>j2u i-rancis' cases of morbid anatom?. 



place upon eating, induced him to make a cup of milk his principal 

 support for the twenty-four hours. 



As circumstances permitted he was occasionally visited by 'Dr. 

 Hosack in the month of March, at his residence in New-Jersey : at this 

 stage of the disease there was a regular increase in the disorder of his 

 stomach, and his bodily and mental powers became more and more im- 

 paired. His stomach contracted upon the least quantity of aliment, 

 whether in a solid or fluid state ; he was also much annoyed with cardial- 

 gia and eructations of an acid and foetid nature : his food was seldom 

 retained longer than five minutes, and discharged with additional vio- 

 lence : the quantity of the substance thrown up was greater than that 

 of the nutriment taken in ; its appearance was changed to a dark soot- 

 like material of a fluid consistence, united with some purulent matter, 

 and emitted an extremely offensive odour. The evacuations from the 

 bowels, which were however very seldom procured, and then but with 

 much difficulty, appeared to have undergone the same changes as the 

 matter discharged from the stomach, and were said by the patient to 

 exhibit, to a considerable degree, both in colour and consistency, the 

 appearance of tar. Toward the close of his illness, his stomach became 

 more retentive, and he frequently complained of excessive thirst. At 

 the suggestion of Dr. Hosack the patient now took very small draughts 

 of lime water and milk, which were sometimes succeeded by a few 

 moments' relief. His bowels remained in a constipated state for more 

 than six weeks previous to his decease, and his only means of support 

 were, for an equal length of time, nutritious enemata. On the morning 

 of the 15th of April he breathed his last. 



The abdominal viscera were examined six hours after death by my 

 friend, Dr. Caspar W. Eddy. Several small whitish tubercles were 

 seen on the surface and in the parenchymatous substance of the livers. 

 There were no morbid appearances in the spleen, pancreas, or in the 



