_Case I._—A robust man, æt. 26, admitted on the sixth day with pneumonia of lower half of right lung posteriorly. The treatment was confinement to bed and low diet. On the thirteenth day there was debility, for which quinine and ordinary diet was given. On the seventeenth day he was discharged well. Now I have little doubt, and the cases I have recorded prove, that if this robust man had been well supported from the first he would have recovered much sooner, and that the quinine was altogether unnecessary. _Case II._—A healthy man, æt. 22, admitted on the seventh day with double pneumonia at the bases, but to what extent is not stated: had marked dyspnœa, and other apparently urgent symptoms. He was bled by venesection to six ounces, and an acetate of ammonia mixture ordered, containing 1/12 gr. of antim. tart. for a dose, to be taken every three hours. On the following day there was great relief, and the disease was “knocked down,” although it is stated that dulness over the bases continued. He was dismissed cured “a few days” afterwards. We have here the dyspnœa so commonly present in cases of double pneumonia on the sixth or seventh day, which readily disappears by itself, and is relieved by a warm poultice. It is supposed, however, that a small bleeding of six ounces “knocked down,” or, as some call it, jugulated or strangled the pneumonia. What really happened, however, was that the dyspnœa and apparently urgent symptoms disappeared on the eighth day, which is the usual occurrence. It is distinctly stated that the lungs remained consolidated, so that no impression was made on the disease. What is meant by being dismissed “in a few days” it is of course impossible to tell. _Case III._—A girl æt. 15, admitted on the eighth day, with double pneumonia—the left side more affected than the right, but the extent on neither side stated. She was ordered mist. ammon. acet. with small quantities (?) of morphia. Two days afterwards articular rheumatism appeared. On the following day six leeches were applied to the left side with marked benefit, and a small quantity (?) of antimony was added to the mixture. Dismissed cured on the thirty-second day. Here was a case of double pneumonia and acute rheumatism running their natural course in a weak subject. Is it to be supposed that six leeches to one side modified the one, or that the “small quantities” of morphia and other treatment influenced the other? Would not the course of both have been shortened by a restorative treatment? _Case IV._—A labourer, æt. 23, admitted on the eighth day, with pneumonia below the fourth rib, anteriorly on the right side. “Six leeches with saline mixture, containing 1/12 gr. of antim. tart., followed by a blister, appeared (!) to give temporary relief.” On the twelfth day typhoid fever declared itself, with bronchitis. Brandy, stimulants, and poultices were then ordered. Dismissed cured on the thirty-fifth day.