legs induced me to
conclude that the exacerbation of his old complaint was occasioned by
serous effusion. I directed pills with a grain and half of the pulv.
Digital. to be taken every night, and as he was costive, jallap made a
part of the composition. He was also directed to take mustardseed
every morning and a solution of assafetida twice in the day. The
effect of this plan was perfectly to our wishes, and in a short time
he recovered his usual health. About half a year afterwards he died
apoplectic.

CASE CXXX.

_Mary_ B----. A young unmarried woman. Her disease appeared to me a
dropsy of the right ovarium. She took an infusion of Digitalis, but,
as I expected with no good effect. She is still, I am informed nearly
in the same state.

CASE CXXXI.

_July_ 12th. Mrs. A----, of C----, AEt. 56. After a series of
indispositions for several years, became dropsical; and had long been
confined to her chamber, unable to lie down or to walk. She was so
feeble, her legs so much swelled, her breath so short, and the
symptoms of diseased viscera so strong, that I dared not to entertain
hopes of a cure; but wishing to relieve her more urgent symptoms,
directed quicksilver rubbed down and fol. Digital. pulv. to be made
into pills: the dose, containing two grains of the latter, to be given
night and morning. She was also ordered to take a draught with a dram
of aether twice a day, and to have scapulary issues. Her breath was so
much relieved, that she was able soon afterwards to come down stairs;
but her constitution was too much broken to admit of a recovery.

CASE CXXXII.

_July_ 16th. Mr. B----, of W----, AEt. 31. After a tertian ague of 12
months continuation, suffered great indisposition for 10 months more.
He chiefly complained of great straitness and pain in the
hypochondriac region, very short breath, swelled legs, want of
appetite. He had been under the care of some very sensible
practitioners, but his complaints increased, and he determined to come
to Birmingham. I found him supported upright in his chair, by pillows,
every attempt to lean back or stoop forward giving him the sensation
of instantaneous suffocation. He said he had not been in bed for many
weeks. His countenance was sunk and pale; his lips livid; his belly,
thighs and legs very greatly swollen; hands and feet cold, the nails
almost black, pulse 160 tremul