510 RECOVERY IN A CASE OF HYDROPHOBIA 
1th, 11 A.M. —To-day,'at the express desire of the patient, 
Mr. Tomkin, of Witham, was called in in consultation. The 
aversion to swallowing and to the sight of fluids, and also the 
intolerance of light, are greatly increased. With some difficulty 
she was prevailed upon to take a little milk, which immediately 
produced spasm of the throat, and a fit, of which the following 
were the chief symptoms. A sensation of pain proceeded from 
the little finger across the back of the hand to the radial side of 
the fore-arm; thence towards the elbow, and along the inner 
side of the arm to the axilla. It then followed its course up the 
neck in the direction of the sterno-cleido-mastoideus muscle, 
and was most intense immediately beneath the ear. Acute pain 
in the back of the head was next experienced, the dark cloud at 
the same moment appearing before her eyes, and she became 
senseless. The pulse, which had gradually quickened from the 
time of the fluid being presented to her, was now weak and 
fluttering; the face was flushed, the neck tumid and reddened; 
the salivary secretion was increased ; the breathing was hurried ; 
and the arms and head were thrown about in all directions. All 
this occupied about five minutes, after which she became gra¬ 
dually sensible, and then complained of severe pain in the side. 
There was no thirst of any consequence, but a constant burning 
in the mouth and pharynx, so that the passage of fluid was 
compared to the hissing of water thrown upon hot iron.’^ The 
pain undergone was described to be of the most violent descrip¬ 
tion, and yet, if asked to drink by either of her surgeons, she 
never positively refused to do so, much rather endeavouring than 
otherwise to overcome the great dislike she had to fluids. Mr. 
Tomkin suggested a trial of the liquor arsenicalis, and the use 
of unguentum veratrise to the arm and throat. 
R Liq. Arsenicalis gntt.xv, in lacte, stat. et repet. in dosibus 
guttarum x, 4tis horis. 
Sth, 11 A.M. —On taking the medicine, the quantity of which 
did not exceed a tablespoonful, some severe fits of the same con¬ 
vulsive character were produced, followed by distressing tremor, 
and constriction about the chest. Says she has also felt very 
sick, but has not vomited. Has had several fits during the 
night without any apparent exciting cause, and four this morn¬ 
ing since six o’clock. Fore-arm painful. One of the wounds 
slightly inflamed. With the concurrence of Mr. Tomkin, the 
bitten parts were freely cut away by Mr. Varenne. 
R Liq. Arsenic iqv, 4tis horis ; Veratria gr. vii; Adipis 3iv. 
M. Brachis et coleo infricatur per sextam horae partem. 
9th, 11 A.M. —Has had no pain in the fore-arm since the exci¬ 
sion, and but one fit. She was senseless for twenty minutes 
