162 
SELECTED ARTICLES. 
small and rapid. The treatment to be continued, with light 
nourishment and coffee. 
Half past 10, P. M., (38§ hours after taking the spirit.)— The 
eyes open, still better; the pupils less contracted; the irides 
more mobile. There is a look almost of consciousness; face 
and general appearance as at the last visit; the stertor still less; 
the mucous rale not diminished; pulse rather firmer, still 
quick, 144. 
19th.— Half past 12, P. M., (52% hours after taking the spirit.) 
The general appearance at first sight much improved; the eyes 
open quite well. The lad looks about him with seeming intel- 
ligence; and although he does not reply when spoken to, his 
declining to answer appears to be rather from disinclination 
than from incapability. The symptoms of coma have subsided 
in a very marked degree; the stertor still less than yesterday, 
and reduced to almost nothing; the lungs, however, appear to 
be even more loaded; the mucous rale extremely loud and 
general; the breathing rather shorter; cheeks rather flushed; 
skin generally hot and dry; pulse much more rapid from 160 
to 180, but still distinct. He continues to take his medicine, 
and occasionally some tea and arrow-root. Limbs still relaxed 
and powerless; shows no sign of volition.' In this the contrast 
is very striking between the seeming intelligence of his look 
and the inactive state of his will. He does not make the least 
effort, although he looks as if he could do so without difficulty. 
Has passed motionsand urine since last night, both involuntarily. 
4§, P. M. (57 i hours after taking the spirit.) — In nearly 
the same state as at last visit, except that the cerebral symp- 
toms are diminished, and those connected with the respiration 
are increased, the lips slightly livid, respiration labored. The 
mucous rale still more intense, and may be heard by bringing 
the ear near the chest without contact of the ear or aid of the 
stethoscope. 
To have a blister between the shoulders; rubefacients on the 
anterior part of the thorax; to continue arrow-root, &c. 
March 20th, 3£ , A. M. (67* hours after the spirit,) he 
died. 
