3. Dec. 6th, 1886, Mr. – took 60 minims of tinct. at 11:25 p.m., Read till 12.5 a.m., then began to think about it, imagining that no effect would follow, when he felt sudden, dull, aching pain and constriction, with numbness and tingling as if electrified, beginning in right arm, gradually passing down to feet and then to head, chiefly felt in arm and axilla. Came on and off like wave of sensation, confined to right side (this side was next the fire). Peculiar metallic sensation in right half of tongue; slight rather hazy; buzzing in right ear, he seemed to go to sleep now and then a for a few moments, which, however, appeared much prolonged, with pleasant dreams, then woke up and wrote down these notes. Only 10 m. had elapsed seemed 2h.; sensations exalted and magnified; pulse seemed stronger; ideas flowed more rapidly; pictures on wall seemed larger than reality; thought he was in Mr. C – ‘s room, recognised pictures as belonging to him, though they were really Mr. R – ‘s, in whose room he was. Pulse, counted by friend, 120, full and bounding, is usually 84 at this time. When he ceases to exercise his will falls into a kind of dream which seems painfully prolonged; feels as if he never would get through n. While writing these notes time seemed prolonged; seemed to dream between each two strokes of pencil; all feelings of pleasure and pain seem exalted; teeth of right side of mouth seem to him to be clenched (not noticed by his friend; was probably subjective; 9 d. later took morphia acetas which caused feeling as if both sides of teeth were clenched; never had it at any other time). R. side of body felt much enlarged; he thought if he continued to grow thus he must bend over to opposite side (all these symptoms occurred within 1st h.). Memory seemed failing; pleasant burning heat over whole body; oppression on chest; feeling of sickness at heart; heart’s beating felt much embarrassed, sharp and quick, weak and small; its contractions seemed jerky. This lasted till he went to bed, 3 a.m., Pulse he counted as 130; then followed great constriction in head, as from iron skull cap; memory seemed gone (afterwards, however, remembered nearly all that had taken place); pencil seemed very large; felt very badly; felt sick at heart (word “heart” really refers to heart); fits of mental depression; no power of will; his friends now went out of room; he thought they had left him to his fate and wrote “cowards” in his notes; they seemed gone a long time. When they had gone he went into bedroom; stood in reverie, which seemed 3 or 4 h., looking through half opened door into sitting – room; sitting room seemed to be of an immense depth below him, though really on same floor; globe of lamp appeared of enormous size; passed through sort of dream connected with all this; there was curious sensation connected with the air, but he cannot recollect it. Ceased to take notes about 1 a.m. Following symptoms were given me from memory a few d. afterwards: Very excited; began dancing about room; frequently laughing; talked nonsense, knew it, but could not stop without effort of will, which he did not care to make. His friends tried to persuade him to go into surgery to take beer and morphia, but he was sensible enough to refuse. His power of will with regard to commands of others seemed intact, but not over himself except under strong stimulus. Thus, when Mr. H came into room, not wishing to be thought drunk, he lay down on a sofa, and could keep from talking by great effort, but when he did speak to Mr. H – he slightly wandered. When Mr. H – left he went on as before. About 3 a.m., having roused himself to sobriety, he went to bed. Stumbled down steps on leaving his friend’s room. Here he met another, who called him by name, and told him to take care of coal scuttle at foot of stairs. He felt displeased at his name being called out at that time of n. Went upstairs all right; avoided scuttle, of which he seemed somehow afraid. Had distinct sensation that he must keep sober till he got to bed, otherwise he might do something foolish. Went to bed, fell into drowsy state. Imagined finger nails of both hands about size of a plate, very curved, otherwise of natural shape; on opening and shutting fingers they seemed to slide over one another like a fan; on tapping them against hard surface delicious sensation was produced. Remembered events of childhood (not now, but recollects that he could then). Very delicious dreams, cannot remember much of them now. Woke in m. not quite sober; could no read or understand his letters properly; felt drowsy till 1:30 p.m., with alternate waking and sleeping, but waking time was a pleasant dreamy state. 1:30 p.m., increased appetite, ate good lunch (had no breakfast). All afternoon, alternate dozing and waking; same pleasant dreamy state while waking. Increased appetite at dinner. After dinner dozing and waking as before, then took coffee, which removed it. Dryness of mouth with thirst all d. Since then for a day or two, depression of spirits and disinclination to study. In writing these notes he kept repeating sentences and words. (BERRIDGE Hahn. Monthly, iii 461.).