d the tea which he had taken; no appearance of bile in what he had
thrown up; watery stools, with a small quantity of feculent matter;
thirst; the spasms in abdomen and legs continued; countenance not
expressive of anxiety; skin temperate; pulse 68 and soft; the forehead
covered with moisture. Ordered ten grains of calomel, with two of opium,
which were rejected by the stomach, though not immediately.

Eight o'clock A.M. The features sinking, the temperature of the body now
below the natural standard, especially the extremities; pulse small;
tongue cold and moist; a great deal of retching, and a fluid vomited
resembling barley-water, but more viscid; constant inclination to go to
stool, but passed nothing; the spasms more violent and continued; a
state of collapse the most terrific succeeded. At nine o'clock, only a
very feeble action of the heart could be ascertained as going on, even
with the aid of the stethoscope; the body cold, and covered with a
clammy sweat, the features greatly sunk; the face discoloured; the lips
blue; the tongue moist, and very cold; the hands and feet blue, cold,
and shrivelled, as if they had been soaked in water, like washerwomen's
hands; no pulsation to be detected throughout the whole extent of
the upper or lower extremities; the voice changed, and power of
utterance diminished. He replied to questions with reluctance, and in
monosyllables; the spasms became more violent, the abdomen being, to
the feel, as hard as a board, and the legs drawn up; cold as the body
was, he could not bear the application of heat, and he threw off the
bed-clothes; passed no urine since first seen; the eyes became glassy
and fixed; the spasms like those of tetanus or hydrophobia; the
restlessness so great, that it required restraint to keep him for ever
so short a time in any one position. A vein having been opened in one
of his arms, from 16 to 20 ounces of blood were drawn with the greatest
difficulty. During the flowing of the blood, there was great writhing of
the body, and the spasms were very severe--friction had been arduously
employed, and at ten A.M. he took a draught containing two and a half
drachms of laudanum, and the vomiting having ceased, he fell asleep. At
two P.M. re-action took place, so as to give hopes of recovery. At four
P.M. the coldness of the body, discoloration, &c., returned, but without
a return of the vomiting or spasms. At about half-past eight he died,
after a few convulsive sobs.