her, who kindly attended this young gentleman at my request, and
proposed the following method of treatment, which, with their
approbation, was immediately entered upon. We first gave him five grains
of ipecacuanha, to evacuate in the most easy manner part of the putrid
_colluvies_: he was then allowed to drink freely of brisk orange-wine,
which contained a good deal of fixed air, yet had not lost its
sweetness. The tincture of bark was continued as before; and the water
which he drank along with it, was impregnated with fixed air from the
atmosphere of a large vat of fermenting wort, in the manner I had
learned from you. Instead of the astringent clyster, air alone was
injected, collected from a fermenting mixture of chalk and oil of
vitriol: he drank a bottle of orange-wine in the course of this day, but
refused any other liquor except water and his medicine: two bladders
full of air were thrown up in the afternoon.

23d. His stools were less frequent; their heat likewise and peculiar
_foetor_ were considerably diminished; his muttering was much abated,
and the _subsultus tendinum_ had left him. Finding that part of the air
was rejected when given with a bladder in the usual way, I contrived a
method of injecting it which was not so liable to this inconvenience. I
took the flexible tube of that instrument which is used for throwing up
the fume of tobacco, and tied a small bladder to the end of it that is
connected with the box made for receiving the tobacco, which I had
previously taken off from the tube: I then put some bits of chalk into a
six ounce phial until it was half filled; upon these I poured such a
quantity of oil of vitriol as I thought capable of saturating the chalk,
and immediately tied the bladder, which I had fixed to the tube, round
the neck of the phial: the clyster-pipe, which was fastened to the other
end of the tube, was introduced into the _anus_ before the oil of
vitriol was poured upon the chalk. By this method the air passed
gradually into the intestines as it was generated; the rejection of it
was in a great measure prevented; and the inconvenience of keeping the
patient uncovered during the operation was avoided.

24th, He was so much better, that there seemed to be no necessity for
repeating the clysters: the other means were continued. The window of
his room was now kept shut.

25th, All the symptoms of putrescency had left him; his tongue and teeth
were clean; there remained no unnatur