When the tla-quill-augh enters the wigwam or lodge, he views the patient with an air of affected gravity, such as we see some of our own doctors assume on entering the dwelling of a sick person, and {305} tells the bystanders, with a shake of the head and a groan, that the case is a very bad one, and that without him the patient would have surely died. The first thing he then does is to paint himself; and while this is going on he keeps constantly eyeing the patient, ties up his head with a leather strap and his waist with a thong, then lays the patient on his back, takes a piece of strong line, and girds him round the waist as tight as possible; in which position he is not allowed to stir, or to receive any kind of nourishment, until the whole ceremony is ended, which lasts for upwards of three hours every morning and evening until there is a change; and I have known them for weeks together to continue the business without intermission, when it would be hard to tell whether the doctor or the patient was most exhausted. After the patient is thus placed, the tla-quill-augh, standing over him in a stooping position, bends down, and with his whole force presses him with his two fists in the pit of the stomach, as if intending to push through his body; then, suddenly standing up again, he opens his fists, and keeps blowing through his fingers, every now and then ejaculating a short prayer in a loud and frantic manner, stamping with his feet, blowing with his mouth, and making various gesticulations with his body and arms, always ending the last sentence, in a tremulous voice and quaver of the lips, in these words—“Ho! ho! ho! ho! oh! oh!” All this, the doctor says, is necessary to drive away the evil spirit, for he must be expelled before a cure {306} can be effected! The moment the bad spirit is gone out of the sick person, the tla-quill-augh sucks the part affected with his mouth to extract the bad blood through the pores of the skin, which, to all appearance, he does effectually. How he manages to do it I know not; but I have often watched him, and seen him throw out whole mouthfuls of blood, and yet not the least mark would appear on the skin. I have also examined the tla-quill-augh’s mouth, supposing he might have cut it, but I could never discover anything of the kind. By the colour and quantity of the blood he announces the character of the disease. He goes through the same ceremony with various parts of the body till he expels the evil spirit altogether; or if he fails to do so, and the patient dies, he fixes the death on some rival in the profession.