ANT) REMARKS ON THAT DISEASE, 
331 
too, a fresh symptom has manifested itself, namely sickness. 
This has been extremely violent. He has, too, been troubled 
with a great deal of flatus. 
Twelve o'clock .—During the last two hours it can only be said, 
that the symptoms have in every degree increased. 
At one o'clock his irritability had augmented, the secretion 
of saliva was excessive, and he cast it about him in every direc¬ 
tion. An enema of gruel had been exhibited about half an hour 
before, and had distressed him a good deal by the frequent incli- 
clination to stool. Another enema of the guaco, as he refused to 
take it by the mouth, was proposed : this incensed him to a great 
degree, and it was necessary to threaten him with straps. His 
legs were secured, and on proceeding to confine his hands, he, for 
the first time, showed a disposition to be vicious; for collecting 
the saliva in his hands, he discharged it in the face of the at¬ 
tendant. It was then deemed necessary to secure him with the 
strait-jacket. Indeed, while evincing this vicious inclination, 
he earnestly requested to be secured, stating that he was losing 
his senses, and was then almost mad. No sooner, however, 
were his legs liberated, and one of the attendants had retired for 
the jacket, than, keeping the others from him by spitting and 
throwing his saliva upon them, he suddenly sprang out of bed, 
seized the large syringe, which was filled with an injection of 
turpentine, and advanced against those present, spitting and 
discharging its contents at them. The gentlemen present thought 
it prudent to retire for a moment, and forgetting that the key was 
inside, shielded themselves behind the door. This he instantly 
closed and locked. In the short space that intervened before it 
was burst open, he had tried N the window, which was secure; 
and it would appear, had climbed upon the drawers; but he re¬ 
turned again to open the door, though before he could accomplish 
this he fell from exhaustion. When the door was forced, he was 
found lying just within, in a state of insensibility. He was then 
removed to bed, and confined with a strait-jacket. From this 
time a great change took place. Instead of fearing to eat and 
drink, he called for both food and liquids, which he consumed 
freely, and without difficulty. The vomiting, however, con¬ 
tinued, and w T hilst eating voraciously, he continued to retch ; but 
this he made great efforts to suppress, and often chew r ed again 
and re-swallowed his own vomit. His mind at this time was 
in a state of great excitement. It could not be called aberration 
of intellect: it was ungovernable fury. 
At about a quarter past three p.m., Dr. Roots again visited 
him. His countenance had, within the last ten minutes, under¬ 
gone a considerable change for the w r orse ; it was livid and con- 
