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nothing of the kind before since marriage. That angry, jerking, indescribable peculiarity of the arterial pulsations characterizing epilepsy was scarcely discernable; at least, but so slight'y as, in my opinion, when conjoined with oth er circumstances, not to demand venesection. I adminis tered an active cathartic, left some digitalis to control the circulation, and after giving some instructions to be fol lowed in case of a recurrence of the attack, left my patient perfectly comfortable. At 6 o'clock A. M. of the same day she had another attack, from which free venesection, friction, sinapisms, clysters, cold affusion to the head, &c., were totally inadequate to the task of arousing her. From this time until three o'clock P. M., violent spasms of from five to six minutes in duration recurred at regular intervals of just fifteen minutes; and for the whole time up to ten o'clock P. M., at which time she expired, she was in profound carus.

July.--It was quite healthy in this vicinity during this month. I had one one very severe case of pneumonia, which, in consideration of the season of the year, and mildness of the weather, is, perhaps, worthy of mention. In the lower lobe of the right lung, the inflammation progressed to the third stage, as that of suppuration. The patient recovered, but with the natural sequence of cough, expectoration and debility, for a protracted period of time.

August.--During the first twenty days of this month, there was comparatively but little sickness in this vicinity; but about this time malarious diseases began to manifest themselves very rapidly.

It will be remembered that during the spring months a vast amount of water fell upon the surface of the earth; and furthermore, that the draught from about the first of June until about the twenty-fifth of August was as severe as the "spring rains" had been profuse.

The 25th and 26th days of August were emphatically "rainy days," and although malarious diseases had already

rendered themselves conspicuous, they expanded with amazingly increased velocity immediately afterward. At first the fevers were mostly distinctly intermittent, and of the quotidian and double tertian types. Soon after, however, bilious remittents predominated. Many of the cases presented considerable gastric and intestinal irritationhæmatemesis, bloody stools, &c., being of no uncommon


In some of the cases, the remission was very slight, grade low, tongue dry, and covered with a dark brown coat, pulse feeble, patient delirious, and manifesting other symptoms indicative of a typhus condition, and yet I should not feel justifiable in asserting that we had any well marked cases of genuine enteric or typhoid fever.

September. Toward the middle of this month, miasmatic diseases rapidly diminished in number, but the malarial poison seemed to be more subtle and insidious than in August-its victims being sooner prostrated, and their convalescence more protracted.

October.--Fevers predominated, but not very abundant. November.-Quite healthy.

December.-Numerous cases of influenza, and quite a number of cases of pneumonia, some of which seemed to be complicated with congestion of the brain and other organs.

So great was the amount, and vigorous the action of the malarial poison, (whatever it may be,) during the months of August of September last, that at least calculation three times as much quinine (from thirty to forty grains for an adult) was actually demanded during a single intermission, to interrupt the paroxysms of an intermittent, as was the case at any time during the year 1857.

Judging from my own experience--when so situated as to be enabled to administer the article myself—in most cases of febrile and inflammatory diseases, particularly pneumonia and rheumatism, I consider the veratrum viride

a very valuable remedial agent; but when left to be administered at the hands of most attendants, inefficient, if not actually unsafe.

During the latter part of summer, we had about the usual number of sporadic cases of dysentery, but no endemic of that disease, as "common report" asserted, was the case at Williamstown.

Of the births occurring under my supervision during the year 1858, the males were to the females as eight to G. E. C.


Stockbridge, January 15th 1859.

Statement showing the Character of Acute Diseases observed in Coldwater, Mich., and vicinity, during 1858.

Diseases are named in the order in which they were most abundant.

January.-Pneumonia, Catarrhal Affections, Rheumatism-Most cases of disease presenting Quotidian or Tertian exacerbations.

February.-Pneumonia, Scarlatina, Urticaria, Neuralgia, Puerperal Fever.

March. Scarlatina, Pneumonia, Laryngitis, Bronchitis, Enteritis, Purpura. [First half of month only observed.] April.-Pneumonia, Laryngitis, Parotitis, Diarrhoea. [Last half of month only observed.]

May.-Stomatitis, Scarlatina, Rheumatism, Bilious Remittent Fever, Cerebro-spinal-meningitis, Puerperal Fever. June.-Erysipelas, Scarlatina, Rheumatism, Pertussis. July.-Intermittent Fever, Pneumonia, Varicella, Diarrhoea, Enteritis, Scarlatina. [Two fatal and one severe case of "sun stroke" occurred in this county, July 7-the two first R. R. laborers.]

August.-Diarrhoea, Intermittent Fever, Remittent Fever, Dysentery, Ague, Pneumonia, Scarlatina, Rheumatism, Cholera-morbus, Croup.

September.-Ague, Intermittent and Remittent Fevers, continued Bilious Fever, Diarrhea, Pneumonia, Pleuritis, Rheumatism.

October.-Ague, Bilious Remittent Fever, Diarrhoea, Dysentery, Pneumonia, Urticaria, Typhus Fever, Tonsilitis, Glorsitis, Puerperal Fever.

November.-Rheumatism, Dysentery, Diarrhea, Bilious Fever, Typhus Fever, Puerperal Fever.

December.-Fever, Diarrhoea, Neuralgia, Rubeola.

In labors under my care during the past year, twothirds have been male children. J. H. BEECH.

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