294 Dr. BENNETT considered that there was a more intimate connection between the rheumatism and the abdominal disease than Mr, Headland suspected. The latter might not be either metastatic or vicarious of the rheumatism ; but he thought that there was a great tendency generally to intestinal irritation, either before or after the occurrence of rheumatism. This might or might not be influenced by season.: He believed in many cases where patients had fallen into a low typhoid state during a

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... tic attack, the low fever had its origin in inflammation of the mucous membrane of the alimentary canal, which had been overlooked. Mr. ROBARTS had long ago noticed the co-existence of intestinal inflammation with rheumatism, a fact which had been first pointed out to him by Dr. Stroud. He had seen many cases illustrating this co-existence. Mr. BRYANT saw nothing unusual in the co-existence of abdominal irritation or inflammation with rheumatism. It was commonly observed in other diseases of the body. He was more inclined to think, in Dr. Thomson's cases, that the disease in the abdomen had resulted from metastasis of the affection of the joints. There was no organ of the body of a similar structure to that first affected, to which there might not be a metastasis of rheumatism. He had lately seen the case of a young lady, who had only a slight inflammatory blush round the outer malleolus on one side, and in whom there were no physical or other signs of heart affection, except that the action of that organ was somewhat excited ; and yet this patient died, and most extensive pericarditis was found to have existed. We could not be too cautious in examining internal organs in all rheumatic attacks. Mr. CRisp had frequently seen inflammation of the mucous membrane of the bowels in rheumatism, as the result of the treatment employed. In these cases he used calo. mel and opium, and thus cured the rheumatism and the intestinal disease at the same time. He had never seen metastasis of rheumatism, either to the pleura or peritoneum.