478 Eleventh day.-The patient still continues to exert pressure with great exactitude; the sac is occasionally caught pulsating, from one of the tourniquets having slipped during sleep, or involuntary movements; he, however, generally discovers and rectifies this as soon as it occurs. Fourteenth day.-Mr. Erichsen, at his visit to-day, ordered the following exact diet:-Breakfast, four ounces of bread, one pint of milk; dinner, four ounces of bread, and a chop; tea, two ounces of bread, and one

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... nt of milk. Sixteenth day.-The decrease in size, and augmented hardness of the tumour are now well marked. Dr. Carte's apparatus, which was ordered soon after the patient's admission, was to-day substituted for the simple horse-shoe tourniquets, but was found decidedly inefficient, especially from the fact of no adjustment being contrived in the transverse bar, to allow for the different sized pelves of patients. The antero-posterior measurement of the instrument was thus found too large in proportion to that of the pelvis to which it was applied, and thus the elasticity of the bands of caoutchouc could not be brought into play. The apparatus was therefore returned, for the purpose of alteration; the horse-shoe tourniquets were replaced, and the patient expressed a strong preference for them over the more complicated instrument just removed. Twenty-first day.-Dr. Carte's apparatus was re-applied. The tumour, to the eye, is about two-thirds of the original size, and the compressing instrument, on being re-adjusted, was found to act well. The patient, however, does not prefer it to the tourniquet, but, on the contrary, complains of slight pain when the pulsation is completely arrested. Twenty-fourth day.-No change since last report; the pulsations seem even stronger; the patient has not managed the apparatus so well as the former set; in fact, it is so difficult to direct the force correctly, and the lower tourniquet is so apt to slip laterally, that the tumour is often found pulsating. Fresh slips of soap-plaster were applied this day, the part being first shaved. The skin was found red, and rather tender when pressed upon. Twenty-sixth day.-To be bled to eight ounces. The limb was enveloped in a caoutchouc bandage, (Macintosh,) a pad of tow and lint being placed round the aneurism. Twenty-ninth day.-There was such pain last night, especially in the tumour, that the patient was obliged to remove both instruments from the limb. To be bled to four ounces. Thirty-first day.-Decided diminution in pulsation. Thirty-third day.-To be bled to four ounces; five minims of tincture of digitalis thrice a day. Thirty-seventh day.-To be bled to four ounces. The effect of bleeding was on this, as on former occasions, to render the pulse quicker, more jerking, and softer. Forty-second day.-To take the digitalis, and scruple-doses of jalap regularly. Forty-fifth day.-Last night the patient suddenly awoke with a peculiar sensation all over him, as of nightmare; he felt alarmed, and slightly unscrewed the tourniquet, and could feel no pulsation over the tumour. He immediately screwed up the instrument, and presently went to sleep. Forty-seventh day.-To-day the tumour seems harder, and when the tourniquet is relaxed, no pulsation is perceived over the tumour. He has been taking the tincture of digitalis, which was increased yesterday to ten minims a dose. Forty-ninth day.-Has kept the instrument on, but has not used so much pressure as before; appetite good; sleeps well. In the afternoon the patient left off the instrument, and got up for the first time. He walks with some stiffness, but there is no particular pain in the limb. Has progressed very favourably, and was discharged on November 12, fifty-four days after the commencement of the treatment.