CASE I. M. W., aged 40, was admitted on April 25th, under Mr. Pollock. This patient stated that she ruptured herself for the first time three or four years ago, whilst attempting to raise a heavy weight. She never wore a truss till last December, when she came into this Hospital for symptoms of strangulated hernia; but then, by means of the taxis and a hot bath, the gut was returned, and she was sent out with a truss applied. Three days before admission, whilst in bed, and the truss being off,

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... he had a fit of coughing, and the gut again came down. Since that time till her admission here, the bowels had not acted; she had had slight vomiting, apparently not stercoraceous; and verv little pain. On admission, there was a small hard tumour in the region of the right femoral ring, of about the size of a large walnut, which was red and inflamed, and very slightly painful, as was the abdomen generally. Her tongue was furred, but moist; pulse 90, and weak; and skin cool. Herniotomy was per-