n water which is a sign of forboding evil.

_Blood_ appears in different quantities in the sputum of consumptives.
Bloody streaks are of no importance; they may appear with every violent
cough. On the other hand the casting out of _pure blood_ is indeed
serious.

The _quantity_ of blood thrown out during an attack may be very
different, varying from a few drops hardly a teaspoonful, to hundreds of
grammes, even more than a liter. It is generally light red, filled with
airbubbles, foamy, and is largely coughed out in coagulated lumps. The
coughing of blood is sometimes preceded by a feeling of oppression,
rushing of blood to the head and palpitation. Some patients experience a
sweet taste in the mouth even before the bleeding. In many cases all
preceding symptoms are missing and the patient is suddenly attacked by
blood coughing during some more vigorous movement, during the exertion
of coughing or even without any direct cause.

_Blood coughing_ seems to appear somewhat more frequently with the
_female_ sex than with the male and has with them unmistakable relations
to menstruation, as with the sick it often sets in before, often after
or even during the same and at such times more frequently than at
others.

It is of great importance for the layman to know that a hemorrhage
rarely leads to inevitable death. Fatal hemorrhages are always preceded
by warning attacks. Blood coughing may appear at any stage of
consumption. In some cases it is particularly lasting. Sometimes the
patients experience considerable relief from their feeling of oppression
after a hemorrhage.

A number of the consumptives as a rule complain of _difficulty_ in
_deglutition_. This is caused by ulcers on the posterior wall of the
larynx.

With many patients the _appetite_ is _undisturbed_ for a long time, and
there are consumptives that will eat a comparatively large dinner during
an attack of fever reaching 40 deg. C. Generally the desire to eat
disappears during the course of the disease, especially toward the end
of the sickness.

The _stool_ may be normal or costive, but is very often diarrhoetic.
Twelve or more evacuations may take place during a day; as a rule they
are much increased by gasses and are of bad odor. They weaken the
patient very much and hasten the end.

One of the most constant attendants during the course of consumption is
the _Fever_. It is rather irregular. In cases of slow process the fever
is often very insignific