ing into torpor last two days of life, but consciousness perfect when roused by questions; death in a convulsion.

black specks scattered over face; inside of lips and cheeks, and soft palate, deeply stained; conjunctivæ normal.

with some pus in centre; showing traces of normal structure. Under microscope, cheesy portions presented precisely the elements of yellow tuberculous masses when softened down.

146.
Dr. CHILD, Oxford, Lancet, 1865, vol. i., p. 176.

Female, 37.

None given. Illness, about five months.

Weakness, languor, frequent vomiting, drowsiness, hiccough; heart’s action exceedingly feeble; breath peculiarly fœtid; delirium day before death.

Face, neck and fore-arms dusky, as if from exposure to sun.

Both hard, completely infiltrated with tubercular matter; right capsule the larger, and appeared on section a mass of crude tubercle, with no remains of normal structure.

Small deposits of tubercle in apices of lungs; mesenteric glands enlarged; other viscera healthy.

147.
Dr. HUGHES, Dublin Quart. Jour. of Med. Science, November, 1865, p. 363.

Male, 45, herdsman.

Subject to dyspepsia and pyrosis for several years. Last illness, a few months.

Progressive debility, sickness, breathlessness on exertion, vertigo on assuming an erect position; severe but intermittent pain from lumbar vertebræ encircling abdomen; pain and tenderness on pressure both of arms and spine; death from sinking.

Face, neck and hands smoky brown; colour well marked in axillæ, around nipples, in groins, on scrotum, knees, and on epigastrium where croton-oil had been applied; in axillæ, and on arms, a few scattered almost black spots.

Both, but especially the left, enlarged by the deposition of a firm, opaque, lardaceous-looking substance; centre of left capsule occupied by a cheesy-looking, manifestly strumous, deposit, which was also found in nodules throughout the right capsule.

Miliary tubercles scattered on surface of lungs, beneath the pleuræ.

148.
Dr. WILKS,

Male, 38,

For a twelvemonth past had been failing;

Pains in limbs, debility, and cough; towards the

No discoloration.

Twice their natural size, white, firm, and hard;

Lungs containing a number of yellowish