13. During its progress, erysipelas, first appearing on the face, then extending over the scalp, and often down the shoulders and back, is very apt to occur. Excoriation on the back and hips often form sloughing sores of great malignity and extent, while enlargement, inflammation and suppuration of glands situated in different parts of the body frequently appear. 14. Typhus terminates much earlier, whether favourably or unfavourably, than synochus; if it terminate unfavourably death frequently takes place as early as the 10th or the 14th day, although if early and appropriate treatment be employed, the force of the disease is sometimes so much lessened that it is as protracted as synochus. Towards the termination of the disease more or fewer of the symptoms which it has been stated occasionally to occur in synochus,[25] supervene; but, as these depend upon particular conditions of the brain, they will be detailed under the pathology. 2. _Typhus Mitior, with Acute Cerebral Affection._ In typhus with acute cerebral affection the pain of the head is often not more severe than it is in the subacute; but there is a greater degree of heaviness, or weight, or stupor, or giddiness; the eyes are more and sooner injected and more suffused; the insensibility comes on sooner and is deeper; the delirium appears earlier and is more violent, frequently requiring restraint, and the whole train of symptoms already enumerated, and which it is needless to repeat, are more intense in degree, and succeed each other with greater rapidity. CASE XII. JAMES SOLDEN, æt. 44, plaisterer. Admitted on the 7th day of fever: attack came on with chilliness; great debility; some pain of head; sense of giddiness and weight; together with symptoms of thoracic disease. At present pain of head entirely gone; it has passed into insensibility; mind quite delirious; almost constant moaning; pulse 96, weak; tongue brown and dry; stools passed in bed; respiration short and hurried; cough without expectoration; tenderness of abdomen on full pressure. 8th. Insensibility more profound; restlessness and delirium increased; respiration more hurried; cough the same; stools passed in bed: pulse 92. 9th. No change. 10th. Died. CASE XIII. JOHN CLARK, æt. 17. Admitted on the 4th day of fever: attack commenced with ordinary symptoms, and was attended with severe pain of the head, which continues at present, and which is attended with a sense of weight; eyes injected and suffused; expression of countenance extremely dejected; sleeps none; skin pungently hot, especially over the scalp; pulse 108, of good power; tongue already brown and quite dry; some thirst; respiration hurried; some uneasiness of chest on coughing; considerable tenderness of abdomen.