“ Hydrophobia.”’ 165 
and frightened, but still asserted that it was nothing to do 
with the bite.” 
The day on which the hospital record begins is January 21, 
1876, which, in the absence of anything to show the contrary, 
may be taken as the day of admission. ‘Patient sitting up 
in bed, face slightly flushed, but this appears to be the nor- 
mal condition. There is an anxious expression, not a care- 
worn look, but one rather of fright, or anxiety on account of 
some impending danger, and the general behaviour of patient 
is such as to lead one to think that he takes a ‘fearful’ 
interest in surrounding objects. When people come into the 
ward, patient quickly catches their footfall, and looks, fixedly 
at them. His attention is arrested by slight objects, and 
he appears to rivet it on objects and actions which would 
remain unnoticed by others. Every few minutes, gives a 
sigh, not ordinary sigh of relief, but consisting of sudden, 
quick, respiratory act; does this when spoken to quickly, 
or when slight draught arises from window, &c. Displays 
difficulty in getting words out and on beginning to talk, 
and, when speaking, keeps up a rapid tapping at the chest 
with right hand, because, as he says, ‘speaking seems tu 
hurt me, as if there was something gnawing me there. 6.30 
p-m.—Patient taken no food; on two occasions, he put ice 
into his mouth, and apparently swallowed the water with 
great difficulty, expressing himself on each occasion as re- 
lieved. . . . From 8 to 4.30, had been quite quiet, talking 
easily to visitors. After this, repeated spasmodic movements 
supervened, which came on suddenly, causing him to jump 
up and roll himself forward or double himself up, at the 
same time violently rubbing epigastric region, shout for help, 
and.then, in a few seconds, would lie down quite easy, re- 
peating frequently, ‘There, now I am better.’ At other times, 
he would throw his arms out, keepmg them rigidly extended 
and hands tightly clenched. Morphia given, hypodermically, 
and in five minutes great relief. Every now and then, takes 
deep inspirations, and then lets out the air by repeated 
