280 CONTRIBUTIONS TO COMPARATIVE PATHOLOGY. 
appetite, notices every one about him, and is somewhat better 
tempered ; but he refuses the choicest fruits, and will not touch 
any thing solid. He also coughs. I would rather say anything 
of him than this. We will rest on our oars for awhile. 
20 ih . — Tolerably lively, but his countenance becomes paler and 
his eye more deeply sunken everyday, and the cough was more 
frequent and evidently painful. This was Sunday, and, although 
he was secluded as much as possible, he was occasionally broken 
in upon. The Duchess of Kent, with a large suite, was at the 
gardens, and, as a matter of necessary courtesy, he was exhibited 
to her. He seemed to be much fatigued — he was evidently 
feverish — his head was hot, and he would hardly take notice of 
any of us in the evening. Indeed, he was very much changed. 
His pulse rose to 150 : I attribute but little of this, however, to 
the fatigue of the exhibition, but to the progress of the disease. 
The gentleman who had attributed the whole affair to dentition 
was again there, and expressed himself somewhat strongly on the 
subject in my absence. I was soon told of it, and after consult- 
ing with a physician on whose judgment I placed every reliance, 
and carefully examining the mouth, and fancying that there was 
a little heat where I had cut down on the tooth before, I again 
lanced the posterior part of the gums on both sides, above and 
below ; the incision was a crucial one, but I could not feel any 
teeth : I also lanced the gums longitudinally in the course of 
the canine teeth. We had some difficulty in effecting all this, 
for he struggled with all his remaining strength, and cried most 
piteously. We agreed that he should not have any medicine at 
present, as the faeces were almost in their natural state, but that 
we would carefully watch the case. The gums bled freely for 
some little time. Towards evening he became very much worse: 
the breathing was dreadfully laborious, and he almost seemed 
as if he were breathing his last. This, however, passed over in 
about an hour, and he was quieter. 
21sL — The disease has essentially changed its character. I can 
hear him breathe at a considerable distance, and the cough is 
more frequent and painful. He has fearfully lost ground within 
the last twenty-four hours. His pulse is 150, and he is sadly 
weak. He is half unconscious of surrounding objects; except 
that occasionally upon being touched, or even looked at, he 
breaks out into strange fits of fretfulness and screaming. We 
put him into a warm bath, but he did not like it; he struggled 
and screamed, and was speedily taken out again. The faeces 
are natural. Give him half-drop doses of the “ black drop,” 
with two grains of ginger, three times every day. Dilute his 
milk, and offer it to him more frequently. 
