APPENDIX No. III. 
53 
was distended, painful, and discoloured. He took four ounces of brandy, and repeated it every houi until 
twelve o’clock, with a drachm of eau de luce occasionally. At this time he was a little revived. The 
brandy was reduced to two ounces, which were carefully and regularly given every hour, until twelve at 
noon on the 17 th of October, when the arm was more free from pain, but much swelled, hard, and black : 
his spirits and pulse also were considerably relieved. The eau de luce was now omitted, but the brandy was 
continued every hour, until twelve o’clock at noon on the 18th of October, when the stiffness and tumor in 
the axilla had disappeared : the arm was still swelled, but was softer, and less painful. The brandy 
was omitted : at night he took six grains of Dr. James’s powder. On the 19th of October the arm was less, 
softer, with little or no pain ; a blister was formed and burst on the back of the hand, which discharged 
three ounces of black foetid pus. On the 20th, an abscess burst on the hand, in the same situation as the 
blister, which discharged a large quantity of a fluid having an offensive smell. He was directed to take a 
drachm of Peruvian bark in port wine, every two hours. On the 22 d the swelling was gone, but the dis- 
charge was considerable. From this time the man gradually, but slowly recovered, with the loss of the use 
of his forefinger, which remained permanently extended, and some of the other fingers were affected in a 
less degree. 
In this case, the swelling of the arm was slower in coming on, and less extensive ; the pain running up to 
the axilla, which preceded it, was mistaken for the effect of absorption. 
