1)6 
SYMPTOMS FOLLOWING THE BITE 
the next morning (the 30th) with anxiety, hardly expecting a 
favourable report. On this occasion we met Mr. Webb and Mr. 
Purton, of Alcester. The apparent results of what had been 
done were very agreeable to us. The leeches we found had 
produced immediate relief in the throat; and the relief was ac¬ 
companied by the restoration of the powers of swallowing and 
speaking. The pain in the stomach and abdomen had also been 
relieved ; and the patient, after being able to take a basin of broth, 
had slept very soundly. 
On going into the patient’s bed-room, we found him still in a 
profound sleep, breathing deeply and slowly: his skin was warm 
and not very dry, and his pulse was eighty-three. But during 
his sleep w ? e observed, every three or four minutes, that his body 
was suddenly, and sometimes violently, shaken. His lower jaw 
was also frequently seen to be a little agitated. His night-nurse 
told us that, whilst he slept, he had sometimes almost sprung 
from one side of the bed to the other. The sound of many voices 
did not disturb him; and as we were all obliged to leave the 
house soon, we thought it right to rouse him a little. For a few 
seconds after being awoke he seemed unable to account for our 
presence; but he afterwards spoke very collectedly, and quite 
clearly and naturally. He said he had not dreamt during the 
night; he expressed himself greatly relieved, and complained only 
of a little pain in the bowels. His bowels had not been further 
moved : the abdomen was full and hard, but he no longer shrunk 
from pressure; and there was no urinary retention. His skin 
was of natural warmth, and his countenance less anxious : the 
cheeks were a little flushed ; and the tongue was partially detach¬ 
ing a whitish scaly coating. He complained of thirst. No vesi¬ 
cles were observed under the tongue. Directions were given that 
the enema should be repeated, and the pill continued at intervals 
of four hours. Five pills had been taken since our visit the pre¬ 
vious evening. 
August 31.—The improvement continued. He slept better, 
but the agitation during sleep now and then occurred. The 
bowels had been moved by the enema. Abdomen still rather full 
and hard, and a little pain complained of. 3vi. of castor oil were 
given. The pills to be continued at intervals of six hours; and 
three tablespoonfuls every four hours, of an emulsion of ol. amyg- 
dalm, 5vi.; pulv. acacise, $vi.; syrupi. papaver. 3ss.; aquae distil. 
Oss, M. 
Sept. 1.—Felt himself so well as to wish to get up; but on 
moving he was too w^eak to support himself. The castor oil had 
made him sick, and had acted on the bowels. The abdomen soft 
and natural. No pain; no convulsive agitations. Voice observed 
