OBSERVATIONS ON THE CUICHUNCHULLI. 133 
also, as being immediately connected with the two foregoing 
cases, since the very same plant was unquestionably employed 
with each of the three patients, and as affording besides the 
experience of another disinterested practitioner in regard to 
its effects in that disease. The case is as follows: 
" The Senorita Maria Antonia Macpherson, when eleven 
years old, and residing in the city of Maracaybo, was affected 
with a furfuraceous eruption over the lower extremities, which 
afterwards spread to other parts of the body. A medical 
practitioner having been consulted for this complaint, she was 
placed under treatment, which was continued with slight in- 
terruptions, for the space of four years. At the expiration of 
that time, as the disorder was advancing, and her parents were 
apprehensive that it might degenerate into some formidable 
affection, they determined to bring her to this city, (Caracas) 
where she arrived about the end of the year 1831. The young 
lady was then seen by several medical men, and by them it was 
with regret ascertained that she was already labouring under 
Elephantiasis, in a more than incipient state. Some recommen- 
dations, and above all, my desire to do all I could in behalf of 
this unfortunate young lady, and not any expectation of suc- 
cess in the attempts I might make, induced me to afford her 
my assistance, and to prescribe for her some of the most active 
and powerful medicines that are known. But all proved 
useless. The symptoms peculiar to Elephantiasis unfolding 
themselves, more and more established its character beyond 
all doubt. The colour of the face was of a darkish red, and 
the countenance dejected, the forehead was frowning, the eyes 
reddened, roundish, and having a harsh look, eyebrows desti- 
tute of hair, ears enlarged and elongated, the voice with a na- 
sal sound, the breath foetid, dark-coloured, grayish, and light 
brown patches on various portions of the skin, tubercles, and 
ulcers that had eroded the nails of the hands, loss of feeling in 
the skin, sudden faintnesses, general emaciation; such were 
the symptoms and condition which the patient presented in 
November last (1833,) a condition certainly well adapted for 
