head, but did not increase her urine. She had recourse again to the
Digitalis infusion, which once more removed the fulness of the belly,
reduced the swellings of her thighs, and relieved her breath, but had
no effect upon her legs.

CASE CXLV.

_Nov._ 2d. Miss B---- of C----, AEt. 22. A very evident fluctuation in
the abdomen, which was considerably distended, whilst the rest of her
frame was greatly emaciated. The presence of cough, hectic fever, and
other circumstances, made it probable that this apparent ascites was
caused by a purulent, and not a watery effusion. However it was
possible I might be mistaken; the Digitalis was therefore given, but
without any advantage.

The further progress of the disease confirmed my first opinion, and
she died consumptive.

CASE CXLVI.

_Nov._ 4th. Mr. P---- of M----, AEt. 40. Subject to troublesome
nephritic complaints, and after the last attack did not recover, or
void the gravelly concretions as usual, a sense of weight across his
loins continuing very troublesome. The usual medicines failing to
relieve him, I ordered four grains of pulv. Digital. to be taken every
other night for a week, and fifteen grains of mild fixed vegetable
alkaly to be swallowed twice a day in barley water. He soon lost all
his complaints; but we must not in this case too hastily attribute the
cure to the Digitalis, as the alkaly has also been found a very useful
medicine in similar disorders.

CASE CXLVII.

_Nov._ 4th. Mr. B---- of N----, AEt. 60. Had been much subject to gout,
but his constitution being at length unable to form regular fits, he
became dropsical. Pulv. fol. Digital. in doses of two or three grains,
at bed-time, gave him some relief, but did not perfectly empty him.
About three months afterwards he had occasion to take it again; but it
then produced no effect, and he was so debilitated that it was not
urged further.

CASE CXLVIII.

_Nov._ 8th. Mr. G----, AEt. 35. In the last stage of a phthisis
pulmonalis, was attacked with a most urgent and painful difficulty of
breathing. Suspecting this distress might arise from watery effusion
in the chest, I gave him Digitalis, which relieved him considerably;
and during the remainder of his life his breath never became so bad
again.

CASE CXLIX.

_Nov._ 13th. Mrs. A---- of W---