6; TURNBULL ON RANUNCULACEA,. 
unimpeded, except under these circumstances. The See a pleen 
this patient is peculiarly languid, the face pallid, and the surface ol 
the body cold. The nervous system is easily excitable, and he 
finds that continued exertion of mind very much aggravates all his 
symptoms, Appetite good, digestion easy, but occasonially ac- 
companied by flatulence; bowels rather costive. 
In the previous treatment of this case the same measures 
were employed as in those already related, but without the least 
eflect. He was ordered to takéa little opening medicine for a 
week, and then to apply the Veratria ointment over the region of 
the heart as usual. On the night after the first friction had been 
used, the patient got no rest‘in bed from the excessive nervous 
irritation which it had given rise to; his feelings of anxiety, and 
palpitation were so much augmented, that he would on no account 
repeat the application: these symptoms continued unabated for two 
days, at the end of which however the disease began to decline, and 
went. on afterwards to do so until every vestige of it had disappeared, 
although no curative means whatever had been employed after the 
first application, of the Veratria; and he still continues well. 
CASE IX. 
A xapy, about sixty years of age, was seized with a fit of fainting 
about sixteen years ago, in which she continued for an hour anda 
half, and ever since that occurrence she has been affected with pal. 
pitation of the heart, accompanied by frequent returns of the syn-— 
cope. She now complains of palpitation, and difficulty of respiration, 
along with deep sighing, occasioned by a sensation of constriction, 
which she describes as extending over the chest, but unattended by 
cough; and the angles of the mouth are slightly bluish in appearance. 
The action of the heart is violent and irregular, and she complains 
of oppression and weight over the lower part of the left side of the 
thorax. The pulse is intermittent and irregular, and does not at 
all times correspond with the intensity of the heart’s pulsations. She 
complains of occasional shooting pains in the arm, reaching to the 
points of the fingers; she is sometimes nervous, and low-spirited, 
and at intervals nearly free from all those symptoms; but not for 
any length of time, for they return again from very slight causes. 
The appetite in this patient is at all times pretty good, but the 
digestion is not performed with a corresponding degree of facility, 
which renders a careful selection of the articles of diet, as well as 
attention to their quantity, necessary; and notwithstanding that 
these precautions are attended to, there is considerable flatulence 
and pain in the stomach during the process. ‘The bowels are 
habitually costive, and require the employment of active purgatives 
from time to time, to keep them easy; and the lower extremities 
are generally cold. 
‘Almost every form of treatment that could be devised, had in 
