The spasm consisted of moaning, with greatly labored breathing, the moan being made at each full expiration. There was trembling of the hands and twitching of the muscles, accompanied by a feeling of suffocation. Pulse small and frequent. At 6.30 P.M. was sufficiently recovered to eat a hearty supper. During the evening she felt well. One-sixth of a grain of morphia at 9 P.M. Ordered half an ounce of tincture of hyoscyamus at bedtime.

October 22. Restless all night. Hyoscyamus did not produce more than two hours’ sleep. One-sixth of a grain of morphia at 6 A.M. Very nervous and restless all morning. One-sixth of a grain of morphia at 3 P.M. Complains of pain in body, limbs and side. Given a very hot sitz-bath, followed by belladonna plaster to ovarian region. One-twelfth of a grain of morphia at 6 P.M. Less nervous at 7 P.M. Vomited once. One-sixth of a grain of morphia at 9 P.M. Still restless. All medicines continued. Pupils dilated and irregular; right larger than the left.

October 23. Passed a sleepless night. Very nervous in the morning. One-sixth of a grain of morphia at 6 A.M. Distressing nausea and vomiting. Given ice and wine. In the afternoon there were some symptoms of collapse. One-twelfth of a grain of morphia at 1 P.M., one-half grain at 4 P.M., one-twelfth grain at 5 P.M., and one-sixth grain at 9.30 P.M. Towards night the nausea ceased. Complains of severe pains in limbs and back. Is thoroughly rubbed with whiskey and water. Pupils contracted. 4 P.M. slight symptoms of collapse. Gave stimulants. In place of belladonna, strychnia and capsicum mixture, ordered the following:—

℞.Strychniæ sulph.,gr. ss.
Tinct. belladonnæ,ʒ ij
Tinct. lobeliæ,ʒ j
Tinct. stramonii,ʒ j
Tinct. capsicum,ʒ ij.M.

Sig.—Take twenty drops every three hours, increasing three drops daily.

Continued the other medicines in the same way as before. Urine passing freely. Albumen one-twentieth of the bulk. No sugar. Hysterical attack at 9 P.M.

October 24. Slept well all night. Given four ounces of milk and lime water every two hours; also some milk punch. Severe hysterical tetanoid seizure on rising from commode. Lasted over an hour. Great difficulty in overcoming spasm of respiratory muscles. Expiration loud and forcible. Hands clenched. Fingers and toes forcibly flexed. Clonic spasm of muscles of face and jaw. Face purple, veins distended, pulse at wrist hardly perceptible. She was put fully under the influence of ether, with good result. Complained of headache, nausea and soreness of muscles, after the effect of the ether wore off. Says that when she stood, a pain darted into the left ovary, and threw her into the spasm. Medicines continued. Gave hot hip bath, followed by cold douche, and the interrupted current along spine and over ovary. Also massage, which greatly relieved pains in limbs and soreness of muscles.

12 M. Feeling bright and cheerful. Took some bottled beer. Bowels have not moved for two days. Poultice over abdomen. One-twelfth of a grain of morphia at 3 P.M., also one-twelfth grain at 8 P.M. This was the last dose of morphia. At 9 P.M. another hysterical spasm. Again etherized. Soon after this the bowels moved.

12 midnight. Left pupil larger than the right. Slept from 2 to 5 A.M.

October 25. Very nervous and restless. Complains of constriction of chest by an imaginary band. Dyspnœa. At 6 A.M. another spasm on rising from commode. Again resorted to ether, after three hundred and thirty grains of bromide of potassium in an hour and a half’s time had failed to relieve. A few whiffs of ether were sufficient. Some nausea from the ether. 9 A.M., symptoms of collapse that yielded readily to brandy. In a quiet state all day. Stimulants and liquid nourishment every hour. Some vomiting, sneezing and hiccough. Diarrhœa during the day. Face purplish red. Respiration 36; pulse 120. Stupid but not sleeping.