Charles Crossley, æt. 21. Admitted on the 15th day of fever, which came on with the ordinary symptoms: at present, tenderness of the epigastrium, and over the whole abdomen; tongue brown, cracked and tremulous; bowels purged; scarcely any pain of head; mind indistinct; expression of eyes wild; slight cough; pulse 40, soft.
16th. After six leeches had been applied to the epigastrium the tenderness was much diminished: says he has now no pain any where; two stools; expression of countenance the same; pulse 96.
17th. Abdomen has become swollen and hard, not tender on firm pressure; five stools; tongue unchanged; respiration hurried and noisy; no sleep; delirium; face pallid; eyes wild and rolling; pulse 100.
16th. Abdomen hard, especially in hepatic region; slightly tender; vomiting; two stools, mixed with blood; extremities cold.
19th. Abdomen hard, not tender; two copious stools, consisting almost entirely of blood; tongue the same; pulse 96.
20th. One stool without any feculent matter, consisting entirely of blood; delirium; muscular tremor.
23d. No stool for two days; having taken two drachms of castor oil, he had two copious evacuations of very dark colour, mixed with blood; abdomen more soft, not tender; tongue cracked in the centre, more clean and moist at edges; cough; pulse 108, soft.
35th. From the morning of last report the hæmorrhage disappeared, sleep and sensibility returned, the tongue became more clean and moist, the strength improved, the appetite became keen: he was put upon low diet, and was allowed three ounces of meat daily and four ounces of wine: he appeared to be so much recovered, that it was thought he could bear this liberal allowance; but, immediately on this change of diet, the skin became hot, the cough returned, he had six stools without medicine, the delirium re-appeared at night, and the pulse rose to 100; there was not the slightest pain, either of the head or of the abdomen.
36th. Tongue again brown and dry; three stools; no sleep; much restlessness; delirium; pulse 108, firm; skin extremely hot.
43d. Stools and urine in bed; delirium; muscular tremor; subsultus tendinum; pulse 104.