22d.-Has been quiet since the 15th, and is once more discharged to the shop.Is returned to the hospital in the afternoon in a fit.Was seen to sway to and fro on his seat, and rub his head, until he fell, and began to struggle with those who went to him.Had secreted a fork in his sleeve.Was put on the floor of an empty room, in the hospital, and watched.Rolled about, and pounded the floor with his head for an hour, when he became quiet.29th.-Has been gradually recovering his strength and spirits since the 22d, and to- day is under moderate maniacal excitement.Jokes and cuts capers, and is anxious to go to work.30th.-Spirits drooping.Has broken his bedstead, and sharpened two pieces of scrap-iron into knives.Has also secreted some pounded glass.Nov. 15th.-Againexcited.Says he is a " desperate fellow," and wants to kill somebody.16th.-Spirits drooping.Dec. 15th.-Seizedwith another attack of spasms, which recur every few minutes.Complains of sharp pain at upper angle of right scapula, and tears at it with his nails.One thumb flexed and one extended.Bends head back, and rolls over on to left shoul- der, with his arms stiffly extended.Is con- scious, and can talk.Rubbing shoulder at seat of aura gives relief.Ice increases the pain, while hot water is agreeable, and seems to diminish the violence of the spasms.Pulse irregular, as formerly.Or- dered bromide of potassium, thirty grains three times a day, and a salt enema.Relieved of tendency to spasm in about six hours.Jan. 23d.-Hashad no recurrence of
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