MARY SULLIVAN, æt. 36. Admitted on 14th day of disease; complaint commenced with shivering; pains in the limbs; severe head-ache. Complains now of violent pain of the head; face pallid; expression depressed; scarcely any sleep; abdomen tender on pressure; only one stool for eleven days; tongue foul and dry; pulse 81, not strong; complains, also, of pain under right mamma, preventing inspiration and decubitus. V.S. ad ℥xij. Lotio Gelida cap. Abrad. Capillitium. 15th. Blood with firm buff; pain of head not at all relieved; pain of back, sides, and abdomen severe; no delirium; no sleep; pulse 78, pretty strong. Hirudines viij. temporibus. Pt. Med. 16th. Pain of head much relieved; slept very much better; pulse 66, full and strong. 17th. Pain of head returned, exceedingly severe over the fore-part; pulse 66, full and strong. C.C. ad ℥xij. nuchæ. Pulv. Aper. Mit. h. s. Ol. Ricini c. m. 18th. Pain of head gone; countenance more natural; tongue more clean and moist; pulse 76, more soft. Pt. Med. 20th. Pain of head returned; mind confused; pulse 60, strong and full. C.C. ad ℥viij. nuchæ. Pt. Med. 21st. Pain of head gone; mind confused; pulse 66, pretty strong. 22d. Pain of head returned, but in a slighter degree; mind more confused and dull; scarcely any sleep; tongue more foul; pulse 72, soft. Pt. 24th. No longer conscious of pain; mind quite indistinct; lies prostrate on the back perfectly helpless; incapable of turning on the side; occasional retching; some tenderness of abdomen on pressure; pulse 72, strong and full. 25th. Much restlessness; aspect of countenance greatly depressed; stools passed in bed; pulse 75. 26th. Perfectly senseless; almost constant moaning; extreme restlessness; difficult deglutition; pulse 120. 27th. Not spoken since last report; lies prostrate on back; eyes half open and injected; pulse 102, feeble. 29th. Died.