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teeth on the left side to protect my finger. More hemorrhage fol- 

 lowed the scarifications than in any previous operation. At least one 

 ounce of florid blood was hawked up mixed with mucus, and patient 

 expressed himself very much relieved. After this there was no re- 

 currence of paroxysms. 



Third day. — The case is going on favourably, respiration is 

 decidedly easier, the pulse is good and 80 per minute. 



Fourth day. — The improvement continues, the tongue has become 

 white and moist, and the temperature of the surface more moderate. 

 The epiglottis has nearly resumed its natural condition. Stokes' 

 expectorant has been continued and the blistered surface kept sore. 

 In a few days after, the voice recovered its natural tone, and the 

 patient began to leave his bed. He was discharged March 30th, 

 cured. 



Case V. — Dr. Swett's patient. 



On Sunday morning, March 5th, at 10 o'clock, I saw Peter 

 M'Evan aged 24 years, an athletic seaman, in ward No. 6, north 

 building, New York Hospital, who was suffering from the most 

 intense dyspnoea. 



He lay upon his right side with his face near the edge of the bed, 

 his eyes closed and his countenance pale, and of a leaden hue. 



His features were altered and of an almost death-like expression ; 

 the skin was bathed in perspiration. Every muscle of the trunk 

 seemed to be brought into powerful action to perform the act of 

 inspiration, which was protracted and sonorous, while that of expi- 

 ration was short, easy, and unobstructed. The pulse was steady, 

 full, and moderately frequent, respiration could still be heard pos- 

 teriorly in the lower part of the chest, though feeble. This aggravated 

 condition had existed about six hours; the patient had, however, been 

 very delirious and unmanageable during the night, and had required 

 restraint. 



The evening previous, Dr. Swett had ascertained by the touch, 

 the existence of a moderate degree of swelling of the epiglottis 

 attended with hoarseness, but with only slight dyspnoea. 



The patient had already been complaining of sore throat, hoarse- 

 ness, cough, and slight fever for four or five days, and had previously 

 been carousing for several days subsequent to his return from a voy- 

 age. A blister had been applied to the throat, and ten grains of 

 calomel given, followed by black draught. 



Patient's bed being placed so as to face a window, he was raised 



