17th. Expectorates a larger quantity of purulent matter, mixed with a larger proportion of blood; pulse 102. 20th. Pectoral symptoms unchanged; strength extremely depressed; countenance pallid; skin cool; three stools partly passed in bed; pulse 84; mind confused; almost constant moaning; extensive sloughing ulcers on sacrum and hips. 21st. Pectoral symptoms the same; powers extremely depressed; three stools passed in bed. 22d. No change in the cough or the expectoration; lies quite prostrate and appears to be sinking; four stools passed in bed; pulse 72, rather less feeble. 24th. Cough rather diminished; expectoration unchanged; four stools passed in bed; pulse 84, extremely weak. 25th. No change, excepting that the pulse (78) is rather more strong, and she is scarcely so prostrate. 26th. Skin again hot; tongue again red and dry; no sleep; some delirium; pulse 84, of more strength. 27th. Skin more cool; tongue less red and more moist; pulse 66; some return of appetite. 28th. Cough much diminished; expectorates less; tongue moist, clean, and nearly of natural colour; pulse 72, stronger; countenance more animated. 35th. Cough nearly gone; expectoration much diminished; tongue clean; one stool; countenance improving; strength increasing; wishes for meat; two ounces were allowed. 40th. Sloughs on sacrum and ilium doing well; pulse 90, of more power; still noisy during sleep. From this period she continued slowly, although gradually, to gain strength, and was dismissed from the hospital on the 57th day, _cured_. CASE VII. ANGELICA FIDGETT, æt. 29, married. Admitted on the 16th day of fever. Before admission affected with cold, shivering, sense of faintness, pain of head, uneasiness of chest, and cough. On admission, pain of chest increased by deep inspiration and by cough; cough frequent; pain of the head already subsided: there remain only a sense of weight over the eyes, the expression of which is dull, heavy, and vacant; frequent moaning; no pain of the abdomen on full pressure; pulse 129; tongue foul, moist; skin hot; face flushed. 17th. Respiration slow and laborious; cough; completely comatose; eyes suffused; pulse 120, full, soft; face flushed. 18th. Respiration continues very laborious; mind exceedingly indistinct; much restlessness; pulse 116, still softer. 21st. Examined with the stethoscope: the bronchial roll and crepitus were very distinctly and generally heard. 22d. The respiration continues extremely laborious; frequent cough, without expectoration; low, rambling delirium; pulse 112, weak; tongue foul, moist; general powers greatly depressed. 23d. All the symptoms aggravated. Died on the 24th day of fever.