_Angina Pectoris._—The first symptoms of this distressing complaint are a sudden and violent pain across the chest, coming on upon any slight exertion, such as going upstairs, or after a hearty meal. The pain gradually extends to the shoulder, and runs down to about the middle of the arm, accompanied with a sense of stricture or tightness across the chest, the pain becoming so acute as to threaten the patient with instant death. The pulse sinks and becomes weak and irregular, the countenance is colourless, cold sweats succeed, and a constant cough, and after a time an expectoration of a scanty viscid mucus. When the paroxysm first comes on, the patient is compelled to stand perfectly still, as the only relief he can obtain from the agony of his suffering is an absolute repose. After a time the fit comes on from the slightest cause or mental excitement, and often attacks him in the night upon waking from his first sleep. Angina pectoris is generally a disease of advanced life, and is often accompanied with flatulence, and common to gouty or rheumatic and sedentary habits of body; and though sometimes a symptom of functional derangement, is more frequently a characteristic of serious organic disease. _Treatment._—The first indication is to relieve the urgency of the symptoms, and then between the pauses of the paroxysm administer remedies, to prevent the return of the disease. Bleeding is occasionally beneficial in this affection, but it must be employed in the earliest stage, and only a small quantity of blood taken from the patient, who is to be kept in a recumbent position, and as quiet as possible. Where there is much dyspepsia or gastric disturbance, an emetic is useful; but the main dependence for relief lies in the employment of anti-spasmodics and carminatives. The following mixture, as containing the best of both classes, may be taken in the manner directed. Take of Aromatic Confection 1 drachm. Peppermint Water 6 ounces. Rub smoothly down in a mortar, and add Tincture of Cardamoms, compound 1 ounce. Laudanum 1 drachm. Compound Spirits of Ether, or Hoffman’s Anodyne 2 drachms. Mix. If the pain is very severe, take three table-spoonfuls, two more in three hours, and one every four hours afterwards; or, when the symptoms are less urgent, two table-spoonfuls every four or six hours.