ST. THOMAS’S HOSPITAL REPORT. 67 
quinine was increased to gr. vij. and the iron to 3 iv. in each dose. 
On the 14th she had no pain, and only a little on the evening of 
the 16th. Quinine increased to gr. x. in each dose. The inter- 
mittent character of the pain continued to the 30th, and the paroxysms 
had gradually become less severe and of shorter duration. The 
stramonium was omitted on this day, as the sight had become affect- 
ed by it. | 
“May 3d. The improvement had continued, and the quinine 
was increased to gr. xv. From the 9th to the 24th, she suffered 
from head-achefand sickness ; but the medicine was continued, and 
the pain abated. On the 24th, the iron was increased to 3 vi. ; and 
on the 28th, gr. ¢ of muriate of morphia was ordered with each 
dose. © Seo 
“June 11th. The pain still better and intermitting ; but, in con- 
sequence of continued headache and sickness, all the medicines were 
omitted. 3 : | : | 
“Ung. veratri (D i.ad. 3. i.?) 3 i. ter. die. lumbis. 
“On the 14th, the pain had become more severe, and the quinine, 
carbonate of iron, and muriate of morphia, were gradually resumed, 
and increased up to August 23d ; at which time she was taking 
| *¢ Quine sulph. 5 i. 
Ferri subcarb. 3 i. : 
Morphie muriat. gr. 3, 6 tis horis. 
‘“‘ These medicines were omitted for four days, during which she 
took some creosote ; but the pains returned immediately after the 
medicine was changed, and continued to increase. The old medi- 
cines were resumed, and she quickly improved, as before. She 
left the hospital on the 22d of September, of her own accord ; the 
pain had diminished much in severity,—returned much less fre- 
quently, and not at any regular intervals. The pain soon increased, 
but never attained its original severity. She was again admitted 
into the hospital, under Dr. Roots, Nov. 21st. The pain was of the 
same character, and-in the same situation’as before ; commencing 
in the loins, and afterwards affecting the gluteal muscles, and 
extending down the back part of |the thighs to the hams and 
heels. The paroxysms usually came on about 7, p. m., and: con- 
tinued four or five hours. During the attack the muscles were 
firm and contracted. There was some tenderness of the gluteal 
muscles at all times. General health, good ; pulse, seventy-five, — 
feeble. On the 25th, the following ointment was ordered :— 
6 Aconite, pr. ij. ! 
Ung. cetacei. 4 i. ft. ung. et infricet pars sexta part. 
: dolent. nocte maneq. 
“On the 28th, she stated that after each application of the oint- 
ment, the parts rubbed became hot, and smarted ; but this was 
quickly followed by numbness. After the third application, the 
pain was a little relieved ; and after the fifth, the amendment was 
