267 taking animal food ; he left off his beer, and began to sink rapidly. I went down to see him at Swansea, and met Dm. Hassall and. Rowland, in. February. We agreed that he had better return to the old diet, with wine and bitter ale, and we also gave him cod-liver oil and' pepsine; the former agreed with hun, and he continued to like it. He improved very slightly In power up to a certain point, and then suffered a return of the vomiting. The pulsation in the epigastrium became very

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... , and the pain on pressure returned in the epigastrium, but shifted more to the left side. His breathing became short on the slightest exertion; the palpitations would increase, and it would cause him to vomit the contents of his stomach. He was removed out of Swansea to a beautiful place on the, sea-coast, called Gower, where he gradually sank; but the night of his death he complained of extreme agony in the epigastrium, and uttered the most distressing cries, till death relieved him. I should mention that during the last few months' he complained of increasing numbness and want of power in his, hands and feet. I was fortunate in being able to attend the post-mortem examination, which was conducted by Dr. Williams and Mr. Hall, in the presence of Dr. Rowland aud myself. The body was most extraordinarily ansemic, and there was not the slightest trace of disease in any part of it until we examined the suprarenal capsules, not even an atheromatous deposit on the heart 40f -arteries; no enlargement of any viseus, or tumour of any kind; and no alteration in structure; liver, spleen, and pancreas perfectly. healthy. The. right supra-renal capsule presented the appearance of a large flaccid bag, collapsed; the vein and' artery were seen entering the viscus. On opening it, there was presented a large cavity lined with chocolate-coloured granular matter; no medullary substance, and the cuticle very thin and grey. The left capsule was smaller, containing two separate and distinct cavities, the upper of which presented the same appearance as that of the right capsule; the left contained some medullary substance, but neither cavities contained any fluid, We were not allowed to examine the head; but the paralysis was a subsequent symptom, and evidently depended upon the want of nutrition in the brain. from bloodlessness, and was the result of the disease. There was nothing to account for the abdominal pulsation, nor for. the excrticiatingpain that tormented him at the last. The stomach contained some flatus1 but was not, distended. It is worth while to remark the total subsidence of rheumatic pains, from which he-had suffered severely for more than twenty years, just previously to the fatal disease, and which did not recur; it is not unlike the sub. sidence of diabetic symptoms on the supervention of pulmonary disease. It is. also a question whether the copper smoke had any and what, influence in producing or influencing the. progress oF the disease-The pain on pressure on the'right side of the abdomen, the contraction of' the right rectus muscle, and the sickness, were evidently signs of disease of the right supra. renal capsule; but it must also be remembered thatthe excessive ansemia, so great as to attract the observation of his friends,. preceded by a week any of those other symptoms, and vomiting is often produced by fainting, and loss of blood. The digestive processes seem to have been generally active and perfect, and ready to supply as fast as. possible the wants of -the oireulation, and it was found practically that.generous diet was required. Village of Torre Molinos, barber; and phlebotomist, healthy) but weak from dieting attd repeated bleedings. Two months ago" in, stepping on a stone to' get upon a donkey, his foot slipped; and hefelt he had hurt his knee. He rode two leagues, nevertheless; but the same night.the leg swelled and became very painful, and he discovered lnmp in the.ham the size of an egg, which he at once: observed could be felt and seen to pulsate, and, a medicalgentleman who saw it proriounced it an aneurism. The pain and swelling of the leg gradually subsided, but the tumour in the ham went on enlarging to its present size, and he came to Malaga and entered the Civil Hospital. Here it was proposed to amputate the limb above the knee, to which he would not consent, and consequently took his departure, and my assistance was solicited for the poor man a few days after. I found a tumour, the size of a cocoa-nut, filling up the popliteal space. It pulsated obscurely, aud an arterial bruit. was heard in it with the aid of the stethoscope, but both were stopped by pressure on the artery in the groin. The anterior and posterior tibial arteries could be felt with some difficulty. The leg was swollen and somewhat cedema,tous; and he complained of numbness and creeping in the foot. The integument over the tumour and knee, and for some distance down the leg, was red, hot, and painful. This inflamed condition of the part was occasioned, he said, by the rough handling the limb got in his passage from the hospital to his present residence, over a. bad'pavement, in a rude cart-things common'enough in Spain. By rest, position, and cold spirit lotion locally, this inflamed condition subsided in a few days, and the ligature of the artery was proposed to him, and. most thankfully agreed to. The operation, from various circnmstancesj. was delayed nearly a fortnight, and the flannel roller -which enveloped the limb had not during that time been removed, and the aneurism consequently not seen. On Jan. 5th, 1850, r proceeded to the patient's house to perform the operation, accompanied-by four or five professional friends, amongst whom was Mr. Kent, surgeon, of London, who happened to be in-this place at the time, and who kindly offered to assist me. All being ready, the flannel was removed from the limb, and it was immediately remarked that the tumour had decreased in size ; and on further examination it was found.that both pulsation and bruit had disappeared;. the aneurism was harder and more circumscribed, and the.anterior I and posterior tibial arteries could not be felt. Under, these circumstances, we were unanimously of opinion that.it would , be judicious to postpone the operation and watch the result: It soon became clear that a-spontaneous cure of the disease was taking place" for the tumour went on progessivelyc diminishing in size, and the leg recovering-its strength and normal condition) so, that in less than a month he could get about with the aid of crutches, and' soon after left for his home, two ; leagues, from Malaga. Four months after, when he came to ; show me his..leg, scarcely a vestige of the disease remained, ! and the limb was very nearly as strong as the other. The l anterior andposterior'tibials were not distinguishable. . This was evidentlyan instance of the natural cure of' aitsu-.