unnoticed unless well marked when in men or causing discomfort by functioning when in women. This view is supported by the fact that, during the recent unparalleled opportunity for the physical examination of large numbers of men, many cases have been published in the British Medical Journal for 1917 as occurring among recruits for the army. The supernumerary nipple is usually very much smaller than the normal; like the normal, it is a modification of cutaneous tissue and is not attached to muscular tissue; its removal is a simple operation, in fact it would be quite possible for an unskilled operator to cut it off with a sharp knife. In women the supernumerary nipple is observed to increase at the time of the periods; in some cases during lactation so much milk is secreted as to make it a matter of indifference whether the child is suckled at the normal nipples or at the supernumerary one. In cases of polymastia the nipple is not always formed; the milk, when secreted, issuing from a small opening. Though the nipple is congenital, the supernumerary breast may develop, or at any rate become noticeable, later; the theory being that the ducts carrying the secretion from the supernumerary to the normal breast become blocked in some way, and that the milk is thus exuded through the pore in the supernumerary breast. The change in the case quoted by Cameron, as well as in the case of the witch Rose Cullender, seems to have been caused by a strain.
Making allowance for the unscientific language of the recorders of the witch trials, it will be seen that the descriptions of the 'witch-pap' or 'little Teat' exactly coincide with these anatomical facts. I give the evidence below, the trials being in chronological order. It will be observed that the cases are from England and New England only; if the phenomena of polymastia and polythelia occurred in France and Scotland, there are no records of the fact in the witch-trials of those countries.
Alice Gooderidge and her mother, Elizabeth Wright, of Stapenhill near Burton-on-Trent, were tried in 1597:
'The old woman they stript, and found behind her right sholder a thing much like the vdder of an ewe that giueth sucke with two teates, like vnto two great wartes, the one
