clxxvi 
APPENDIX. 
attack of inflammation of the lungs, which had been ushered in by the usual 
symptoms of fever. Copious bleedings and abstinence relieved him, but on 
the 14th he had a relapse, which also yielded to similar treatment. On the 24th, 
he was in an advanced state of convalescence, when a diarrhoea supervened 
which arrested his progress towards recovery. The symptoms were mild, 
and seemed to arise rather from the irritation produced by acrid matter in the 
intestinal canal, than from any organic derangement. Medicine suitable to 
that view of the case was administered with considerable, though not perfect, 
relief. At this time also some symptoms of a scorbutic character were appa- 
rent, which in the beginning of May were no longer equivocal, consisting of 
aversion to motion, lassitude, depression of spirits, pale countenance, fetid 
breath, livid, spongy, bleeding gums. An antiscorbutic and farinaceous 
regimen was prescribed, with such occasional laxatives and anodynes as were 
dictated by the state of his bowels. By the 25th the decided symptoms of 
scurvy had given way ; the paleness, debility, and mental anxiety, remaining. 
The last affection had clung to him throughout, diverted at times by such 
light occupations as were found to suit him. He had also suffered two or 
three relapses of the diarrhoea. The acescent portion of his diet was now dis- 
continued, and the bitter tonics substituted ; in addition to his farinaceous 
food, he had daily a nutritious broth .of the ptarmigan, of which a few were^, 
shot. Under this treatment he appeared to be improving, until the 29th, when 
he had a recurrence of diarrhoea. The appearance of the alvine feculae, 
and a sense of uneasiness, felt by percussion, in the region of the liver, 
indicated a derangement of the hepatic system. Five grains of the blue pill 
were prescribed daily until the 7th of June, when the salivary glands becom- 
ing excited, it was omitted. While under its influence, which continued a 
fortnight, the uneasiness in the right hypochondrium ceased, but the bowels 
continued at intervals disordered. On the 10th he began to feel his respira- 
tion hurried, on exposure to the cold ; general lassitude and debility ; 
increasing pallidity of countenance, and livid lips, with extraordinary 
depression of spirits. These symptoms were suspicious, but the principal 
