S08 NOTES. 



He was afflicted with a severe gnawing sensation, distension of the 

 intestines and cholic pains, acid eructations, vertigo, headache, fre- 

 quent teeth ache, incessant catarrh, tremor of the hands, occasional 

 syncope, palpitation of the heart, yawning, sighing, a pulse always 

 irregular, both as to time and force, and frequent intermitting copi- 

 ous and debilitating sweats. The sweat upon his forehead, during 

 the whole summer, induced by brisk exercise, had a strong acid 

 amell, his spirits and energy of body were greatly affected by chan- 

 ges in the weather, he was subject to great drowsiness, his sleep was 

 laborious, and he dreamed every night, during all the time in which 

 he slept, but he was never able to give any conqected account of 

 his dreams when he awoke. His countenance was remarkably 

 leucophlegmatic, and his spirits much depressed. During the sum- 

 mer he studied every day as much as he was able, usually abaut five 

 hours ; and walked and labored as soon as his strength would per- 

 mit, three or four hours a day. In September and October he jour- 

 neyed on horseback, about five hundred miles. This greatly im- 

 proved his health, for a time. His digestion became good, and his 

 spirits cheerful. All his unpleasant symptoms disappeared. For 

 about two months he studied as much as he had formerly done. — 

 During this period he resided from home, and was in a great mea- 

 sure deprived of exercise, and cheerful company. His food also 

 was, to a great extent, such as was very improper, and tended to 

 aggravate his complaints. In a little time, most of his dyspeptic 

 symptoms returned. The diarrhea Avas about as frequent, ancl 

 about as severe at the onset of each attack as before, and continued 

 to return for about ten months. Being called to attend to this case, 

 and finding that the usual remedies had given very imperfect relief, 

 and that the stomach and intestines were so exceedingly irritabia 

 that a single tea spoonful of preserved fruits, or a small piece of a 

 pye, a cake, or a small quantity of acid summer fruits, would in- 

 duce diarrhea at times, and much wind and acid always, thus con- 

 verting the contents of the stomach and intestines into a mass of 

 acrimony, and that acrimony irritating the languid secreting and ab- 

 sorbing vessels with which it came in contact, I became satisfied 

 that the principal immediate relief for the diarrhea must be looked 

 for, from the use of such food as would be nourishing, and unapt to 

 ferment in the stomach ; such as would dilute the acrimony, and by 

 its mildness, quantity and fluidity, defend the inner coat of the in- 

 testines, from the iriitalion heretofore experienced. The diet made 



