ed to our wishes, and the increase of
orthopnoea compelled me occasionally to relieve her by drastic
purges, but these diminished her strength, more in proportion than
they relieved her symptoms. Tincture of cantharides, sal diureticus
and various other means were occasionally tried, but with very little
effect, and she died towards the end of March.

CASE CXXIV.

_March_ 31st. Miss W----, AEt. 60. Had been subject to peripneumonic
affections in the winter. She had now total loss of appetite, very
great debility, difficult breathing; much cough, a considerable degree
of expectoration, and a paucity of urine. She had been blooded, taken
soap, assaf. and squill, afterwards assaf. and ammon. with acet.
scillit.: but all her complaints increasing, a blister was applied to
her back, and the Digitalis infusion directed to be taken every night.
The effect was an increased secretion of urine, a considerable relief
to her breath, and some return of appetite; but soon afterwards she
became hectic, spat purulent matter, and died in a few weeks.

CASE CXXV.

_April_ 12th. Mrs. H----, of L----, AEt. 61. In _December_ last this
Lady, then upon a visit in London, was attacked with severe symptoms
of peripneumony. She was treated as an asthmatic patient, but finding
no relief, she made an effort to return to her home to die. In her way
through this place, the latter end of December, I was desired to see
her. By repeated bleedings, blisters, and other usual methods, she was
so far relieved, that she wished to remain under my care. After a
while she began to spit matter and became hectic. With great
difficulty she was kept alive during the discharge of the abscess, and
about the end of March she had swelled legs, and unequivocal symptoms
of dropsy in the chest. Other diuretics failing, on the 12th of April
I was induced to give her the Digitalis in small doses. The relief was
great and effectual. After an interval of fifteen days, some swellings
still remaining in the legs, I repeated the medicine, and with such
good effect, that she lost all her complaints, got a keen appetite,
recovered her strength, and about the end of May undertook a journey
of fifty miles to her own home, where she still remains in perfect
health.

CASE CXXVI.

_April_ 17th. Mr. F----, AEt. 59. A very fat man, and a free liver; had
long been subject to what was ca