22d. Scarcely any sleep; almost constant moaning; face flushed; skin covered with cold perspiration; tongue scarcely to be protruded; deglutition difficult; subsultus tendinum; pulse 132. 24th. No change except that the prostration continued to increase. Died. _Abdomen._ Mucous membrane of jejunum, ilium and cæcum highly vascular; that of ilium contained three or four large oval ulcers; other viscera healthy. _Head._ Membranes and substance of brain vascular; more serum than natural in the ventricles. _Thorax._ Viscera healthy. CASE LXIX. ANN MARTIN, æt. 37, servant. Admitted on the 8th day of fever; complaint came on with ordinary symptoms, attended with nausea and vomiting; at present abdomen not tender; tongue red, cracked and dry; bowels regular; no uneasiness of chest; slight cough with scanty expectoration; pulse 92, very intermittent, beating thrice regularly, then intermitting for a space equal to that of the three pulsations; pain of head gone; some vertigo remains. 9th. Cough with difficult expectoration; respiration hurried; five stools; pulse 104, more regular. 10th. Tongue more fissured; five stools; respiration less hurried and difficult; pulse 112. Two grains of tartar emetic in solution every two hours. 11th. No material change; pulse 116; has taken ten draughts with the tartar emetic, the last four vomited. The draughts to be continued every three hours. 12th. Bronchial affection very much relieved; last four draughts not vomited. Pt. Haustus 4ta. q. h. 13th. Respiration nearly natural; much less cough; pulse 96; tongue moist; four stools, last tinged with blood; abdomen not tender. Tartar emetic omitted on account of appearance of blood in the stools. 17th. Bronchial affection appears to be quite gone; yet the tongue has again become dry; the pulse has risen to 112; there is scarcely any sleep; and slight muscular tremor is perceptible. Capiat. Vin. Alb. ℥iv. Jus. Bov. i lb. 20th. Respiration again short and hurried; face quite dusky; tongue furred, dry and cracked; pulse 110. 23d. Respiration laborious; cough returned with very copious muco-purulent expectoration, amounting to a pint in the twenty-four hours; pulse 116. 26th. No change; a grain of tartar emetic resumed every four hours. Wine and beef tea to be continued. 28th. Neither vomiting nor purging; respiration more easy; cough diminished; tongue more moist; pulse 116. 29th. Respiration much more natural; cough greatly diminished; tongue clean and moist; pulse 112. 36th. From the period of last report she steadily and progressively improved and became convalescent; on the morning of this day while speaking to the nurse in her usual manner she suddenly fell back and expired.