to take small doses of the pulv. Digitalis, which in eight days
removed all her complaints. This happened six months ago, and she
remains perfectly well.

HYDROTHORAX and ANASARCA.

Sec. 20. This combination is very frequent, and, I believe, may always be
cured by the Digitalis.

Sec. 21. Dropsies in the chest either with or without anasarcous limbs,
are much more curable than those of the belly. Probably because the
abdominal viscera are more frequently diseased in the latter than in
the former cases.

INSANITY.

Sec. 22. I apprehend this disease to be more frequently connected with
serous effusion than has been commonly imagined.

Sec. 23. Where appearances of anasarca point out the true cause of the
complaint, as in cases XXIV. and XXXIV. the happiest effects may be
expected from the Digitalis; and men of more experience than myself in
cases of insanity, will probably employ it successfully in other less
obvious circumstances.

NEPHRITIS CALCULOSA.

Sec. 24. We have had sufficient evidence of the efficacy of the Foxglove
in removing the Dysuria and other symptoms of this disease; but
probably it is not in these cases preferable to the tobacco.[12]

[Footnote 12: See an original and valuable treatise by Dr.
Fowler, entitled, _Medical Reports of the Effects of
Tobacco_.]

OVARIUM DROPSY.

Sec. 25. This species of encysted dropsy is not without difficulty
distinguishable from an ascites; and yet it is necessary to
distinguish them, because the two diseases require different treatment
and because the probality of a cure is much greater in one than in the
other.

Sec. 26. The ovarium dropsy is generally slow in its progress; for a
considerable time the patient though somewhat emaciated, does not lose
the appearance of health, and the urine flows in the usual quantity.
It is seldom that the practitioner is called in early enough to
distinguish by the feel on which side the cyst originated, and the
patients do not attend to that circumstance themselves. They generally
menstruate regularly in the incipient state of the disease, and it is
not until the pressure from the sac becomes very great, that the
urinary secretion diminishes. In this species of dropsy, the patients,
upon being questioned, acknowledge even from a pretty early date,
pains in the upper and inner parts of the thighs,