LEWIS STREET, wtat. 23 years, a farmer of robust frame, has for several years been liable to occasional attacks of diarrhcea, and when he was seven years old, was much troubled with tape-worms, which distressed him for many months. In September 1843, he ate a large quantity of sloes, and was shortly afterwards seized with violent pain in the bowels, resembling colic, which lasted for thirteen hours; his medical attendant bled him, and administered active aperients. After several copious evacuations he became easier, and in a few days he resumed his usual employment, which he followed without interruption till the middle of January. About the third week in January the attacks of MR. EVANS' CASE OF colic recurred, and were succeeded by dark-coloured and feetid watery stools, mixed with scybala; the attacks became more severe on the 5th of February, and I saw him for the first time on the 7th. He was suffering from severe pains recurring at intervals of five or ten minutes; the abdomen was greatly distended, but free from tenderness on pressure. The right iliac region appeared to stand out in relief from the distended abdomen; the pains were principally felt in this situation, but extended to the right loin, and to all parts of the abdomen: he had not had any evacuation from the bowels since the 5th, notwithstanding the administration of the most active aperients prior to my visit-pulse 76, softtongue moist and clean, skin cool and perspiring. R. Liq. opii sedat. Pi xl. Aq. menthae 3ifs ft. Haustus statim sumendus. W. Extrct colocyntlh. c. gr. v. 01. Tiglii i i. ft. Pilula. 3tiis horis sumenda. Adhibr Enema colocynth. 4ta quaque hora. February 8th.-The opiate afforded much relief, but after six hours the pains increased, and they have since recurred with great severity at intervals, followed by distressing sickness and vomiting of bile and mucus. The croton oil appearing to increase the pain and sickness, has been discontinued. R. Opii puri gr. ii. Hydrarg. chloridi gr. viii. ft. bolus statim sumendus. Sumat quaque 4ta hora, vel pro re nata Pul. sapon. comp. gr. v. 96 OBSTRUCTION OF THE LARGE INTESTINE.