_Fourth day._—Violent lancinations in the uterus while washing one’s-self with cold water, the lancinations become frightful when using warm water, with weight at the uterus. Itching under the feet. 120. Formication in the feet as high up as the ankles. Prickling in the bends of the knees. Faint feeling at the stomach. While in a clairvoyant state, he speaks to somebody who does not answer him. 125. Feeling of fright at night. First the blood is felt rising in the carotid arteries several times; this is followed by a faint feeling and lastly by a sensation as if a valve were suddenly opened. Violent blow at the epigastrium. All his limbs tremble. Chilliness all over which continues even under the bed-cover. 130. Violent ache at the vertex, and sensitiveness of the hairy scalp to the touch. Extinction of the voice. Great weakness. Depression of spirits. Suffocative oppression and fear of another paroxysm. 135. Sensation as if a red-hot iron were sticking in the vertex. The eyelids feel heavy. Pain in the lower gums as if they had been touched by a red-hot iron. Excessive weight at the diaphragm. Continual contusive pain between the two shoulders, and sometimes slow and measured lancinations when inclining backwards, as if a vertebra had been fractured. 140. Constrictive pain in the thyroid body as if strung together with a string. _Fifth day._—Coldness in the back after eating. Drawing from the neck to the epigastrium. Pain in the right clavicle. Weight on the orbits, at night. 145. The feet are icy-cold. Headache above the eyes, at ten o’clock in the morning. Stomach-ache when eating, as if too empty. The heart feels as if beating from above downwards. Internal pain between the shoulders. 150. The inner nose is ulcerated. He is pursued all over by the idea of death, especially when alone. He can only think of death with great depression of spirits. Ineffectual desire to weep. Lancinations in the meatus and auditorius. 155. Vermillion-colored metrorrhagia. Paralysis of the tongue. She stands for ten minutes on the window-sill, and she is arrested when on the point of precipitating herself out of the window. She rises suddenly at three o’clock, uttering two shrill cries and throwing herself forward. The vermillion-colored metrorrhagia with which she had been affected since the morning, disappears suddenly. 160. Profuse flow of tears. The hands are cold. The hands tremble. Loss of memory. Second attack at six o’clock, after which she seats herself in an arm-chair. 165. Burning forehead. Palpitation of the heart. Weeping. She plays with her fingers like a child. The suffocative oppression increases. 170. Magnetic state, she hears nothing, and again sees the phantom of death, an immense, black, fleshless skeleton; her tears and mania increase. Vacant stare. Pressive points in the abdomen.