404- APOCYNACEZ, 
ably; but relapsed into: insensibility some hours afterwards. 
The: patient appears to have recovered from all urgent symp- 
toms,-but to have died suddenly on the following day after 
making some exertion. On post-mortem examination 5 hours 
after death, the cavities of the heart were filled with black fluid 
blood. The lungs. were natural. The stomach contained a 
quantity of dark yellowish fluid, and on its internal surface, 
near the cardiac and pyloric orifices posteriorly were found 
small patches studded with red points, and one or two slight 
abrasions of the mucous membrane. The liver appeared some- 
what distended, and the intestines and spleen are reported 
natural, . : 
Mr. Broughton (Trans. By. Med. § Phys. Soc, for 1857-58, 
p. 4,) reports a case in which a slight and delicate male drank 
a little more than an ounce of the expressed juice, walked five 
yards and fell senseless. When seen in the morning, the face 
and eyes were flushed, head hot and perspiring, with sterto- 
rous breathing and foaming at the mouth, accompanied by 
violent spasmodic contractions of the muscles of the entire 
body: more remarkable in the upper than lower extremities, 
and on the left than right side. During intervals of spasm, 
the patient lay evenly upon his back, when an attack occurred,., . 
the superior contractions of the left side threw him over on 
his right, in which position he remained during the paroxysm. 
Insensibility continued, and the spasms returned at intervals 
of an hour, and were induced by attempts to rouse or move the 
patient: the bowels were moved involuntarily. Towards even- 
ing the spasms decreased, the face became pale, the pulse a 
thread, the eyes shrunk and the extremities cold: stimulants 
restored the circulation, but insensibility continued, and the 
bowels were moved involuntarily. In the evening reaction set 
in, the skin became hot, the pulse frequent; there was no 
spasms but insensibility was still complete. On the morning 
of the following day the patient was restored to speech and 
reason, 4 ae Fi ea 4 een ny e * 
* The following case was treated in the Medical College 
_ Hospital, -Caleutta, and reported in the Ind. Med. Gazette, 
