+-----------------------------------------+---------+----------+ | I. Nausea 1 | 2 | | | II. Abdominal pain 1 | 2 | | | III. Countenance anxious 1 | | 4 | | IV. Pain up arm to shoulder, | | | | thence to back of neck | | 4 5 | | V. Præcordial pain extending to | | | | left axilla, and down arm to | | | | finger ends 1 | | 4 | | VI. Left arm almost paralyzed 1 | | 4 | | VII. Pain up arm to shoulder, | | | | thence to præcordia | 3 | 4 5 | | VIII. Apnæa 1 | | 4 5 | | IX. Præcordial pain 1 | 3 | 4 5 | | X. Pulse feeble, thready 1 | 2 | 4 5 | | XI. Skin cold 1 | 2 | 4 5 | | XII. Sense of impending dissolution 1 | | 4 5 | +-----------------------------------------+---------+----------+ While Dr. Semple's reports do not precisely state it, I think we may safely infer a _sense of impending dissolution_ in cases I, IV and V. The girl exclaimed she "would lose her breath and die;" the man in case I "expressed in words" "the deep anxiety he felt;" the woman in case IV was found "apparently moribund" with "gasping respiration," and therefore incapable of speech, but who can doubt that she had _a sense of impending dissolution?_ ISOLATED SYMPTOMS. _Numbness of the arm, 1._ _Black vomit, 1._ _Alvine evacuations similar to the black vomit, 1._ _Sinking sensation at epigastrium, 2._ _Respiration only occasional--gasping, 4._ It must be admitted that many of our accepted provings cannot as well bear a similar test. III.