AND REMARKS ON THAT DISEASE. 329 
force; but the sound of the moistening of the leaves was sufficient 
to produce the usual awful train of symptoms. 
Half past eight .—The paroxysms continued to return with great 
frequency until this time, when he was visited again by Dr. Roots. 
Before, however, the Doctor came, a lighted candle had been 
brought into the room, and this excited him in a most frightful 
degree. The effect was instantaneous ; for, though unconscious 
that it had been sent for, the moment the first ray from a distance 
entered the room, he sprang, as before, convulsively from his bed, 
and exhibited his usual fit. The secretion of saliva had now be¬ 
come more than naturally abundant, and he spat it, without any 
care, about the room. Dr. Roots ordered the throat to be covered 
with a plaster of the extract of belladonna, and that the guaco 
should be administered, if he would take it by the mouth, every 
hour. He suggested, too, that a strait jacket should be em¬ 
ployed. 
Eleven o'clock .—The medicine was, as ordered, administered 
every hour; and though it required great exertion on the part of 
the patient to take it, he contrived to do so. It was always ne¬ 
cessary to prepare him for the effort of swallowing his medicine, 
by stating that it was time to take his medicine. He would 
then request his back to be supported by an assistant, and that 
the moment he had swallowed the fluid the assistance might be 
withdrawn, and he be allowed to fall back. In this way he was 
sustained behind, while a second assistant held before him the 
liquid in a small bottle. The anticipation invariably produced a 
spasm; but, after that had subsided, he would prepare himself 
for the awful effort. The eye would turn, from time to time, with 
an expression of intense fear, till, in a moment of frenzy, and 
with the rapidity of a bird pouncing on its prey, he would dart at 
the vessel, and then, swallowing the fluid, fall back on the bed in 
a violent spasm. This effect was usually so violent, that, with a 
convulsive spring, he would strike his head against the head- 
board of the bed. 
Twelve o'clock .—The prepared juice of the guaco, obtained 
from the College of Physicians, having now all been used, a 
quantity of the extract, which had been sent to the hospital by 
Mr. Caesar Hawkins, was had recourse to. A drachm of this 
was rubbed down in an ounce of water, and was administered 
and taken by him in the usual way. 
Friday , one o'clock , a.m. —Passed the last hour much more 
tranquilly than any since his admission ; but it would be difficult 
to say whether this was an effect produced by the medicine, or 
by the greater quiet and stillness of the room. 
