19th, I was called to visit him early in the morning, on account of a bleeding at the nose which had come on: he lost about eight ounces of blood, which was of a loose texture: the haemorrhage was suppressed, though not without some difficulty, by means of tents made of soft lint, dipped in cold water strongly impregnated with tincture of iron, which were introduced within the nostrils quite through to their posterior apertures; a method which has never yet failed me in like cases. His tongue was now covered with a thick black pellicle, which was not diminished by drinking: his teeth were furred with the same kind of sordid matter, and even the roof of his mouth and sauces were not free from it: his looseness and stupor continued, and he was almost incessantly muttering to himself: he took this day a scruple of the Peruvian bark with ten grains of tormentil every two or three hours: a starch clyster, containing a drachm of the compound powder of bole, without opium, was given morning and evening: a window was set open in his room, though it was a severe frost, and the floor was frequently sprinkled with vinegar. 20th, He continued nearly in the same state: when roused from his dozing, he generally gave a sensible answer to the questions asked him; but he immediately relapsed, and repeated his muttering. His skin was dry, and harsh, but without _petechiae_. He sometimes voided his urine and _faeces_ into the bed, but generally had sense enough to ask for the bed-pan: as he now nauseated the bark in substance, it was exchanged for Huxham's tincture, of which he took a table spoonful every two hours in a cup full of cold water: he drank sometimes a little of the tincture of roses, but his common liquors were red wine and water, or rice-water and brandy acidulated with elixir of vitriol: before drinking, he was commonly requested to rinse his mouth with water to which a little honey and vinegar had been added. His looseness rather increased, and the stools were watery, black, and foetid: It was judged necessary to moderate this discharge, which seemed to sink him, by mixing a drachm of the _theriaca Andromachi_ with each clyster. 21st. The same putrid symptoms remained, and a _subsultus tendinum_ came on: his stools were more foetid; and so hot, that the nurse assured me she could not apply her hand to the bed-pan, immediately after they were discharged, without feeling pain on this account: The medicine and clysters were repeated.