— 77 — 
Le Dr Iiafle, du Seamen’s Hospital de Greenwich, rap- 
port e l’observation suivante qui cst digne de fixer P attention 
des praticiens : 
“James A., aged twenty-two, was admitted May 16th, on 
the second day of his illness, with all the symptoms of rheuma- 
tic fever. He was quite helpless from the severity of the pain 
fn the large joints, drenched with acid perspiration; the chest 
and abdomen covered with Suclamina ; the tongue thickly coa- 
ted with -white fur. Pulse 120, full and bounding. The pa- 
tient was at once put on salicin, ten grains every second hour ; 
to have half a grain of the acetate of morphia at night ; milk 
diet, on the evening of admission, after six'doses of salicin the 
temperature had fallen to 102 ° 8, 
“May 17th — Pulse 104. Pain in elbows and wrists very 
severe. Morning temperature 102 ° 5. 
“ 18th — Pain much relieved. Morning temperature 101,4 ° 
evening 101,8 ° pulse 98. 
“ 19th — Patient expresses himself as quite relieved. Pers- 
piration much less ; tongue cleaning ; — Morning temperatur 
100,2 ° evening 101 ° . 
20th — Improvement continues. Patient says lie feels quite 
well, his pain quite gone, and lie has asked to be allowed to 
get up. Morning temperature 99’2 ° : evening 99’8 ° . Pulse 86. 
“21st — Patient quite convalescent. Temperature normal. 
“ 22nd — Allowed up. Temperature normal. 
“ 23rd — Patient very anxious to be discharged, as he says 
he feels “ perfectly well.” 
“ 2-3lh — Patient discharged, convalescent. 
