PESCKIPTIOX OF SPIIYGMOGRAPIIIC TRACINGS. 189 



no amyl was taken, in order to determine whether the relief of 

 the pain was due to it or to some change in the symptoms inde- 

 pendent of it. Three dry cups were applied over the cardiac 

 ref^ion. They did not relieve the pain. 



18th. — ^0 pain during the night. No amyl taken. 



19th. — Very little pain, lasting half an hour. Took no 

 amyl. 



May 9th. — Has had the spasmodic pain every night. Last 

 night it came on five times at intervals of about au hour, and 

 was in each case relieved by inhalation. 



15th. — Pain has been rather less during the past two nights. 

 Attention w^as called to-day to purpuric spots upon both legs, 

 which the patient had noticed some days previously. The gums 

 were neither swollen nor tender. His diet for some time past 

 has been beef-steak and potatoes, witli porridge and milk for 

 breakfast. The use of iodide of potassium to be suspended. 



17th. — Pain came on severely in the chest a little after 

 midnight. It was worst 2 inches inside of the right nipple. 



Tracing 1 (fig. 117).— Oh. 22' a.m. Pulse 104 small, resp. 36. 



There is a thrill to be heard and 

 felt with the second sound at the 

 apex. 

 22' 40'' 13 drops inhaled from a cloth. 



Tracing 2 (fig. 118).— Oh. 24' 0" The lever of the sphygmo- 



graph has risen very much. The 

 pain has gone, except at a point 

 2 inches inside of right nipple. 

 25' 30" 5 drops more given: pulse 112. 

 Oh. 28' 0" Pain almost gone ; patient now 

 inhaled from the bottle; pulse 

 100. 



Tracing 3 (fig. 119).— Oh. 34' 0" Pain has been gone for 



4 minutes, but at 37' it began to 

 return inside the right nipple, and 

 a little more was inhaled. 

 Oh. 40' 0" Pain quite gone ; pulse 92 ; resp. 

 28. 



Tracing 4 (fig. 120).— Oh. 47' 0" Pain did not return. 



