118 Case of Ptyalisiru 



for a number of years, been afflicted with a dizzi- 

 ness in his head, with singing in his ears, with ver- 

 tigo, and sometimes with pain ; with acidity in his 

 stomach, &:c. 



His physicians had called his disease pleurisy in 

 the head, nervous headach, rheumatism of the brain, 

 and a variety of names ; but they gave him no relief. 

 I told hifn instantly, that his complaints were Gouty, 

 which, at length, I persuaded him to believe, and 

 recommended an issue. He acceded to my proposal, 

 but preferred the knife. An incision was, accord- 

 ingly, made at the insertion of the deltoid muscle, 

 and a pea introduced. Pus was soon formed, but 

 never in any considerable quantity. There was a 

 remarkable disposition to heal ; and, at the end of five 

 or six days, the pea could not be kept in its place. 

 Granulations had sprung up so fast, as nearly to reach 

 the surface, and, by the pressure of the pea, the edges 

 had become somewhat callous. 



In order to increase the secretion of pus, and to 

 destroy the granulations and callous edges, I applied 

 (only once J about two drops of lunar caustic, in so- 

 lution ; that is, real nitrate of silver, and then replaced 

 the dressings. He complained of no pain or smart- 

 ing, while I staid with him. About two hours after- 

 wards, he was very sick, and said, that a short time 

 after I had left him, he felt a sting in his arm, which 

 seemed to run through his whole system (he com- 

 pared it to an electric shock), since which time he 

 has been very sick and fainty. In this state he con- 



