COMMUNICATIONS AND EXTRACTS. 73 



jecting an inch or two beyond the lips and teeth, and 

 very turgid. 



3d November. — Tongue still tremendously swollen 

 and pallid, causing perpetual exudation of the saliva, 

 and preventing him swallowing. He is now much ema- 

 ciated, and the pulse never under 110. The glands at 

 the back of the tongue and neck are much increased in 

 size. 



10th November. — His tongue now projects beyond 

 his teeth fully two inches, and he cannot retract it. 

 The teeth are beginning to indent themselves in the soft 

 tongue, and threaten to cut it in two. His existence is 

 now kept up, more by nutrient enemata, than by nourish- 

 ment from the mouth, the difl&culty of swallowing is so 

 distressing. 



19th. — Dr. Tod nipped, with the bone pliers, the 

 upper teeth parallel with the gum, which gave him some 

 relief. 



3d December. — His face has a hideous appearance, 

 from the protruded swollen tongue, which is daily be- 

 coming more detached by the ulceration extending 

 across, and from the enormously swollen glands T)f the 

 neck. He is unable to swallow any quantity, and is 

 therefore still nourished by enemata. In the night 

 time, his breathing is so laborious, that it can be heard 

 in the adjoining room. Smell of tongue still very 

 offensive. 



22d. — At his solicitation we have this day put a liga- 

 ture in the fossa, between the root and the projecting 

 portion of the tongue, to facilitate the separation of the 

 latter. While tightening the ligature, a point of the 



