Francis' cases of morbid anatomy. 511 



combined with mucus and a purulent secretion. The functions of the 

 intestinal canal being nearly restored to their natural state, he seldom 

 had recourse to evacuant medicine. He was, at this period, ordered 

 to continue his diet as formerly ; milk and porter, lime water and milk, 

 and at intervals the decoct, quassias compos, a wine glass full, at each 

 portion. 



February 4th. The patient, agreeably to request, during several 

 days in the latter part of January, took exercise in the open air ; but 

 he at present found his weakness increase to a degree that forbad the 

 same muscular exertion. He continued the greater part of his time in 

 a horizontal posture, with his head a little elevated ; he was much 

 emaciated, and in addition to his ordinary sufferings, complained of a 

 heavy pain in the back and loins : his pulse was quickened, and respira- 

 tion somewhat frequent. The nutriment, taken during the twenty- 

 four hours, at this stage of his illness, was never more than two fluid 

 ounces ; generally about one, and was seldom retained. No particular 

 alteration was made in the prescriptions ; to mitigate his distress he 

 occasionally took a grain of opium. 



Feb. 10th. The disorder was manifestly progressive. The difficulty 

 of swallowing much greater ; he now suffered from soreness of the 

 throat ; the food he took was rejected almost immediately, with an 

 increased quantity of the purulent matter ; the bowels were frequently 

 disturbed ; his voice was weaker than natural, but loud enough to be 

 distinctly heard. A flannel bandage was recommended to give support 

 to the abdominal muscles ; opium to arrest the undue action of the 

 intestinal canal ; and the balsam, copaif. twelve drops, to be taken four 

 times a day, as a stimulant. The volatile liniment was directed to be 

 externally applied about the throat. 



Feb. 14th. Though still more emaciated, his strength was not at all 

 diminished, for the last ten days : the soreness of the throat was now, 



