could get up. Thought the milk given her was poison. Became very noisy, and was untidy ; was tied in bed. Had hallucinations of sight and hearing. On admission was very restless, and it was necessary to tie her in bed. Could be urged to take a good amount of liquid nourishment. Erratic in conversation. Trional and sulfonal administered to procure sleep. In ten days she cleared up mentally, with a relapse on the twelfth day, when she was confused and restless. She improved rapidly after this. In

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... thirty-two days she went home, and was entirely recovered. This case is a very good illustration of the mental disturbances seen in puerperal mania, and I cite it here because the cause was due to an ischiorectal abscess, and the excitement came on within thirty-six hours after an operation for the abscess. No sleep after the operation, and acute delirious mania followed. There was undoubt-