On the 15th, towards noon, Fletcher called upon me and informed me that his master desired to see me, in order to consult with Dr. Bruno on the state of his health. Dr. Bruno informed me that his patient laboured under a rheumatic fever--that, as at first the symptoms had been of a mild character, he had trusted chiefly to sudorifics; but during the last two days the fever had so much increased that he had repeatedly proposed bleeding, but that he could not overcome his lordship's antipathy to that mode of treatment. Convinced, by an examination of the patient, that bleeding was absolutely necessary, I endeavoured, as mildly and as gently as possible, to persuade him; but, in spite of all my caution, his temper was so morbidly irritable that he refused in a manner excessively peevish. He observed that, of all his prejudices, the strongest was against phlebotomy. 'Besides,' said his lordship, 'does not Dr. Reid observe in his Essays that less slaughter has been effected by the warrior's lance than by the physician's lancet? It is, in fact, a minute instrument of mighty mischief.' On my observing that this remark related to the treatment of nervous disorders, not of inflammatory ones, he angrily replied: 'Who is nervous, if I am not? Do not these words, besides, apply to my case? Drawing blood from a nervous patient is like loosening the chords of a musical instrument, the tones of which are already defective for want of sufficient tension. Before I became ill, you know yourself how weak and irritable I had become. Bleeding, by increasing this state, will inevitably kill me. Do with me whatever else you please, but bleed me you shall not. I have had several inflammatory fevers during my life, and at an age when I was much more robust and plethoric than I am now; yet I got through them without bleeding. This time also I will take my chance.' After much reasoning and entreaty, however, I at length succeeded in obtaining a promise that, should his fever increase at night, he would allow Bruno to bleed him. Happy to inform the doctor of this partial victory, I left the room, and, with a view of lowering the impetus of the circulatory system, and determining to the skin, I recommended the administration of an ounce of a solution of half a grain of tartarized antimony and two drachms of nitre in twelve ounces of water.