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FOURTEENTH ANNUAL REPORT 

OF THE 

MEDICAL SUPERINTENDENT 

OF THE 

PEKING UNION MEDICAL 

COLLEGE HOSPITAL 

FOR THE YEAR ENDING 

JUNE 30. 1922 

PEKING, CHINA 

Printed By 

The Bureau of Engravin!-!' &: Printing 

Peking, China

4 

Chairman 

PAUl, MONROE 

Vice-Chairman 

J. AURIOL ARMITAGE 

ARTHUR J. BROWN 

W AI.I.ACE BUTTRICK 

J. AURIOL ARMITAGE 

JAMES L. BARTON 

ARTHUR J. BROWN 

WALLACE BUTTRICK 

F. H. HAWKINS 

PAUL MONROE: 

PEKING UNION MEDICAL COLLEGE HOSPITA14 

BOARD OF TRUSTEES 

OFFICERS 

Executive Committee 

GEORGE E. VINCENT, Chairman 

MEMBERS 

Secretary 

ROGER S. GREENE 

Assistant Secretary 

MARGERY K. EGGLESTON 

SIMON FLEXNER 

FRANK MASON NORTH 

To Serve until the Annual Meeting 0/ 1924 

JOHN D. ROCKEFELLER, JR. 

SIMON FLEXNER 

JOHN R. MOTT 


JAMES CHRISTIE REID 

GaORGE E. VINCENT 


HENRY S. HOUGHTON, M.D. 

JAMES S. HOGG 

J. PRESTON MAXWELL 

FRANKLIN C. McLEAN 

HOSPITAL COMMITTEE 

RALPH B. SEEM, Chairman 

FRANK MASON NORTH 

WILLIAM H. WEI.CH 

Director 0/ Peking Union 

Medical College 

Comptroller 0/ Peking Union 

Medical College 

T. DWIGHT SLOAN 

ADRIAN S. TAYLOR

8 PEKING UNION MEDICAL COLLEGE HOSPITAL 

Service Began 

August I, 1921 

October 28, 1921 

January I, 1922 

November 14, 1921 

July I, 1921 


July I, 1921 

July I, 1921 

July I, 1921 

July I, 1921 


July I, 1921 


July I, 1921 


INTERNES 

CH'EN T'AI-AO, M.D. 

CHUANG CWEH-CH'I, M.D. 

Hsu K'AI-CHIANG, M.D. 

Hsu LI-HUA, M.D. 

LI K'o-HSING, M.D. 

LIN CHUN-HSING, M.D. 

LIU VUNG-HAO, M.D. 

MEl CHEUK-SHANG, M.D. 

ALICE E. ROCKWELL, M.D. 

T'ANG CHIA-CH'EN, .M.D. 

TENG CHEN-TEH, M.D. 

TING VUNG-HAO, M.D. 

WEN CHUNG-LI, M.D. 

VANG TA-CHUN, M.D. 

VEN CHEN-T'IEN, M.D. 

Service Ended 

January 17, 1922 

June 30, 1922 

October I,. 1921 

June 30, 1922 

June 30, 1922 

June 30, 1922 

April 30, 1922 

December 30, 1921

18 PSKING UNION MSDICAL COLLnGlt HOSPITAL 

disease by age groups, sex, marital state, and race; also 

results of treatment and causes of death. This table is 

presented with the idea that hospitals in other parts of 

China may be influenced to collect their statistics in the 

same manner, so that after a period of ten or fifteen 

years deductions may be made from the data assembled 

which will form a contribution to medical knowledge. 

As it was impossible to mention in the table all of 

the diseases treated, only those which seemed more im 

portant because of the nature of the disease or the 

frequency of occurrence were listed. 

Table C is a table of operations by the different 

services. Those for ophthalmology include operations per 

formed on ambulatory patients who were not admitted to 

the hospital. 

The house staff is organized on a graded system of 

service, called the resident system, in which the house 

officers are divided into two groups,-the senior staff, 

composed of residents in charge of each service, and 

assistant residents, who serve for an indefinite period 

of time; and the junior staff, which consists of in 

ternes, who serve for one year, during which they rotate 

between the medical, the surgical, and the gynecological 

and obstetrical services. For the special services, ophthal 

mology and oto-laryngology, provision has been made for 

only a senior staff of assistant residents. Medical students 

will become part of the organization as clinical clerks and 

surgical dressers.

20 PEKING UNION MEDICAl, COI,I,EGE HOSPITAI, 

Much thought has been given by those responsible to 

developing methods of procedure to effect a smoothly 

working organization. The staff is composed of a large 

group of lay and professional people trained under widely 

different conditions, and accustomed to almost as many 

methods of doing their work. Many of them are members 

of a large organization for the first time, and it has been 

necessary to inculcate in them a sense of responsibility 

and appreciation of the fact that the proper functioning 

of the whole institution depends upon each one doing his 

part in a conscientious manner. In approaching many of 

the problems, accepted methods have been modified to 

meet conditions in China. To what extend satisfactory 

solutions have been found and the correlation of the various 

activities has been effected, will be shown by experience. 

Special thanks should be accorded to the members of 

the Department of Religious and Social Work both for 

the interest that they have taken in the hospital patients 

and employees and for the excellent service rendered. 

To all officers, nurses, and employees for the loyal 

support and cooperation that they have shown at all times, 

I wish to express my deep appreciation, for to their 

splendid support more than to any other factor is due 

whatever measure of success we have achieved. 

Respectfully submitted, 

RALPH B. SEEM 

Medical Superintendent

FOURTEENTH ANNUAL REPORT 21 

REPORT OF THE OUTPATIENT DEPARTMENT 

DR. RALPH B. SEEM 

Sir: 

Medical Superintendent 0/ the Peking Union Medical College 

Hospital 

I beg to submit the following report of the Outpatient 

Department. 

The work of this department has been greatly facilitated 

during the past year by reason of the occupancy of the 

more adequate quarters in the new dispensary. The 

equipment has also been greatly enlarged and is fairly 

complete. An increase in personnel has permitted the 

opening of several new clinics. 

In the new dispensary. special suites of examining 

and treatment rooms, each with its own la,boratory, are 

provided for housing the following clinics: obstetrics and 

gynecology, pediatrics, general surgery, women's surgery, 

genito-urinary surgery, general medicine, neurology, oph 

thalmology, and oto-laryngology. There is also a dental 

room. The pharmacy, the office of the Social Service 

Department, and the clinical record room are conveniently 

located for serving all the departments. Waiting space is 

provided in the main entrance lobby and in the wide 

corridors adjacent to the various clinics. 

Emergency cases arriving when the regular clinics are 

not in session are cared for in the admission ward.

22 PltKING UNION MltDICAL COLLltGlt HOSPI'tAL 

It has been found necessary to limit the number of 

new cases. This was accomplished by increasing the 

registration fee and by admitting new patients on only 

three days in the week (Monday, Wednesday, and Friday). 

A fee of twenty-five coppers is charged for the 

registration of new cases. Return visits are registered for 

ten coppers. Patients are seen in the order of their 

registration. Those who prefer to be seen ahead of the 

regular clinic cases may do so by paying a special fee of 

one dollar. Drugs and dressings are sold to patients at 

approximately cost price. Patients are charged for opera 

tions, dentistry, x-ray service, salvarsan, serum, and plaster 

casts. No fee is required when it would entail a manifest 

hardship on the patient. Approximately twenty per cent 

of all cases are given free treatment. During the year, 

74,763 treatments were given, ot which 13,615 were free. 

There were 27,976 prescriptions filled, for 3,355 of which 

no charge was made. Assistance to needy patients is 

rendered also through the Social Service Department. 

The following new clinics have been added during 

the year: gynecological, antenatal, baby, heart, and neuro 

logical. The special clinics established previously for the 

treatment of syphilis, tuberculosis, and trachoma, and for 

the examination of domestic servants have been continued 

throughout the' year. 

The total number 9f visits made to the different 

divisions of the dispensary during the year is 747,63, as


compared with 61,493 for the year ending July I, 1921, 

and 48,335 for the year ending July I, 1920. Of the total 

number of visits for 1922, 15,249 were first visits, and 

59,5 14 were return visits. 

The following table will indicate the distribution of 

visits among the various departments. This table does • 

not include figures for private consultations, which are 

listed under the report for student and staff health and 

private consultations. The total number of these visits 

is 10,226, which added to the total number of regular 

outpatient visits makes a grand total of 84,989. 

Service 

First Visits Return Visits TOTAL 

number 

of visits 

Male I Female I Total Male I Female I Total 

Medicine ......... 5,432 1,312 6,744 13,057 1,568 14,625 21,369 

Surgery ............ 3,055 565 3,620 20,081 1,784 21,865 25,485 

Genito-Urinary ... 951 - 951 5,990 - 5,990 6,941 

Ophthalmology .. 1,686 686 2,372 8,547 3,183 11,730 14,102 

Oto-Laryngology 916 242 1,158 3,167 936 4,103 5,261 

Women's Clinic. - 351 351 - 982 982 1,333 

Baby Clinic ...... 31 22 53 127 92 219 272 

TotaL .... 12,071 I 3,178 115,249 50,9691 8,545159,514 74.763 


T. DWIGHT SLOAN 

Assistant Medical Superintendent

24 PnKlNG UNION MnDICAL COLLEGn HOSPITAL 

REPORT OF THE DEPARTMENT OF MEDICINE 


Sir: 

Medical Superintendent of the Peking Union Medical College 

Hospital 

The clinical activities of the department and the work 

of the Clinical Laboratory are shown in the statistical 

reports that appear elsewhere in this report. The follow 

ing is a brief summary of the studies undertaken during 

the year in the department, and of other special work in 

its . laboratories. 

Chaulmoogra Oil 

CHEMICAL LABORATORV 

At a conference on leprosy held at the Peking Union 

Medical CoI1ege during the opening exercises in September. 

1921, it was agreed that the Peking Union Medical College 

could contribute a service to China and Korea by undertak 

ing the production of the ethyl esters of chaulmoogra oil, 

At that time the ethyl esters were very difficult to obtain 

in the market, arid were very expensive, being quoted by 

one manufacturer at a price of about Mex. $300 per liter. 

The production of these esters by Dean's method was 

undertaken in the Chemical Laboratory with the aid of 

Miss Ruth A. Wood, formerly of Dr. Dean's laboratory 

at the University of Hawaii, and after some delay due to 

the difficulty experienced in procuring pure oil they are 

now being produced in quantity. The price at which the

THE HOUSE STAFfo'

, 26 PEKING UNION MEDICAL COl.l.EGE HOSPITAl. 

Basal Metabolism 

Clinical studies of the basal metabolism in various 

conditions have been made by Dr. Peabody, and later by 

Dr. C. C. Liu. 

Pneumonia 

BIOLOGICAL LABORATORY 

Dr. Robertson and Dr. Sia have studied certain 

fundamental problems associated with the growth of the 

pneumococcus. They are also collecting data on the types 

of pneumococci as they occur in pneumonia patients admitted 

to the hospital. Thus far their results indicate that the 

same types are met with in China as in the United States, 

but that types I and IV predominate. 

Splenomegaly with Anemia 

Dr. Robertson and Dr. Sia are studying certain types 

of splenomegaly with anemia, with the hope of separating 

out from the well-recognized diseases a group or groups 

of cases which have certain features in common, and 

which may be ultimately classified into one or more 

distinct disease entities. By means of a grant from the 

China Medical Board, and with the cooperation of 

physicians in various parts of China, it has been possible 

to extend this study over a large part of the country. 

Kala-Azar 

Dr. Young, with the collaboration of Miss Van Sant, 

has devised a method for the diagnosis of kala-azar by 

blood culture, which so far has yielded go per cent of

PEKING UNION MJtDICAI, COl.l.1WJt HOSPITAl. 

Dr. Korns has studied the Wildbolz auto-urine test for 

active tuberculosis in a series of one hundred cases. 

Dr. Korns has made a clinical study of the efficacy 

of tuberculin treatment of tuberculosis in the Outpatient 

Department. 

Protein Sensitiveness 

Dr. Tso is studying the skin reactions to foreign 

proteins in susceptible individuals, with the object of de 

termining the local plants or other sources of foreign pro 

teins mainly responsible for the various protein intoxications. 

ELECTROCARDIOGRAPHIC LABORATORY 

The Electrocardiographic Laboratory has been in charge 

of Dr. Peabody, and later of Dr. McLean and Dr. C. C. Liu. 

Since the instrument was put in operation on June 17, 1921, 

and up to June 30, 1922, a total of 275 electrocardiograms 

have been taken on 137 patients (99 Chinese, 38 foreign). 

A statistical study of the incidence of arrhythmias among 

Chinese is in progress, and, while sufficient cases have not 

yet been studied to make any conclusions possible, it 

appears that the same arrhythmias occur, and in about 

the same proportion of cases, in Chinese as in foreigners. 

The most common form of arrhythmia, auricular fibrillation, 

has been noted in 10.5 per cent of all foreigners examined 

electrocardiographically, and in 7.7 per cent of all Chinese. 

Action of Quinidine 

. A clinical study of the action of quinidine in auricular 

fibrillation is also being carried on. Out of four cases in

30 PaKING UNION MltDICAI. COl.l.nGn HOSPITAl. 

CENTRAL CLINICAL LABORATORY 

July 1, 1921-June 30, 1922 

BACTERIOI.OGICAI. SECTION* 

P.U.M.C. 

Mission Other 

Hospitals Sources 

Total 

AUTOGENOUS VACCINES ... 16 8 18 42 

BLOOD 

Culture ... 327 327 

Widal 196 13 8 21 7 

Weil-Felix 98 I 99 

Dysentery agglutination '" 3 3 

Kala-azar culture 61 6 67 

BODY FLUIDS 

Spinal ... 34 3 37 

Peritoneal 5 5 

Joint 14 14 

Ascitic ... 3 3 

Pleural ... 48 48 

Guinea pig inoculation 22 22 

Bile, culture I 1 

DRAINS 

Culture ... ... . .. '" ... ... 2 3 

FECES 

Culture ... ... .. . ... '" 956 12 II 979 

MILK 

Bacteriological examination I I 

SPLENIC JUICE FOR LEISHMANIA 

BODIES 

Culture ... ... ... 49 49 

SPUTUM 

Pneumococcus, typing 99 2 lor 

Culture ... 5 5 

Influenza 10 10 

·This tabulated report contains a statement of the work done in the 

central clinical bacteriological laboratory, but does . not include 

ordinary routine work, which is done in the ward laboratories.

32 PnKING UNION MnDICAL COI.LnGlt HOSPI'tAL 

BLOOD 

CLINICAL SEC'tION* 

P.U.M.C. 

Mission Other 

Hospitals Sources 

Total 

Malaria 28 I I 3 0 

Relapsing fever 4 5 

Complete count 3 3 

White count ... 2 2 

Differential count 3 3 

Hemoglobin ... 

Pathological cells 2 2 

Blood grouping lIS IIS 

FECES 

Ova ... 422 3 3 42 8 

Amebae ... 633 7 5 645 

Sprue 

Occult blood 26 27 

Excess fat ... 2 2 

Excess starch 4 4 

GASTRIC ANAL YSrS 

Routine examination 43 43 

Cytology I 

Occult blood, only I 

Vomitus ... 4 4 

SMEARS 

Dark field for T. pallidum 4 4 

Dark field for Sp. obermeieri I ·1 

Gonococcus ... 3 1 4 

B. tuberCUlosis 9 9 

Miscellaneous 2 2 

SPINAL FLUID 

Globulin ... 2 :2 

Cell count ... 3 3 

ll. tuberculosis :2 2 

*This report does not include ordinary routine work, which is done in 

the ward laboratories.

COLLEGE HEALTH AND PRIVATE CONSULTATION 

SERVICE 

July I, 1921-June 30, 1922 

Office Calls Calls at Home 

Service I TOTAL 

Staff & • Private Staff & I Private 

Students i Patients Students Patients 

Medicine ... ... '" ... 9 II 701 551 80 2,243 

Surgery ... ... . .. ... 149 320 21 16 506 

Obstetrics & Gynecology 81 322 35 59 497- 

Infants under 1 year 31 241 - 24 296 

Ophthalmology ... ... 2,762 1,951 - - 4,713 

Oto-Laryngology ... ... 380 1,084 59 26 1,549 

Roentgenology ... ... 124 335 - - 559 

Total ... ... ... , 4,429/ 4,927 666**1 20 51 

10,226 

The College Health Service is organized primarily 

for the purpose of instituting public health measures among 

the students and staff, and for furnishing medical 

attention for them when ill. For the sake of economy 

in time and effort, the consultation service for private 

patients is combined with the service for students 

and staff. The above statistics do not include Chinese 

employees of the lower grade, all of whom when ill are 

seen in the Outpatient Department. 

There has been a distinct falling off in the number of 

private patients seen because of the ruling of the Trustees 

*In addition to 12 confinements in families of staff members, and 43 

visits in cases of prh'ate patients 

*·Excluding visits to students in dormitories, and dsits made in connection 

with public health work among the students • 

35

P]tKINC UNION MltDICAI. COI.I.ltGlt HOSPI'l'AI. 

in September, I921, that foreign outpatients were to be 

seen only in consultation with outside physicians or when 

referred by them. Private patients among the Chinese, 

however, are rapidly' increasing, and during the coming 

year special prOVISIOn is to be made for taking care of 

this class of patients. 

In addition to the above statistics, which deal with 

the care of patients actually ill, a considerable amount of 

attention has been devoted to routine physical examinations, 

vaccinations, anti-typhoid inoculations, Schick tests, and 

other public health measures among the staff and students, 

and accurate morbidity statistics are being kept for this 

group. It is expected that such statistics, covering an 

entire year, will be available for publication in the next 

annual report. 


FRANKLIN C. McCLEAN 

Professor and Head of the Department

Photograph by Hartung AN QpF.RATING Roo!\!

PEKING UNION MEDIC*L COLLltGE HOSPITAl, 

resident surgeon, being helped by a fellowship from the 

China Medical Board. Dr. Wilkerson is an appointee of 

the Southern Baptist Mission Board, and plans to open 

medical work in Chengchow, Honan. The policy of seeking 

new medical missionary appointees for house staff positions 

should continue to prove mutually beneficial. 

Dr. Taylor was absent on sick leave for three months 

in the spring qf I922, and during his absence Dr. F. L. 

Meleney acted as head of the department. The faithful 

and enthusiastic work of all members of the department 

during this time is gratefully recognized. 

INSTRUCTION 

Instruction has been given to students of the second 

and third years by means of lectures and recitations, and 

by clinical demonstrations in the operating room, in the 

Outpatient Department, and at the bedside. This year the 

third-year students have combined with the second-year 

students for the laboratory course, which will hereafter be 

given for the second-year students only. This course has 

proved to be of great interest, and has acquainted the 

students with some of the fundamental principles of surgery. 

Typical surgical lesions have been produced in animals 

under anesthesia. Daily observation of the animals has 

been required and the course of surgical processes observed. 

One hour of each period has been given to the examination 

of gross and microscopic material and to the performance 

of autopsies, and one hour to informal discussion.

PEKING UNION MEDICAI. COI.I.EGE HOSPITAI. 

importance of determining end results of pathological pro 

cesses or bad results of treatment. Attention is called 

to the fact that during the service of Dr. L. C. Chu 

a very gratifying percentage of patients dying on the 

surgical service came to autopsy. This was due largely to 

the interest and enthusiasm of Dr. Chu in securing per 

mission from the relatives. 

MILITARY SURGERY 

Fighting around Peking during the months of May 

and June crowded our wards with wounded, and afforded 

us opportunity of demonstrating the principles of military 

surgery to the students. With the cordial cooperation of 

members of the other departments, and of doctors and 

nurses from the North China Union Language School, operat 

ing teams prepared to handle a long run of cases were 

organized. Fortunately the fighting was soon over and this 

service was not needed for more than a few days. After 

the fighting ceased in the neighborhood of Peking, surgical 

and x-ray teams were sent to Paotingfu and K'aifeng. 

POSTGRADUATE COURSES 

The facilities of the department have been available 

for physicians who desired postgraduate work in surgery, 

and twenty-one men and women spent longer or shorter 

periods here in study. This number includes those attend 

ing the course in orthopedic surgery. 

During the months of May and June, through the kind 

services of Dr. E. G. Brackett of Boston, a special course

PEKING UNION MEDICAL COI.I.EGE HOSPITAI. 

life and work of the institution with more ease and grace 

than did he, and all who attended the course expressed 

their sincere appreciation of the opportunity of studying 

under his expert instruction. 

SPECIAL ACTIVITIES 

Preliminary work was done by Dr. Meleney on a 

bacteriological study of hemolytic streptococcus, and 

clinical studies have been begun on a series of tuber 

culous adenitis cases and on a group of cases presenting 

a peculiar form of rapidly necrotizing hemolytic strepto 

coccus infection of the skin and subcutaneous tissues. 

Preliminary work was also undertaken by Dr. Webster 

in a series of experiments seeking to perfect an aseptic 

method of end-to-end intestinal anastomosis. 

A new air pressure tourniquet was devised by Dr. 

Wilkerson, and is now in process of perfection, and studies 

are being carried on by him on the blood pressure in the 

large arteries of the extremities, and of the pressure in a 

tourniquet necessary to render a limb bloodless. 

Dr. Char has undertaken a study of kidney function 

in Chinese patients, and the results are to be published. 

Dr. Van Gorder has developed an unusually satis 

factory orthopedic shop, and.is manufacturing orthopedic 

appliances of all kinds. Especial mention should be 

made of the very satisfactory artificial limbs which he 

has devised and which he is able to manufacture at small 

cost.

FOURTEENTH ANNUAL REpORT 43 

A skilled mechanic has been secured, and he has 

been trained in the sharpening of knives and scissors. 

He is able to manufacture new blades for scalpels very 

satisfactorily, and at present almost all of the repairs to 

the instruments used in the operating rooms are being 

done in our own shop. Several new instruments have 

been devised by the members of the department and are 

being manufactured in our own shop. Among these 

should be mentioned a cerebellar extension frame, a new 

laminectomy retractor, silk reels of a new pattern, Crile's 

blood-vessel changes, an experimental instrument for an 

asepic end-to-end anastomosis of the bowel, and improved 

screens for the operating tables. 

NEEDS OF THE DEPARTMENT 

There has been a constant demand for surgical beds 

which has not been met by those beds at present avail 

able in the hospital. Development of surgical teaching 

and of the various surgical specialities makes it necessary 

to have a large staff of experienced surgeons, and the 

number of beds now in use does not afford the staff the 

amount of operative experience that they should have. 

Clinical research must of necessity have an effective 

follow-up system in operation in order to establish fully 

the end results of treatment. Such a follow-up system is 

essential also in order that we may know whether methods 

that were acknowledged to be the best in England and 

America are equally the best here in China, where

44 

PEKING UNION ME;DICA}:. COI.I.EGE HOSPITAI. 

economic and social conditions are so different. This is 

particularly true of surgical treatment, the end results of 

which are often so different from the immediate. It is 

with this thought in mind and with the earnest hope that 

during the coming year such a system may be established 

that. this report is closed. 


ADRIAN s. TAYLOR 

Projessol and Head oj the Department

PEKING UNION MEDICAL COLLEGE HOSPITAL 

All the mothers were saved except the last, who came 

in septic, and died on the sixth day. All the children 

were saved except the one from the patient with obliteration 

of the cervix. This one was already dead. 

Besides these Caesarean sections there has been one 

case of decapitation for an impacted transverse presentation; 

one case of perforation for a huge hydrocephalus; one 

case of version (the second of twins); and seven cases of 

forceps, all but one being for occipito-posterior presentations 

that had failed to rotate . 

• Twins were met with thrice. In one case, in which 

the parents were foreigners, the twins were girls (uniovular) 

and living, In the second case, in which the parents were 

Chinese, the twins were boys (biovular), the second twin 

being a transverse whose placenta presented shortly after 

the birth of the first twin and before the latter's placenta. 

This second twin of course, was lost. The third case was 

one of twin girls (uniovular), both presenting by the feet. 

Sev.eral cases of extra - uterine gestation have been 

treated, the most interesting being a living pregnancy of 

about four months in the left broad ligament. 

The number of gynecological operations has been 104, 

including ten hysterectomies, ten suspensions, three large 

ovarian cysts, and six operations for diseased tubes. Both 

fibroids and ovarian tumours have come under our care, 

the most interesting being (a) a case of large fibroid 

polypus interfering with micturition, (b) a case of multiloc-


ular ovarian cyst that had burrowed deep into the pelvii;, 

and (c) a large fibroid of the broad ligament with strong 

attachments to the right side of the uterus. In case (b), 

the woman, at thirty, had never menstruated, but, apart 

from the cyst, the uterus, left ovary, and tube appeared 

perfectly healthy. 

A number of cases of sterility have come under our 

care, one of which has since become pregnant, and also 

several cases of prolapse of the uterus, mostly due to 

damage to the pelvic floor during labour. 

Some interesting cases of pregnancy toxemia have 

been treated, but during the year no case of actual eclampsia 

came into our hands. One case of food deficiency simulating 

pregnancy toxemia has been successfully treated, and 

will be reported on later. A good many cases of carcinoma 

of the uterus have been under observation, but, owing to 

the fact that the supply of radium had not yet reached 

the hospital, it was impossible to do much for them. Two 

cases, however,-one of carcinoma of the body diagnosed 

by a curettage, and one of early carcinoma of the cervix, 

were treated successfully by panhysterectomy, and made 

good recoveries. It is hoped that we may be able to do 

more for this class of cases when radium treatment is 

instituted. 

The baby clinic has been carried on as usual through 

out the year, and has been appreciated by many of the 

mothers.

PEKING UNION MEDICAl, COl,l,EGE HOSPITAl, 

Antenatal work also has been developed, but we need 

badly a special nurse to take hold of this work and follow 

up the patients, giving them advice in their own homes. 

There is no doubt in the writer's mind that this is the 

most urgtnt need of the department at the present time. 

About the middle of the year we were enabled by 

the kindness of the American Board Mission to start a 

clinic once a week in the afternoon on the church premises 

in a very poor part of the city outside the Ch'i Hua Men. 

Dr. Arthur Woo has taken charge of this venture, and it 

opens out considerable possibilities. 

We are also in touch with others who are working in 

community welfare work, and hope that the not distant 

future will see a considerable development of maternity 

and child welfare work, in which we hope to be able to 

take part. 

Our personnel has altered somewhat, and the new 

session sees us with changes both in the wards and in 

the teaching staff. Mrs. Sophie Packtr, who has done 

splendid work in the maternity ward, has left us on 

furlough, her place being taken by Miss Faye Whiteside. 

'Dr. D. E. Ford, who was one of our assistants, has left us 

. 

for America, his place being taken by Dr. Lee M. Miles, 

who has already been in China, knows the language, and 

has been in the United States for a special course of study 

in female urology, the use of radium, etc. Our assistant 

resident, Dr. J. L. Liu, leaves us to go to Kansu as 

assistant in the hospital at Lanchow:


At the time of the formal hospital opening we had 

the privilege of visits from Dr. J. G. Clark of Philadel 

phia, Dr. Simpson of Pittsburgh, and Sir William Smyly 

of Dublin: and in May, 1922, we were joined by Dr. E. C. 

Dudley, of Chicago, who is acting as a visiting professor 

until May, 1923, and is helping in the teaching work of 

the department. 

Dr. J. L. Liu has translated one of the Professor's 

clinical lectures for the Tsinan Medical Review. 

UNDERGRADUATE WORK 

This year has seen the beginning of clinical under 

graduate teaching in the new college, and the third-year 

men have been pa'rtly under our care and have had a full 

course in gynecological and obstetrical pathology, with 

tutorial classes, ward rounds, and operation clinics. On 

the whole, the class has done well, though weakened by 

the loss of its most brilliant member in the death of Mr 

Li Keh-ming. 

One special student was admitted to make up a limited 

number of credits for his university degree in the United 

States, and the work done was accepted by the university. 

RESEARCH WORK 

During the year, the following subjects have especially 

engaged the attention of the staff: 

DR. J. P. MAXWEI.I. 

DR. J. P. MAXWEI.I. AND 

DR. J. L. Lro 

DR. A. W. Woo 

DR. MARION YANG 

DR. ALICE ROCKWEI.L 

Osteomalacia in China 

A Chinese home manual of 

obstetrics 

Cervicitis and its treatment by 

the newer dyes 

The normal leucocytosis of the 

puerperium among the Chinese 

The excretion of calcium in the 

urine of Chinese

50 PEKING UNION ME;DICAl. COI.I.E;GE; HOSPITAl. 

POSTGRADUATE WORK 

Dr. Alice B. Whitmore worked in the department for 

some months, amongst other studies working especially on 

the normal measurements of the Chinese pelvis. 

BABY CLINIC 

The baby clinic has been carried on during the year 

on Monday mornings. Fifty-three babies have attended 

the clinic, 27 of whom were Chinese, and 26 foreign. 

S Foreign 4 babies 

STAFF ••• •.. ... 1 Chinese 2 babies 

FOREIGN PRIVATE PATIENTS ...... ••• 22 babies 

CHINESE PATIENTS ... ... ... 25 babies 

TOTAL VISITS, FOREIGN AND CHINESE 272 

One of the babies died of scarlet fever during the year. 

VISITS PAID OUTSIDE THE HOSPITAL 

Visits outside the hospital were paid as follows: 

STAFF PATIENTS 

FOREIGN PATIENTS ... 

FOREIGN BABIES 

CHINESE BABIES 

CHINE;SE PATIENTS •.. 

Labours in the hospital: 

LABOURS 

S Foreign 

STAFF ... ... ••. ... '0' ... ....... 1 Chinese 

FOREIGN PRIVATE PATIENTS (not staff) 

CHINESE PRIVATE AND PUBI.IC PATIE;NTS (not 

staff) ... .0. ... ... ... ... ..0 ... ... 

Labours conducted entirely outside the hospital: 

STAFF •.. ... ... ... ... ... ... 

CHINESE; PATIENTS... ••• ... . .. 

TOTAL NUMBER OF LABOURS 

35 

3 

9 

15 

56 

7 

5 

28 


J. PRESTON MAXWELL 

Professor and Head 0/ the Department 

57 

2 

2 

lor


privilege to have had practically at the beginning of the 

work in Peking the counsel of his former teacher. 

O"CTPATIENT CLLNIC 

The satisfactory development of a clinical department 

depends largely upon the growth of the outpatient clinic. 

In spite of the fact that the admission of new patients, 

with the exception of emergency cases, was reduced from 

six to three days per week, and the amount of fees was 

doubled, there was an increase of 7.4 per cent in the total 

number of visits of third-class outpatients to the eye clinic, 

the number being 14,102. 

The trachoma clinic was carried on as before, but this 

also was reduced from six to three days per week. In view 

of the fact that trachoma is so prevalent in China, probably 

not less than 30 per cent of the entire population being 

infected, the experience offered to both staff members and 

postgradu?-te students in following the results of various 

methods of treatment on these cases week after week and 

month after month is considered to be of much value. We 

are gratified to find more and more that cases continue to 

come until pronounced cured. 

PRIVATE-PATIENT CLINIC 

Three mornings a week have been devoted to the 

treatment of pr-ivate patients. In this group are also in 

cluded the students of the institution, the staff, and the 

families of staff members. This work has grown until 

we have reached the limit of our facilties. During the

54 

PEKING UNION MEDICAl, COl,l,EGE HOSPITAl, 

tions of a plastic type, such as resection of the tarsus,. 

correction 9f entropion and trichiasis, and transplantation 

of pterygium. 

LABORATORY OF EYE PATHOLOGY 

Work in eye pathology was begun in earnest in the 

spring. Dr. G. Titus Dzen, who had had two and one - half 

years in clinical ophthalmology, was assigned to this work 

after having spent several months in the histological study 

of the eye and in the study of the gross anatomy of the 

eye and orbit. Mr. Kuan Wen-yii, who had had several 

months of training in the central pathological laboratory, 

was ready at that time to undertake the work of a techni 

cian in our laboratory. 

In addition to our own pathological specimens which 

have been accumulating during the past three years, we 

had a large number of specimens sent to us from mission 

hospitals throughout China. Much headway has already 

been made in the p.reparatic>n, the study, and the diagnosing 

of this material. We have already found some exceedingly 

interesting specimens. From our own clinic we have three 

specimens of granuloma of the conjunctiva, which seems 

to be peculiar to China. Our final report on these specimens 

is not yet ready. 

POSTGRADUATE STUDENTS 

Fourteen postgraduate students, seven Chinese and 

seven foreign, took work in the ophthalmological department 

during the year. The Chinese physicians averaged four


Dr. Paul R. T'ang, assistant, was taken seriously ill 

in April and was ordered to take a complete rest for at 

least six months. Dr. John Hong was taken ill about the 

same time and was compelled to resign from his service 

and return to his home in Ningpo. 

SPECIAL STAFF INTERESTS 

In view of the great prevalence of trachoma in China, 

the staff gave considerable time during the year to the 

examination of large groups for the purpose of securing 

statistics. For instance, we found that 35.3 per cent of the 

construction workmen of the Peking Union Medical College 

had trachoma. The P'in Erh Yuan, whose children had 

been sent off and on to our clinic for treatment during 

the two preceding years, still had 25 per cent of the 

enrollment infected. The Lang Chia Hutung Tzu Yu Yuan 

had 66.5 per cent. The Western Hills Orphanage and 

School, founded and maintained by His Excellency the 

ex-Premier Hsiung Hsi-ling, showed 68.4 per cent infected 

in August, and 88 per cent infected in November. Our 

staff was able to get the work of eradication of the disease 

started at the latter institution by making weekly trips for 

the purpose of doing expression operations on all the cases. 

Mr. Hsiung considered the treatment of these cases so 

important that he subsequently secured as school physician 

Dr. Chao Chen-ming, one of our postgraduate students who 

had just completed eight months' service with us on a 

fellowship basis. At the end of the year Dr. Chao reported

58 PEKING UNION MEDICAl. COl.LEGE HOSPITAL 


Sir: 

REPORT OF THE DEPARTMENT OF 

OTO-LARYNGOLOGY 

Medical Superintendent 0/ tJze Peking Union Medical College 

Hospital 

During the past year the department has continued 

its work more comfortably because of the cleaner and 

beUer-equipped quarters in the new hospital buildings. 

There has been a slight change in the character of 

the work because of the beginning of the teaching of the 

medical students and becauEe of the reduction in the 

amount of private work. 

The ,instruction of the third-year medical students, 

through lectures and clinical work, has been carried on 

by Dr. Dunlap, Dr. Liu and Dr. Cook, and it extended 

through the last trimester. Th is has brought us into closer 

touch with the college. There have also been several 

graduate students working short periods of time in this 

department. 

The anatomical material has been increased by the 

addition of forty-five temporal bones. 

The amount of private practice for the past year has 

been reduced to nearly one-half of that done last year. 

Two factors have brought this about. Fortunately, there 

has been no epidemic of mastoiditis such as made the 

burden of private work last year so extremely heavy, and

PEKING UNION MEDICAL COLLEGE HOSPI'tAL 

It will be noted from the above tabulation that consider 

able work has been done for preclinical departments. All 

of this represents research work, as does much of the 

output for the cliu ical branches. In this way it is felt that 

much saving of time and money has been accomplished, 

and that problems have. been attacked which might other 

wise have been unapproached. 

During the year a circular letter was sent to every 

hospital in China offering to diagnose free of charge 

specimens that m.ight be sent in. Transportation charges 

on gross material were paid in all cases where bills were 

presented. The response from all over China, Manchuria, 

and Korea has been very gratifying. All together 82 doctors 

have sent specimens and some have sent them in five-gallon 

containers. For record purposes a brief history was 

requested, and a diagnosis was mailed to the sender. 

The year clost;s with the laboratory and record room 

well organized and in good running order. The museum 

has acquired many valuable specimens and the basis is 

being laid for a working collection to which investigators 

are coqiially invited. A number of technicians are being 

trained. The cooperation of the clinical and technical staff 

has been very cordial. 


RALPH G. MILLS 

Professor and Head oj the Department


Sir: 

, 

FOUR.'tIUtN'tH ANNUAL REpORT 

REPORT OF THE NURSING SERVICE 

Medical Superintendent oj the Peking Union tWedical College 

Hospital 

I present herewith the annual report of the Nursing 

Service. 

The year ends with the following staff on duty: 

ADMINISTRATION 

ANNA D. WOLF, R.N. Superintendent of Nurses 

RUTH INGRAM, R.N. First Assistant Superintendent of 

Nurses 

MARY S. PURCELL, R.N. Second Assistant Superintendent of 

Nurses 

VIRGINIA HARRELL, R.N. Night Superintendent 

MARY LOUISE BEATY, R.N. 

LILA DALRYMPLE R.N. 

KATHLEEN CAULFEILD, R.N. 

Er..lZABETH SZE, R.N. 

FAYE WHITESIDE, R.N. 

ETHEL ROBINSON, R.N. 

MABEl. MOONEY, R.N. 

DOROTHY JACOBUS, R.N. 

WINIFR.ED MOONEY, R.N. 

FLORENCE GOODMAN, R.N. 

Lucy ABBOTT, R.N. (substitute) 

NOT ApPOINTED 

INSTRUCTORS 

HEAD NURSES 

Operating Room 

Outpatient Clinic 

Obstetrical Ward 

Private Patients' Pavilion 

Men's Surgical Ward 

Men '5 Surgical and Medical Ward 

Men's Medical \Vard 

'Vomen's and Children's Ward 

Admitting \Vard 

Isolation \Vard 

STAFF NURSES 

GnRTRUDE S. BANFIELD, R.N. MRS. EDITH HUANG, R.N. 

MAUDE BARTON, R.N. PEARL MOy-ORNE, R.N. 

SUSAN HEr..EN CONNELLY, R.N. ANNA ROBERTS, R.N. 

MRS. DING-YUNGCHru, R.N. MRS. LILAH K. STREICHAN, R.N. 

FAYE FISHER, R.N. ANNA WONG 

DOROTHY GROSS, R.N. EDITH WEAVER, R.N. 

ESTHER HA..l.tPER, R.N. HARRIET WRIGHT, R.N.

68 PICKING UNION .MICDICAI, COr.,r.,ICGIC HOSPI'l'AI, 

Experience has shown the usefulness of attendants. How 

ever, on account of the limited num ber of men nurses, 

more were employed than have been found desirable, and 

in consequence it has not always been possible to render 

efficient service. 

In many instances, temporary appointments have proved 

an uneconomical policy, and most unsatisfactory from 

the viewpoint of nursing, as the constant changes caused 

uncertainty in numbers and great difficulty in establishing 

uniform standards. On account of these frequent changes 

and the loss of time caused by illness and vacations, our 

services were handicapped, and unfortunately the work on 

one private floor and the isolation ward was limited. 

With the transference of the surgical supply room to 

the supervision of the Nursing Service, the organization 

and development of this department was undertaken by 

Miss Purcell with the assistance of a native-trained nurse 

and a working staff of sewing women. 

As . we have had twenty native hospitals and twenty 

eight foreign hospitals represented on our staff, one of the 

greatest problems to be solved was the lack of uniformity 

in the details of nursing methods. We have attempted to 

standardize all procedures and treatments by means of 

well-planned routines. Demonstrations regarding the same, 

to which all foreign nurses were invited, have been given 

to the native-trained nurses,-men and women. Limited 

classes in minor procedures have also been held for the

REPORT OF THE MEDICAL SOCIAL SERVICE 


Sir: 

DEPARTMENT 

Medical Superintendent oj the Peking Union Medical College 

ffospital 

The Medical Social Service Department was started 

in May, 1921. In a little more than a year, some hundred 

records have been made, representing over four hundred 

patients. 

The following table shows the clinics from which cases 

have been referred, and some of the main reasons for the 

refers: 

Social Service 

Cases ............ 32 14 1 10 10 34 43 I 10 12 

Hostel............ 4 2 

I 37 20 2 5 16 

Tuberculosis 

Care ............ 49 

Follow-Up ...... 5 1 16 IS I II 2 I 

Steering............ 14 I 1 4 I 6 4 I 4 

TotaL....... 551 16 1 20 78 13 88 

I 12 179 

87 

49 

1 S3 

36 

7 1


The material aid supplied has been mostly incidental, 

though in cases in which the patient was sent home 

it was often the only thing done. The money was 

supplied partly from the Medical Social Service Department 

budget, in such cases in which it was a direct medical need, 

and partly by a contribution from the Philanthropy Fund, 

in such cases in which it was an outside need. 

The Convalescent Hostel was started by a group of 

the staff as a private charity. The need was made very 

apparent by cases such as that of a patient sent in by a 

mission hospital from a distant city who was forced to 

crawl in the streets until taken by a policeman because 

the inns would not receive him and the hospital had no bed. 

Since the hostel received its first patient on December 12, 

1921, there have been 114 admissions, with an average of 

IS or 16 in residence. There have been orthopedic cases 

with open lesions, those awaiting their turn in the hospital, 

kala-azar and syphilis cases coming for injections, eye and 

ear cases needing post-operative dressings, patients coming 

from distant cities to have artificial legs fitted, etc. The 

patients were from outside Peking. About one-third of 

them paid in full; about three-fifths were free patients. 

It has been possible in the tuberculosis cases to arrange 

sanitorium care for ten cases, and satisfactory home care 

for three. In all cases there have been home visits and an 

attempt to better the home hygiene. 

For straight follow-up cases, in which there is no 

complicating outside problem to work out before the patient

PEKING UNION MEDICAl. COl.l.JtGE HOSPITAl. 

GENERAL INFORMATION CONCERNING 

RATES AND REGULATIONS 

The Peking Union Medical College Hospital is designed 

for the treatment of accident cases, acute and sub-acute 

diseases, and maternity cases. Patients suffering from 

contagious and incurably chronic diseases, insanity, and 

delirium tremens will not be admitted. 

Patients suffering from severe accidents or serious 

illnesses can be admitted to the hospital at any hour of 

the day or night. Other patients will be admitted between 

the hours of 9 A.M. and 5 P.M. They must apply at the 

Outpatient Department between the hours of 12 noon and 2 

P.M. on Mondays, Wednesdays, and Fridays to be examined, 

or at the Consultation Office of the hospital if they desire an 

appointment for a private examination. If unable to apply 

in person, they should send some responsible person with 

whom arrangements may be made for their admission. 

Application by letter for the admission of patients 

should be addressed to the Medical Superintendent, Peking 

Union Medical College, Peking, China. As the demand 

for hospital accommodations is at most times greater than 

the number of beds that are available, patients from a 

distance should not present themselves at the hospital 

'expecting immediate admission unless they have made 

arrangements prior to their coming. 

All patients are accepted for treatment in the hospital 

with the understanding that they shall, within reason, be 

available for teaching purpos'es.


On admission a deposit is required to cover the cost 

of the room or bed for one week, and also the charges 

for special nurses for one week when their services are 

required. Bills will be presented weekly for services 

rendered, the deposit made always being carried forward. 

Patients are not permitted to receive food of any kind 

from their friends except by special permission of the 

physician or the nurse in charge. 

Valuables should be left with the nurse in charge of 

the ward. Receipt will be given for the same. The 

hospital disclaims responsibility for valuables retained by 

patients. 

No person employed, in or connected with the hospital 

is permitted to receive gratuities from any patient, unless 

with the consent of the Medical Superintendent. Patients 

and their friends and relatives are requested to observe 

the provisions of this rule, as any person accepting such 

gratuities in violation of the rule is liable to immediate 

dismissal. 

PRIVATE SERVICE 

Private cases among the foreign community are seen 

only at the request of their own physicians for consultations, 

or when definitely referred by them to the hospital. 

Chinese patients will be seen without this formality. 

Patients wishing to secure appointments for examinations 

should apply between 9 A.M. and 5 P.M. at the Consultation 

Office in the Administration Building, which is reached 

through the West Gate, or hospital entrance.

FOURTnnNTH ANNUAL REPORT 79 

and time required in the diagnosis and treatment of a 

given case. The schedule of fees for professional services 

is presented for the purpose of informing our clientele 

what charges they may be expected to pay for the advices 

of the staff. It is understood that these fees are subject 

to revision upward or downward according to the financial 

circumstances of the patient, and may be entirely remitted 

by the proper authorities when they are satisfied that the 

patient is entitled to such consideration. 

The charge for ordinary professional services is 85 a 

day, with a weekly charge of 825 and minimum fee of the 

same amount. This applies to patients on all services for 

whom no operation is performed or special examination 

given. 

MAJOR OPERATIONS AND CONFINEMENTS ... '" ... $100 

Ordinary antenatal care is included in the confinement fee, but 

if visits are required to the patient's home, an extra charge will be 

made. 

MINOR OPERATIONS ... •.. .•• ... '" $50-100 

Exception may be made for those operations which do not 

require the use of a general anesthetic, when the fee may be less. 

OTo-LARYNGOLOGICAL OPERATIONS 

Submucous resections and tonsillectomies 

Adenoidectomies 

Paracen teses 

Minor nose operations ... 

$75 minimum 

$35 minimum 

$25 minimum 

$10 minimum 

When post-operative care of a patient after leaving 

the hospital is necessary beyond the time required in the 

care of a classical case of its kind, a charge will be made 

for these visits in addition to the fee for the operation. 

X-RAY CHARGES 

All ordinary examinations ... ... ... ... ... . .. $20 

Genito-urlnary tract and similar special examinations $30 

Gastro-intestinal series ... . .. $40 

Complete dental examinations ... $10 

Treatments '" ... ... ... ... ... ... .•. . .. $40 minimum

FOURTEENTH ANNUAL REPORT 8r 

SEMI-PRIVATE SERVICE 

There is limited number of semi-private beds, for which 

$4 a day is charged. 

Patients admitted to this service whose financial cir 

cumstances permit are expected to pay professional fees, 

which in general will be one-half of the usual charges to 

patients on the private service, with the following two 

exceptions: 

Major operations and confinements range from $25 up- 

ward. 

The charge for ordinary professional services is $2.50 

a day with weekly charge of BID and minimum fee of the 

same amount. This applies to patients on all services for 

whom no operation is performed, special cxamination made, 

or treatment given. 

X-ray charges will be 50 per cent of those to first-class 

patients. 

Charges will be made for sera, salvarsan, blood trans- 

fusions, and casts. 

The charge for the use of the operating room or 

delivery room is $ I O. 

The charge for the use of the ambulance is SID in 

the city limits of Peking, with an additional charge of 

$·50 a mile outside the city. 

Visiting hours are from 2 to 5 P.M. Only two visitors 

daily are allowed. In cases of alarming illness, of which 

due notice will always, if possible, be given to the friends 

of the patient, visitors will not be restricted to the regular 

hours.


TABLE A 

CLASSIFICATION OF DISEASES* 

ALIMENTARY SYSTEM 

Intestines (Exclusive of Rectum) 

July 1. 1921-June 30. 1922 

ANATOMICAL CLASSIFICATION 

ALIMENTARY SYSTEM (Cont.) 

Intestines (Cont.) 

Colitis 

HERNIA (ContJ 

Acute 

Chronic 

II 

Congenital Weakness Inguinal 

Canal ... I 

Constipation 

Diarrhea, Infantile 

Enteritis 

Acute ... 

Chronic 

68 

3 

23 

I 

Liver and Bile Passages 

LIVER 

Abscess of Lh'er 

Cirrhosis 

2 

18 

Enterocolitis 

Enteroptosis 

5 

4 

Perihepatitis 

Pylephlebitis 

I 

I 

Fistula 

Between Ileum and Abdomin- 

BILE PASSAGES 

al Wall 3 

Between Ileum and Scrotum I 

Gastroenteritis .... 15 

Hemorrhage, Intestinal I 

Ileus 

Acute ... 

Chronic 

Impacted Feces ... 

Stricture of Duodenum 

Ulcer of Duodenum ... 

3 

13 

Cholecystitis, Chronic 14- 

Cholelithiasis 

Cholelithiases ... .. . 3 

Calculus in Gall Bladder 6 

Calcul us in Common Duct... 2 

Fistula, Biliary ... 2 

Jaundice 

Jaundice, Undifferentiated ... 3 

Catarrhal Jaundice... I 

Acquired Hemolytic Jaundice 2 

Infectious Jaundice 2 

HERNIA 

Mucous Membrane Mouth, Tongue and 

Congenital Inguinal Hernia ... 6 Teeth 

Direct Inguinal Hernia ... 

2 

Indirect I nguinal Hernia 3 

Indirect Inguinal Hernia Stran- 

Mucous MEMBRANE OF MOUTH 

0 

gulated 4 

Cysts 

Ranula 

3 

Ventral Hernia, Lateral ... 

Noma ... 

7 

·The classification used is a modific ltion of that used by the Presbyterian Hospital. 

New York City

ALIMENTARY SYSTEM (C;ont.) 

Stomach (Cont.) 

Spasm 

Cardiospasm 

2 

Pylorospasm 

1 

Stenosis 

Stenosis of Pylorus of Stomach 

Cicatricial Stenosis of Pylorus 

of Stomach ... 

Ulcer 

t 'leer of Stomach ... II 

Perforated Ulcer of Stomach I 

Vermiform Appendix 

Acute Appendicitis 

Acute Appendicitis with 

Local Peritonitis 

Acute Appendicitis with Abscess 

Peritoneal.. . 

lVIediocolic 

Subcecal ... 

Chronic Appendicitis 

Hydrops of Appendix 

CARDIOVASCULAR SYSTEM 

Arteries 



13 

Aneurism of Aorta 2 

Aneurism of Popliteal Artery I I 

Arteriovenous Aneurism of 

Subclavian Artery ... 

Aortitis ... 3 

Arteriosclerosis ... 13 

Embolism Cerebral Artery 2 

Embolism Pulmonary Artery... 2 

Hypertension 1 I 

Hypotension 421 

Thromboangitis Obliterans 

i 

! CARDIOVASCULAR SYSTEM (Cant.) 

Arteries (Cont) 

Thrombosis 

Cerebral Artery, Middle 

Popliteal Artery 

Veins 

Thrombophlebitis 

Cephalic Vein ... 

Externat Saphenous Vein 

Internal Saphenous 

Thrombosis 

8 

1 

1 

1 

Internal Jugular Vein ... I 

Internal Saphenous System 1 

Varicose Veins Saphenous System 

... 3 

I . Heart & Pericardium 

3 

HEART 

Angina Pectoris ... 2 

Cardiac Arrhythmia 

Auricular Fibrillation ... 10 

Auricular Flutter ... 4 

Conduction Defect. .. I 

Heart Block I Partial 

Heart Block I Complete 1 

Premature Contraction Ventricular 

... 

Sinus Arrhythmia ... I 

Cardiac Hypertrophy 21 

Cardiac Insufficiency 5 

Chronic Cardiac Dilatation I 

Endocarditis 

Acute 5 

Subacute ... I 

Chronic 10 

Myocarditis 

Acute 2 

Chronic 13


NERVOUS SYSTEM (Cont.) 

----------------------------- 

Diseases of the Mind (Cont.) 

Psychosis (Cont.) 

Nerves 

Syphilitic Psychosis 

Paralytic Dementia 

Toxic Psychosis 

AlcohoL. 

Korsakow 

Neuralgia '" ... ... ... . .. 

Neuralgia 2nd Cervical Nerve I 

5th Cranial Nerve... 3 

Neuritis 

Optic Nerve '" 

Sciatic Nerve ... 

Thoracic Nerves 

Multiple Neuritis 

Toxic Neuritis ... 

Paralysis 

Sixth Cranial Nerve 

Seventh Cranial Nerve 

Eighth Cranial Nerve ... 

Tenth Dorsal Nerve 

Median Nerve... . .. 

Musculospiral Nerve 

Radial Nerve .. . 

Ulnar Nerve .. . 


4 

I 

5 

3 

I NERVOUS SYSTEM (ContJ 

I Nervous Diseases of Unknown Origin 

(Cont.) 

Psychoneurosis (Cont,) 

Neurosis 

Anxiety... .. . 

Phobic... .. . 

Visceral Neuroses 

Neurosis of HearL. 

Neurosis of Stomach 

Neurosis of Intestines ... 

Nervous Diseases of Familial I. Heredi· 

tary Origin 

Amyotrophy, Hypertrophic 

Pseudo-Hypertrophic Fonn 

of Duchenne 

Myotonia, Congenital 

2 Spinal Cord & Spinal Meninges 

3 Brown-Sequard Syndrome 

Suppurative Spinal Pachymeningitis 

5 

Transverse Myelitis ... 

Spinal Ataxic Paraplegia 

II 

Acute Anterior Poliomyelitis... 5 

I 

Radiculitis ... 

Sclerosis 

... ... ... ... 3 

Nervous Diseases of Unknown Origin 

Amyotrophic Lateral Sclerosis 

... 

Lateral Sclerosis ... 

Multiple Sclerosis ... 

Chorea ... 

Hysteria 

Migraine 

2 

2 

Syringomyelia 

Tabes Dorsalis 

OSSEOUS SYSTEM 

3 

... 16 

Neurosis, Muscular 

Bones & Cartilages 

Blepharospasm-Facial Spasm I Hypertrophy of Turbinates 9 

Psychoneurosis 

Necrosis 

Undifferentiated 

I Ribs ........ . 

Neurasthenia ... 

3 Temporal BOlle

FOURTEENTH ANNUAL REPORT 9 1 


REPROOUCTIVE SYSTEM I 

MALE GENITAL ORGANS (Cont.) I 

RESPIRATORY SYSTEM (Cont.) 

------------------------------------- 

Male Urethra (Cont.) 

Urethritis 

Acute 

Chronic 

Penis 

Phimosis 

Prostate 

Abscess of Prostate 

Hypertrophy of Prostate ... 

Prostatitis 

Acute 

Chronic 

3 

2 

i 

i Bronchi and Trachea (Cont.) 

I 

Bronchitis 

Acute 

... 22 

Chronic 

14 

Fistula of Bronchus ... 

Fistula of Trachea ... 

3 

Respiratory Infection, Acute ... 50 

Trachitis ...... ... ... ... 1 

Larynx 

11 Laryngitis, Acute 

Laryngismus Stridulus 

3 Lungs and Pleurae 

2 

LUNGS 

Spermatic Cord 

Abscess of Lung 

Hydrocele of Spermatic Cord I 

Edema of Lung ... 

Varicoce1e ... 

2 

Emphysema 

Tunica Vagina lis 

Hydrocele ... 

. .. 10 

Testicle 

Epididymitis 

Acute 

Chronic 

REPRODUCTIVE SYSTEM 

MAMMARY GLAND 

Abscess ... 

Mastitis 

Acute 

Chronic 

Chronic Cystic 

RESPIRATORY SYSTEM 

BronChi and TraChea 

Asthma... '" 

Bronchiectasis 

4 

3 

3 

1 

1 

2 

5 

2 

1 

1 

7 

5 

Pulmonary 4 

Senile ... 

Hemoptysis ... 14 

Infarct of Lung... 1 

Pneumonia 

Broncho-Group t' 11 determined 

27 

Group I 1 

Group II 

Group IV 6 

Lobar- Group Undetermined 

22 

Group I 12 

Group II 2 

Group III 1 

Group IV 7 

PLEURAE 

Pleuritic Adhesions 

Henlothorax 

I 

6

PEKING UNION MEDICAl. COl.r.ltGlt HOSPITAl. 

RESPIRATORY SYSTEM (Cont) 

Lungs and Pleurae (Cont.) 

Pl.EURAE (Cont.) 

Pleurisy 

Acute Fibrinous 

Chronic Fibrinous 

Serofibrinous 

Suppurative 

Pneumothorax 

Pyopneumothorax 

SENSE ORGANS 

Nasal Cavity & Accessory Sinuses 

N ASAI., CAVITY 


... 2 

'" 5 

... 32 

14 

Deviation of Nasal Septum 36 

Epistaxis 2 

Rhinitis 

Acute... 4 

Hypertrophic ... 1 

ACCESSORY SINUSES 

Empyema of Maxillary Sinus 4 

Sinusitis 

Ethmoidal 12 

6 

Frontal 

Maxillary ... 

Organ of Hearing 

Mastoiditis 

Acute '" 

Chronic 

Otitis 

Otitis Extema ... 

Otitis Media 

Acute 

Chronic ... 

4 

I 

1 

... 26 

.. ·39 

Organ of Vision & Lacrimal Apparatus 

I 

II 

10 

Amblyopia ... ... ... ... ... 3 

SENSE ORGANS (Cont) 

Organ of Vision & Lacrimal Apparatus 

I (COllt.) 

Ametropia 

Astigmatism 

Hyperopia ... 

:Myopia 

Blepharitis ... 

Cataract... 

Conjuncth'itis 

Acute ... . .. 

Chronic 

Dacryocysti tis 

Detachment of Retina 

Diplopia ... 

Ectropion 

Entropion 

Fluidity of Vitreous ... 

Glaucoma 

Acute ... 

Chronic 

Hemianopsia 

Hemorrhage into Retina ... 

Hordeol um ... 

Iridocyclitis 

Iritis 

Keratitis 

Leukoma 

Nystagmus 

Opacity of Vitreous Body 

Pannus ... 

Panophthalmitis ... 

Phthisis Bulbi 

Retinitis 

Scleritis ... 

Strabismus 

Esotropia ... 

Exotropia 

Hypertropia 

2 

2 

... 27 

4 

3 

2 

5 

1 

16 

2 

5 

10 

10 

16 

2 

2 

2 

2 

8 

2 

14 

14 

5

94 

PEKING UNION MF.DICAL COLI .• ItGE HOSPITAL 

ETIOLOGICAL CLASSIFICATION 

I 

DISEASES DUE TO ANIMAL PARASITES i CONGENITAL MALFORMATIONS (COllt.) 

Insectia 

Scabies ... 

Round Worms (Nematoda) 

Ankylostomiasis ... 

Ascariasis 

Oxyuris Vermicularis 

Schistosoma J aponicum 

Trichomonus 

Uncinariasis ... 

Tape Worms (Cestoda) 

Tenia Hymenolepis Nona 

Tenia Saginata .. . 

Tenia SoHum ... ... . .. 

Tenia Unclassified ... . .. 

CONGENITAL MALFORMATIONS 

Region of Nose 

Congenital Atresia of Nostril 

Region of Mouth 

4 

4 

... 47 

LIPS 

Hare Lip ... ... ... ... ... 7 

PAI.AT£ 

Cleft Palate ... ... ... .... ... 3 

Region of Eye 

Anomaly of Lacrimal Duct... I 

Region of Neck 

Branchial Cyst of Neck ... 

Thyroglossal Cyst of Neck 

Thyroglossal Fistula of Neck 

Rectum and Anus 

Atresia of Anus 

Ovary 

... ... ... I 

Congenital Absence of Ovary I 

I 

I 

Uterus & Uterine Tubes 

Congenital Absence Uterine 

Tubes ... ... . .. 

i Penis & Male Urethra 

Congenital Phimosis 

Stricture of l'rethra ... 

Testicle, Spermatic Cord & Covering of 


Hydrocele Tunica Va&rinalis... I 

Undescended Testicle Inguinal I 

Foot 

Talipes Equino-Varus 3 

2 

2 

2 

SUPERNUMERARY PARTS 

Extremities 

Supernumerary Fingers ... 

CONGENITAL DISLOCATIONS 

Dislocation of Hip on Dorsum 

of Ilium ... ... ... 2 

I DEFORMITIES 

I 

I 

Cicatricial Deformity Upper 

Lip ... '" ...... 

Depression Bridge of Nose ... I 

Perforation of Nasal Septum 

Kyphosis 

Scoliosis ... ••• ••• • .. 2 

Upper Extremity 

Club-Hand ... 

Lower Extremity 

Pes Planus ... 

Talipes Equinus... . .. 

Talipes Equiuo-Varus 

INJURIES 

General Injuries 

Secondary Hemorrhage 

Shock ... ... 

Sun Stroke ••. ... • .. 

8 

2

INJURIES (Cont.) 

Local Injuries 

Abrasions 

Avulsion Sole of Foot 

Burns 

Extensive 

Local 

X-ray ..• 

Contusions 

Dislocations 

Shoulder ... 

Elbow 

Radio-Ulnar Joint 

Hip .. . 

Knee .. . 

Division of 

Arteries 

Nerves 

Tendons 

Foreign Body ill 

Acetabul U111 

Antrum of Highmore 

Arm ... 

Axillary Region 

Duodenum 

Esophagus 

Eyeball 

Gluteal Region 

Hand 

Leg '" 

Neck ... 

Omentum 

Peritoneal Cavity ... 

Shoulder ... 

Spinal Canal ... 

Urethra and Bladder 

Lumbar Vertebrae ... 

Fractures 

Skull 

FOURTSEN'l'H ANNUAl. REPOR.T 95 


5 

I 

8 

I 

3 

2 

I 

I 

8 

3 

3 

2 

I 

I 

I 

2 

3 

I 

4 

2 

2 

6 


Fractures (COllt.) 

Nasal Bone 

I 

Mandible ... 

2 

Ribs ... 

6 

Vertebrae 

3 

Clavicle .. . 

3 

Scapula .. . 

2 

Humerus .. . 

Ulna ... 

8 

Radius 

6 

Radius and Ulna 

I 

Metacarpal Bones ... 

2 

Phalanges of Fingers 

Acetabulum 

Ilium ... 

6 

Ischium ... 

3 

Pubic Bone 

2 

Sacrum 

I 

Femur 

12 

Patella 

2 

Tibia ... 

9 

Fibula 

2 

Tibia and Fibula II 

Metatarsal Bones 

I 

Late Complications Following Fractures 

Faulty Union 2 

Frostbite 

Gangrene 

8 

Arm .. . 

3 

Foot .. . 

6 

Hand ... 

I 

Kidney 

I 

Leg .. . 

Vulva .. . 

4 

Lacerations ... 

Rupture of 

20 

Cervix 

... ... ... I


INJURIES (COllt.) 



_____________________________ 1 __________________________ ___ 

Late Complications Following 

(Cont.) 

Rupture of (Cont.) 

Internal Jugular Vein ... 

Perineum ... 

Male Urethra ... 

Uterus 

Sprain of Knee Joint 

Wounds 

Granulating \Vound of Leg ... 

Gunshot Wound of 

Abdominal Region 

Acetabulum 

Axillary Region 

Bladder 

Brachial Region 

Brain ... 

Buccal Region 

Calcaneal Region 

Cauda Equina ... 

Clavicular Region ... 

Transverse Colon 

Crural Region 

Deltoid Region 

Diaphragm 

Elbow 

Eyeball 

Femoral Region 

Finger 

Foot ... 

Forearm Region 

Gluteal Region 

Hand ... 

Humerus '" 

i 

Fractures II Wounds (Cont.) 

I 

1 i 

I 

:1 

1 ! 

2 ! 

I 

I I 

12 

2 

4 

4 

2 

2 

3 

2 

2 

I 

4 

I 

5 

7 

2 

Gunshot Wound of (COllt.) 

I Hypochondriac Region 

Ileum ... 

Iliulll 

Infraorbital Region 

Inguinal Region 

Intestines ... 

Kidney 

Knee ... 

Liver ... 

Lumbar Region 

Lung '" 

Malleolar Region ... 

Mammary Region ... 

Mastoid Region 

Nose ... 

Occipital Region 

Orbit '" 

Pubic Bone 

Pubic Region ... 

Scapular Regiou 


Spinal Cord '" 

Submental Region 

Temporal Region ... 

Thumb 

Trochanteric Region 

Umbilical Region ... 

Incised Wound of 

Hand ... 

Hyoid Region ... 

Larynx 

Scapular Region 

Trachea ... 

:"Lacerated Wound of 

Crural Region 

I 

2 

3 

6 

2 

2 

5 

3 

2 

S 

2 

2 

2 

5

FOURTEENTH ANNUAL RRPORT 97 


, 

INJURIES (Cont.) I INTOXICATIONS & POISONS (Cont.) 

I 

Wounds (Cont.) I Acute Poisoning by Drugs 

Lacerated Wound of (Cont.) 

Eyelids 


Finger 

Forehead ... 


Malleolar Region '" 

Scalp ... 

Supraorbital Region 

Zygomatic Region 

Punctured \Y ound of 

Abdominal \Van 

Bladder ... 

Nasal Region ... 

5 

3 

I \ 

Wound Following the Removal 

of Skin Graft... 4 

Wound of Brachial Region 

Communicating with Fracture 

of Shaft of Humerus... 2 

\Vound of Leg Comlllunicating 

with Fracture of Tibia 

Wound of Leg Communicating 

with Fracture of Tibia and 

Fibula 2 

Bites 

Monkey Bite 

INTOXICATIONS & POiSONS 

Exogenous Intoxications 

Alcoholism ... 2 

Morphinism 6 

Chronic Poisoning by Opium ... IS 

Chronic Poisoning by Tobacco I 

Endogenous Intoxications 

Acidosis 

Auto-Intoxication I 

Acute Poisoning by 

Arsenic 3 

Atropine I 

Chloral 

Digitalis I 

Lead ... 

Mercury I 

Nitric Acid I 

Opium 2 

Phosphorus 3 

Sal varsan 

Antipneumococcus Serum... I 

Silver Antimony Arsaminol I 

Animal Poisons 

Poisoning by Food 

Serum Disease ... 

Poisoning by Gases and Vapors 

Carhon Monoxide 

OISTURBANCES OF METABOLISM 

Debility ... 

Diabetes Mellitus 

Glycosuria 

Alimentary 

Renal 

Chronic Gout 

Infant Feeding Case 

Malnutrition 

Marasmus 

Obesity 

Osteomalacia 

Rickets ... 

Adolescent Rickets 

2 

3 

3 

20 

2 

I 

I 

4 

6 

I 

2 

4 

I

100 PEKING. UNION MEDICAL COr.,r.,EGE HOSPITAL 


DISEASES DUE TO MICRO-ORGANISMS DISEASES DUE TO MICRO-OROANISMS 

(ContJ (ContJ 

Streptococcus Hemolytic (Cant.) 

Suppurative Bursitis Olecranon 

Bursa ... 

Streptococcus Nonhemolytic (Cont.) 

Maxillary Sinusitis I 

I Tonsillitis, Acute 

.Cellulitis 6 Tetanus ... ... ... 5 

Erysipelas ... 2 Treponema Pallidum 

Furunculosis 2 Aortitis ... .. . 

Infection of Lacerated Wound I Iridocyclitis .. . 

Operation \Vound... 2 Iritis 

Gunshot Wound... I 'Keratitis 

Respiratory Infection Lymphadenitis, Inguinal... 

Mastoiditis, Acute ... 7 Meningitis, Cerebral .. . 

Chronic ... 5 Myelitis, Transverse .. . 

Chronic Suppurative Osteo- General Disease 

myelitis ... ... ... I . 

Otitis Media Acute ... 2 SyphIlis 

Congenital Syphilis ... 

Chronic 

Pharyngitis... ... . .. 

Suppurative Pleurisy 

Thrombosis Occipital Vein 

Follicular Tonsillitis ... 

Ulcer of Back ... 

Streptococcus Nonhemolytic 

Abscess Femoral Region .. . 

Crural Region .. . 

Forearm Region .. . 

Gluteal Region ." 

Knee Region 

2 

I 

I 

2 

2 

I 

I 

I 

I 


Malleolar Region 

Subinguinal Region... 1 

Cellulitis ... ... ... ... 

Infection Lacerated Wound 

Mastoiditis, Acute '" 

Chronic 

2 

Pharyngitis ... ... . .. 

Serofibrinous Pleurisy 


Ethmoidal Sinusitis ... 

Local Infection 

Chancre of 

Eyelid 

Penis ... 

Pubic Region .. . 

Urethra '" .. . 

Syphilis of 

Arteries, Vertebral... 

Brain... ... ... . .. 

Brain and Spinal Cord 

Cardiovascular System ... 

, Cerebral Meninges ... 

Knee ........ . 

Liver... ... .. . 

Cranial Nerves 

·Central Nervous System 

Nose ... 

Rectum 

Scalp ... 

Spinal Cord 

Testicle 

Lumbar Vertebrae ... 

2 

I 

3 

... 91 

... 4 

3 

4 

13 

3 

3 

4 

5 

4 

I

FOURTEENTH ANNUAL REpORT 101 


DISEASES DUE TO MICRO-ORGANISMS II' DISEASES DUE TO MICRO-ORGANISMS 

(Cont.) (Cont.) 

Trichophyton Tonsurans 

Trichophytosis of 

Scalp ... 

Beard... ... . .. 

Tubercle Bacillus 

Abscess of 


Inguinal Region 

Arthritis 

Iritis 

Keratitis 

Lymphadenitis 

Periostitis 

Peritonitis ... 


Salpingo-Oophoritis ... 

Scleritis... . __ 

Sinus of Neck ... 

Uyeitis... ... . .. 

General Disease 

Acute Miliary Tuberculosis ... 6 

Local Infection 

Tuberculosis of 

Ankle Joint 

Appendix ... 

Bladder 

Cecunl 

Clavicle 

Cornea 

Endometrium ... 

Epididymis 

Eyelid 

Fallopian Tubes 

Femur 

Finger 

I Tubercle Bacillus (Cont.) 

Local Infection (Cont.) 

2 Tuberculosis of (Cont.) 

I 

I I 

2 

3 

I 

2 

I 

3 

I 

2 

2 

5 

I 

9 

I 

2 

2 

I 

I 

Fistula in Ano 

Foot ........ . 

Hip Joint... . .. 

Ileocecal Valve 

Ilium... '" 


Intestines 

Jejunum 

Kidney 

Knee '" 

Larynx 

Liver ... 

Lymph Glands 

Generalized '" 

Axillary ... 

Bronchial 

Cervical 

Femoral 

Gastric ... 

Mediastinal ... 

Mesenteric ... 

Parotid ... 

Submaxillary 

Malar Bone 

Mammary Gland 

Manubrium 

Meninges of Brain 

Metacarpal Bone 

Metatarsal Bone 

Nasal Region ... 

Omentum 

Os Calcis ... ... 

Perinephritic Tissue 

Peritoneum 

7 

I 

II 

I 

2 

2 

2 

I 

6 

9 

2 

I 

3 

I 

35 

I 

I 

I 

6 

3 

7 

I 

I 

I 

3 

2 

I 

2 

3 

I 

... IS

102 PEKING UNION MEDICAL COLLEGE HOSPI'tAL 


DISEASES DUE TO MICRO-ORGANISMS I DISEASES DUE TO MICRO-ORGANISMS 

(ContJ (ContJ 

Tubercle Bacillus (Cont.) 

Local Infection (ContJ 

Tuberculosis of (Cont.) 

Pleura 

Prostate 

Retina 

Rib •.. 

Seminal Vesicles 

Sinus Tract 

Vincent's Spirillum 

Vincent's Angina 

Whooping Cough ... 

2 NEOPLASMS 

I 

1 Adenomata 

5 

Adenoma of 

I Thyroid ... 

I Adeno-Fibroma of 

Skin of Mammary Gland 

Buccal Region I Tongue I 

Cheek ..... . I Cysto-Adenoma of 

Sternal Region 

I Thyroid...... 4 


Tarsal Bone ... 

Testicle 

Thumb ..... . 

Uterus ... '" 

Vas Deferens 

Vertebrae 

Wrist ... . .. 

Respiratory System 

I 

Angiomata 

4 Capillary Hemangioma of 

4 Face............... 

I 

Cavernous Hemangioma of 

I 

Knee Region ... . .. 

6 

Popliteal Region ... 

... 19 

Cirsoid Aneurysm of 

2 


Acute Tuberculous Bronchopneuminia 

... ... ... ... . .. 

Chronic Pulmonary Tuberculosis 

••• ... .•• •.. . .. 

I 

Carcinomata 

Carcinoma with Metastases in 

Axillary Lymph Glands Following 

Carcinoma of Female 

Incipient ... ... ... ... ... 12 Mammary Gland ... ... ... I 

Moderately Advanced ... . .. 56 Carcinoma with Metastases in 

Far Advanced... ... . .. 27 Cervical Lymph Glands Fol 

Arrested •.. ... ..• 7 lowing Carcinoma of Thyroid 

Apparently Arrested 3 Gland ... •.. ... ... . .. 

Quiescent I Carcinoma with Metastases in 

Improved.... ... I Cervical Lymph Glands Fol 

Typhoid Bacillus 

lowing Carcinoma of Tongue [ 

Typhoid Fever ... ... 33 Carcinoma with Metastases in 

Typhoid Bacillus Carner I Inguinal Lymph Glands Fol 

Typhus Fever... ... ... ... ... 15 lowing Carcinoma of Testicle I

NEOPLASMS (Cont.) 


I 

NEOPLASMS (Cont.) 

Carcinomata (Cont.)- 

I Endotheliomata 

Carcinoma of 

Endothelioma of 

Cervix uteri ... 

3 Hand ... 

I 

Esophagus 

5 Orbit... 

I 

Female Mammary Gland 8 Pubic Region ... 

I 

Pancreas ... 

Fibromata 

Parotid Gland ... I Fibroma of 

Peritoneum 

Broad Ligament 

I 

Sigmoid Flexure I Cervix 

I 

Stomach 16 Infrascapular Region 

, Testicle 2 Mammary Gland ... 

Thyroid I Mammary Region ... 

I 

Basal Celled Epithelioma of 

Nostril 

Forearm Region 

Ovary 

I 

Nose... ... ... ... ... ... 2 Uterus 

2 

Scalp ... 

Fibromyoma of 

Squamous Celled Epithelioma of Uterus ......... 6 

Cervical Lymph Glands 

Esophagus 

Face ... 

Gum ... 

Kidney 

Lip 

Lumbar Region 

Neck ... 

Nose '" 

Penis .. , 

Pharynx 

Pubic Region .. . 

Scrotum ... .. . 

Tongue 

2 

I 

4 

I 

I 

2 

2 

I 

I 

Keloid of 

Chin ... 

Elbow 

Glioma of 

Retina ... 

Spinal Cord ... 

Granuloma of 

Conjunctiva 

Eyelid... ... 

Testicle 

Hypernephroma of 

Kidney......... 

Lipoma of 

I 

2 

2 

3 

I 

Composite Tumor of 

Acromial Region ... 

Parotideomasseteric Region 

Parotid Gland ... . .. 

2 

I 

Infrascapular Region 

Malleolar Region 

I 

I 

Dentigerous Cysts of 

Lymphosarcoma of 

Parotideomasseteric Region 

Cervical Lymph Glands ... 

Superior Maxilla 

2 Parotid Region ... ... . .. 

.1

104 

PEKING UNION MEDICAI, COI,I,EGn HOSPI'l' AI4 


NEOPLASMS (Cont.) NEOPLASMS (Cont.) 

Mole of Tumor of (Cont.) 

Upper Lip ... ... ... ... 1 Anus ........ . 

Osteomata 

Brain ... ... . .. 2 

Exostosis of 

Parotid Gland ••• 

Calcaneum 

Osteochondroma of 

Metacarpal Bone 

Papillomata 

Papilloma of 

Nostril 

Penis '" ... 

Male Urethra ... 

Vulva ... 

2 

1 

I 

I 

I 

Parotideornasseteric Region... I 

MISCELLANEOUS CONDITIONS 

Birth in Hospital ... 

Cyst of 

Appendix 

2 

Thyroid 

Diagnosis Unkown 

12 

Enuchism... ... . .. 

I 

Fever of Unknown Cause... 24 

Hyperplasia Cervical Lymph 

Polyp of 

Nose ... 

Sarcomata 

Sarcoma of 

Antrum ... 

Hand 

Infraclavicular Region ... 

Knee ..... . 

Mandible .. . 

Neck .. . 

Orbit .. . 

Radius 

Tongue 

Melanosarcoma of 

Infraclavicular Region ... 

Tumor of 

Abdomen ........... . 

Gland ... ... ... ... ... ... I 

. .. 13 Hyperplasia Submaxillary Lymph 

Glands... ... ... ... ... 

Infection of Unknown Cause 

I Menopause ... ... .o. .. . 

2 No Pathological Condition .. . 

I Premature Infant ... 

I Sinus of 

I Scrotum 

2 Skin 

2 Tetany 

2 Undiagnosed Condition of 

Abdomen 

Chest 

1 Colon ... 

Gastro-In testinal Tract 

1 Stomach ........ . 

5 

2 

6 

I 

2 

2

ALIMENTARY SYSTEM 

INTESTINES 

TABLE C 

LIST OF OPERATIONS* 

July I, 1921-June 30, 1922 

DEPARTMENT OF SURGERY 

Closure of cecal fistula I 

Closure of iliac fistula 4 

Colocolostomy ... 

Colorrhaphy I 

Enterocolostomy 2 

Enteroenterostomy 3 

Enterorrhaphy... 2 

Partial colectomy 2 

Partial enterectomy... I 

Partial enterocolectomy ... 

Hernia 

Repair of direct inguinal hernia... 2 

Repair of indirect inguinal hernia 37 

LIVER AND BILE PASSAGES 

Cholecystectomy 7 

Incision with cautery of amebiC' abscess of liver ... 

Partial excision of liver for specimen 

Transperitoneal hepatotomy ... I 

Transpleural hepatotomy 

Mucous MEMBRAN'Jt OF MOUTH, TONGUE, TEETH AND GUMS 

Excision of dentigerous cyst 

Excision of lingual tonsil I 

Excision of ranula ... 3 

Excision of sarcoma of tongue 

Excision of squamous celled epithelioma of lower lip 3 

Extraction of third molar tooth ... I 

Multiple extraction of teeth ... 7 

Partial glossectomy ... 4 

*The classification used is a modification of that used by the Presbyterian 

Hospital, New York City. 

107

108 PEKING -UNION MltDlCAI, COI.r.E:GE HOSPITAl. 

ALIMENTARY SYSTEM (Continued) 

PERITONEUM AND OMENTUM 

Celiotomy •.. 

Division of adhesions 

Dminage ........ . 

Explomtory celiotomy for 

Abscess of liver ... 

Appendicitis 

. Appendicitis and fibroma of uterus 

Appendicitis with peritoneal abscess ... 

Carcinoma of pancreas 

Carcinoma of stomach 

Cirrhosis of liver 

Cholelithiasis 

Gunshot wound of intestines 

Mesenteric lymphadenitis, ileus and ventral hernia I 

Tuberculosis of inferior gastric I ymph glands 

Tuberculosis of intestines I 

Tuberculosis of intestines and mesenteric lympk glands 1 

Tuberculosis of intestines and omentum ... 

Tuberculosis of mesenteric lymph glands 

Tuberculosis of peritoneum ... 

Tuberculosis of liver 

Intraperitoneal epiplopexy ... 

RECTUM, ANus AND PERIRECTAl. TISSUE: 

Excision of condyloma of anus ... 

I 

Excision of fistula in ano 

Incision of imperforate anus 

···43 

Incision of ischiorectal abscess ... 7 

Partial phlebectomy of hemorrhoidal veins, annular ... 17 

Partial phlebectomy of hemorrhoidal veins, clamp and cautery 7 

Partial phlebectomy of hemorrhoidal veins, ligation ... 2 

SAI.IVARY GI.ANDS 

Excision of carcinoma of parotid gland ... ... 

Excision of composite tumor of parotid gland 

Incision of abscess of parotid gland ... 

STOMACH 

Anterior gastroenterostomy 

Excision of ulcer of stomach 

Gastrostomy 

4 

4 

I 

5 

I 

2 

I 

I 

I 

3 

2 

2 

2 

1 

I 

2 

2 

3 

I 

I

FOURTEENTH ANNUAl. REpORT 

ALIMENTARV SYSTEM (Continued) 

STOMACH (Continued) 

Partial gastrectomy ... 

Posterior gastroenterostomy '" 

VERMIFORM ApPENDIX 

Appendectomy .. , 

Appendectomy with dTainage 

CARDIOVASCULAR SYSTEM 

ARTERIES AND VEINS 

Anastomosis of iliac artery 

Arteriorrhaphy of femoral artery 

Excision of cirsoid aneurysm 

Excision of endithelioma of finger 

Excision of hemangioma of knee 

Ligation of popliteal artery ... 

Ligation of internal jugular vein 

Partial phlebectomy of internal saphenous vein 

CONNECTIVE TISSUE 

Closure of buccal fistnla 

I 

Excision of composite tumor of parotideomasseteric region I 

Excision of cyst of back I 

Excision of fibroma of infragcapular region I 

Excision of fibroma of mammary region .. , I 

Excision of gumma of scalp I 

Excision of lipoma of acromial region I 

Excision of lipoma of back... I 

Excision of lipoma of foot ... I 

Excision of sarcoma of mammary region I 

Excision of scar tissue of mammary region I 

Excisio.n of sin us tract ... 

Excision of tubercle bacillus abscess of leg 

Excision of tubercle bacillus abscess of thigh 

Excision of ulcer of intraorbital region '" 

Excision of x-ray burn of back .. , . 

Incision. of abscess of brachial region 

Incision of abscess of chest .. , 

Incision of abscess of chin ", 

Incision of abscess of clavicular region 

Incision of abscess of elbow region ... 

5 

6 

27 

13 

1 

I 

I 

I 

I 

I 

I 

2 

5 

I 

I 

2 

3 

I 

2 

I 

I 

I

no PEKING UNION MEDICAl. COI.,I.,ItGlt HOSPITAI., 

CONNECTIVE TISSUE (Continued) 

Incision of abscess of foot ... 

Incision of abscess of forearm 

Incision of abscess of forehead 

Incision of abscess of gluteal region ... 

Incision of abscess of hand ... 

Incision of abscess of inguinal region 

Incision of abscess of leg 

Incision of abscess of neck ... 

Incision of abscess of popliteal region 

Incision of abscess of thigh ... 

Incision of abscess of thumb 

Incision of abscess of trochanteric region 

Incision of cellulitis of elbow region 

Incision of cellulitis of hand 

Incision of cellulitis of parotideomasseteric region 

Incision of cellulitis of thigh 

DUCTLESS GLANDS 

THYRoID GI.,AND 

Excision of adenoma 

Partial thyroidectomy 

HEMATOPOIETIC SYSTEM 

LYMPH GI.,ANDS 

Excision of lymphatic cyst of neck .•. 

Excision of lymphosarcoma of neck .•. 

Lymphadenectomy axillary .. . 

Lymphadenectomy cervical .. . 

Lymphadenectomy inferior gastric 

Lymphadenectomy inguinal ... 

Lymphadenectomy mesenteric ..• 

Lymphadenectomy submaxillary 

MUSCULAR SYSTEM 

MuSCr.BS 

Muscle grafting, vastus extern us to femur 1 

Myorrhaphy of biceps muscle ... ••• .•. 1 

TENDONS 

Tendon transplantation, extensor longus hallici!; to tibialis 

anticus... ... ••. ... ...... I 

3 

2 

1 

1 

3 

1 

10 

7 

I 

12 

1 

3 

1 

I 

4 

3 

I 

5 

43 

1 

5 

4 

2

MUSCULAR SYSTEM (Continued) 

TENDONS (Continued) 


Tendon transplantation, tibialis anticus to third metatarsal 

bone 2 

Tenorrhaphy of flexor longus pollicis tendon I 

Tenorrhaphy of tendo-Acbilles 5 

Tenorrhapby of triceps tendon ... I 

NERVOUS SYSTEM 

BRAIN AND CEREBRAl. MENINGES 

Explora tory craniotomy ... 

Subtemporal decompression ... 

SPINAl. CORD AND MENINGES 

Excision of endothelioma of spinal cord 

Laminectomy for glioma of spinal cord ... 

Laminectomy for tuberculosis of thoracic vertebra 

• 

OSSEOUS SYSTEM 

BONES AND CARTII.AGES 

Application of ice-tong calipers to femur 

Application of stirrup to calcaneum ... 

Bone graft autogenous, radius, sliding 

Bone graft autogenous, tibia, sliding 

Bone graft autogenous, tibia to radius 

Bone graft autogenous, tibia to spine 

Bone graft beterogenous to tibia (intermedullary) 

Complete ostectomy of astragalus 

Excision of adamantinoma of mandible 

Excision of sarcoma of orbit 

Excision of sarcoma of knee 

Excision of sinus tract of tibia 

Ostectomy of femur ... 

Ostectomy of maxilla 

Ostectomy of radius 

Ostectomy of tibia ... 

Partial ostectomy of calcaneum ... 

Partial ostectomy of femur ... 

Partial ostectomy of fibula '" 

Partial ostectomy of humerus 

Partial ostectomy of mandible 

Partial ostectomy of radius ... 

3 

3 

I 

I 

4 

5 

I 

2 

5 

I 

I 

1 

I 

2 

I 

I 

I 

2 

8 

3 

4 

2 

I 

III

REPRODUCTIVE ORGANS 

Female Genital Organs 

UTERINE TUBE 

UTERUS 

Partial salpingectomy 


Excision of fibroma of uterus '" 

Male Genital Organs 

MALE URETHRA 

PENIS 

Excision of fistula 

External urethrotomy 

Plastic repair of stricture of male urethra 

Plastic repair of recto urethral fistula 

Circumcision 

Complete amputation of penis 

Excision of papilloma of penis 

Partial amputation of penis ... 

PROSTATE 

Suprapubic prostatectomy ... 

TESTICLES 

Epididymectomy 

Orchidectomy ... 

TUNICA V AGINALIS AND SPERMATIC CORD 

Eversion of hydrocele sac ... 

Excision of hydrocele sac 

Incision of cellulitis of scrotunl ... 

Incision of hematoma of spermatic cord ... 

Phlebectomy of varicocele· 

Mammary Gland 

Complete mastectomy I 

Complete double mastectomy I 

Complete radical mastectomy 7 

Excision of adenofibroma of female mammary gland... I 

Incision of abscess of female mammary gland 3 

Partial mastectomy ... I 

I 

IS 

I 

I 

2 

I 

I 

I 

. .. 4 

II 

8 

4 

4 

I 

I 

I

RESPIRATORY SYSTEM 

PEKING UNION MnDI.CAL COLLEGE HOSPITAL 

LUNGS AND PLEURA 

Paracentesis of thorax 

Thoracostomy ... 

THE SENSE ORGANS 

ORGAN OF VISION AND LACRYMAI, ApPARATUS 

Excision of eyeball ... 

TEGUMENTARY SYSTEM 

SKIN, NAILS, AND GLANDS OF THE SKIN 

Double partial onychectomy... I 

Excision of basal celled epithelioma of forearm region I 

Excision of basal celled epithelioma of occipital region I 

Excision of carbuncle of back of neck ... '" 4 

Excision of carbuncle of scapular region 2 

Excision of carbuncle of umbilical region I 

Excision of lupus vulgaris of buccal, submental and 

sternal regions I 

Excision of mole 3 

Excision of papilloma of foot I 

Excision of papilloma of occipital region I 

Excision of papilloma of thumb... I 

Excision of papillomata of face ... I 

Excision of papillomata of occipital region and th um b I 

Excision of sebaceous cyst of forehead ... I 

Excision of sebaceous cysts of gluteal region 2 

Excision of sebaceous cyst of neck. ... I 

Excision of squamous celled epithelioma of neck I 

Excision of squamous celled epithelioma of nose... I 

Excision of squamous celled epithelioma of scapular region I 

Incision of carbuncle of back of neck I 

Skin grafting, Reverdin ... 

Skin grafting, Tiersch 

URINARY SYSTEM 

KIDNEYS 

Nephrectomy 

Nephrotomy 

BLADDER 

Suprapubic cystostomy 

Suture of. bladder 

I 

IS 

I 

3 0 

3 

5 

I 

10 

2


DEFORMITIES AND CONGENITAL MALFORMATIONS 

INJURIES 

Division of congenital tongue-tie 

Excision of branchial cyst ... 

Excision of thyroglossal cyst 

Plastic repair of deformity of nose 

Plastic repair of hare-lip 

Plastic repair of hare-lip and cleft palate 

Debridement of gunshot wound of axillary region I 

Debridement of gunshot wound of gluteal region 2 

Debridement of gunshot wound of hand 2 

Debridement of gunshot wound of head... 2 

Debridement of gunshot wound of humerus ... 2 

Debridement of gunshot wound of inguinal region 2 

Debridement of gunshot wound of lower leg 3 

Debridement of gunshot wound of neck I 

Debridement of gunshot wound of spermatic cord I 

Debridement of gunshot wound of suprapubic region I 

Debridement of gunshot wound of thigh 2 

Debridement of gunshot wound of thorax 2 

Debridement and suture of gunshot wound of elbow region I 

Debridement and suture of gunshot wound of popliteal 

region I 

Debridement of lacerated wound of malleolar region... I 

Debridement of lacerated wound of sole of foot and 

medial crural region I 

Plastic repair of cicatricial deformity of lip ... I 

Plastic repair of cicatricial deformity of neck I 

Removal of bullet from axillary region ... I 

Removal of bullet from brachial region ... I 

Removal of bullet from brain I 

Removal of bullet from deltoid region ... I 

Removal of bullet from foot I 

Removal of bullet from infrascapular region... I 

Removal of bullet from inguinal region... I 

Removal of bullet from leg... I 

Removal of bullet from lumbar region ... I 

Removal of bullet from body of 4th lumbar vertebra... I 

Removal of bullet from neck I 

Removal of bullet from peritoneal cavity 2 

Removal of bullet from popliteal region... I 

I 

I 

2 

I 

3 

2 

IIS

II6 PltKlNG UNION MltDICU. COI,l.ltGlt HOSPITAl. 

INJURIES (Continued) 

Removal of bullet from scapular region ... 

Removal of bullet from spinal canal 

Removal of bullet from thigh '" 

Removal of bullet from tibia 

Removal of chopstick from male urethra 

Removal of needle from gluteal region 

Removal of needle from omentum ... 

Removal of pin from intestines ... 

Removal of silver wire from frontal bone 

Removal of splinter from gluteal region ... 

Suture of granulating wound 

Suture of lung ... 

Suture of upper eyelid 

MISCELLANEOUS 

Cauterization of noma I 

Excision and cauterization of noma '" I 

Excision and cauterization of sarcoma of forearm 2 

Exploratory incision of gluteal region ... 2 

Partial excision of ulcer of buccal region for specimen I 

Exploratory incision of hemangioma of leg I 

AMPUTATIONS 

Amputation through upper arm ... 1 

Amputation through forearm 2 

.&nputation of fingers ... 6 

Amputation through thigh 10 

Amputation through leg... 17 

Amputation at ankle I 

Amputation both legs at ankle I 

Amputation of great toe 1 

TOTAL FOR DEPARTMENT OF SURGERY... . .. 834· 

·The figures for the Department of Surgery include operations on inpatients 

only. 

2 

I 

2 

I 

I 

I 

I 

I 

I 

I 

2 

I 

I


THE REPRODUCTIVE ORGANS (Continued) 

PREGNANCY AND ASSOCIATED CONDITIONS 

Application of forceps 

Decapitation 

Perloration ... 

Version ... 

VAGINA AND PELVIC FLOOR 

Anterior colporrhaphy 

Excision of hymen ... 

Perineorrhaphy ... 

Vur.VA AND GLAXD OF BARTHOLIN 

Excision of cyst of Bartholin's gland 

Excision of papilloma of vulva ... 

Incision of abscess of Bartholin's gland 

MAMMARY GLAND 

Excision of tumor 

Incision of abscess 

CONGENITAL MALFORMATIONS 

Excision of Meckel's diverticulum ... I 

TOTAL FOR DEPARTMEMT OF OBSTETRICS AND 

GYNECOLOGY... "-=.!4!* 

*The figures for the Department of Obstetrics and Gynecology include 

operations on inpatients only. 

7 

I 

I 

I 

I 

I 

I 

I 

I 

3 

I 

5

ALIMENTAR Y SYSTEM 

ESOPHAGUS 


DEPARTMENT OF OTO-LARYNGOLOGY 

Dilatation of esophagus ... 

Esophagoscopy ... 

Removal of foreign body from esophagus 

PHARYNX AND NASO-PHARYNX 

Adenoinectomy ... 

Excision of adenofi broma of tongue and mouth 

Tonsillectomy ... 

Tonsillectomy and adenoidectomy 

RESPIRATOR Y SYSTEM 

LARYNX, BRONCHI AND TRACHEA 

Bronchoscopy for removal of foreign body 

Intubation 

SENSE ORGANS 

NASAL CAVITY AND ACCESSORY SINUSES 

Cauterization of carcinoma of maxillary sinus 

Excision of basal celled epithelioma of nose ... 

Excision of hemangioma of nose 

Excision of polyp of nose 

Partial turbinectomy 

Plastic operation on nose 

Sinusotomy external, frontal and ethmoidal 

Sinusotomy internal, frontal 

Sinusotomy internal, maxillary 

Sinusotomy sphenoidal 

Submucous resection 

ORGAN OF HEARING 

Blood-clot closure of mastoid wound... I 

Incision of membrana tympani ... 3 

Incision and drainage of lateral sinus I 

Mastoidectomy, simple ... 35 

Mastoidectomy, radical... ... 24 

7 

12 

I 

I 

I 

3 0 

... 24 

TOTAL FOR DEPARTMENT OF OTO-LARYNGOLOGY ... 2II· 

itThe figures for the Department of Oto-Laryngology include operations 

on inpatients only. 

I 

I 

I 

I 

I 

II 

II 

I 

2 

2 

4 

I 

34 

II9

VIRW SnOWING THE SURGICAL WARD UNIT ON THE LF.FT, THE PRIVATE PATIENTS' PAVII.ION ON 

THE RIGHT, AND PART of THE MEDICAL SCHOOJ4 GROUP OF BUIT4DINGS IN THE DISTANCE

table b - Yale University Library Digital Collections

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