ards night.

2d DAY. Made a great quantity of water during the night, and spat up a
great deal of watery phlegm. The first dose he took in the morning has
produced a sickness which has continued all day, but he has never
vomited.

3d. DAY. The change in his appearance so great as to make it difficult
to conceive him to be the same person. Instead of a large corpulent
man, he appeared tall, thin, and rather aged. Breathes freely, and can
walk up and down stairs without inconvenience.

4th DAY. _Decoct. bacc. junip. and cyder for common drink._

6th DAY. A second course of his medicine produced a flow of urine
almost as plentiful as the former, though he drank little or nothing
at the time. In a day or two after he walked to some distance.

12th DAY. _Pot. purgans illico._

14th DAY. _Pot. purg. c. jalap. [Symbol: dram]ss. 4tis diebus._
_Infus. Dig. 3tiis diebus._

17th DAY. _R. Gamb. gr. iii. calom. gr. ii. camph.
gr. i. syr. simpl. fiat pil. o. n. sum._
_Infus. Digit. 3tiis diebus._

21st DAY. Made an out-patient. The super-abundant flow of urine
continued for the first three days after his last course; but since,
the flow of saliva has been nearly equal to that of urine.

The smalls of his legs not quite reduced, and are fuller at night. He
has shrunk round the middle from four feet two inches to three feet
six inches; and in the calves of his legs, from seventeen inches to
thirteen and a half.[10]

[Footnote 10: In the three last recited cases, the medicine
was directed in doses quite too strong, and repeated too
frequently. If Esther K---- could have survived the extreme
sickness, the diuretic effects would probably have taken
place, and, from her time of life, I should have expected a
recovery. Wm. T---- seems to have been a bad case, and I
think would not have been cured under any management. G.
R---- certainly possessed a good constitution, or he must
have shared the fate of the other two.]

OBS. The waters were here very successfully evacuated, but as you
remarked to me, on communicating the case to you at the time, tonic
medicines should have been given, to second the ground that had been
gained, instead of weakening the patient by drastic purgatives.

A CASE from Mr. SHAW, Surgeon, at
Stourbridge.--Communicated by Doctor STOKES.

Matth. D----, AEt. 71. Tall and thin. Disease a general anasarca,