Account of a Biliary Calculus. 87 



years she had frequently si/ffered pain in the region of the 

 stomach, especially after eating. 



On Friday, the 28th of July, 1820, having been wearied by 

 a walk, she threw herself upon a sofa, and instantly screamed 

 from pain high up in the abdomen, which left her in a few 

 minutes. On Saturday evening, the 29th, she was again seized 

 with a similar attack, which was frequently repeated; five 

 grains of calomel and half an ounce of sulphate of magnesia 

 were administered, and afterwards she had several hours' sleep. 

 There was no tension, and the pain was but slightly increased 

 on pressure ; the pulse, however, had become very quick. On 

 Sunday mornings the 30th, there was considerable fever, the 

 pulse was beating 130 in a minute, but not hard; the bowels 

 had scarcely been affected ; twelve ounces of blood were now 

 taken from the arm, which moderated the pulse for a time, but 

 costiveness continued, and nothing would remain upon the 

 stomach. In this state she continued during tlie day, when it 

 was deemed necessary, in consequence of the pulse returning 

 to its former frequency, to repeat the bleeding, which was done 

 to the amount of twelve ounces at five in the afternoon. 



On Monday the 31st the pulse again quickened; there was 

 much restlessness, sickness, and want of due evacuation from 

 the bowels, though the calomel and salts had been repeated. It 

 was therefore thought necessary to bleed a third time to the 

 extent of fourteen ounces ; pills of aloes, jalap, and calomel 

 were used at intervals, with the salts, and during the night 

 and on the morning of the first of August, the bowels began 

 to be scantily affected with manifest relief of pain. 



Tuesday, Aug. 1. The pulse came down to 84; the bowels 

 continued sparingly active, and the stomach rejected gruel and 

 broth which were repeatedly taken in small quantities at a time. 



Wednesday, Aug. 2. The symptoms remained as yesterday, 

 without increase of pain ; the sickness continued ; but two doses 

 of Epsom salt, of three drachms each, remained upon the 

 stomach. 



On Thursday the third of August, the aperient medicines 

 were more effective than they had previously been during her 



