1814.] who vomited a urinous tasted Liquid. 437 



ti|4is sediment is deposited. The bowels are pretty regular, and 

 the pulse fluctuates between 115 and 120. With these symptoms, 

 the expectoration is purulent and copious. The appetite is very 

 bad and frequently depraved. In a word, there is not one favour- 

 able symptom, and his dissolution may be expected at no very dist- 

 ant period. It is his wish as well as mine to obviate particular 

 symptoms, so as to render him comfortable. 



20ih December. Since my last visit he has been attacked seve- 

 ral times by severe and incessant vomiting : he observed that the 

 quantity of liquid which he vomited greatly exceeded the quantity 

 of liquid which he had swallowed for several days before; while at 

 the same time the urine which was passed by the urethra was sta- 

 tionary as to quantity, and tolerably healthy in appearance. He 

 describes the liquid which he vomited as exceedingly offensive, and 

 to be of a sail and urinous taste. He was astonished to find that 

 the feet, legs, thighs, and abdomen gradually diminished in size 

 during the time of the vomiting, which must have been effected 

 solely by the vomiting, in seven days ; for as was stated above, he 

 was then using no active remedies, which appeared to be quite un- 

 necessary in his very deplorable state. He also reports that the 

 quantity of water which came off his stomach must have been to 

 the extent of several gallons. The bowels have been and still con- 

 tinue regular. 



Under these circumstances I became an anxious spectator, ex- 

 cept that, when needful, antispasmodics were directed to alleviate 

 the very uncomfortable state of the stomach, 



Januarys, 1814. This day I found the patient relieved from 

 all dropsical symptoms, but in a state of great debility ; the pulse 

 82, weak, soft, and regular. He is able to sit up in the after- 

 noons. The urine is in sufficient quantity, and ajjproaches a na- 

 tural state. He is not thirsty as formerly, though he finds it need- 

 ful to rinse the mouth at different times in the day with tamarind- 

 water. His appetite is very bad, and he spirts piss to a considerable 

 extent, without any difficulty. He remarks that after the dis- 

 tressing vomiting ceased, he was tormented by a severe itching 

 over the whole body, particularly upon the hands, which now ap- 

 pear as if they were affected by an hcr|)etic eruption. He has no 

 uneasiness of the thorax, but from indigestion he has pain in the 

 region of the stomach. The vomiting is at times troublesome, 

 though he docs not observe that there is more liquid vomited than 

 he had previously swallowed. A distressing diarrluea has com- 

 menced, which is occasionally relieved by opium pills. 



It is much to be regretted, that I had it not in my power to ex- 

 amine the liquid which he vomited in such large {|uantities, as a 

 chemical analysis would have demonstrated its affinity to urine ; 

 but from not knowing of the very singular and unlooked fur turn 

 which took place, till after the vomiting had ceased, such a de- 

 sirable circumstance was entirely frustrated. 



The only cases of a similar nature which I have read, are to be 



