112 
A CASE OF HYDROPHOBIA. 
nent; that there was a considerable noise in his chest, and a 
catching inspiration ; there was also some frothing at the mouth. 
He threw his arms about very rapidly, and made some in- 
effectual attempts to vomit. His mother then offered him drink* 
and begged him to lie down, both of which he professed himself 
unable to do, requesting that the drink might be taken away. 
He did not, however, manifest any disinclination to the presence 
of water, unless it was offered to him to drink. 
As night advanced, the symptoms increased. The frothing at 
the mouth became very troublesome, and it was remarked that 
he never swallowed his saliva, but kept continually wiping his 
tongue with a handkerchief. 
At 1 p.m., on the 22d, he was admitted. He was then in a 
state of frightful agitation, sitting up in bed, staring wildly about 
him, and calling out loudly when any stranger spoke to or 
looked at him : with his mother he was more quiet. His man- 
ner was that of a person under the influence of fear. 
The patient now manifested the following symptoms : — eyes 
peculiarly bright and staring, with dilated pupils ; a great dis- 
inclination to lie down in bed ; spasmodic twitchings of the 
sterno-mastoid muscle, his head being evidently drawn round at 
each spasm ; also of the arms and hands, with heavings of the 
chest, and continual agitation of the muscles of the face and larynx ; 
abundant frothing at the mouth ; vomiting, apparently of saliva 
and a viscid mucus ; over the whole surface of the chest a loud 
muco-sonorous rale was heard; heart's action very rapid, but 
sounds natural; pulse small, 140; complains of pain in the 
region of the heart, and constantly presses his hands upon the 
chest, and retains them until the spasms oblige him to remove 
them ; skin dry, but free from any undue heat ; the lower ex- 
tremities were not obviously affected ; the power of the sphincters 
unimpaired ; pressure on the cicatrix did not occasion pain, nor 
was it red or swollen ; the lower lip at its right angle was very 
swollen, which his mother said was occasioned by his having bit 
it ; the tongue was constantly protruded. 
He was now offered some water : he took the vessel which 
contained it, and attempted to convey it to his mouth, but failed, 
and declared that it was impossible for him to drink, and begged 
that it might be removed. 
Pressure along the spine did not occasion pain. He answered 
all questions rationally. Neither sight nor hearing were in the 
least affected. He was taken from the bed to make water at his 
own request; neither the sight nor the sound of the fallen urine 
affected him. The presence of strangers appeared to excite him 
most ; he was much alarmed if any one looked fixedly at him. 
