STATE OF HEALTH AND DISEASE. 
clxxvii 
diagnostic signs of scurvy were wanting ; his pulse was small and frequent, 
skin cold ; his appetite for food under these circumstances was, nevertheless, 
tolerable. His treatment had now for its main object the restoration of 
strength, and to sooth the occasional intestinal irritability. On the 19th he 
for the first time experienced an indescribable sensation of praecordial anxiety, 
and on the same night he had a short fit of dyspnoea and cough, increased 
rapidity and weakness of pulse, without pain or fever indicative of inflamma- 
tory action. This state of anxiety continued until the 26th, when a stupor 
supervened, from which he was roused by the irritation of a vesicatory ; a 
degree of incoherence was perceptible during the day, which increased in the 
evening, and by midnight had become furious delirium. In spite of his de- 
bility, he was with difficulty held in his bed, anxious to escape imaginary 
dangers, and attempts upon his life. It was midnight of the 27th, before this 
mental agitation subsided, leaving him in a rational state, but exhausted by 
his struggles, and evidently sinking apace. On the 29th he relapsed again 
into a stupor, almost unconscious of surrounding objects, and on the morning 
of the 30th he breathed his last. 
On opening the body after death, about two pints of serum were found 
in the cavity of the abdomen, the liver was preternaturally enlarged, but 
in other respects sound ; a few of the mesenteric glands were indurated ; the 
rest of the abdominal viscera offering no morbid appearance. 
In the thorax, the pericardium contained three or four ounces of fluid. 
The heart was small, its parietes attenuated, flaccid, and pale, and its cavities 
filled with firm coagulated lymph. 
Both lungs were collapsed and shrunk to half their natural bulk, exter- 
nally firm and livid, on making incision into them. The parenchymatous 
substance appeared condensed, and converted into a liver-like substance of a 
livid hue. There was no sign of tubercle or abscess, nor was there any 
exudation into the cavity of the chest, or adhesion of the pleura. 
The morbid state of the thoracic viscera, discovered by the dissection, 
elucidated many of the distressing symptoms, the cause of which was in- 
