C 3°5 ] 
XV. Hijlory and DiJJeEUon of an extraordinary Introfufception, 
By John Coakley Lettfom, M, D. F. R. 8 and A. S. 
Read March 1 6, 1786. 
A B, a child four years old, was firft indifpofed about the 
• middle of September, 1784. When I was confulted, 
which was on the 7th of October, the fymptoms refembled 
thofe of a cholera morbus. At this period, however, the 
diarrhoea had ceafed ; but the patient continued frequently to 
vomit, efpecially after taking nourilhment. 
On the 20th a dyfentery fucceeded, with mucous and bloody 
ftools, which ceafed after a few days continuance, when fhe 
nearly recovered her former Rate of health, without even 
reaching after her ufual food. She was now removed into 
the country; and I did not hear of her again till Decem- 
ber, when fhe was brought to town, on account of the return 
of the dyfentery, which was, at this period, accompanied with 
a troublefome tenefmus, and a confiderable degree of fever. 
By anodyne medicines, and the ufe of opiate clyfters, thefe 
complaints were occafionally moderated, and fometimes they to- 
tally ceafed for a few days, but feldom longer, and the intervals 
of relief gradually fhortened ; the attacks became alfo more vio- 
lent, commencing with violent rigors, and fever fucceeding ; 
the pulfe grew weaker and weaker, and the patient became ex- 
tremely extenuated in flefh ; and towards the conclufion of this 
Vow LXXVI. S f mouthy 
