ons, and various delusional ideas; thought
someone was talking to him constantly; that he was being shot at every
few minutes, and yelled with anguish at every supposed shot. He cried
and sang alternately. Owing to his marked excitement he had to be
kept in constant restraint.

On admission to the Government Hospital for the Insane, on August 23d,
three days after the onset of the disorder, he was in a semi-stupor;
no replies could be gotten to questions, and his attention to the
extent of looking at the examiner could be engaged only after vigorous
shaking. General hypalgesia was present; he responded but very feebly
to pin pricks. He was absolutely passive to the admission routine, and
offered no resistance whatever to what was being done to him. His body
did not show any resistance to passive movement, on the contrary, it
was rather limp. He was lying in bed staring in a fixed manner
straight ahead of him and would emit an occasional grunt, and a few
unintelligible words. He refused nourishment, was untidy in habits,
and appeared to be wholly oblivious to his environment. Respiratory
and cardiac action somewhat accelerated, pulse rapid and feeble.

August 25th:--Continues in the same stuporous state; absolutely
oblivious to his surroundings; refuses food; untidy in habits. Aside
from an unintelligible word or two, has not spoken any since
admission. There are several beginning pustules on his back.

August 28th:--Some improvement noted; asks for water spontaneously;
when spoken to says his back aches, and that they are pouring water on
him. "I read the book, I went to church." Unable to feed himself or
dress without assistance; totally disoriented.

August 30th:--Came out in the hall today, and spent the time sitting
quietly on a settee; does not take any interest in his surroundings;
has not spoken any spontaneously. Answers are given in a brief and
retarded manner, preferably in monosyllables, and not to the point. On
being questioned concerning orientation, says: "My back, church, the
book", "they are burning me up." Appearance indicates marked
confusion.

September 3d:--The patient suddenly became clear mentally this
morning; seems to have completely recovered from his stupor; attends
to his wants, and answers questions in a clear, coherent manner.
Approached the physician this morning and asked for a laxative; says
that he remembers n