8 THE TONER LECTURES. 



1.24 P. M. Patient put in a full bath at 60° F. 



1.25|^. Shows signs of consciousness ; •will put out the tongue when 

 loudly asked to do so. 



1.27. Seems to recognize that the bath is very cold, and struggles to 

 get out. 



1.30|^. Man has a fair degree of rationality. He has been in six 

 minutes and a half, and now ordered to be taken out at once. 



One minute after the hath. — The patient was partially wiped and 

 laid directly upon a gum blanket, and covered only with a sheet, in a 

 room whose temperature was about 65° to 70° P. He has just received 

 a hypodermic injection of six grains of quinine. 



Three minutes. — Temperature in axilla 94° F. ; in mouth, 10.5°f P. 



Eight minutes. — Temperature has been steadily falling ; is now 103° 

 P. in mouth. The man has become perfectly rational, and answers to 

 his name. 



Pain and sensibility have returned somewhat to the wrist. Ice-blad- 

 ders were applied to head ten minutes after bath. The attendants state 

 that he passed a very little urine at 11 o'clock ; bladder is now entirely 

 empty. 



T went-yfour minutes. — Temperature in mouth 104|°.* 



2 P. M. Pulse 140, weak. One-half fluidrachm of tincture of digi- 

 talis, with two ounces of raw whiskey, were given. 



2.45. Temperature in mouth 101°, in axilla 102°, in rectum 102|°. 



4.15. Digitalis and whiskey were repeated, but were immediately 

 vomited. Pulse 140 ; temperature 101|°. No urine had yet been 

 secreted into the bladder. He was cupped ten ounces of blood over the 

 kidneys. Ordered an enema, also ^ij of acetate of potassium every 

 two hours, with two ounces of infusion of digitalis applied on cloths 

 to the abdomen. Small quantities of milk and lime-water were given 

 at intervals. 



8 P. M. The patient says he feels very much better ; recollects 

 nothing of the past, excepting that in the morning he was very dizzy, 

 and just afterwards became unconscious. Application of digitalis re- 

 newed. Pulse 128, temperature 102^°. 



12 midnight. Pulse 116, much stronger; temperature 99|^°. Com- 

 plains of feeling cold, but in other respects is better. Has passed about 

 a pint of urine. Since his bath he has been lying on the gum blanket, 

 covered only by a sheet, as at first. He is now ordered to be put into a 

 warm bed, and covered with blankets. Ice still kept applied to head. 

 Other treatment continued, excepting the digitalis poultice. 



April 9, 9 A. M. Is much better. First sound of heart very weak ; 



* Up to this point the temperatures were taken by myself or under 

 my immediate supervision. After this by Dr. Brueu. 



