I was called on March 17, 1879, to attend A. V. S., a Hollander, aged 56 years. He was a cabinetmaker, and while returning a distance of two miles from his work began to suffer from a severe attack of dyspnœa. He had always been well until that time, when he walked somewhat faster than usual. The walking seemed to be the first exciting cause of his malady. When I saw him he was quite unable to lie in a horizontal posture on account of the extreme dyspnœa. Counter-irritants, expectorants and stimulants, with ammonia, afforded some relief, and the next day he was much easier.
I did not visit the patient again until January 20, 1880, when I was called, and learned that he had suffered much in the meanwhile from occasional attacks of dyspnœa, as well as from œdema of the feet. At this time he was suffering from