the morning of the 9th, when she suddenly woke up, and, to the great astonishment of those about her, called for her clothes, which had been removed from their ordinary place, and wanted to come down to breakfast, without the least consciousness of what had occurred. Her recovery, I may add, was rapid and complete. “The next case of lethargy that came under my notice was that of a boy, who, after an attack of fever, fell into a state of complete lethargic coma, in which he lay insensible between life and death for forty-seven days, and ultimately recovered perfectly. “In a third instance of the same kind, in a lady under my care, the patient, after a lethargic sleep of twenty-seven days, recovered consciousness for a few hours, and then relapsed into her former comatose condition, in which she died. “The fourth case of lethargy which I have seen was, like the first, a case of trance, which lasted for seventy hours, during which the flickering vital spark was only preserved from extinction by the involuntary action of the spinal and nervous centres. In this instance the patient finally recovered. “The fifth and last instance of profound lethargy that has come within my own observation occurred last autumn in the Mater Misericordiæ Hospital in a young woman.... In that instance, despite all that medical skill could suggest or unremitting attention could do, it was found impossible to arouse the patient from the apparently hysterical lethargic sleep in which she ultimately sank and died.” I have referred to the foregoing cases, occurring in one physician’s experience, as disproving the general opinion that lethargy or trance is so rarely met with as to be of little medical importance. For my own part, I have no doubt that these conditions are of far more frequent occurrence than is generally supposed. Moreover, I have had reason to know that death is occasionally so exactly thus counterfeited that there is good cause for fearing the probability of living interment in some cases of hasty burial. [DR. MORE MADDEN’S OPINION.] Referring to death-trance, Dr. Madden observes, _ib._, p. 388--“Death-trance, or that profound degree of lethargy which closely counterfeits death, deserves greater attention than is generally paid to it as a pathological condition, as well as a possible cause of premature interment. For, unless we reject every statement, however well authenticated, of those who have witnessed such cases, merely because their experience does not tally with our preconceived opinions and wishes, neither the frequent occurrence of death-trance nor the fearful results of its non-recognition can be questioned.” Mr. John Chippendale, F.R.C.S., writing to the _Lancet_, 1889, vol. i., p. 1173, on “Catalepsy.--Post-mortem Sweating,” says:--