508 TREATMENT OF 



particularly great. " As the symptoms, denoting 

 the existence of some mechanical irritation in the 

 bladder, were still unrelieved, Mr. Barnett, her 

 medical attendant at the time, sounded without find- 

 ing any indication of stone ; the examination gave 

 great pain, and produced in the patient a sensation 

 as if the instrument had struck against a hall at the 

 top of the hladdrr. From this time the sense of 

 weight became more considerable, and she felt a 

 fluttering within her, as if something was moving ; 

 this was so distressing as to oblige her to continue 

 constantly in bed, to which she has since been al- 

 most entirely confined ; the quantity of urine had 

 become considerably diminished ; it had been nec- 

 essary at first to use the catheter twice a day ; af- 

 terwards once a day, once in two days, and lastly 

 once in three days was sufficient. 8he went on till 

 the beginning of August, using such means as are 

 generally employed in afi*ections of the bladder, 

 without the slightest alteration. In fact, her con- 

 stitution was daily suffering more and more. She 

 was unable to get up, and was continually torment- 

 ed with a distressing pain in the head, which she 

 had never felt before. The least noise alarmed 

 Ler. The appetite was entirely gone, and she took 

 nothing but liquids in very small portions ; she 

 could get no sleep without large doses of opium. 



<^ The fluttering in the bladder was more violent, 

 and according to her own account, so strong as to 

 be perceptible to the hand ; and the bladder itself 

 much distended, even after the water had been 



