166 The Carnivora. 
short expiratory acts. Pupils acting (to light) equally 
dilated. Heart acting regularly. Respirations very irregular. 
p.m.—Effects of morphia wearing off; a few spasms, in one 
of which he started from lying on his back, ground his teeth, 
beat the bed with arms, turned over, and buried his face 
in pillow, struggling with the attendants. Nearly every 
muscle seemed affected; legs became as hard as wood. Dr. —— 
recommended chloroform to be given, to render patient suf- 
ficiently’ unconscious to allow of passage of food into stomach, 
either by short tube or stomach pump; and afterward morphia, 
to induce sleep. If spasm of glottis and consequent, asphyxia 
(the immediate cause of death), he would perform tracheo- 
tomy. No benefit from ice to spine. In Dr. 
food must be given somehow, as, exhaustion becoming greater, 
the spasms would increase. 10 p.m.—Patient placed in 
padded room, and strait jacket put on. The moment vapour 
of chloroform came near him, the sensation of choking came 
on with terrible violence and great lividity. As each in- 
halation produced such violent symptoms, it was discon- 
tinued. Morphia given, and patient left for the night. 
“29nd January, 5.30 a.m.—Medical officer called ‘to see 
patient. From 11 last night to 4 a.m., patient slept quietly 
and continuously; on awaking, he expressed a wish for port 
wine, and asked for water; on seeing the latter, the spasms 
were very frequent and violent; had an extremely wild 
’s opinion, 
look between attacks; . . . eyes very prominent, and 
pupils dilated; profuse sweat; breathing heavily; slight 
tremor in extremities. . . . Morphia again given, and water 
injected cold, as enema, to allay thirst, repeated hourly. 
9 am.—Medical officer again called to witness the most 
severe spasms it is possible to conceive; every distortion 
of attitude was quickly gone through in succession; loud 
shouts of ‘Murder,’ &c.; morphia evidently losing its effect, 
but patient craved for its repetition, even though it gave 
only a few moments’ relief. 10 a.m.—Patient very violent, and 
for the first time there were well marked delusions. ld 
