_Eighteenth day._—135. Frequent waking at night. He wakes earlier than usual. Doughy mouth, in the morning. Foul, bloody sputa, of the color of chocolate with milk. The pain at the sacrum is feebler, it seems to have spread over a larger space, rises a little towards the dorsal and lumbar muscles, and to the dorsal vertebræ. 140. The head, above the eyebrows, is still somewhat dull. Weakness in the finger-joints and wrists. The gland at the neck continues painful, with lancinations. Taste of blood in the throat. Flushes of heat. 145. The breathing is painful, as if there were a sore in the lumbar region. _Nineteenth day._—Deep and long sleep. Nosebleed, in the morning. Pimple at the forehead. Weight above the eyes, he is unable to read long. 150. Sense of weariness in the arms, though lying down. The pain at the sacrum decreases; sometimes, however, it rises again to the cervical vertebræ. Prickling in the eyes. A cluster of pimples breaks out at the wrist, on the external and inferior surface of the radius; they are vesicular, (like those which he had after his return from Brazil.) Bloating sensation in the eyes. 155. Throbbing at the sacrum, without pain. Pale face, eyes sunken, with redness around the eyelids. _Twentieth day._—No stool from the sixteenth to the twentieth day. Hard and difficult stool. The pain at the sacrum is much less, though he still feels a violent throbbing in this region, but painless. 160. Rose at eight o’clock, his legs were weak and his head felt heavy; he laid down again an hour after, with very cold feet. He feels a pain at the iliac bones, though not all the time. There are fever pimples on the arm, and the remaining pimples contain a little water which spirts out when pressed. Sensation in the glutei muscles as if bruised. Full and slow painless beatings in the sacro-lumbar region. _Twenty-first day._—165. Restless night, dreams about crime, dead bodies, children with their heads half cut off, and of others whose heads were being cut. Pain in the glutei muscles as if bruised, now on the right, then on the left side. Pain as if bruised at the sacrum, with heat mounting to the face, at nine o’clock in the morning, shortly after rising. Cramp in the toes. Beatings in the left temple. 170. Painful stitch and beating sensation between the shoulder-blades. _Twenty-second day._—Lascivious dream with emission. Heat mounting to the face, with oppression of the chest. Acute pain in one of the right toes. Weight at the sacrum, but less bruising in the glutei muscles; weakness in the knee joints, with cracking, either in going up or down-stairs, 175. Sensation as if a warm liquid were flowing from a sore in the lumbar region. Heat mounting to the face, at seven o’clock in the evening. Weakness of the legs in going up or down-stairs.