I directed a free bleeding from the arm in the morning, and the application of twenty leeches over the chest in the evening. I prescribed small doses of tartar emetic, in a saline draught, every four hours; some calomel, James’s powder, colocynth, and extract of poppy at bed time, with a saline aperient in the morning, and other general means. The blood was extremely cupped, with a dense buffy coat. The bleeding from the arm was twice repeated in the course of the three following days; and as the sounds were still indicated by the stethoscope, although in a less degree, the leeches were again applied twice in the course of the week; the medicines being regularly administered. By these means the pulse became reduced from one hundred and twenty to ninety, and acquired a degree of softness. When the heat of skin abated, a blister was applied on the chest; but it appeared to have the effect of creating more febrile irritation; and without affording relief to the cough. I have observed this disadvantage to follow from blistering in other cases of an inflamed and irritable state of the lungs; and I apprehend that we should, under such circumstances, take into consideration whether or not this peculiar stimulus may produce more injury than benefit, from the irritation which it creates in the chest being more influential than the counter-action produced on the surface. The tartar emetic proved very decidedly useful in its effects. I did not increase the dose beyond three grains in the twenty-four hours, and in the commencement of its use, the smaller doses occasioned much sickness; but with the advantage of removing morbid secretions. The cough becoming very irritable, syrup of poppy was added to the saline antimonial draught; and, when all necessity for bleeding was removed, the infusion of digitalis, in small doses, was also employed; for, in this case, inflammatory action prevailed to a most troublesome degree. Indeed, the complaint became chronic, the fever decidedly hectic, and the situation of the patient appeared to be precarious. The expectoration had strongly a puriform appearance, was streaked with blood, and was very copious: its odour was faint, but not particularly offensive. The sounds which I have mentioned became less acute, and the rattle was more mucous. At this period I directed the use of tartar emetic ointment over the chest, which produced an extensive pustular eruption; and the advantage of this counterirritation was very marked. I have the pleasure of adding that this patient is now most favourably convalescent. She is taking with advantage, as a mild restorative medicine, an infusion of the cortical part of sarsaparilla in lime water, mixed with an equal portion of milk made hot.