RELIEF BY BLOOD-LETTING. 187 



potatoes, and bread. Pil. Colocynth. c. Hyoscy. every other 

 iiiglit. Ordered Tinct. Lobelii3e, 20 drops three times a day. 



27th. — The pain continued to come on during the night. 

 3iv of blood were taken from the arm at 10 p.m. An hour after 

 patient went to sleep, had a good night, and the pain did not 

 come on. 



March 3rd. — Pain felt at 11 p.m. in breast and ears. A 

 poultice applied over the breast gave some relief. 



6th. — Pain severe at 3 a.m., lasting for about one hour. At 



9 a.m. 5iij of blood were taken from the arm. At 10 a.m. pulse 

 76, not so forcible as yesterday. 



7th. — No pain during the night. 



8th — Pain came on as usual during the night. Tinct. 

 Lobelia to be stopped. 



9th. — 5J 0^ brandy to be taken when the pain comes on. 



10th. — The pain came on in the niglit and was not relieved 

 by the brandy. 



12th. — The pain came on as usual at 3 a.m. A few drops of 

 nitrite of amyl were put on a towel and inhaled by the patient. 

 The primary effect noticed was a suffusion of the face, and the 

 patient felt a glow over his face and chest. The pain dis- 

 appeared almost simultaneously with the occurrence of these 

 phenomena, but returned in three minutes. He then inhaled 

 5 drops more ; the pain again disappeared and did not return. 



16th. — The pain has recurred each night and been relieved 

 by the inhalation of 10 drops of nitrite of amyl. Last night it 

 came on about lO'oO p.m., the same in position and character 

 as before. On the patient's taking 10 drops of nitrite of amyl 

 in 5ss of brandy, the pain went away, but returned in three 

 minutes ; 5 drops were then inhaled from a towel, and the pain 

 disappeared. He went to sleep in an hour and slept till 3 a.m., 

 when he was awakened by a return of the pain. He drank 



10 drops in a little brandy, but, no effect following, he inhaled 

 a few drops. The pain disappeared and did not return. 



17th. — Pain came on at 1 a.m.; 10 drops were given inter- 

 nally. The pain was relieved, but returned in a few minutes ; 

 10 drops were then inhaled. The pain disappeared and did 

 not return. 



