_A great hall—many guests whom we are receiving—among them Irma, whom I immediately take aside, as though to answer her letter, to reproach her for not yet accepting the “solution.” I say to her: “If you still have pains, it is really only your own fault.” She answers: “If you only knew what pains I now have in the neck, stomach, and abdomen; I am drawn together.” I am frightened and look at her. She looks pale and bloated; I think that after all I must be overlooking some organic affection. I take her to the window and look into her throat. She shows some resistance to this, like a woman who has a false set of teeth. I think anyway she does not need them. The mouth then really opens without difficulty and I find a large white spot to the right, and at another place I see extended grayish-white scabs attached to curious curling formations, which have obviously been formed like the turbinated bone—I quickly call Dr. M., who repeats the examination and confirms it.... Dr. M.’s looks are altogether unusual; he is very pale, limps, and has no beard on his chin.... My friend Otto is now also standing next to her, and my friend Leopold percusses her small body and says: “She has some dulness on the left below,” and also calls attention to an infiltrated portion of the skin on the left shoulder (something which I feel as he does, in spite of the dress).... M. says: “No doubt it is an infection, but it does not matter; dysentery will develop too, and the poison will be excreted.... We also have immediate knowledge of the origin of the infection. My friend Otto has recently given her an injection with a propyl preparation when she felt ill, propyls.... Propionic acid ... Trimethylamine (the formula of which I see printed before me in heavy type).... Such injections are not made so rashly.... Probably also the syringe was not clean.”_ This dream has an advantage over many others. It is at once clear with what events of the preceding day it is connected, and what subject it treats. The preliminary statement gives information on these points. The news about Irma’s health which I have received from Otto, the history of the illness upon which I have written until late at night, have occupied my psychic activity even during sleep. In spite of all this, no one, who has read the preliminary report and has knowledge of the content of the dream, has been able to guess what the dream signifies. Nor do I myself know. I wonder about the morbid symptoms, of which Irma complains in the dream, for they are not the same ones for which I have treated her. I smile about the consultation with Dr. M. I smile at the nonsensical idea of an injection with propionic acid, and at the consolation attempted by Dr. M. Towards the end the dream seems more obscure and more terse than at the beginning. In order to learn the significance of all this, I am compelled to undertake a thorough analysis. ANALYSIS