The other case was that of a young woman, affected with many of the same symptoms which I have related in the foregoing case, but in a more acute degree. From accidental circumstances timely treatment had been omitted; and I found the highest degree of general fever, with a pulse frequent, hard, and obstructed. The breathing was laborious, but not attended with any fixed pain in the chest. Her voice was rather hoarse, and had lost its natural tones. The cough was urgent, and the expectoration took place with difficulty. The expectorated matter was, for the most part, frothy, and had a remarkably acid odour. The cheeks were flushed with a deep hue of purplish red, and the lips assumed a very dark appearance. Such was the laboured state of the circulation, that the patient was affected with an almost constant disposition to faint. She complained of a sense of extreme burning, and also of soreness, over the whole of the chest. She had not enjoyed any sleep for three nights, nor any in the day; her mind was occasionally delirious; and her countenance wore the greatest anxiety. In the upper part of the right side of the chest, I discovered by the stethoscope remarkably acute sounds, both in inspiration and expiration, and in the left side similar sounds, but in a weaker degree. I also distinguished the mucous rattle in some points. Blood was taken freely from the arm, and it was cupped and buffy in the extreme. Sixteen leeches of full size were applied to the right side, and eight to the left side of the chest. Tartar emetic was administered internally in the manner I have before mentioned. The altered and improved situation of the patient in a few hours, was equally remarkable and satisfactory. All the urgent symptoms were alleviated, but all continued sufficiently troublesome to require a repetition of general and local bleeding, in the course of the three following days. It is worthy of remark, that free depletion removed the disposition to faint. At the end of eight days, the symptoms of active inflammation were removed, and at the same period the sounds had ceased, and the stethoscope afforded only the indication of the mucous rattle. The tartar emetic solution, although joined with the syrup of poppy, caused more than usual sickness in this case; but it appeared highly beneficial, by useful instruction in regard to the seat, the removing more freely, than the simple act of expectoration could accomplish, the viscid matter, which, latterly, was muco-puriform, and was less acid in odour. After the reduction of the inflammation, pulv. ipecac. compos. was given in a saline draught at night, with great advantage in assisting sleep and allaying cough. This patient is convalescent and takes the mild medicine of sarsaparilla with hot milk, just now described, in conjunction with the draught at night, and gentle aperients occasionally.