Under an attack of this frightful complaint, I found William B----, who, being in the clutch of a paroxysm, was scarcely conscious of my presence. He was extended on his back on a sofa; his fingers were (according to the practice of these victims) pressed on that part of the face where the pain shoots from; sharp cries, keeping pace with the intermitting pangs, were wrung reluctantly from him, filled the house, and might have been heard beyond it; his limbs were restless, striking the foot and sides of the couch, and sometimes dashing them as if he would have broken and destroyed all resisting objects; his eye glanced fiercely around, as if he disdained the supplication of mortal aid in so hopeless a cause. I knew the nature of the disease too well to hope to be able to do him, at that time, any service; the patient himself, by the pressure he was applying to the seat of the pain, was doing all that could be done to ameliorate his sufferings; and, having told his wife that I could be of greater use to him at a time when the pain was off him, I left him, with the intention of calling again, to suggest the application of the only remedy yet known for this complaint. In a few days, accordingly, I called again, and found the patient recovered from a new attack which had come on during the previous night. He was greatly exhausted, looked pale and anxious, and dreaded intensely another paroxysm, which he said he could not be able to bear. He endeavoured to describe to me his feelings, when the disease arrived at its greatest height, and correctly distinguished between those neuralgic pains, and the fiercest of those that attack the viscera and muscles; bringing out, in his unprofessional language, what I have witnessed, that there is often a power felt by the sufferer of resisting, by some indescribable internal process, the latter kind of pain, while, in the former (and the _tic doloureux_ is the worst species), the victim is conscious of no power within himself of even _bearing_--all his energies, thoughts, and stoical resolutions being put to flight and routed by the fierce, lancinating, burning pangs; and even despair, the ordinary refuge of the miserable, seems to deny the tortured spirit the grim relief of its dark haven.