CASE II.—In the fall of 1892, I was called to Rose L., (colored), age, 20. Her symptoms at first were of indigestion and sluggish liver, and congested portal circulation; but on further investigation of the case I discovered considerable tenderness over the left ovary. On the third day of my attendance, contrary to my advice to remain in bed and keep quiet, feeling quite comfortable in the afternoon, and getting permission of her mother, she left her bed to sit in an adjoining room. In the early evening of that day I was sent for in haste to see Rose. I found her in a prolonged state of syncope, and her mother was greatly alarmed, fearful she would die. The patient’s pulse was small, weak and frequent, and counted 112; extremities cold; she was in a semi-conscious state, and when aroused would reply in a whispering voice, but immediately relapse into indifference to her surroundings. It seemed to approach so nearly to a case of heart-failure that I administered nux vomica in my usual way as to dosage and intervals, resulting within an hour in complete restoration of pulse, warmth of body and consciousness, and my patient became quite cheerful and talkative. CASE III.—C. M., age, 28, had an attack, of acute inflammatory metastatic rheumatism. In the third week of the attack and while the disease was yielding to treatment, he was attacked with an exceedingly troublesome cough, but as he had been confined to his room, and in fact to the bed, by the rheumatism during this time, I was puzzled to account for the cough. Then I began to observe more closely the character of the cough and expectoration. A careful auscultation did not reveal any bronchial inflammation. By closely questioning the patient I found the cough was paroxysmal, and commenced with an annoying tickling in the throat; the cough steadily increased in violence with the return of every paroxysm until it became exhausting, and the patient would feel quite prostrated after each attack. I found also, his most severe paroxysms came on within ten minutes after his evening meal. I accordingly timed my evening visit for observation. I was now satisfied—having watched a paroxysm from beginning to end, which lasted over 30 minutes—that the cough was laryngeal and neurotic.