106 THE HYDROPHOBIA. 



a rheumatic kind, with a feeling of tension ; and he passed the 

 night without sleeping, and at times he was observed slightly in- 

 coherent. On Friday, added to the pains in his arms, shoulders, 

 and chest, he complained of violent pain in his head. On Friday 

 night he continued restless, walked about the house all night, 

 but was rather more composed ; but it was in the course of this 

 night that he first complained of difficulty in swallowing, and 

 expressed his abhorrence at the sight of every sort of fluid. Al- 

 though extremely ill with the pain, his restlessness carried him 

 out on Saturday, but he was very irritable and uneasy ; he 

 thought he saw objects double ; and the same spasmodic mo- 

 tions which were produced by the attempt to swallow, were 

 also occasioned by an acquaintance accosting him suddenly, by 

 a gust of wind upon turning a corner, or any similar impulses. 

 On Saturday night he still continued equally restless and uneasy ; 

 his other sufferings were lost in the severity of a throbbing pain 

 in his temples : he was again more incoherent, and the throbbing 

 pain at both temples impressed him strongly with a notion, which 

 he could not banish, that he had two heads : the hydrophobia 

 was dreadful. On Sunday he again went out, but he was so 

 confused, and at times vertiginous, that as he walked upon the 

 quay, he would have fallen over, had it not been for a friend's 

 assistance. 



Monday, August 6th, 11 o* Clock, Forenoon. 

 The pulse was 100, breathing 32, tongue white, and heat 

 of skin rather increased ; his pain severe in his arms, chiefly in 

 his left arm and in his shoulders ; intense throbbing pain in his 

 temples, and painful tightness in the upper part of his chest and 

 neck ; his hearing rather less acute than usual, and thinks that 

 he often hears discordant sounds as if from a bagpipe : his vision 

 rather impaired ; and when looking at a fixed object, it often 

 appears to move ; and small specks on the wall or floor appear 

 like insects moving : his left arm is numb, and the feeling very 



