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shall proceed to institute separate examinations in mid-wifery for persons under the present obligations of theircharter, it is desirable that an adequate curriculum be re-quired of candidates, and that the examination be such asto afford a guarantee of the acquirements of the candidatesin medicine, including physic, surgery, physiology, patho.logy, chemistry, and materia medica, as well as in mid-wifery."The resolutions were put to the vote and carried.

ASSOCIATION OF LEGALLY QUALIFIEDDENTAL SURGEONS.

THE new Dental Society, concerning the formation ofwhich we have recently written, will exist under the above

title, and is founded upon the principles and for the objectscontained in the following resolutions :-

1. That the new society be called the Association oflegally qualified Dental Surgeons.

2. That the chief of its objects shall be-(a) The esta-blishment of an improved code of ethics. (b) The endea-vour to encourage a higher educational standard, bothgeneral and professional, for those who may hereafter prac-tise the special branch of dental surgery. (c) The further-ance of modes of practice compatible only with the highestprofessional status.

3. That in order to carry out the above objects the Asso-ciation shall, in its commencement, meet at least six timesin the year.

4. That the business of the Association shall be conductedby a chairman, vice-chairman, a treasurer, a secretary, anda committee of members.

5. That for the present it is not contemplated to publishany regular transactions of the Association.

6. That all qualified medical practitioners be eligible formembership.

7. That the Association shall also consist of honorarymembers.The following gentlemen compose the committee and

office-bearers :-Chairman : Samuel Cartwright, F.R.C.S.Vice-Chairman: S. J. A. Salter, 1T.B. Lond, F.R.S.Council : H. Craigie, M.R.C.S.; T. Edgelow, lB’1.B., M R.C.S. ;D. Napier, :1I.RC.S. Treasurer: A. Coleman, F.R.C.S.Hon. Secretary: S. Hamilton Cartwright, M.R.C.S.The first meeting of the Association will be held on

Wednesday, the 22nd instant, at the rooms of the MedicalSociety of London, where we have reason to believe it willobtain permanent accommodation.

Correspondence.THE DISCUSSION ON SYPHILIS.

THOMAS BUZZARD.

"Audi alteram paxtem."

To the Editor of THB LANCET.SiE,—As the suggestion which I made at the Pathological

Society is a novel one, and in your abstract of the discussionmy meaning is not perfectly conveyed, perhaps you willkindly allow me to record it a little more clearly.The researches of the last few years tend to show that the

lymphatic system is much more widely spread than wasformerly supposed. In addition to the long-recognisedvessels and glands, not only the serous sacs (pleura, peri-toneum, &c.), but also, amongst other structures, the peri-vascular canals, the fissures between. the canaliculi of thetestis, and those ill-defined pouches of loose connective tissuewhich allow a muscle to glide over periosteum or a subja-cent muscle (I do not refer to the true bursse mucosx) havebeen discovered to be lymphatic spaces, whilst the tonsilsare collections of follicles representing lymphatic gland inits simplest form. The interstitial spaces between thebloodvessels and the substance of the brain can be filledfrom the true lymphatic vessels of the pia mater. The

frequent occurrence of gummata in situations of this kindis notorious.

Following up Mr. Hutchinson’s hypothesis that tertiary

gummata are regrowths in structures left behind from thesecondary stage," I urged that we might go still further,and indicate their probable situation. I suggested that,during the exanthematous stage of syphilis, germs or poten-tialities of disease were imbibed from the tissues and carriedinto these now recognised extensions of the lymphaticsystem; that there they lay inert, often for a considerabletime, until some circumstance with which we are not ac-quainted called them into action ; and that then the out-growth occurred.My colleague, Dr. Gowers, who was present at the meet-

ing, has since called my attention to an interesting fact inhis own experience which tends to support my hypothesis.He has never found, he tells me, a gumma actually in thenervous substance. Even when apparently embpdded inthe cerebral substance it could, in every case which he hasseen, be traced to a fold or reduplication of the pia materoccupying some deep sulcus. In the rare cases in whichsuch a growth is found in the brain away from such mem-branous fold, he believes that it has probably started from aperivascular sheath, since when a pia matral gumma in-vades the brain-substance it does so by sending processes oroutrunners along these perivascular canals, the mass of thegrowth advancing by the lateral extension of these advancedposts.

If future investigation should show that tertiary gummataare always developed in connexion with some portion of thelymphatic system, the fact would go far to prove the cor-rectness of Mr. Hutchinson’s view.

I am, Sir, vour obedient servant,Grosvenor-street. March llth. 1876.

ANNUAL MEETING OF THE BRITISH MEDICALASSOCIATION.

WILLIAM KEBBELL. M.D.,Senior Physician to the Sussex County Hospital.

To the Editor of THE LANCET.

SiR,-In the last number of the British Medical Journal Ifind the Editor suggests a " personal conference

" between-

the Council of the Association and the medical men of

Brighton as "the most hopeful way of arriving at anamicable solution." It is far from my wish to throw anyimpediments in the way of such conference ; but, before itis agreed upon, I may be permitted to remind the Counciland Members of the Association that the opposition to thenext annual meeting taking place in this town did not

originate at the late meeting of the local medical men, nordoes it depend only upon the question of the addresses. Solong ago as the 28th of last August a letter from me

appeared in the columns of THE LANCET calling the atten-tion of the Council and Members of the Association to thefeeling which existed amongst the profession at Brightonrespecting the proposed meeting of 1876, from which I begto make the following extract:—" My impression is that ifthe opinion of the profession were now taken upon thequestion (of the annual meeting) three-fourths would befound to give their votes against it." This letter was con-firmed by Mr. Branwell in a subsequent number of thesame journal. I am not aware that the opinions of the’me-dical men of Brighton have changed since the above date,and fear accordingly that if the Council and Members of theAssociation still persist in their intention of coming here inAugust next, they will be far from meeting with a cordialreception from their professional brethren-a state of things,I should imagine, unexampled in the history of this or anykindred society.-I am Sir, your obedient servant,

Brighton, March 14,1876

THE DENTAL PROFESSION AND THEODONTOLOGICAL SOCIETY.

To the Editor of THE LANCET.Sm,-I have read Mr. Turner’s letters which have been

inserted in the last two numbers of THE LANCET, and I shallfeel greatly obliged by your permitting me to make a fewremarks in reply to those communications. I give Mr.Turner full credit for good intentions, and I am sure thathe takes a warm interest in the welfare of our branch of theprofession; but he must bear in mind that it cannot reason-ably be expected that all his professional brethren shoul