GOLD, 68x40 mm, in the form of a white enameled cartouche, bearing an oval centre medallion with the allegory of medicine, in the finest enamel miniature- painting, within deep-blue enameled outer border,bearing the latin motto "ARS CUM NATURA AD SALUTEM CONSPIRANS" in gold lettering, above, two green enameled laurel branches, the reverse, also white enameled, with blue enameled, oval centre,bearing the inscription "ACADEMIA NACIONAL DE MEDICINA" in gold lettering and a rectangle beneath,engraved "7", hinged, upper crown with red enameled inner cap, resting on a group of golden,laurel leaves pointing down, round suspension ring. One of the most attractive, Spanish medallions, dating around 1860 extremely rare and in excellent condition. I- RR!