the knowledge thus diffused, inany who have hitherto worshipped only idols, and been shut up in ignorance and euperstition, giving up themselves with apathy to the slavery of sin, may not only find relief for their bodily ailments, but be delivered from that worse sickness which taints and pollutes the mind, and be led to look to him who is the Saviour of the world and the great physician of souls. May the God whom we serve grant wisdom and direction to all those who have the management of the affairs and the carrying out of the Society, causing all that is done to tend to his honour and glory, and the temporal and spiritual welfare of our fellow-men.

The present are times of great promise to China, let us therefore diligently carry on our work, and be encouraged by thought of its importance, and vastness, to aiın at doing still more than has yet been accomplished. The field of exertion is wide and ample, and needs as well as merits our fullest exertions and our constant efforts. And it must be remembered that a work of this kind is not for a week, or a inonth, or a year, but that to give any influence it must be regularly and steadily prosecuted for many years. Luke-warmness and faintheartedness must not enter in, or all present paying and trouble wil be thrown away, and so far as our efforts are concerned the renovation of this mighty empire be still retarded. Would we do any thing to this end, we inust aim high, and though we may have to grapple with difficulties, they will only inspire us with more energy and zeal for future labours.

List of l’ATIENTS ATTENDED TO FROM 1st July, 1845, to 30TH JUNE, 1846. Internittent fever, · 117, Epilepsy,

1 Tussis, 920 Surditas,

69 Asthma, 192 Leprosy,

23 Hæmoptysis, 100 Icthyasis

4 Phthisis, 40 Elephantiasis,

1:3 Dyspepsia, 1,272 Psora,

29) Iysentery,

113 Psoriasis, Anasarca, 12 Lepra

92 Ascites,

15 Abscess, Rhenatisni, 1,415 Ulcers,

386

500 157

Ilernia scrotal

63 Caries of femilir, Hernia double and double hydrocele, 1 Caries of carpis, Hydrorele,

7 Caries of metatarsais, Contusions, 3 loss of the palatal bones,

3 Infiltration of

pus
into the tingers

Loss of the symphysis maxilla
and palm,

1
inferioris,

1 Severe contusion of chest,

1 Osteo-sarcoma ot'maxilla superior, 1 Severe contusion of pelvis,

! Sudden death, Laceration of hand, I Suicide from eating opim.

4 Extensive laceration of leg

l'Attempted suicide do , Severe wounds of limbs, 6 Opium smoking,

30) Spear wounds of thigh, 3. Catarrhal ophthalmia,

295 Gun shot wounds in body and limbs Chronic conjunctivitis, by pirates,

14 Granular lids, Burns of face and limbs, 4 Granular lids with opacity;

50:4 Severe burns of body followed by Granular lids with pannus,

3:30 death, 5 Leucoma,

202 Slough of the feet from cold, 2 Ulceration of cornea,

817 Large abscess in palm, piercing to

Conical cornea,
the back of the hand,
1 Staphyloma, -

30) Extensive sloughing ulcer ot' nose Hernia iridis, and cheek, 1 Synechia,

400 Malignant ulceration of the tongrie Closure of pupil,

32 and loss of half that organ, | Irregularity of pupil,

80) Inflammation of ancle joint,

4,8maurosis, Anchylosis of hip joints and partial Cataract of both eyes, do. of knee joints,

I Cataract of one eve, Fistula in ano, 9 Cataract incipient,

30 Fistula, enormous, 3 Lippitudo,

330 Polypus nasi, 5 Pterygiun,

315 Tumour of' lip,

Trichiasis, . Tumour of neck, large,

? Entropium, 'umoir of scrotuin, enormous, 1 Ectropium, l'umour of arm. Contraction of tarsi,

200 Tumour of thigh,

2 Enormous fungis hæmatudes Carcinomatous tumour on abdomen, 1. of the eve ball. Carcinoma of breast,

1 Loss of both eyes, Fracture of radius, . 2 Loss of one ele,

73 Fracture of humerus, ·

I Loss ot' one from a wound,
Fracture of clavicle,
Fracture of crista Dii,-

1

10,1-10) Fracture of thigh,

By W. LOCKHART. Dislocation of huinerus under the clavicle,

1

103 183 70

REPORT OF THE CHINESE LlospitaL AT SHANGHAI.

From July 1st, 1946, 10 June 30th, 19.10.

By William LOCKLART, Esq., M. R. C. S.

Is presenting a Report of the Chinese Hospital for the last year, it is salisfactory to be able to slale, that the expectations entertained of the favorable site of the new Hospital have been fully realised, us shown

VOL. XVII. NO, VI. 26

by the large increase in the number of patients; froin the list of cases appended it will be seen, that the number of individuals attended to has been larger than at any former period since the establishnient of the Hospital at this place; this most probably results from the greater confidence of the natives in the means of relief, and also from better accomodation being afforded to the in-door as well as to out.door patients, the large hall of the new building being a convenient place for them to sit in while waiting to be attended to ; and much better adapted to the purpose, than the open yard in which they forinerly assembled, and where they were much exposed to the weather.

The mode in which the Hospital is managed is this, the building was erected and has been in part paid for, by donations received from England, from the inembers of the Foreign Community at, and from visitors resorting to this port. The property is vested in trustees chosen by the subscribers, and is rented temporarily to the resident agent of the Medical Missionary Society. At a general Meeting of the subscribers held in the hall of the Hospital in December 1816, it was judged desirable that all money subscribed for the Hospital should be paid to the treasurer of the Committee of the Hospital, he being authorised to pay to the medical officer such sums as are required for carrying on his work; hence a list of the local subscribers does not appear in the money accounts now presented, but the sums received are mentioned as paid by the Treasurer, in the saine way that grants are acknowledged from the Medical Missionary Society at Hongkong. It is intended that a list of the local subscribers, together with the trust deed of the property, shall be printed in a short time; this was promised at the beginning of the year, but it wis eventually post. poned for a time, until some final arrangernents had bern completed.

No particular reference is made in this report to individual casas treated at the Hospital, but the general nature of the diseases prevalent here may be gathered from the suljoined list of cases ; alınost the whole of the accidents enumerated occurred at the European buil.l. ings, and many of the Chinese servants of Europeans have been at. tended to; thus showing, that although the primary object of the Hospital is to draw the natives generally under instruction and relieve their bodily infirinities, still it is not without benefi: to the subscribers themselves, by affording an asylum and means of cure for their sick domestics.

The observations on the temperature of the clinate are still kept up, and the results as shown in the following table, inay be relice upOn its being tolerably correct :

RANGE OF THE THERMOMETER UNDER SHADE IN THE OPEN AIR.

..92

80

......80

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77

Highest Lowest Average Average Highest Lowest

by day by day. by day. by night. by night. by night. 1816.-July, ..98 deg. 78 deg. 91 deg 79 deg. 83 deg. 75 deg. AUGUST,

73 80

73

80 68 SEPTEMBER,....90 70

71

80 60
ОстоBER, ,

52
71

60 67 46
NovemBER, 70

44
69
45

54
DECEMBER, .65

31
53
36
48

26 1847.- JANUARY, 63 35 47

31

42 24
FEBRUARY, .63

32
44
31
41

21
Млкен, .77

58
41
41
61

23
APRIL,

.86
65
47
51
65

38
May,

.83 62 70 58 65 46
JUNE,
90 65 76 67

62 Two cases of Asiatic Cholera presented themselves; in one case the patient recovered, but in the other he died; the symptoms were similar to those noticed in persons afflicted with this fearful disease in Europe, namely the coldness and peculiar blueness of the extremities and face, cramps of the limbs, vomiting and rice water dejections, and general sinking of the powers of life. In the cases noticed here, the vomiting and purging were not very abundant, the pathognomic symptoms of the disease, being extreme exhaustion of power, coldness and blueness of the surface, with cramps of the limbs; indeed the purging existed to it very small extent in either case. Froin what is said by the natives, it is evident that they have occasional attacks of this fearful pestilence, which cause great mortality, and such a visitation is much dreaded ; for an epidemic of this nature would make severe ravages among the inhabitants of the narrow, densely crowded streets and lanes of a Chi. nese city. In England, efforts are made by committees of public health, to clear the streets, open avenues for the adınission of fresh air, and to adopt such regulations as tend to increase the salubrity of the towns; but the state of the cities of China sets all such regulations at defiance, and it is surprising that being exposed to so severe a heat, as that which prevails during the months of summer, the inhabitants should be able to live in their small unventilated houses. To take away their fans would be a worse punishment for a time, than taking away their food ; without the fan they would be most misera. ble, and its constant se tends much to the comfort, and couse. quently to the health of the people. It is amising to see how the Chinese employ the fan; not in a quick and hurried way, involving much exertion, as is the practice of Europeans usually when fanning themselves, but in a quiet unin' ed manner, which, while it re. moves the hot air and answers the purpose of a refrigerator, does not

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