n quantity as seldom to amount to half a
pint in twenty-four hours, deposited a clay-coloured sediment.

_April_ 16th, 1785, I directed the following form:

R. Fol. Digitalis siccat. [Symbol: dram]ii.
Aq. fontanae bullient. [Symbol: ounce]viii. f. infus. et cola.
Sumat cochl. larga iii. o. n. et mane.

On the 17th she had taken twice of the infusion, and though by mistake
only two tea spoonfuls for a dose, yet the quantity of urine was
increased to about a pint in the twenty-four hours. She was then
directed to take two table spoonfuls night and morning. And.

On the 18th, a degree of nausea was produced. A pint and half of urine
was made in the last twenty-four hours. During the time above
specified she had two or three stools every day. The infusion was now
omitted.

On the 19th the swelling of the legs was removed. A degree of nausea
took place in the morning, and increased so much during the day, that
she vomited up all her food and medicine. As she was very low, and
complained of want of appetite, a cordial julep was directed to be
taken occasionally, as well as red port and water, mint tea, &c. She
informed me that whatever she took generally staid about an hour
before it came up again, and that the mint tea staid longest on the
stomach. The vomiting decreased gradually, and ceased on the 22d. The
discharge of urine remained considerable during the three following
days, but its quantity was not measured.

22d. A dose of neutral saline julep was directed to be taken every
fourth hour.

On the 23d she complained of thirst, and thought the discharge of
urine not so copious as on the preceding days, therefore the saline
julep was continued every fourth hour, with the addition of thirty
drops of the following medicine:

R. Aceti scillitic. [Symbol: dram]vi.
Tinct. aromat. [Symbol: dram]ii.
Tinct. thebaic. gutt. xx. m.

The bowels have been kept open from the 19th, by the occasional use of
emollient injections.

On the 24th the legs were much swelled again; she complained of
languor and a degree of nausea. The discharge of urine increased a
little since the 23d. Her pulse was low and her tongue white. The
urine, which had been rendered clear by the infusion of Foxglove, now
deposited a whitish sediment.

On the 25th her appetite began to return, the swelling of the legs
diminished, and she thought herself much relieved. The urine was
considerable in quantity, and clear.

On the