3(lt()UCSl 011 tj)C
AGIES  E.. LOTTIMER,
DR. OEORCiE C. BALL, CORONER,
BRUOKLYX, S . Y
/
       X !•: W Y () 11 K :
raker, uodwin a- co., rook and jor printers,
   f' O R N E R XASSAV AND SPRITE S T li E E T S . 
 
nqnesi  0n t\t  geaij}
AGNES  E. LOTTIMER,
DR. GEORGE C. BALL, CORONER,
BROOKLYN, N. Y.
^'L£(,r>

       NEW YORK:
BAKER, GODWIN & CO., BOOK AND JOB PRINTERS,
   CORNER NASSAU AND SPRUCE STREETS.
          1854. 
too 
                   INQUEST.


                            ■--------+•+■--------


   A garbled report of the following inquest was published in one of the
evening papers of New York.  The misrepresentations therein made, the
interest of the profession in tbe details of the case, and tbe urgent request
of friends, have induced tbe coroner to  consent to the publication of the
testimony.   This has been given without note or comment, as it was taken
down on tbe spot.  It will not lack  interest, or fail to edify.
   Succinctly stated, tbe facts were as follow:—
   A girl named Agnes E. Lottimer, aged 12 years, died suddenly on the
7th of October, at the residence of her  parents, in Brooklyn, Long Island.
She  was taken ill on the 2d of August,  but, as was alleged by her physi-
cian, had been gradually convalescing for some weeks, and " was about the
house " the day before her death.   There was no  suspicion entertained but
that  she was doing well, when convulsions set in ;  and a few bours after, she
died.   The unsatisfactory statements that were made concerning the causes
of tbe death, the unexpected and sudden issue, rumors of other deaths in tbe
neighborhood  equally inexplicable,  and  hints at  malpractice, which were
not contradicted by tbe results of a postmortem  examination, induced the
coroner,  Dr. Geo. C. Ball, to institute  a thorough investigation into tbe
case.   No one will doubt, after reading carefully  the attendant physician's
own account, and the minutes of tbe autopsy, that the disease of which the
patient died was a simple intermittent, which, being entirely neglected so
far as any efficient treatment was concerned, resulted in a fatal congestion
of tbe lungs.
   A much more rare pathology was suggested by tbe attendant and con-
sulting physicians.  They pronounced it to be " at  first an  inflammation
of the brain;" then an " ague and  fever ;" then  " a well-marked and un-
complicated intermittent;" then " an  intermittent, complicated with mumps;"
then the mumps pass  by " metastasis " to the brain ; and finally,  another
metastasis takes place, of the mumps, from the brain to  the  lungs, which
proves fatal!
   But the reasons for suspecting the presence of mumps do not strike us
as very cogent.  There was a slight stiffness and tenderness about the neck,
HOC :r;)! 
4
but no swelling or inflammation of the parotid glands; which is very much
like having an epistaxis without any " nose-bleed."  The domestics thought
" she  was getting mumps," the mother having been, as was said, attacked by
mumps the week before.  But the mother had suffered from  mumps on one
side, in her youth; and  so far as testimony shows,  there was  very great
doubt, indeed, whether the swelling of the mother's face were not some-
thing very different from mumps.
   In the testimony physicians will  find,  that the metastasis of mumps to
tbe brain and lungs is  by no  means  so uncommon  an  event as they have
heretofore thought; and anatomists, we suspect, will be not a little amazed on
learning of a communication between the longitudinal sinus and the external
air, in certain cases.  Dr. Wells, in  explaining tbe haemorrhage with which
the poor girl's  last moments were attended, says,  that " it (the  blood)
might have come from rupture of the longitudinal sinus,  through the  eth-
moid plate ;" in another place adding, that this could only happen in case
of a softening of the brain /*
   Particular attention was directed to the treatment of the patient.  It was
entirely inert from  the beginning—probably the  most powerful medicine
administered  being lemon-juice and coffee !  Other remedies, and powerful
ones, indeed,  are  named; but the doses were such as an infant inhales into
tbe lungs when a bottle is unstoppered  in its presence, and such as  we eat
with our food and drink with our beverages, yet are not,  nor would be
if they were scores  of  times  stronger,  either harmed or helped thereby.
What makes  this sad case more aggravating, is the fact that the disease to
which this  child  fell a victim, is one of the  most manageable with which
physicians  have  to deal,  as in quinine they have a  specific before  which
comparatively few cases stand.  Yet  quinine was not  used, at  least in no
such  doses  as  all  experience has  pronounced essential for the develop-
ment of its virtues.
   The trial  opened on the 13th of October, 1854, in the City Hall, Brook-
lyn, and, to accommodate all  parties, and allow the fullest restatements of
witnesses, was adjourned from time to time until, on the seventh day,  the
4th of November, the verdict was rendered.  The following are  the  names
and occupations  of the  jurors:

John  N. Taylor, Attorney at Law.    E.  D. Trowbridge, Merchant.
Thomas D. Middleton, Merchant.     Isaac H. Frothingham, Merchant.
Alexander M. Greig, Stock Broker.  M. F. Hodges, Merchant.


   * No allusion to this monstrous blunder is found in the report of this  inquest pre-
pared  for publication by a homoeopathic witness.  Had the young gentleman the
grace to be ashamed of the ignorance of his senior ? 
5
    In their verdict they expressed no opinion of the efficiency of the treat-
 ment, or upon the question of malpractice.   With their " finding" we have
 no concern. The public health demanded of the coroner the investigation, and
 for the fearless performance of his duty he deserves tbe thanks of tbe com-
 munity.  Homoeopathic physicians of the vicinity have chosen to stigmatize
 the proceedings as persecution.  If we are to believe them and their advocates,
 this inquest was something strange and till now unheard  of.  The  patient,
 say they, was attended by  a physician, and  he  prescribed " according  to
 his system ;  surely, he is not to be held  accountable."   How  has  it been
 in similar cases ?   It is not very many years ago that a young  man  named
 French was attended by a Dr. Frost, who "prescribed for Mm according  to
 his system."   French died, and not only did the coroner hold an inquest,
 but the grand jury found a bill; Frost was tried and, we believe, convicted
 of manslaughter !   As  in the case of Wells, physicians (so called) from  all
 quarters  gave their testimony that the treatment had been judicious " ac-
 cording to their system."   Yet Frost was convicted.  To be  sure,  Frost's
 system was Thompsonianism ;  but is that worse than Homoeopathy ?  In
 the one system we have Thompson, Lobelia,  and Number 7; in tbe other,
 Hahneman, Belladonna, and the Thirtieth Dilution.   Who shall  decide
 between  the  Dutch and the Yankee  quack ?  Who will venture tantas
 componere  lites ?   One  credit  we  will   allow  these Homoeopathists;  if
 their  knowledge  of  anatomy  is as  infinitesimal  as  their  doses, their
 esprit de  corps is as high as their dilutions.  During  tbe trial they made
 common  cause—high dilutionists and low dilutionists united to assure the
jury that the treatment was "judicious ;" though it will be seen  that they by
 no means agree that they would have treated it  in  the  same  way.  How
 does the  "judicious treatment" of some who  pass for physicians in tbe com-
 munity differ from culpable inactivity—tbe  rashest  kind of experimenting
 with diseases that are entirely amenable to common treatment ?  Is it unfair
 to presume that such experimenting has  helped to swell the tables  of mor-
 tality ?
/ 
TESTIMONY.
                  TESTIMONY OF DR. WELLS.

   Parkhurst  P. Wells.—I am a physician, residing  in Brooklyn,  and
practicing Homoeopathy.  I attended Agnes Lottimer in her last illness.  I
was sent for on the 2d day of August; she was at Bath.  She had intense
pain in the head, great sensibility to light and sound, and to motion of the
head; intense heat of skin;  flushed face, thirst.  Pulse  144 in  a minute ;
hard ; urine high  colored  and scanty.  I thought she  had inflammation of
the membranes  of the brain.  The amendment progressed from the 2d to
tbe 10th  of August,  when these particular symptoms of the head disap-
peared.
    On the night of the 10th  of August, about 10 o'clock, I was called by a
messenger who said she was  much  worse,  and they thought she must die.
I found the surface cold, pale, and covered with cold perspiration.  Pulse
160 in a minute, small and weak ;  great thirst, restlessness and anxiety, and
much tossing about on the bed,  and anxious respiration.  She was uncon-
scious.  She rallied from this between two  and three   o'clock,  and the
improvement continued until between six and seven, when I left for home.
My friend,  Dr. Dunham, returned with the  messenger  who brought me up,
and remained  until 1 or 2 o'clock, when I saw her again.  At one o'clock
I found the improvement had continued to progress up  to  that time ; and
from  that  time the improvement was progressive,  with the exception  of
returns of the condition found on the night of the 10th.  Each return less
in severity.  Between these attacks she had fever continued ; was not free
from it between the intervals  of cold perspiration.  These alternations lasted
from ten days to two weeks, when the fever intermitted, and the intermission
was complete.  This intermission was followed  by a chill; that chill by
fever, and the fever resolved  itself without perspiration.   On the third day
the chill  and fever was repeated.  It was  a tertian.  There  were perhaps
six or eight of these attacks, while the fever retained a tertian form.  These
attacks returned three hours less than forty-eight.  The paroxysms  then
became quotidian ; still anticipating.  This was about the  22d of August
when it assumed the quotidian form.  She remained at  Rath until the first
Monday of September.  She had improved from the prostrated condition
so as to be able  to ride  to  Brooklyn.  The paroxysms of  fever began to
postpone shortly after her return.  Tbe intervals of anticipation decreased
until they  came to the same hour, until   about ten days before her death
when  the fever  returned about  at  the hour.   The  paroxysms were now
 very light, made up of a very slight chill,  and the latter  one  followed by no 
7
fever.  The third day before her death she complained that she did not feel
as well; complaining of nothing specific, however, except a slight stiffness
of one side of the neck, with slight tenderness on pressure over the upper
and  anterior part or edge of the cleido-mastoid muscle.   The domestic at-
tendants thought she was getting mumps, as her mother had mumps about
one week before.  There was no swelling of the parotid  gland.  She had
been so as to be up and about the house, both Thursday and Friday prece-
ding her death.   The paroxysms of chill were so slight she had not taken
her bed.  On Saturday morning she waked with headache, which she had
not had for some considerable time.   The tenderness  and stiffness of the
neck were gone.  She took her chill on Saturday at half past 10 o'clock.
I saw her at half past 11 o'clock.  Tbe chill had passed off, and there was
no fever.  The pain in her head still continued, and did through her chill,
constituting a difference between this chill and those she had recently. This
difference made necessary  a change of medicine,  which I went  home to
prepare, and which the family were to send for.
    The messenger  came  between half past 1  and 2  o'clock, saying she
was in convulsions.   I saw her about  ten minutes before 2  o'clock.  The
domestic attendants had  already placed her in  a warm bath, and she was
enveloped in blankets, on tbe bed, in a profuse hot perspiration. The muscles
of the eye-lids, the eye-balls, tbe neck,  and those of respiration, were much
convulsed—of the extremities,  less  slightly convulsed—of the arms, more
than the legs, and at times not at all convulsed.
    There wasfrotbing at the mouth; respiration irregular and convulsed, much
embarrassed by mucus in  tbe throat, the gurgling of which was loud ; these
convulsions were clonic.  Under the administration of remedies,  about  4
o'clock they  changed and  became tonic, and were now  principally confined
to the wrists and respiratory muscles;  at a quarter before 5 they ceased
and she fell into a natural sleep for ten minutes ; the pulse, when I first found
her at ten minutes before  2,  was exceedingly rapid and feeble, they could
not be counted ; as  tbe severity of tbe convulsions ceased,  tbe pulse dim-
inished in  frequency and  increased in force; perhaps they were about 150,
as I conjecture, at 5 o'clock, when she was asleep,—when she awoke, open-
ed her eyes,  moved  her bead  and  hands, and fell asleep again  and slept
 quietly.  She had two or  three of these short sleeps and wakings,  when she
seemed to manifest a  semi-consciousness.  She moaned a good deal.  Her
tongue, which was much lacerated on the right side, seemed to annoy her.  I
 left her between 5 and 6, and  Dr.  Dunham remained by her.  I saw her
 again  between  7   and  8   o'clock.    Her improvement had  continued
 to progress very satisfactorily during my absence, and continued until about
 ten  minutes before 8.  The  discharge  of a gun startled  her,  and she
 moaned violently, seemed very much distressed;  and'her improvement
 ceased from that point.   Between 8  and 9 her pulse increased in fre-
 quency and  lost in force,  though she slept quietly with intervals of moaning
 more protracted and louder.   Shortly  after 9  o'clock I left; the  patient
 remaining under charge of Dr. Dunham, an arrangement having been made
 with him to  stay during the night;  he was so kind to oblige me, as I was  in
 feeble  health.  I left a  few  minutes  past 9.   Was absent  until a few
 minutes before 11.   I was called between 10 and  11, by a messenger, who
 said she was again in convulsions.  As I passed  through tbe door of her 
8
room I saw very dark blood and thick, flowing from  her nose  and mouth.
She gasped once after I entered the room and was gone.
   When I first saw her, I prescribed for her aconite and  belladonna in
alternation ;  they were the thirtieth centesimal.   This is  the  thirtieth
remove  from the crude tincture in  tbe proportion  of one part  to  one
hundred, dissolved in water, a  powder of course  containing sugar of milk.
About thirty or forty of these pellets were put in four tablespoonfuls of water,
and  a teaspoonful given every two hours.  I expected to effect an abate-
ment of  the inflammation  of tbe brain.   I give  these because they have
cured very many cases of similar disease in my own experience, and also in
tbe experience of very many other men.
   It has been found to be a fact by very extended experience, that drugs
will cure diseased conditions similar  to those they have tbe power to pro-
duce.  This  is proved by the experience of some two thousand practitioners
on this Continent, as many more  in Europe; and tbe  experience has  ex-
pended over a period of half  a century or more; so that, if the jury will
recur to the  group of symptoms mentioned in the commencement of this
case, I gave  these remedies, the aconite and belladonna,  because they create
the same symptoms in a person in health.
   There was  great excitability, intolerance of light, sound, and motion ; a
great susceptibility to exciting  agencies of all kinds, and hence a strong sus-
ceptibility to the agencies that  produce conditions similar to those in a sick
person.   If there be an intense susceptibility  to general exciting agencies,
there must be a stronger susceptibility to those which  excite similar con-
ditions to those existing in the  sick; and hence the necessity for the small-
uess  of the dose, and hence its  efficacy.  Both remedies were given for  the
whole condition.  These remedies were  continued about thirty-six hours.
Rhus toxicodendron was then given in the same doses  as the other.   Tbe
disease would pass by the same name though the condition  bad changed,
and hence the folly of naming diseases.   The fever  had abated, and  the
susceptibility to exciting agencies had abated to a considerable extent; tbe
prominent symptoms now were heaviness  in  the head, and pain, inability
to raise it from tbe pillow.  The Rhus was given because  they produce the
same effects  in a well person. She received Rhus.  Pulsatilla and Sulphur
were  given  up to the 10th;  and for the same  reasons a mixture of cold
water and alcohol had been applied to tbe head of the  child, and that bad
been permitted to be continued.
   At the time I was sent for, on the 10th,  at night,  I  gave  her arsenic
and carbo vegetalis, in tbe same doses and in tbe same form, once in fifteen
minutes.   I  suppose this occurrence,  on the  night of the 10th of August
was  an  attempt at an ague chill, which  was imperfectly executed.  &Sbe
had no ague until the 10th.   Whether the  previous attack of tbe brain
was  a miasmatic attack, or not, I do not pretend to say ; I did not view
it as such at the time I was first called to her.   I esteemed her danoerous
that  night, when I first went in.  I had seen her that  day, previously!3  She
was  not  dangerous when  I saw  her  in the day. I  did not state to anv
person in the  house that  she  was no worse  than when  I saw her in the
morning.  I do  not remember going down stairs, and being sent for in a
short time and  finding her much worse.  I do not  remember  ordering
bottles of hot water, &c, to be put about her.   I remained  until between
6  and 7 in the  morning.   The  next  day,  at 1  o'clock, the arsenic 
9
was dropped and the carbo  vegetalis was continued.  I cannot  tell what
changes had occurred to cause me to  drop the arsenic.  The prostrated
vitality of the individual caused me to give the carbo vegetalis, because it
produces symptoms like those which accompany prostrated vitality, and its
use, in a  great many instances, has relieved prostrated vitality  in others.
Up  to three days before her death, I considered her  disease intermittent
fever; and she  had  paroxysms  of intermittent  fever  during the  last
three days.   With  tbe  exception  of a  very troublesome itching of the
vagina, she had no other trouble.  On and after the 10th, she got arsenic,
carbo vegetalis, veratrum  album, ipecacuanha, nux  vomica, pulsatilla, cin-
chona,, calcarea carbonica, cedron, arsenic, and carbo vegetalis.   The  ague
of veratrum is made up more  of  chill  than fever, the chill also  accom-
panied  by  a  cold  perspiration—this   she got  after the night  of  the
10th.  The ague of arsenic has so  many varieties  that I could not repeat
them without  getting the book and reading.  Ipecac  produces  vomiting,
perspiration, cramps  in  the stomach, &c.  Ague and fever without thirst,
ipecac will  very likely cure.  Probably at that time  her  fever and  ague
was unaccompanied with thirst.  I  judged it to be  the very best thing she
could take when I gave it, because tbe  symptoms she had  corresponded
with the symptoms the ipecac would produce.   I  do not remember them
now.  All the  symptoms produced by  ipecac are  not found in  the same
person ;  they are modified by age, temperament, sex, &c.
    Nux  Vomica.  Thirst from tbe beginning of the chill,  continuing
through  the chill, also through  the fever, pains in  the head through  both
chill and fever;  it is also applicable  to  paroxysms occurring  any  time
within tbe twenty-four  hours ; thirst ceases at the cessation of the fever.
It is probable that this was the form of fever at  tbe time this was prescrib-
ed ; this was given in tbe one-third centesimal, and in the same form, every
two  hours, repeated during tbe intermission.
    Pulsatilla produces fever, leucorrhcea, amenorrhcea, dysmenorrhcea, nau-
sea  and vomiting, diarrhoea, &c.
    I do not remember exactly why I  gave this, farther  than the general
statement already given.   The same dose as the others.
    Cinchona, the same dose.   I do  not remember tbe form of ague in this
particular case.
    Calairea Carbonica was given in the same dose, and for some other form
of the fever which I do not recollect.
    Cedron is a kind of bean that grows in tropical  regions; the properties
are  not proved, or fully understood.  I took  it myself in health, and  got
chills affecting the left side of tbe body,  and in the afternoon,  pains in the
stomach  and in the forehead and over the eyes;  darting pains in the right
arm first and in the left tbe second, along the ulnar, and also  in the right
hand.  I do not remember the  particular state of tbe patient for which this
was given ;  her paroxysms were very much mitigated by its effects, so much
so that I expected every day  she would pass  her chill.   She  continued its
use  perhaps ten days ; nothing else  given at the same time.
    Cinchona.   It was given during tbe  latter period of her disease ; don't
remember how long after the use of the  veratrum or nux vomica ;  she had
been taking cedron up to these three days,  when its use  was discontinued
because she ceased to improve under its  administration ; she then got vera-
trum album, on Wednesday and Thursday,—the fourth centesimal, thirty 
10
or forty of  these in four tablespoons of water, and a teaspoonful  once in
two hours during tbe intermission.   The paroxysms were now simply chill;
she was not in  bed ; she  had her chills in a chair ;   her  chill wsa very
light, and did  not  improve under it.   I directed on  Thursday, that if  the
chill returned on Friday she was to get half  a cup of black  coffee and a ta-
blespoonful of lemon juice, on the accession of the chill.  She took  that;  1
saw her on Friday  after the chill, and it had been very much mitigated and
abbreviated; directions were given to administer  a similar dose of coffee
and  lemon juice one hour  before the expected accession, and to repeat if
the chill  should appear.   I saw  on Saturday, about half past  11,  she
had passed through the chill and had  headache ; I ordered nothing for her ;
I returned and found her in convulsions, and gave her Belladonna and Opi-
um in alternation,  at first just the  same doses as mentioned  before, a tea-
spoonful at  the commencement of each convulsion after she received  the
first dose.
    After the first thirty minutes she got the same medicines, by my directions,
with  the  advice of my friend Dr.  Dunham, just  the  same as  before,  the
strength of the tincture I do not know. Dr.  Dunham prepared them. This
was  continued  until  about 4  o'clock, when the spasms  changed their
character; cicuta virosa was  then substituted for opium, I think tbe fourth cen-
tesimal, thirty or forty pellets to half a tumbler of water, and a teaspoonful
dose given; this was continued up to a quarter before 5, when the spasm ceased.
She  took  no more medicine under my direction until  9  o'clock, when we
gave  her belladonna of the third centesimal, in tbe  same dose.  I gave the
coffee and lime juice, because it has cured agues for me and  my friends.
    Up to the  10th, the deceased was laboring under inflammation of  the
membranes  of the brain, uncomplicated with any other disease.   For  ten
days  after the 10th, it was  ague and fever without  an intermission, there
was not sufficient vital power to bring about an intermission.  After that
ten days, it became a regular intermittent, and so continued uncomplicated,
except with the pruritus, up to the three days before her death, and then
continued up to her death complicated with mumps, which was translated
to the membranes of the brain.  I suppose that to have been tbe cause of these
spasms.  I did  not at the time of the soreness and  stiffness prescribe  any
thing for the mumps, simply because they did not appear  in their specific
form, and there was no fact to call for the  change  of  the  remedies which
the greater evil of  the ague and  fever required.  I suppose this translation
of the mumps to the brain  took place on Saturday morning; I did not see
her until  half pastil, and  then went home to  prepare medicines for her
general sick condition.  On my recall my remedies were  addressed to  this
state  of her case.  I did not consider her at all dangerous previous to Satur-
day at  2  o'clock, and but  for the translation of  the mumps bringing on
congestion of the brain, I know no reason why she should not have recovered.
I suppose the dark, thick blood that issued  from her mouth and nose came
from the lungs, proceeding from congestion  of the lungs.   The congestion
of tbe lungs might  have arisen from one of two causes ;  first, the mechanical
effect of the embarrassed respiration  (I attach no particular importance to
this, the probability is the other way) ; and the other, metastasis of the mumps
from the bram to the lungs. The reason why I think this  might have taken
place is, that the spasms of tbe muscles of the eyelids, eye-balls, face,  and
neck ceased while  the respiratory organs were still subject to spasm ;  and 
11
what is a little curious is this,—the spasm became tonic at this point, and
was confined to tbe wrist, scarcely, if at all, reaching the leg.   The nerves
of the arm  and of the lung are derived from the upper part  of the body,
and the reflex influence of the nerves might have affected  the arm in this
way.   She died from suffocation, by the accumulation of this blood in the
throat.  There must have been a rupture of tbe  blood vessel, to  occasion
this flow of blood, and  that would not have taken place but for tbe convul-
sions.  She had  no symptoms of  congestion of any organ, even with her
chill, that particularly  attracted my attention,  other than  accompanies all
paroxysms  of ague and fever.  She uniformly answered, during the last two
or three weeks, that she had no pain  at all. Fever and ague is a congestive
disease.  It is not considered usually  a dangerous  disease.   Persons of bad
constitution,  aged  persons,  &c, in  them the danger is  increased.   I never
made or saw  a postmortem examination of a person dying of ague and fever,
and never saw a person dead of ague and fever.  The  liver and spleen are
more particularly affected than any other organs.  I have no recollection
of ever having been told that  she complains  of pain and  soreness in any
part of the body on being handled.
    The reason why I  supposed she had mumps, and they were translated
to the  membranes  of  the brain, is because, 1st, for the two or three weeks
preceding her death she had no brain symptoms whatever, not even a pain
in her head,  and I questioned her every day on that point;  2d, the attack
came  on just at the time mumps will come if she had taken it from her
mother ; 3d, the slight stiffness and tenderness of the neck, as mentioned;
4th, the  character of the convulsions; 5th, the termination by haemorrhage.
The haemorrhage might have come from rupture of the longitudinal sinus,
and coming through the ethmoid plate;  and  it is only conjecture that it
came from the lungs.  If haemorrhage of the longitudinal sinus had occurred
so as to escape by the mouth and nose, it must have  been at the anterior
part of the sinus ; and then you would have found blood at the base of the
brain.    There were no phenomena during life that would  account for that
as a product of disease from beginning to end. Postmortem examinations
are of  much less value than is generally supposed.  I decline accounting
for the appearance  of this bloody serum in  tbe chest, on account of the
uncertainty which attends its origin.   Whether it took place before death
or after, the origin of the serum is all uncertain.  I have made postmortem
examinations of persons who have  died  from diseases of the lungs, and
have found serum in the cavity of the chest.   I have seen it of all  amounts,
from as much as  the chest  was capable  of holding down to a very little.
Some died of pleurisy, some of phthisis.   I have opened persons who have
died of other diseases,  such as dropsy of the brain, jaundice, with  consider-
able serum in both pleural  cavities,  and no  disease  of  lungs or pleura.  I
am not aware that I ever saw bloody serum in any case that I remember. ^
    I was asked about  the 10th, if I did not think it was best  to have addi-
tional advice.  [This was put by one of the jurors.] _ Mr. or Mrs.  Lottimer
never  at any time spoke to  me about having additional  advice, up to the
three days before her death.  It was tbe impression of the family that she
had  mumps.  On Thursday, it being a  pleasant day,  and their being no
swelling of the parotid gland, she was permitted to  ride.   I have  no recol-
lection of either Mr. or Mrs. Lottimer asking me if I was going to cure her
child or if I was going to let nature have  its course.   The child  had this 
12
 peculiarity, she would  not  take  the  diet prescribed, which was gruel, and
 took nothing until her father told her she must take it.   This was for some
 two davs or more.  She then took arrow-root or gruel and gum water.  She
 took it'after the disease assumed  an intermittent form.  She took no meat
 until the intermissions became complete, and then took delicate game birds,
 &c. and when she became further improved, mutton chop, &c.
    Some of the medicines, the nux vomica, arsenic, veratrum. rhus  toxico-
 dendron, &c, are active poisons.   I have never  experimented with any
 of these medicines, except the cedron, on persons in health.  The  dose  of
 any medicine, which produced the  symptoms recorded, is  not  retained in
 the materia medica I use.  The tincture of nux vomica is prepared  by put-
 ting twenty parts of the powdered bean to one hundred of the alcohol.   To
 twenty grains of the powder I would put one hundred drops of alcohol.   I
 do not know  what a high dilutionist  means.   It is not our theory of disease
 that all diseases have one of two  origins, either syphilis or itch.
    [To a juror.]   I am regularly educated for the practice of medicine.   I
 was educated at the New Hampshire Medical  College, and practiced seven
 years as an allopathic physician.
    I do not know whether it is uncommon for a child who has  chills and
 fever to die of convulsions.   This is the first case of the  death of a patient
 where  chills  and fever were in progress at the time of the death.  There
 was no evidence of disease of any of the internal organs during the progress
 of the fever and ague.   I always examine all points  that show disease.  Tbe
 correct homoeopathic practice is  based  upon  a knowledge  of all  the facts
 that constitute the difference between tbe sick and the well.
    I arrive at those facts by the  use of  my senses, and by inquiries  of the
 attendants and of the patients themselves.  Sometimes I  feel the  patient's
 pulse; sometimes I look at  his tongue.  A metastasis of mumps  to the
 membranes of the brain would produce congestion of that organ in  a very
 short time ;  and other organs may be suddenly congested by the mechani-
 cal obstruction of the circulation  of the  blood through the lungs, as hap-
 pens in violent  convulsions—all  this might take place from  tbe mumps.
 Quinine is not a specific  remedy for the ague and fever, it  is only specific
for such forms as  it produces—it  will not cure all forms.   Tbe form of ague
that quinine is appropriate to, is not very frequent here.   I  have given it  a
few instances, and it only cured one.  I gave it a powder, either  the  first or
 third centesimal, in a dose of about a grain or a grain and a half, and the
 ague did not appear after the first dose.
    The headache appeared  on Saturday morning, as the coffee  and lemon
juice was given on Friday.   I think the effect on venous  congestion would
 be to relieve it by the law of contrarieties.


                   DR. DUNHAM'S  TESTIMONY.

    Carroll Dunham,  sworn.  I reside in Clinton street, near President;  I
 am a physician practicing in  the  city, and practicing what is known 'as
 Homoeopathy.  I graduated at the New York  College  of  Physicians and
 Surgeons.   I pursued the regular practice  in hospitals, but  never in private
 practice on my own responsibility.
    I saw Miss Lottimer  in consultation with Dr. Wells.   I saw her first
 either on  the 10th or  11th of  August.  I  considered  her to  be laboring 
13
under inflammation of the brain.   I was told by Dr. Wells that she had
been  taking, during the ten days previous to the time I saw  her, Aconite
and Belladonna in  alternation ; these medicines, in the thirtieth centesimal
dilution, thirty or forty of the globules, dissolved in half a tumbler of water,
a  teaspoonful being a  dose,  I  think  repeated  every three  hours.   Her
symptoms were as follows:—She was pale; extremities cold; the whole
body covered with  a cool, clammy sweat; thirst almost continual; tossing
of the body to and fro; and anxious sighing respiration; heat of the bead
to the touch ;  pulse very frequent and very feeble.  I do not remember the
condition of the tongue.  At  times she appeared to be conscious of some-
thing going on about her.  This was  in the morning, somewhere about
7  o'clock.  Dr. Wells came to  my house for me; he  did not go down
with me; he had been at Mr.  Lottimer's during the night, and I went back
in the conveyance which brought him up.   Dr. Wells said, when he came
for me, I have been down at Bath nearly all night; I wish you to go down
and care for Miss Lottimer until I return. I had not seen her during her ill-
ness before this.  At this time he told me, as he gave in evidence, what her
condition was, and what treatment he had pursued during the night.  Then,
being in haste, he left, and I went down.  Then I examined her, and found
her in the condition I have already described.   I prescribed nothing new,
but administered what  he  had prescribed.  About  2  o'clock  that day we
held our first consultation.  I agreed with Dr. Wells entirely in his opinion,
as expressed,—that her disease was inflammation of the membranes of the
brain. We considered it probable that the spell she had the previous night
was an attempt to set up an ague chill.
    I  did  not suggest any change in the treatment, at  2 o'clock.  I  saw
her again with Dr. Wells the next  morning.  There was nx> change made
in the treatment then by my suggestion.   I considered that from the night
of the 1 Oth of August, up to the day on which she was first free from fever,
probably about ten days, there was a series of unsuccessful attempts to set
up intermittent fever.  I should say she had not entirely recovered from
tbe inflammation of the brain, but was in process of recovery.   I did not
consider myself in attendance  upon her after the time she took the Rhus.
I  considered the emergency  for which  I had  been  called  to  give my
advice had passed over.  I saw her frequently after I discontinued attending,
though only as a friend.  I considered, after the lapse of some days (how
many I know not),  that her disease was intermittent fever. I did not inter-
fere with  the treatment at all.  I saw her again in consultation with Dr.
Wells, about four or five weeks previous to her death.   I do not remember
seeing her in conjunction with Dr. Wells but once.   I  do not remember
then  suggesting any change of treatment.   I think I saw her twice after
this when Dr. Wells was not present.   This  was about three weeks before
her death.  I did not then alter the  treatment.  I did not see her two or
three days previous to  her death.  I saw her between  2 and  3 o'clock
of the day of her  death.  She  was then in a  convulsion.   I went as a
friend.  I was  there from  half-past  2 to half-past 4; then  from about
half-past  5  to  7;  then from  9  to  the  time of her death.   I found Dr.
Wells  there when  I  entered  the room.   I  consulted with  Dr. Wells as
to the treatment.   None of the medicines  given that day were  given at
my suggestion.  I have no recollection of ever at any time suggesting any
remedies.   I do not remember expressing any difference of opinion as to 
14
 her disease, and do not know that I entertained any.   At every, and at all
 times, I fully concurred with Dr. Wells as to his opinion of her disease and
 the treatment.
     Intermittent fever is a  disease generally  considered to be due to a
 miasmatic influence, and manifesting itself under a variety of forms, having
 the same generic  character.   The difference between a remittent and  in-
 termittent fever is,  in  one there is an intermission, and in  the other a
 remission.
     In  an intermission, the symptoms which are said to intermit  are  no
 longer present.  In a remission, they are present in a  mitigated form.
     I treat intermittent fever on the basis of the homoeopathic law.  The
 homoeopathic law is si?nilia similibus curantur. The first that  I ever heard
 of enunciating that, was Hippocrates. He was a Greek physician. Sydenham
 next published this doctrine. Several mentioned it.  The chief was Samuel
 Hahneman.  He was a German physician.   He arrived at that conclusion
 by  observation conducted  by himself,  and  by observation  of medical
 writers who had preceded.  His observations were of various  kinds.  The
 first class were  involved  in  the  treatment of  a large number  of the
 sick, according to the medical methods then in use.  The  second con-
 sisted  in experimentations  with drugs  upon  himself  and others while in
 health;  the  third  involved in the treatment of sick persons with the
 drugs  whose effects upon  the  healthy he  had learned by previous experi-
 ments.    These same  experiments  and observations had not to my knowl-
 edge been made by Hippocrates or Sydenham.
    I am not governed by pathology at all.  It is one  of the  instruments
 I  make use  of in getting at an  accurate  knowledge of the condition  of
 the  patient.  When called to a patient, I look at him and learn the symp-
 toms.   I  look for the immediate cause of the symptoms.   It is impossible
 to distinguish between the aggregate of the symptoms  and any  thing which
 is called the disease.  In the simplest form of the intermittent fever, at some
 part of the 24 hours, the patient has chill,  with various  accessory symp-
 toms,  which depend upon the organs of the body  which sympathize with
 the  diseased  condition that constitutes the chill.   Headache,  pains in the
 bones, pain in the  back, dizziness,  gastric derangement, frequently splenic
 congestion, fever  generally follows  the  chill, headache,  thirst, gastric
 derangement,  &c.  The fever is  followed by sweat,  sometimes accessory
 symptoms, sometimes  not.  In intermittent fever the  paroxysms come on
 at different periods,  called quotidian, tertian,  quartan, &c.; they are dif-
 ferent types of fever.  In a  quotidian the chill commences at  all hours of
 the  day.  I do not know that there is any rule for the time of a chill, com-
 mencing at particular time, in a quotidian.  The cause  of the spasms I sup-
 pose to have been  congestion  of  the brain.  After hearing the history of
 the  case  from the  attendants  and  Dr. Wells, and  after witnessing the
 termination of the case, I suppose a metastasis of mumps  had  taken  place
 to the membranes of the brain.
   I was led to suppose this from  the termination  of  the case; it was by
 an association of ideas,—it was because /  had seen a case of metastasis of
 mumps to the bram run its course and terminate  as  that case did.   One
 reason  why I supposed she had mumps, was from the stiffness and soreness
 of the  neck.  The  case I alluded to terminated by haemorrhage from the
nose and mouth, precisely the same way as this.  I suppose that the blood
thrown  up by  Miss Lottimer  came from  the mucus membrane of the 
15
bronchia, or else from a ruptured vessel of the lungs.  I suppose this was
caused by the intense congestion of tbe  lungs.  I suppose the congestion
of the lungs was mechanical, resulting from the spasm of the muscles of
respiration.   I state this upon conjecture, as I did not see the patient until
she had been in the spasm an hour ;  and I do  not know if there was any
evidence of her lungs being in a congested  state at the moment she went
into a convulsion.   Mumps  is  a  disease the  characteristic  symptom  of
which is swelling with tenderness of the parotid gland.  I do not know
that mumps ever runs its whole  course without swelling and tenderness of
the parotid gland.   There are preliminary  symptoms  which precede  the
swelling of the parotid gland,  and these may be considered as a part of the
course of the disease.
    Those symptoms  are  lassitude, partial  loss of  appetite,  a somewhat
quickened pulse, sometimes headache, and a greater or less degree of stiff-
ness and soreness in the side of the  neck, and occasionally  difficulty of
mastication.  When metastasis of mumps takes place,  it generally goes, in
the  male, to the testicle; and  in the female, to the  ovary, or mammary
gland.  It  sometimes goes back from these to the parotid, and sometimes
to the membranes of the brain.  It goes sometimes directly from the parotid
to  the  brain; more frequently before the age  of puberty, and  in  subjects
who bad previously had head affections, than in others ; on the whole, not
unfrequently.  I think in this  case  it went directly to the brain.   My
authority is Shcenlein, an allopathic writer of very great distinction.
    At the time she had this  spasm, the last medicine she received  previous
to my arrival, was belladonna.  The tincture of opium was the second cen-
tesimal, and the belladonna  was the  first centesimal.  Two  drops of the
preparation in f of a tumbler of water, and a teaspoonful of that, making
the dose about one ten-millionth part of a drop.
    Miss Lottimer died of suffocation by means of this blood,  and  this
brought about by the mechanical  congestion  of the  lungs, that  brought
about by the convulsed  condition of the  respiration, and that owing to
congestion of the brain.
    The high dilutionist is one who uses high dilutions ; the low dilutionist
is one who uses low dilutions, or, the one who uses more of  the  medicine
and less of the solvent.  [To  a juror.].


                     TESTIMONY OF  DR. HULL.

    A. Cooke Hull, sworn,— I  am a homoeopathic physician, practicing in
this city.   I  was called by Mr. Hodges in a very urgent manner, to go  and
see this case, on Saturday,  the 7th  day of October,  at  4 o'clock in  the
afternoon.  I learned the history  of the case, a little previous to my getting
there, from Mr.  Hodges.   I mean the  circumstances attending the case,  and
why I was sent for; upon arriving  at the house I did  not see  the patient
immediately, but waited  until  I saw tbe attending physician, Dr. Wells.
He gave me,  in  the meantime,  the previous history  of  the case,  and
partly of his treatment.   I went up  and found a young lady, apparently
about twelve years old, nearly at the termination of a convulsion. I found her
in a hot sweat, flushed face, difficulty of  respiration, the muscles were then
mostly relaxed, with the exception of the wrist; pulse very rapid and feeble, 
16
 I could scarcely count it;  she was insensible.  I  remained for a very short
 time, some ten  or fifteen  minutes,  and then went down  stairs  with Dr.
 Wells, where I found Dr. Dunham.
     Then we talked the matter over; I remarked that  it  seemed to be a
 fatal case; I asked the doctor what she was then taking. He told  me acuta
 of the  first dilution.  I remarked  I thought it was indicated  by the  symp-
 toms;  I believe I then  spoke of opium as a remedy.   The doctor said  it
 had been given before, but that it had  lost  its effect.   I then remarked I
 thought tbe ease seemed  a desperate one, unless the patient had vitality
 enough to sustain the  shock of the disease ; and I said  I could suggest
 nothing more than what be had been doing.  I had not seen the patient
 before.   From the statement of Dr. Wells/1 should think the disease was
 primarily  intermittent  fever.  I have  heard  Dr. Wells' testimony  as  to
 his treatment  of the case, and as far as  his  history of the  case  goes, I ap-
 prove of it. Judging from the history of the case, I do not think the  inter-
 mittent fever was  the  cause  of  the death.   When  Dr.  Wells  gave me
 a description of the case, I remarked I thought it might be an inception of
 mumps, and that brought on these convulsions by congestion of the  brain.
 I suppose the  cause of throwing up blood was the congestion of some  organ
 producing rupture of a blood vessel; I do not know what organ it was ; my
 treatment of intermittent fever ordinarily is  with quinine.   I vary my dose
 of quinine from the yiy of a grain to a grain  and a half, and two grains.
 I generally find that treatment successful;  none of my patients have died
 under that treatment.   I have followed this treatment ten years.  In the
 paroxysm of fever I use aconite and belladonna.   I use the crude tincture,
 about from three to five drops in a tumbler two-thirds full of water, and give a
 teaspoonful or two teaspoonfuls, and sometimes a tablespoonful, from two to
 four hours.  The cases  under this  treatment sometimes last  two or three
 weeks.   I have cured them the second chill.   I don't  relinquish the  treat-
 ment :  sometimes the cases will return.  There are many other  remedies
 which I give besides aconite and belladonna.   I have healed them without
 quinine, but generally use quinine.
    I do not know that  I can  recollect  any peculiarity in the convulsions
 arising  from the metastasis of  mumps to the brain, from any other convul-
 sions arising from congestion of the brain.   I saw one  case  where  there
 was haemorrhage from the mouth.  I should  think there was at least ten or
 twelve ounces of dark, thick blood.  The patient died almost instantly.  There
 was no  postmortem examination made. It was a young man, about eighteen
 or nineteen years. He had mumps some three or four days.  There was swell-
 ing of the glands on both sides of  his neck.  The disease commenced with
 swelling of the  glands, and very few premonitory symptoms.   I suppose
 in this case, the blood came from the lungs.   My opinion was,  that  there
 was a rupture of the blood vessel somewhere, from mechanical action.
    [To  a juror.]  I have heard the  history of the case, and,  in my opinion
this treatment  was according to the best and  most improved methods of
homoeopathic treatment.  I have no experience in the use  of  coffee and
lemon juice in such cases.  I  have heard of its use  in intermittent fever.
There are authorities for its use, and I have  heard of  individuals using  it
empirically.  As regards the propriety of its use in this case I cannot say;
but I think, from what  he told  me, be  had authority for usino* it.  They
are not  usual homoeopathic remedies. I do not think I should have used it 
17
 in this case.   I never have used it, and do not think I should.   I should
 not think the use of quinine, as I use it, was orthodox homoeopathic treat-
 ment.  I use it because I find it answers the  purpose I want of it.   I use
 quinine  on the principle  of homoeopathy.   I  have never had, but have
 heard of, cases when the disease has continued for six or eight weeks where
 quinine was used.   In the case of the child in my OAVn family, the  mumps
 apparently commenced in the bowels, and the application  of a poultice of
 angle worms to tbe parotid gland caused a  metastasis  of  tbe disease from
 the bowels to the  parotid.  The brain was  somewhat affected, but not a
 complete metastasis.  The child recovered.

                      DR. WELLS RECALLED.

    [To a juror.]  That  the coffee and lime juice were given for  reasons
 derived from my own experience and the experience of other men.  Pre-
 vious  to the administration of the first dose of coffee, the only phenomenon
 which differed from those of previous days were  slight malaise—"I don't
 feel so well to-day  "—and the tenderness and stiffness of the neck,  neither
 of which would have been regarded as a change  of  disease, or the begin-
 ning  of a new  disease, but for what followed, viz. the convulsions.   The
 coffee was administered three times  after I observed this stiffness of the
 neck.   Convulsions originating  in irritation of membranes of the brain,
 affect more those muscles which are  supplied by  nerves originating in the
 cavity of the cranium.   The blood, if proceeding from  a rupture of the
 longitudinal sinus,  might escape, through the cribriform plate of the ethmoid^
 into the  nasal cavities.   This  only in case of softening  of the  brain and its
 membranes  over this plate.  Immediately previous  to Saturday, she had
 been  under the effect of veratrum album.  The brain and the membranes
 being thus softened, I see no difficulty of a certain amount  of pressure
 forcing: the blood  through the openings  in that  bone.   This was not in-
 tended to explain  the haemorrhage  in  this case, but  only as a possible
 occurrence.  My  opinion now is, that the haemorrhage  came  from the
 lungs.   Shcenlein  states that previous to puberty,  and   having suffered
 previous inflammation of the brain, mumps will attack tbe brain, and not
 the parotid gland.

             DR. WILLARD PARKER'S TESTIMONY.

    Willard Parker sworn.—I am a Physician  and  Surgeon,  and Pro-
 fessor of Surgery in the College of Physicians and  Surgeons, New York.
   I  was present at and assisted in making a postmortem  examination of
 the body of Agnes E. Lottimer.
   The inspection  of the body as a whole, was such  as to  present a rather
 unusual appearance.   The body was  fleshy, dirty  pale.  Expression of the
 face remarkably placid.   Eyes more lifelike than I  ever saw in a dead body.
 No injection of the conjunctiva, or of the eye  itself.   Section was made
 through the scalp,  and no blood followed.  The top of the scull,_or  cal-
 varium, was removed, and very  little blood  or fluid escaped  during the
process'.  The dara mater or outer membrane remarkably dry.  Beneath
the arachnoid, in the grooves of the brain, there was some serum.    This
membrane, raised,  was slightly opaque and thickened; no recent  lymph.
                            2 
IS
The pia mater was thickened, congested, and separated from the substance
of the brain in large portions by traction with more than natural ease.  Ihe
substance of the brain was  natural.    At the base of the brain a small
quantity of fluid was  found;  about three ounces of serum in all was found in
the skull.   The blood vessels of the pia mater were congested.
    Thorax.—The lungs collapsed very imperfectly, and crepitated  slightly
throughout.  The pleura, or  covering of the lungs  and ribs, was red and
much congested, especially on the  left side;  in the left cavity of the chest,
there were  four  ounces of bloody serum highly  charged with blood, one
ounce of the same kind of fluid  found in the right pleural  cavity.  Both
lungs were so much  congested that,  when they were  cut and  placed  in
water, they were nearly of the specific gravity of water, containing sufficient
air to make them barely float in water.   There was a slight old adhesion
between  two of  the lobes  of the right lung, the middle and lower.  In
outting through  the bronchial  tubes, the mucous  membrane  was found
thickened, very much congested, and  nearly mahogany in color, the  tubes
containing bloody mucus.   The heart, normal in size, containing very little
blood.   Abdomen.—The muscles of the thorax and abdomen  exceedingly
small; the fat over  the abdomen  very thick, measuring one inch  and an
eighth.   The organs of the cavity, when laid open, presented nothing un-
usual,  except the omentum  was bloodless, and  the  intestines also, and
moderately distended with gas.   The liver was about  normal in size, too
dark, and when  cut  into, bloodless—unusually so.   Spleen was now  re-
moved ; weighed one pound, was of ordinary consistence, eight inches long,
four inches transverse, giving out  no  blood on incision,  the spleen being
between three and four times  its natural size ; the pancreas and gall bladder
natural.   The  stomach  removed for further  inspection.   The  kidneys,
together, weighed eight ounces, about one-third larger than they should be
in a child of this age.  The capsule thickened, and easily separated from
this organ ;  on  making a section into the kidney, it was found diseased,  in
the first stage of granular kidney.  Submitted to tbe microscope, there was
evidence  of the commencement  of  fatty degeneration.   The intestines
healthy.   The mesenteric glands swelled.
    There was slight evidence of disease of the brain, shown by the effusion
and thickening of the  arachnoid membrane.   I should think the evidence
of  disease in the brain was  not as recent as within a day or two, but must
have been of some weeks' standing;  more  probably  connected with the
commencement of her disease than the termination of it.
    The lungs were in an unusual state of congestion, involving the covering
and substance of the lungs and lining of the air tubes.
    The effusion of  the bloody serum  goes  to show that  there was verv
great congestion of the lungs.   This excessive degree of congestion could
not have been  occasioned by these spasms alone; I presume  the  conges-
tion of the lungs was very recent, but was the result of preexisting disease
of the general system, of longer standing.
    Abdomen.—The spleen between three and  four times  larger  than it
should be; in firmness and color natural, and constituting what is common-
ly called an ague cake.
    The  liver and other organs remarkably  bloodless, owing to the  blood
being  in  the  thorax.  Kidneys about  one-third  larger  than  they should
be, the condition in  which they are found after repeated congestions and
a moderate amount of  inflammation, the result of such congestions.  The 
19
kidneys were in the first stage of granular disease, itself a very grave affec-
tion ;  this probably the result of a succession of  congestions occurring for
some  weeks.
   The appearances are such as we would expect to find in a person who
has been laboring under the poison of intermittent fever.  This disease has
become very common  in  this region within  the  last two or  three  years.
The treatment of this  disease is well understood.  There is no  single dis-
ease of which the treatment is more unquestioned than  this.   The causa
of the disease  is supposed to be a  poison invading  the system, to which
the name of  miasma is given.  Quinine has  taken precedence of all other
remedies,—arsenic, salicine, biberine, piperine, opium,, sometimes cold water.
I do not know how these medicines operate;  experiment first  establishes
the character  of a medicine.   In uncomplicated cases patients  very
rarely die ; I never have known a case die under the established  treatment.
The poison when once in  the system remains a longer or shorter time, de-
pending  upon the amount of the poison and the susceptibility of the system
to these remedies.  I am somewhat  acquainted with the theory  and prac-
tice of Homoeopathy.   In my own hands, I have found the high dilutions
entirely  inert;  the low dilutions the profession have long used.  Aconite,
arsenic, belladonna, &c, are used with  great  circumspection by the pro-
fession, on account of their potency ;  we make them rather a dernier resort.
I  have witnessed ill effects from the  use of  these  low dilutions in the
course of my practice.   I  have seen  phosphorus used ;  arsenic used until  it
produced its specific effects; nux vomica used until it  produced convul-
sions.  I have seen Rhus toxicodendron  used until it produced the eruption
natural to  it;  some of these cases  terminated fatally.   Intermittent fever
is  a constitutional disease ; and  mumps is also  a constitutional  disease.
There is  a law, that no two constitutional diseases can coexist actively in the
system at the same time.  Mumps is a disease, contagious, and has its loca-
tion in the parotid gland  at the side of  the neck; it has its beginning and
runs its course ; it is not  stopped;  it  generally  goes through,  sometimes
accompanied by a very considerable symptomatic fever, at other times not;
if interfered with, in the male it attacks the  testis, in the female the breast;
at times the  brain suffers very much during  the disease ;  a metastasis to
the brain is spoken of by  authors, but it is very rare.  I never saw tbe dis-
ease substantially go to the brain, as  it does to the testicle.  There was no
appearance of metastasis of mumps to the breast in this child.  The person
might have stiffness and soreness of the  neck, but  he cannot have mumps
without swelling and soreness of the  parotid gland.
   The blood without a question came  from  the lungs,  and not from the
head ; because there was no blood found in the head, and,in the next place,  it
could not have  made its appearance in the manner described by Dr. Wells.
There was no vessel found ruptured in the brain.
   Postmortem examinations are looked upon by the profession as of great
importance in aiding our knowledge  of disease.
   The great and first  inquiry is, What is the actual difficulty ? and that
first inquiry  cannot be settled  except  by knowledge  acquired by post-
mortem examination.
   I think this child died from haemorrhage and the convulsion conjoined,—
the result of the intermittent  poison which she  had imbibed in August,
and going on to produce congestion  of  the internal organs.  This conges-
tion and  bleeding was an effort of nature to relieve itself. 
20
    This was the result of congestion.  The treatment is to take the  blood
 from the part that is  congested; for the congestion of intermittent-fever
 poison, quinine is the great remedy.
    Patients sometimes die from too active treatment,—that was not the case
 here,—and sometimes from inefficient treatment.  I feel that had I treated
 this patient in the manner described, I might as well have been a thousand
 miles off.
    [To a juror.]—Intermittent fever is eminently a disease of congestion.


                    DR. GILMAN'S TESTIMONY.

    Chandler R. Gilman, sworn.—I am a professor in the College of Phy-
 sicians and Surgeons in New York.   I was present at this postmortem ex-
 amination.   On the first appearance of this dead body, the thing that was
 most striking was the great plumpness of it, and the universal pallor.   The
 lifelike appearance of the eye was also exceedingly and painfully striking.
 Then the entire bloodlessness of the  scalp ; a slight thickening in patches
 of the arachnoid was observed on removing the coverings, also the serous
 effusion of  which Dr. Parker spoke, and the congestion of the pia mater.
    I noted  also a highly congested state of the pleura; the existence of
 serum in each  cavity  of the chest; the serum deeply colored with blood ;
 intense  congestion of the substance  of the lungs  and  of the lining mem-
 brane of the  air passages; there was no blood in the large air passages, or
 bronchial tubes;  abdomen  large; spleen quadruple its natural size, and
 diseased  kidney.
    The congestion of the pia mater was of very recent origin.  The serous
 effusion was  also quite recent;  opacity of the arachnoid was a matter of
 weeks and perhaps even of months.  Tbe  congestion  of the lung  was
 probably all of it recent.  The spleen  was a matter of  longer  time f so of
 the kidneys.  They all might have, and probably all did, arise from the inter-
 mittent fever  ; the congestion of the lungs and the spleen almost in absolute
 certainty   I  do not suppose that mumps had ever any thing to do with
 this child.  Here are mumps spoken of without any swelling or  tenderness
 of the parotid g and.   Now, I  take it, this is like speaking of small pox
 without any eruption.   The facts as stated in Dr. Wells' testimony  would
 not suggest mumps to  me.   The metastasis of mumps is general^ to tbe
 testes or mammary gland.   The immediate  translation to the brain, from
 the parotid gland is frequent y spoken of;  but I never saw it, nor ever saw
 anybody that had  seen it.  I suppose the convulsions arose from the VZ
 oxysmsofmtermittentfever,producingcongestion.  I think the haemorrhage
 came from  the lungs.   I cannot conceive of the  hemorrhage coming X
 he bram in the manner spoken of, any more than I conceive Z comin*
 from his brain to the ends of his finow-Q   Tt  „™.i. • 1  j- i        coming
 the brain.                        g         certainly did not come from
   The child died from haemorrhno-p   Tl-.Q ™v,  *   t    ■, •
 the blood caused the bangZZ ^o'on2ITT^"^,° a"d fro °f
 any longer; and the flowtf  blood wa^anfftt J^co,lld n°*: s'™d *
se>f bu, the systena was „„ab,e to" ™or?thf  a.°1™ t^X

StmeT,  6 "**" *"*"* °f ^ d«aSe- «*■ >>*W 3S with by 
21
   I do not entirely agree with Dr. Parker, that no two diseases can exist
actively in the system at the same time.  I think he  stated the  rule too
strongly.
                   DR. DUDLEY'S TESTIMONY.
   Dr. Dudley sworn.—Am  a physician, practicing in Brooklyn.  Have
heard the testimony of Drs. Parker and Gilman;  I fully agree with their
statement;  and have nothing further to add.
   [To  a juror.]—From the  appearance  and  evidence  given, I think
mumps did not  exist in the child.  Had they been present, I  think they
would  have shown evidence of their  existence by swelling of the parotid
gland on Saturday, 13th, supposing the tenderness  and other symptoms
named were present  on the previous Wednesday.  I think the child died
from haemorrhage of the  lungs.   I  attended  the  postmortem examination.
We  discovered no traces of  any drugs or poisons.  If any of the  organs
had  been affected by the medicines given, I think we should have discov-
ered it; the small quantities given could not have produced any effect.
   I have experimented, in some cases, the high dilutions, and am of opinion
they have no effect;  but have obtained good effects from the same remedies
in larger doses.  For instance,  I have used aconite, nux vomica, and bella-
donna several times, but got no recognizable effect from the high dilutions;
never tried them on healthy persons.   I do  not, of my own knowledge,
know that mumps ever directly affect the brain.

                      DR. WELLS RECALLED.

   Dr. Wells.—She  had a  chill at  half-past 10 o'clock, and  ended  by
half-past 11   o'clock,  and threw up  the blood  at 11  o'clock.  I have
seen, this season, intermittent  fever  and dysentery in  progress at the same
time, the paroxysm returning at the same time.   This patient had inter-
mittent fever a month or six weeks  before,  and had been healed by qui-
nine.   The quinine checked the fever for the  time.

                        October  20, Third Day.
                  DR. JAS. R. WOOD'S TESTIMONY.

    James  R. Wood sworn.—I  am a Physician and Surgeon  regularly
educated, residing in New York.  I am Surgeon to Bellevue and St. Vin-
cent Hospitals.  I made the postmortem examination of Agnes E. Lottimer.
Upon an external view of the body there was  nothing  peculiar, except-
ing  an extraordinary quantity of adipose matter or fat. The skin was of a
dirty white  hue.   The eye only peculiar from its life-like appearance.  Its
membranes appeared natural.   The eye was normal.  I made a section of the
scalp ; found nothing peculiar, except that not a drop of blood followed my
scalpel.  On removing the calvarium, the external membrane of the brain,
the dura mater was pale and healthy.   Upon removing the superior portion
of this membrane,  the second or arachnoid membrane was  brought into
view *  it was opaque, and thickened  at points in the course of the longi-
tudinal sinus;  beneath it  was  an effusion of  serum, to the  physician
known as  subarachnoid  effusion.   This membrane  was healthy in other
parts  of the brain.   A third or  vascular  membrane, the pia mater,  was 
22
thickened,  congested,  and could be removed in considerable portions by
slight traction with the forceps in  the  neighborhood  of the  opaque  and
thickened arachnoid.  This tissue in other regions of the brain w|p healthy.
Upon making a  section  of each hemisphere  of the brain, the parts were
found healthy.  Upon cutting into the ventricles, the organs there contain-
ed were healthy.  There  was a small quantity of serum in each ventricle,
which, in  my opinion, was postmortem ;  other parts  of the cerebrum
healthy.  The cerebellum was healthy.  Upon dividing the medulla spina-
lis, and  removing the brain, there  was discovered a considerable quantity
of serum in the spinal canal, also a  considerable quantity  in the  fossa of
the occipital bone.  This was placed in a tumbler, and estimated to be about
three ounces in quantity.   On  making  a  section of the integuments from
the upper portion of the sternum to the  pubis, nothing peculiar, except tbe
enormous quantity of fat, by measurement from the integuments to the tendon
of the  external abdominalis muscle, one  and  an eighth inch.  On raising
the sternum, and looking into the cavity of the left pleura,  a  considerable
quantity  of bloody  serum  was discovered ;  it was removed  and esti-
mated at from three  to  four  ounces in  quantity.   In  the  right pleura
there was  also bloody serum, estimated at  about or little more  than
an ounce.   The pleura covering the lungs, and that lining the  thorax,
intensely congested;  the lung  barely crepitating  throughout.  An old
adhesion between the middle  and  inferior lobe of the right lung.  Upon
examining  the heart  and  its  envelopes,  they were found healthy; very
little or  no blood in the heart;  a  small quantity of serum in the peri-
cardium.  Upon removing the lungs from the cavity of the  thorax, and mak-
ing an incision at different points, they were found to be intensely congested
with  blood.  So  heavy were they, that they would barely float in water.
Upon examining or laying open the large bronchial  tubes, they were found
empty, with their lining, or mucous membrane, intensely congested, of the
color of mahogany.   In tracing  down  the smaller  tubes,  they were also
congested,  but contained  bloody  serum.  In other  respects,  the thorax
healthy.  Upon opening the abdomen, parts  of the viscera, which present-
ed themselves to view, presented no other peculiarity except that of being
almost bloodless, with the exception of  tbe  liver, which appeared much
darker than natural.  This organ, upon being cut into, was found to be al-
most bloodless.   It was healthy, and its appendages, including the gall-
bladder, also healthy.   The spleen was  found to  be  many times its natural
size by measurement; eight inches the longest diameter, and four the trans-
verse; by weight, one pound ;  very little blood, if any, followed the scalpel.
In making a section of it, its color was the color of the ordinary blue plum.
Requested  by tbe coroner, I  applied  ligatures  to  the two orifices of the
stomach, which  was  taken by him for  chemical analysis.  Tbe kidneys
examined externally, the  color very much like that of the  spleen.  Upon
making a section, they were found to be very much congested, and present-
ed to view a pathological  condition of this organ  known as Bright's disease
or granular kidney,  in its first stage.  The two weighed eight ounces.  The
pancreas, large and  small intestines, the bladder, and other organs of the
abdominal and pelvic  cavity, were  examined  and found healthy.   It was
my opinion that  the  opaque  and  thickened  condition of the arachnoid
membrane  was the result of inflammation, and that inflammation not of a
recent date,—perhaps of some weeks' standing.  I  also account for the patho- 
23
logical change of the pia mater in the same way.  Tbe serum was the result
of prior disease ; much of it from the congested condition of the vessels of
the pia mater.  Some of it was postmortem.
    The lungs were congested.   From the evidence of Dr. Wells, there can
be  no doubt that  this  patient was suffering from tbe  poison of marsh
miasma.   From the postmortem  appearances, it is my opinion that they
were produced by the effects of that poison on the system.  The enormous
size of the spleen, the color of the liver, the intense congestion of the lungs,
and the history of the case, warrant me in giving this as my opinion.
    The blood thrown up undoubtedly came from the lungs.  It was in this
instance, in my opinion, an  effort of nature  to relieve the  lungs of the
superabundance of blood  which  they  contained.   From experience we
know that when large quantities of blood are thrown  into the lungs, and
that they are not able to rid themselves of it, the  respiration  of course is
interfered with; the patient dies  either of congestion of the lungs, or of
what is called pulmonary apoplexy.  Here, as I have said before, I believe
that the haemorrhage was an effort of nature to rid the lungs of the blood
they contained, and that the patient died of the loss of blood.  The history
of the case and the  post-obit appearances, lead me to the conclusion that the
blood did not come from the brain.  If there had  been haemorrhage from
this point, it would have been discovered.  This plate of the ethmoid bone,
in the re^3nt subject, is not cribriform ; and are occupied (the openings) by
the olfactory nerves and their accompaniments.  Thus  it would be impos-
sible for  blood to escape in this way, unless there was more or less destruc-
tion of the ethmoid.   It,  and the soft parts  in  relation with  it,  were
healthy.
    The  pathology  of mumps is as follows:—Inflammation of the parotid
gland.  The disease is  contagious;  that gland  is  situated at the angle of
the lower jaw; and if there was no pain, no tenderness,  no swelling, nor any
other symptom to  indicate inflammation of that gland, with the exception
of the tenderness at the edge of the sterno-cleido mastoid muscle, I could
not be made to believe she was suffering from mumps; because there is no
evidence  that  she  was  suffering  from this  disease, other  than that the
mother had mumps.   Mumps is  transmitted from one organ to another,
more usually to  glandular organs,  the  testes in the  male, the breasts in
female.  It is said by authors to be translated to tbe meninges of the brain.
I have never seen a case.  I have only read  of it in books.  I believe this
will be the experience of most  gentlemen who are engaged in full practice.
    Intermittent fever is a congestive  disease: during every cold  stage of
intermittent fever, the blood leaves  the  surface of  the body, and occupies
the great vessels and the organs occupying the  cavity of the body.   Thus
we accourt  for the enlargement of the spleen;  for  where intermittent
fever is persistent, this organ is congested from  time to time, and presents
the  appearance seen in this  case,  known  as ague cake.   Other organs
suffer from these repeated congested conditions.
    I do not think that any intelligent physician, at this period of the world,
would feel  that he could  practice  medicine and  surgery conscientiously
without  understanding the pathological condition of  organs, as well as of
those organs in a healthy or physiological condition.
    [To a juror.]  I  have applied myself to both  medicine and surgery.  If
tbe  inflammation  had  been recent, there would  have been lymph  and 
24
 vascularity of the parts.  A pathologist can distinguish whether of recent
 or of  remote origin.  The membrane which lines the cavity of the chest,
 and  which covers the lungs, is  a  serous membrane, of  the same character
 as the arachnoid.   Mumps usually commence with inflammation  of the
 gland known as the parotid gland, situated at the angle of the jaw.   Fre-
 quently the first symptom  will be a  rigor, this followed by more or  less
 febrile symptoms,  heat of skin,  accelerated  pulse, and headache.   The
 patient will complain of stiffness of the jaw, pain on pressure, more or less
 swelling, until, in many cases, the patient is unable to open the jaw.  These
 symptoms will go on increasing until the disease arrives  at its climax, which
 is in about a week.   We do little for it, it must have its course, like small-
 pox  and other  contagious  diseases.  The swelling usually begins to show
 itself on  the second or third day;  it is  not regular in this.  The first  thing
 observed, frequently, is a swelling  at the angle of the jaw.
    I never have made a postmortem  examination of a case that died of
 metastasis  from mumps.   I never knew one  to die.   If there had been
 translation of this disease to the brain, there would have been symptoms of
 acute disease ; in this brain there  were no such appearances.  The appear-
 ances would have been inflammatory and congestive.  An ague cake is an
 enlargement  of the spleen  from frequent  over-distention with  blood, such
 as this spleen presented.  I have  known many cases of ague cake in this
 climate.  This is not considered a dangerous disease. I have never known
 a case of death.  The treatment  of this  disease is well established.   The
 mumps cannot, I think, exist and  be translated to the brain, without swell-
 ing  existing.  I do not believe that  mumps can exist without swelling.
 This  gland is situated at  tbe angle of the jaw ; the gland is deep seated.
 The  translation may  take place before you see the swelling.   From the
 symptoms mentioned by Dr. Wells, I do not think she had mumps.
    The  convulsions can be accounted for by  the  congested state of the
 lungs.  When the lungs are thus congested, the blood is not  decarbonized,
 it becomes black ; and on  reaching the brain, will act as a poison upon it.
 I should think, from the description of the symptoms given,—the difficult
 respiration, the  spasm of  the respiratory  muscles, that  this was the  most
 logical  way of  accounting  for the spasms, viz. by congestion of the lungs.
 The condition of the spleen  was undoubtedly the result  of repeated conges-
 tions—probably of  the kidney;  I cannot be decided, because there was the
 first stage of granular disease.  A  patient suffering from this disease would
 have  a large quantity of blood sent to it.  I have a patient with intermittent
 fever  now, who, with every  paroxysm,  suffers from  convulsions.   I  never
 knew this patient to suffer a convulsion  at any other time than  during the
 paroxysm.  I never knew a  case when the convulsion came on between the
 paroxysms.  Convulsions are  liable to occur at any time, without an intermit-
 tent.  I have very rarely seen  convulsions with intermittent.  I suppose a con-
 vulsion occurring two hours after the paroxysm has ceased, might be attributed
 to the shock upon the nervous system from a  paroxysm of intermittent
 fever.   I never knew a ease of this kind to occur;  it depends upon the
 nervous susceptibility of the  patient.  The congestion already existed
   [To a  juror.]  My opinion as to the  coexistence, actively, of two  con-
 stitutional diseases is, that one  being active, the other  would  be  greatly
modified ; but I could not say that mumps could not exist in the presence of
intermittent fever.  From the symptoms read by the coroner, I  should not in 
25
this case have departed from the established line of treatment.  The treat-
ment of homoeopathists, in this disease is the same as that pursued by allo-
pathists.  Hahnemann held that the principle " similia similibus curantur,"
was fully established in the treatment of this disease.  There  is no  getting
rid of the disease without using the antiperiodics.

                 PROF. J.  M SMITH'S  TESTIMONY.
   Joseph M. Smith, sworn.   I am a professor in the College of Physicians
and Surgeons in New York.
   From  the  evidence of Dr. Wells, I think the disease under which this
patient labored, was intermittent fever.
   The cold stage of intermittent fever is a congestive state.
   The true and legitimate form of intermittent fever proceeds from mala-
ria, commonly called marsh miasma.
   The  treatment of intermittent fever is usually with that class of reme-
dies  called antiperiodics, among which  stands preeminent, sulphate of qui-
nine; this as a leading remedy;  other remedies may be used as preparatory
to this  in  some cases; laxatives and purgatives  are sometimes  used, also
emetics; they are not as much used as formerly, in special cases they are
used now ; there are anticipating remedies, such as some of  the forms of
opium, cinchonia, pipeline, etc.   Sulphate of quinine is the leading remedy ;
and  we scarcely need another.   Arsenical solution  is  another. _ This is
usually not a dangerous disease, unless where it assumes a congestive form.
It may be complicated with  convulsions, as regards  the haemorrhage. _ It
the amount of haemorrhage was as stated, exceeding  a pint, the child died
either from suffocation or syncope.  I should impute the congested state of
the  organ,  to the influence of malaria.  Successive  attacks of chill  leave
the organs more congested.   I agree with the explanation of Dr. Wood, as
to the cause of the congested state of the organs.
   I suppose there can be no very definitive opinion to what extent the
metastasis of mumps.   The usual points  to which  mumps are translated,
are as known.  Tbe metastasis to those organs take place after puberty than
before.   It  may be translated to the  brain—through these organs to the
brain, secondarily.   It may be translated to the  brain  primarily.   When
congested  fever, the  chill continues without fever.   Of this kind of treat-
ment I have  no  experience, and therefore can give no opinion about it.
We  use arsenic and opium, but in a different way.

               PROF.  ALONZO CLARK'S TESTIMONY.
    Alonzo Clark, sworn.   I  am a  professor  in  the College of Physi-
cians and  Surgeons in New York.   Upon bearing the testimony of Dr.
Wood as to the postmortem, the appearances in the brain and membranes
would suggest tbe idea of congestion.   There appears to be no evidence of
recent  inflammation—that is, within a week or ten days, or  even  a fort-
night    Tbe inflammation must have been of longer standing, perhaps of
weeks.   This condition might be  associated with a congestive  paroxysm of
intermittent fever.
    It would seem that the lungs, pleura, and mucous membranes ot the air
tubes  present  the  appearance of congestion.   All  the appearances found
might be connected with a congestive attack of intermittent fever.  I ex- 
26
 amined kidneys  said  to have been from the body of a child in Brooklyn.
 That kidney I examined, and my impression was  that  it was  in the early
 stage of Blight's disease, or granular kidney.  Congestion  is  one of the
 causes.  It may be functional, depending upon the  condition of the organ
 itself, or upon the determination of blood to it through the  influence  of
 another disease;  or still again, by obstruction of the return of blood to the
 kidneys, or any thing that might produce determination of blood to them.
 I can  conceive it might  have been the  result of a case of long-continued
 intermittent fever.
     Congestion consists in the loading of  the vessels of a part  with blood,
 the sluggish or interrupted circulation of blood through  the part,   Inter-
 mittent fever is often a congestive disease.
     Hearing the  testimony,  as read to Dr. Smith, as regards the history of
 the case, and the postmortem appearances, my impression would be that  it
 was intermittent fever; after the three weeks or so previous to that time,  it
 bears more the appearance of remittent fever. I cannot decide whether the
 attack previous to the three weeks was congestive or not.  The treatment
 of intermittent fever is well settled, perhaps so more  than any other disease.
 The principal remedy is Peruvian bark and the extracts from it, the princi-
 pal  of which is sulphate  of quinia.   I  am connected with the Bellevue
 Hospital, and see daily from fifteen to twenty-five persons, and use quinine
 as a principal remedy.   I do not commonly see a second, and seldom see  a
 third paroxysm.   The quantity given daily is rarely  less than  seven  and
 more than twenty, during  the twenty-four hours.  I  have no  recollection
 of ever  having seen a death of  uncomplicated intermittent fever, or even
 the congestive  form.   In the congestive form of intermittent fever, we find
 it advisable to make irritations about different parts of the body, by mustard
 and  other irritating substances.  A laxative medicine is also given ;  and as
 the head is a very frequent  place of congestion, cooling applications  are
 applied to the head;  and in the last few years myself and others have used
 stimulants, such as brandy.   My practice  in  the hospital does  not at all
 differ from  private practice.   My treatment of remittent  fever  is  quinine
 administered m a  large dose, say ten grains, in  the period of remission if
 possible, two or three hours before the return of the increased fever   Other
 treatment is also  pursued, but this is the  reliable treatment.  So far as the
 postmortem appearances are  concerned, I  should suppose the blood thrown
 up by this patient came from the lungs, not  from the  brain, no tubercles
 being found   Hemorrhage from the lungs, in a child of this age, withou
 tubercles, and without disease of  the heart, or acute inflammation of the
 small bronchial tubes, is a very rare occurrence; and presenting  itself with
 other circumstances  that appear  to show  local  determination  the  best
 opinion I can form is that it was caused by congestion of the lungs during
 hie, and  that conges ion having a miasmatic cause, therefore a part of thf
 intermittent fever.  As I heard the  testimony read, it seemed  to ™ lv
 tremely  doubtful  whether there  were  any  mumps at M  *nA V
 extremely difficult to translate them.  It dL^ellna leasts!
 was fairly produced in the parotid  gland in this case ;  and the d sease must
be fairly developed in the gland  before it can be translatedI £?*
knowledge, nor have I read, of the translation of mumps from tbp bt-ItT
the lungs.  The translation of mumps to the  brain nZ be ve y ra e  as r
never have seen such a case, and have no recollection of hearingIny phySi- 
27
 cian say he had seen such  a case.  It is not an  uncommon union  that
 dysentery and intermittent fever occur in the same person.   An inflamma-
 tion  of the lining membrane of the air tubes, a form of dropsy, also.  These
 are distinct diseases, as I suppose.  I should suppose  the  termination  of
 this case would not be an unnatural one of a long continued case  of inter-
 mittent fever.  Experience is our only  guide in the application of medicines
 in particular cases.
    Dysentery is not considered as a constitutional disease, except when it
 occurs as an epidemic.   Generally it is considered as a local disease, except
 when it occurs as an epidemic.
    Mumps I consider a constitutional  disease, in  the sense of its being  con-
 tagious through an emanation from the body of a sick person, and  received,
 probably by respiration, into the blood primarily.  Intermittent fever I  con-
 sider a constitutional disease, because it proceeds from a miasm, and in all
 probability produces changes there.  I believe that the statement that no
 two such diseases can be active in the system at  the  same time, is true  of
 almost all of them ; but still the only instance I can recall is the remittent
 fever  from miasm, and  the typhus fever—as one on which my mind  is
 made up.
    [To a juror.]  Mumps, I  should think, would be clearly recognizable  in
 a week or ten days after exposure.  Pain  in the teeth and jaws, unaccom-
 panied by swelling of the gland, would not be an evidence of mumps.   The
 appearance of this body would  indicate, by the dingy white appearance  of
 the body and the  enlarged spleen, that intermittent fever had continued for
 a considerable  period.   The continuance of  intermittent  fever renders  the
 system less capable of resisting the invasion of any other diseases.   I should
 not suppose you could get any effect from the medicines in  the doses  spo-
 ken of.  The treatment of intermittent fever by bark and its extracts  has
 been  practiced by physicians about from 200 and 250 years, and has been
 efficacious since the time of its first employment.  As a general rule, I found
 no necessity of seeking for any other remedies.   Sulphate of quinine  has
 been  in use since the early part of the  present century.  I suppose physi-
 cians are not justified, as a general rule, in departing from a mode  of treat-
 ment found reliable and of acknowledged efficacy. Intermittent fever some-
 times ceases and exhausts  itself  without treatment.  In other  cases,  a
 patient may fall into a congestive state and die.
    From the testimony, I infer that this patient died from intermittent fever
 and its consequences.  As far as the history of the disease runs, this case,
 with  the exception of the illness on the night of  the  10th of August,  and
 that on the 7th day of October, I should not denominate it congestive inter-
 mittent.  Some physicians regard that form of intermittent in which con-
 gestion occurs, if but once, as congestive intermittent.
    [To a juror.]  The dingy white appearance of the body results  from the
 change in the blood produced by the intermittent poison.  The more com-
 mon opinion is that it depends upon some diseased action of the liver.


                   FRERE EDEY'S  TESTIMONY.

    Frere Edey sworn.—I am a brother  of Mrs. Lottimer's.   I  saw  this
child  first on the evening of the  10th of August, it was about ten  o'clock ; 
28
she was then at Bath.   She seemed to bo exceedingly ill, and  had all  the
symptoms that have been described by Dr. AVells.  I went  down for  Dr.
Wells  about 12  o'clock  at  night, and it was about half-past  1 when I
returned.  The  doctor went up and saw the child, and on his coming down
stairs he told me she was no worse than when he had seen her at  5 o clock.
The nurse, and a lady  who was staying, stated that she was worse; but he
concluded she was not, as her pulse was at 140, which was the same as when
he was there at 5 o'clock. About twenty or thirty minutes after this, he went
up again, and returned very soon after to the  drawing-room, where I was ;
and he then stated that a very great change had occurred, as she was  fast
sinking.  The mother, father, and myself, were frightened, and we went up
to her  bedside.   Then, by the direction, or  with the acquiescence of Dr.
AVells, bowls of hot water were put about her, and  she  seemed  to revive.
Dr. Dunham came up the next day, about six or seven.  They had to  keep
her veiy quiet.  I saw her again in some two or three days.  It was agreed
between Mr. Lottimer, Mrs. Lottimer,  and myself, that there should be some
further advice in connection with Drs. Wells and  Dunham;  and  I obtained
the names of some physicians.  The name of Dr.  Gray was selected among
the four which I had.
    It was agreed I should go to New  York  and fetch Dr. Gray up, Mr.
Lottimer  remaining until I should  come.   I  was first to apprise  one
or both of the attending physicians.  I told it to Dr. Dunham; and he stated
there was no necessity for any further advice, and if there should be, he cer-
tainly  would not select Dr. Gray, and gave as his reason that he did not
practice this system of homoeopathy;  and the result was I did not get Dr.
Gray,  and no further advice was called in. After some  days the chills ap-
pearing, as has been stated, Mr. Lottimer has told me that  after  this child
being long sick, he had consulted with his wife as to the propriety of chang-
ing the treatment, and on one  occasion they were  quite  determined to
change this treatment, and went to Dr. Dunham in the evening, and Dr.
Wells  in the morning; and they both assured him it was perfectly useless to
call in further advice as the child was getting well,  and  she would get well.
He said these occasions were repeated several  times.  I  was present on the
day of this child's death.  One occasion, I think shortly after the interview
about  Dr. Gray, when I spoke to him about additional advice,  and be spoke
veiy confidently, and said  that there was no necessity for it, when  applied
to about Dr. Gray, Dr. Dunham stated that Gray would blister  and bleed
her, and he did not believe in his practice.


                      DR. GRAY'S TESTIMONY.

    John F. Gray, sworn,—I am a practicing physician in the city of New
York.
    Congestions occur in intermittent fever.   I heal intermittent fever  with
the  class  of remedies called  antiperiodics, viz. quinine, arsenic *  I also fre-
quently use ipecac and tartar emetic. These four constitute the most frequently
used remedies  in my practice.  These are the remedies I use to arrest the
disease;  during the hot stage I use aconite and  belladonna.  If there are
congestions in the cold stage, I give opium; with the exception  of that, I give
very little.
    My dose of quinine varies from an eighth of a grain to two grains.   If 
29
it is a quotidian I give my doses more rapidly than in a tertian or quartan,—
the choice of the remedy is determined by the homoeopathic rule, and the dose
by my own experience ; that rule is, " similia similibus curantur."  This is
the sum and substance of the homoeopathic maxim, or so much of it as I use.
I never give more than the T£7 of a  grain, and from that to  the ToW
Ipecac I give the ^ 0I" a grain, usually the r^ of a grain, at a dose.  I
give the ipecac in cases where I do not give the quinine.   I think the ma-
jority of cases  I heal with quinine.  In  the  cases  I heal with  quinine, I
generally  succeed  in breaking  up the  disease  by the third  or  fourth
paroxysm, this has reference to uncomplicated cases.  My quinine case is
when the chill and fever are followed  by copious perspiration, or when the
case is a perfect type of uncomplicated intermittent.
   From  tbe testimony read,  I have  an impression that  the  child had
meningitis in the beginning, and afterwards malarious intermittent  fever.
In congestions, arising from any disease, I very rarely use external remedies,
but sometimes  I do.  Mustard is the principal, and sometimes the Spanish
fly blister, and that is in circumstances where I would give the Spanish fly-
internally at the .same time.  I sometimes bleed; I seldom,  if ever, use
cupping or leeching; but at the same time I should feel justified in doing
 so if I found my patient required it.
    Mumps is  an erysipelas in my opinion, and  usually shows itself in the
 parotid and sublingual or submaxillary glands.  Mumps are divided properly
 into  two stages, the incipient and developed.
    The incipient stage lasts from  six to  eight-and-forty  hours, and  some-
 times longer.  It is marked by loss of appetite, sudden  and great  loss of
 strength, nausea, bad taste in the mouth, and a peculiar pain in the center
 of the forehead ; almost uniform in the forming stage.   Sometimes in this
 stage occurs a decided  chill, followed by  a fever; it not uncommonly hap-
 pens that the incipient stage of mumps is  attended by convulsions, especially
 in children who have not  arrived at the  stage  of puberty.  There  is very
 frequently a state verging  upon  coma—mild delirium.  I  have often been
 agreeably surprised to find, after tbe lapse of many hours, the swelling of the
 parotid gland occur.  Mumps is not known to occur but  rarely, if ever, in
 some countries, and  it is  more frequent in this country than  in Europe.
 The second stage is where the specific inflammation of the salivary gland
 occurs.   The danger is in the incipient stage.  The  convulsions  in  this
 disease generally occur before tbe swelling occurs.  I have found the reme-
 dies most frequently indicated are belladonna and mercury, in the  dose of
 four or five drops of the crude tincture of belladonna in half a pint of water ;
 and from a tablespoonful to a teaspoonful, if  the case was violent, from half
 an hour to an hour.  I generally give the T^ of a grain  of black oxide of
 mercury.   I should  give this  in alternation,  in  the case of a complicated
 intermittent, complicated with previous inflammation of the brain.   If the
 inflammation of the  membrane of the  brain were all gone, I should consider
 the  quinine the safest medicine, if indicated as above.   There might be
 hazard in using quinine, if there had  been such a state of inflammation in
 the brain as to leave lymph deposits.   In a case where the brain symptoms
 had  entirely ceased, I should think it right to heal the case  with quinine.
 Convulsions do frequently occur in intermittent fever, with young children.
 Convulsions are more likely to occur in  children in intermittent fever than
 in adults.   I have never known convulsions to occur two hours after a chill 
30
 had ceased; they generally occur in the commencement of the chill, in my
 experience always.  I never saw, or heard or read of a case of mumps occur-
 ring during intermittent.   With a slight stiffness of one side of the neck—
 with slight tenderness on pressure over the upper and anterior  part or edge
 of the sterno-cleido mastoid muscle—I should not think convulsions likely
 to occur.
    However, the presence of  a convulsion would lead me to  suspect that
 the child was laboring under  some new and dangerous irritation, not con-
 nected with the fever.  I should  suppose that, mumps being in the house,
 and a convulsion occurring so long after the chill had passed, that it might
 be from mumps.  If there were no mumps in the house, I should be led to
 suspect the inception  of  some eruptive  fever, or poison,  or mumps—the
 case being so unusually out of the usual  course of an intermittent.  I never
 in my experience have known of a case of metastasis of mumps  to the brain.
 I have heard other physicians state that they have had such cases.  I did
 use the thirtieth-centesimals about twenty-two years ago, and do  not use them
 now.   I thought then I cured intermittent fever  with them.  I am satisfied
 with the doses I give now.  I  have had some severe cases  this year; the
 majority not so.   I have not seen any more oppressed respiration, or coma,
 or ague cake than formerly.   The  treatment in  this case is in accordance
 with the majority of the homoeopathic  physicians,  but not  in accordance
 with what I would have done.  I would not use that treatment, because I
should consider the stronger  doses more efficacious. I think the disease
called mumps is more apt to  influence  the brain  in the  incipient stage.
Metastasis cannot take place until the second stage.
    I think, from all  the circumstances of this case,  that mumps were
present.
                    DR.  BOWERS' TESTIMONY.

    Benjamin F. Bowers sworn.—I am a physician, practicing in the city
of New York.   I practice Homoeopathy.  I think from  the testimony of
Dr. Wells, that this patient's case commenced with inflammation of the mem-
branes of the brain, followed  by  malarious remittent fever, becoming inter-
mittent, and terminating iD a fatal convulsion, induced by the specific irrita-
tion of mumps.  I suppose the case commenced with inflammation of  the
brain, but the active inflammation subsided when  the case assumed  the
remittent form.  I should generally have used in this case the thirtieth-cent-
esimal doses, as prescribed by Dr. Wells.  I cannot tell how much of anv
medicine there is in one of these pellets, for the reason that it can neither be
weighed nor measured.  I have seen intermittent cases with congestion of
the brain and '*
embarrassed
opium
other  remedy.  I should not be governed  by a  single symptom  but bvthe
whole case.   In the progress of this case, I think there were no evidences of
congestion.  I thought there were some evidences of congestion in the par-
oxysms that took place about the 10th,  or on the  commencement of the
remittent form.  I think this case  was complicated throughout more or les
with inflammation of the brain and its consequences.   The active form  f
 
31
inflammation subsided, but the brain was never  reduced to perfect sound-
ness during the continuance of the case.   I take  mumps to be a specific
disease, arising from  contagion, affecting generally and primarily the sali-
vary glands in its regular course.   I do not recollect of ever seeing a case
of translation of mumps to the brain.   Tbe postmortem examination shows
that there was disease of the membranes of the brain.  We find, especially
in children, that inflammation of the membranes of the brain threatening or
terminating in  effusion,  very commonly terminate in, or produce  convul-
sions.   Tbe brain, therefore, in this subject, was in a condition  predisposed
to convulsions.   Any irritation in  the system in children is liable to be de-
termined to the brain, and especially the irritation of specific disease, such
as small-pox, measles,  <fec, or the mumps, if they do not  run the normal,
natural course, are very apt to be determined to the brain, and produce con-
vulsions ;  besides these  specific irritations, the irritation from teething, and
undigested  food, often  produces  convulsions;  and  therefore, I think the
mumps produced convulsions in  this  child, and  because I do not see any
other so reasonable way of accounting for it.
    The convulsions in this case were  violent, long continued, and repeated.
Convulsion is a violent  action of tbe muscles, more or less general.  In  this
case the convulsions were pretty general.  The action of the muscles com-
presses the veins and urges forward  the blood in the veins to  the heart.
The action of the heart is increased,  quickened ;  and  the  blood is thrown
with increased force and in increased quantity upon the lungs; but the con-
tinued violent action of the muscles opposes a barrier to the free return of
the blood to the surface; and therefore congestion of the brain  and of the
lungs takes place in consequence of the convulsion.   And  if the convul-
sions continue to the end of life,  I would expect great engorgement of the
organs in the internal cavity.   This might  be so great as to induce haemor-
rhage from  the  lungs.   The blood  thrown up  in  this  case  was dark.
Blood coming from the lungs, when respiration is perfect, would be bright.
I suppose this blood came from the lungs;  and I account for the dark color
of the blood from the obstruction to respiration so that the proper change
in the blood did not take place in  the lungs by respiration.  And this might
be accounted for from the fact that the nervous influence is impaired by the
state of the brain, and the mechanical difficulty growing out of the convul-
sive action of the muscles.  I look upon the blood as a haemorrhage from
the lungs, occurring in  articulo mortis, and the general convulsed state of
the internal organs and the bloodless condition of the surface, as the effect
of the  convulsions.


                     Dr. WATSON'S TESTIMONY

    John Watson, sworn.—I am a  practicing physician  and surgeon.   I
have been attached to the New York Hospital  as surgeon since  1839, and
previouslv in other capacities.   Intermittent fever is a very common disease,
produced" by miasm.  It is characterized by febrile paroxysms, coming on
usually every second  day.  Sometimes at longer intervals and some shorter.
Each paroxysm commencing  by what is called a cold stage, or  stage of
congestion, followed  by excitement, or fever proper, and resolving itself by
sweats or perspiration.   Paroxysms pass off  through stages from four to six 
32
 hours, and sometimes longer, and leaving the patient in comparatively a
 healthy condition.  I do not treat any disease by its name, but by the con-
 dition of  the patient at the time being.  My ordinary mode in simple cases
 is this : I begin by giving some simple cathartic or laxative medicine.  Af-
 ter I have got the patient in a proper condition, I commence  giving cm-
 chonia, commonly in  the form of sulphate of quinine.   My doses are not
 always the same.   For a child of that age, between the  time that one
 paroxysm closed and another commenced I should have given, if a simple
 case  of intermittent,  ten  grains of quinine.   I have  commonly found no
 other treatment necessary.   Most of the cases I have seen during the past
 summer I have broken up in one paroxysm, in this  way.   I have seen no
 cases of ordinary intermittent fever die under  this treatment.   After the
 paroxysm has  been arrested  by  quinine, I do not suspend the use of the
 medicine  entirely, but use it in  smaller doses  to prevent  recurrence.   I
 should suppose this case, from the history, to  have been a case of miasmatic
 fever.  This case seems to me, in its early stages,  to have been a remittent
 fever—and therefore I should have treated it somewhat differently—becoming
 milder as  it progressed, and assuming the form of  intermittent.
    The description does not make out a case of  mumps.  If the child had
 not had mumps, and the mother should have mumps at the time, I should
 have considered the soreness and stiffness complained of as sufficient to have
 made me  inquire as to mumps.   I have never seen a patient with mumps
 twice.  If a person have mumps at one period on one side of the neck, I
 do not think that,  years after, they would be likely to have  them on the
 other side.  I  think that those manifestations on the postmortem were the
 result of inflammatory disease, and even the result of the febrile excitement
 in the patient.   It is not a common thing to find blood mixed with serum.
 It might be produced  by tbe blood becoming vitiated from long-continued
 disease.

                    DR.  DUNHAM RECALLED.

    I stated, that after being in  consultation  on  this case for some time, I
 no longer  considered myself  in attendance upon  this child, and  this for the
 reason, that the emergency  to advise upon  which I had been  called, had
 passed away.   I said I saw the child several times  subsequently, as a friend
 of the family.   By saying this, I meant merely  to account for the fact of
 my seeing and examining,  and taking a professional interest  in, tbe patient
 of another physician, when that patient did not seem to be sick enough to
 require my attendance as consulting physician.   I  stated also,  that on the
 day of her death I called as a friend of  the family, having heard the child
 had a fit, to see if I could render any service.  I had  not" then been at my
 office, and did  not know, but learned some days afterwards, that the family
 had in their alarm sent round for me.  AVhen I reached tbe house, findino*
 my presence welcome  to the  family and the physician, I staid as consulting
physician ; and for every professional act or  opinion  given at  any time or
under any circumstances, I hold myself responsible.  I ceased as consulting
physician  about the time that the fever intermitted.  I was  present at the
time of Henry Lottimer's death.  The child was taken suddenly ill with a
fit.  As the nearest physician, I was sent for,  and saw the child.  I do not
know what was the matter with tbe child.   I did  not hear what the child 
33
had been ailing with.  The child died just as I entered the room. I directed
Dr. Wells to be sent for immediately.
   After Miss Lottimer returned from Bath, I was sent for by the family to
step around and see her, three  times.  Mr. Lottimer came to see me twice
in the evening, and I met him several times in Dr. Wells' office by accident.
On one occasion Mr. Lottimer expressed great anxiety about his  child ;
asked me questions about the nature of intermittent  fever and its course;
desired  to know what results usually followed  the various forms of treat-
ment, the homoeopathic treatment, and the treatment with quinine.  I gave
him my opinion.  I asked him wThat had been the course of the disease in
this  case, as respects the severity and duration of the paroxysms.   He told
me they had been becoming regularly shorter in duration and less severe.
I then told him that when  I last saw the child I had  examined  into the
condition of all internal  organs, as far as I could, that are usually affected
by intermittent fever, and had found no evidence that any  was affected
except the spleen ; and that  the spleen was less in size than when I examined
her  at Bath.  I then read to him a statement from Kunstadt, to the effect
that, in intermittent fever, when the paroxysms grow shorter and less severe
and at the same time evidences of localization do not increase, the prognosis
is very good; then, on the subject of treatment, I explained that the process
of cure by tbe homoeopathic method is a gradual diminution of the severity
and length of  the  paroxysms, and a simultaneous eradication of  the mias-
matic poison  from the system, and that  when under this  treatment  the
paroxysm had ceased, the disease was eradicated ;  whereas, the effect of the
treatment by quinine, except in those few cases in which quinine is homceo-
pathically indicated, is to suppress the periodic manifestation of the  disease
by paroxysms, but not to cure the disease.  I stated that I should fear to
 give quinine in this case, on account of the previous inflammation of the
brain, which I supposed had left the brain in a feeble  condition.   I have
 heard Dr. Wells express a similar opinion as regards this very case.
     I had not the slightest  doubt that Miss Lottimer was recovering from
 the fever, up  to  the day of her death.  I have known persons die from
 what is called ague cachexy, which is the result of intermittent fever, which
 was continued for a long  time, and in which the disease  has  localized
 itself.   When intermittent fever has existed  for a long time, and  the
 patient has continued  to  reside in a  miasmatic region,  the paroxysms
 diminish somewhat in severity, but the  patient is no longer comparatively
 healthy during the interval as he  was at first.   There is evidence of  dis-
 ease in some internal organ; which organ this is, depends somewhat upon
 the constitutional peculiarity  of the individual.   There was nothing in the
 postmortem examination to indicate that ague cachexy was established in
 that case.   In this  case  the spleen was enlarged, and  her spleen  was
 normal in consistence and  color.   In ague  cake the spleen is not normal
 in  color nor in consistence.   In ague cake the spleen is  not uniform in
 color; there are spots which  are  light  colored, of dark yell ow, and these
 are shaded off into patches of a chocolate brown, which are softer than the
 natural spleen, the white parts being a great deal harder.  It has been
  likened  by pathologists to a diseased form of  the liver called schirrosis.  I
  have witnessed  postmortems when  this  condition  of spleen was found, at
  Vienna, by Rokitansky, and by him described as ague spleen.  Some of
  these  patients died from  dropsy, proceeding from  intermittent fever, but 
34
the majority died of an epidemic of acute  peritonitis.   Some  had inter-
mittent fever at the time, and others had it suppressed.   Since the estab-
lishment  of  the  hospital at Vienna,  the  second homoeopathic  hospital,
quinine has been administered to  two patients.   The cholera appeared in
the city, and in the female ward of this hospital.   By order of the govern-
ment, the hospital was to be devoted to the reception of cholera  patients.
Two patients had intermittent fever, and  it was not considered safe for
them to travel while  they were liable to these daily paroxysms.   The
physician ventured to give  quinine, being compelled  to a choice of evils,
for the purpose of suppressing the paroxysms until these patients could get
home.   They lived  some distance from Vienna.  I do not know the result
of the experiment.  It succeeded one day in suppressing it, and then they
were permitted to go  home.  In my own  private practice I have never
used quinine.  In hospitals, by order, I have administered  it; occasionally
paroxysms return  under  homoeopathic treatment,  and  they  frequently
return under  the other, or quinine treatment.
   The longest case of intermittent fever I  ever had, was one  which lasted
six weeks; it was in a railroad contractor who had taken the disease at the
west; he had had it a year and a half, and  taken quinine during the whole
of that period under the advice of  competent physicians.  At first the  qui-
nine suppressed the paroxysms for a fortnight;  then  the suppression was
shorter;  then it ceased to suppress them at all.  He removed from the mias-
matic district, to get rid of bis ague.  When he came to me, he had suffered a
paroxysm daily for three months.   Under ordinary circumstances,  it might
be from two weeks to three months before  patients would be cured.   I do
not remember that Mr. Lottimer ever spoke to me of having additional advice.
Mr. Edey met me, and said he was going up for Dr. Gray ; I think I asked
if  that was Mr. Lottimer's wish.  I  got no decided impression whether  it
was or not.   I remember distinctly saying that if Mr. Lottimer wished  to
have the  opinion of  Dr.  Gray, or even of any  allopathic physician, he
ought to have it;  but that if his object was to intimate to us that we mio-bt
feel free to call for additional advice if we felt we needed it, then I did not
think it at this time necessary.  I did not think if we  selected  we should
not choose Dr. Gray.   I objected in general terms; I said I thought bleed-
ing, or leeching, or blisters,—supposing the  case to be still inflammation  of
the brain—or quinine, supposing it to be a malarious  disease, would prove
fatal.   I then remarked what I still think, that I was foolish in givino-  any
opinion at all on the subject; because Dr. Wells was the attending physician
and not I, and such an application should  have been made to him •  and I
referred Mr. Edey to him.  I have no recollection that Mr.  or Mrs. Lottimer
or any other member of the family, ever importuned me, or Dr. Wells in mv
presence, to have additional advice, nor did they request me  or Dr. Wells
to  the  same  effect.   There was no period of the  case, from  the  10th  of
August to the termination of the case, which led me to suppose  additional
advice necessary.

               WILLIAM LOTTIMER'S  TESTIMONY.

   William Lottimer, sworn.—My child was  first taken  sick nn  th»
2d of August.  Dr. Wells, I  think, saw  her  on  the  following dav    T
understood at that  time that he  called  her disease inflammation of the 
35
brain.   Prior to the 10th, I had seen him  at  his office;  nothing was said
prior to the 10th about having additional advice.   She had  taken a very
low turn, as we supposed, and there was a change in her  position.  When
Dr. Wells  got to Bath, she was in a very low state, and  he said it was a
crisis in her disease ;  he  did not make any  statement  that she was  in
danger, but I believe he thought so.   Dr.  Wells remained at  night and
until the morning; when he sent Dr. Dunham down, and he again visited
her at noon.  Dr. Dunham having been called in by Dr. Wells, I con-
sidered him from  that time as consulting physician.    Dr. Wells was
ostensibly our doctor,  having been called  in  originally,  and have  never
looked upon Dr. Dunham in any other light than as  consulting  physician,
with him;  after  that time  they visited her jointly at Bath,  and during the
month of August every day, until she was apparently somewhat better, and
they had visited  her ten days together after she was so seriously ill;  then
Dr. Wells visited her every day personally, and on one or two  occasions
Dr. Dunham supplied  his place when he could not conveniently go.  On
the  4th  of September we  returned to  Brooklyn ; after she returned to
Brooklyn, she was apparently getting better,  as we supposed slowly, Dr.
Wells  visiting her every day, and Dr. Dunham also seeing her occasionally,
if we deemed  it necessary to see them  oftener than  once  in twenty-four
hours,  as he was more  convenient.  So it went  on until the termination.   I
certainly called not on one but both, and not once but oftener did I speak
about  additional advice :  I said, if  they had  one iota of doubt on  their
minds  about my dear child, that they would call in additional advice.
They  assured  me that they did not deem it  necessary, as  they  under-
stood her case.  This assurance I had from Dr. Wells several times; and
Dr. Dunham expressed no doubt as  to his understanding her position. My
wife and myself have frequently consulted about additional advice, but I
was always  the  messenger.  Mr.  Edey very kindly went  to Brooklyn for
me, with the express object  of getting Dr. Gray to visit in  conjunction with
them ; he saw Dr. Dunham, who stated that if we called Dr. Gray, he was
afraid  he  could  not confer with him, as  his principles  of practice were
somewhat  different.   They visited  Bath that day themselves personally,
and  after  having seen her, Mrs. Lottimer and myself both  thought Agnes
better; and they alleviated our fears.   Had I  not been prevented, by the
fact  that  Dr.  Gray differed somewhat from  themselves,  and  from the
courtesy that  existed  among  medical men, I should have had another
doctor called in that night; I having  confidence  in the  physicians we
then had,  as I  must naturally have had,  Dr. Wells having visited my
family for more  than two years, and  healed every case successfully, with
the exception of my little boy that died at Glen Cove. I had every confi-
dence  in Dr. Dunham, and so had my wife more especially.  That, there-
fore, with assurances from them both that my child was not in great danger,
you may suppose that  my fears and anxieties  were somewhat allayed by
such statements.
   After the 10th of August, they supposed her disease to be intermittent
fever.  I cannot  say that either of the doctors stated that there were mumps
existing in the child up to the time that she  died, but I  believe that Dr.
Wells stated about that time, or since then, that she did die of mumps.  My
wife stated  to me that she thought  Agnes was  getting the mumps; she
went out on Friday, the day previous to her death, by  Dr. Wells' direction. 
36
It was between the 23d and 28th of September that my wife first complain-
ed of swelling and pain about her head and neck.  The first she complained
of was a soreness of her teeth, and something like a gathering on her gum.
I think Dr. Dunham first saw her about 10 or 11 o'clock.   When she first
had the pain, I  think he said there was some swelling on the gum, and he
gave her some medicine, and she took it.  She did not get well of this
swelling of her gum until tbe swelling and soreness extended up to the neck
and  side of  her face.  My wife has  before been  troubled with  what
we  call  neuralgic pains in the head.  These  pains affect her  teeth and
gums.   I understood that the doctor told her she had mumps.  I think my
wife said that when she was young she had mumps on one side of her face.
On the  Saturday Mr.  Large and I  hurried home as fast as we could,  and,
finding  Agnes  in that state, I don't think we consulted  the  physicians in
attendance, but sent for Dr. Rosman, and in his absence Dr. Hull.  I think
Drs. Wells and Dunham were present, and said send for him.
    Mrs. Lottimer believed she herself had mumps.  Dr. Wells saw Henry,
and prescribed for him for premonitory symptoms of fever and ague.  That
was previous to my wife having mumps.  That child did not have mumps
at the time he was sick.  There was  no mumps in the family at the time
he was taken sick and died.


                  TESTIMONY OF THE NURSE.

    Amelia  Tutt, sworn.  I reside in Mr. Lottimer's  family.  I was the
nurse of this child during the sickness.  I was there at the  commencement
of the  child's sickness.
    I heard Mrs. Lottimer say that  Dr. Wells  said it was congestive fever.
I was mostly in the room when the doctor  came, not always.   I was not
there on the night of the 10th of August; I had gone to bed.
    On one day, of  the week she died, Agnes complained  of stiffness and
soreness in her  neck.   Mrs. Lottimer told me that she asked the doctor to
look at Agnes' neck, and he said he must cure the chills first.  She did
not tell me what the doctor said it was.
    On  Saturday, Mrs. Lottimer drew his  attention  again to  the  child's
neck, and he said it might have been a little cold ; he said it was not the
mumps.   I said it was not cold, as I was very careful with the  child.   I
asked him whether it might be with drawing herself  up with the chills and
he said it probably might be.  The child told me herself, on this day, she
could not go to drive  because she  had the mumps.  I do not remember at
any time hearing the  doctor say she had mumps.  I heard Mrs. Lottimer
tell Dr. Wells, a few days before Agnes died, that her family were very much
dissatisfied, and herself, and she did not know what to do.   The doctor said
it would take some time, but she was better.
    I heard her several times at Bath say to Dr. Wells, that she thought the
child was not improving.


                     DR.  JOSLIN'S TESTIMONY.

    Benjamin  F. Joslin, sworn.—I  am a  physician, practicing homoeo-
pathy in New York. 
37
    [To a juror.]  I have been practicing between 12 and 13 years.   I have
frequently treated intermittent  fever.  My course  of treatment is homoeo-
pathic, so far as I can make it so.   I use arsenicum, rhus radicans, eupa-
torium, cinchona.  I oftener use the high dilution,  the T^ of rhad. and
tne Too °f arsenicum,  only one remedy in the last  two cases.   In my
whole  12 or 13 years' practice I have only lost two cases.  There is gene-
rally congestion in one or more organs, in  the cold stage.   I recollect no
instance of convulsions in intermittent fever. If two diseases, constitutional,
are very similar, they cannot coexist in the system in an active form at the
same time,—-vaccine and small-pox, for instance.   If dissimilar, they may.
Mumps and intermittent fever might.  In consequence of mumps the brain
may become diseased ; about the same time the mumps may disappear, or
considerably diminish.   The brain in mumps may be  attacked primarily,
secondarily, or tertiarily, in my opinion.   I mean by  primarily,  that it
may attack some other  parts  than  that  it specially  attacks.   I am not
aware  that any  serious  consequences  have arisen from  that degree  of
primary action that may exist.   I do not recollect any case where mumps
have attacked the brain first. The usual translation is, after puberty, to the
testes,  but before that the brain.   If mumps attacked  the  brain it would
depend upon the condition of the  patient how it would manifest itself.   I
should think if the patient had intermittent fever,  convulsions might mani-
fest it.  An educated physician would not be likely to mistake mumps
for a swelled face.  Mumps shows itself  by swelling of the parotid gland,
tenderness in that part,  usually some increase of salivary secretion.  A
swelling that affects a diseased  tooth is not apt to  affect the parotid gland.
In a case of incipient  mumps,  if the symptoms were suddenly to  vanish,
before puberty, I should expect the  disease in the  brain, and thought  Dr.
Wells' treatment of this case judicious.
    I practiced allopathy  about sixteen years; during  that time  I  healed
intermittent fever.  I treated intermittent  fever  principally by  sulphate of
quinine ; I used it sometimes in solution with an  excess of sulphuric acid,
about  two or three grains to a dose.  I thought I cured cases; I thought
so because the paroxysms disappeared.   I do not recollect losing any cases;
I  do not remember how long; some were apparently cured at once.   I mean
by removing  the intermittent  form  of  the disease.   I  suppose, in many
cases,  the disease might be latent.  I believe quinine  will create  a disease
that remains in many instances.  There  may be a  disease with  no symp-
toms apparent; there may be induration of the spleen brought about by the
use of quinine.   I am not able  to say whether I have ever seen a  case of
that kind.
    The fundamental principle of homoeopathy is,  that a remedy is adapted
to the cure of a disease which manifests itself by symptoms  similar to
those which the substance is capable of producing, given in sufficient doses,—
in producing in  a person in health.  Hahnemann was the founder  of that
theory.  He first proposed it as a general therapeutic law ; he also proposed
the third dilution ;  higher dilutions are now used.   If  I give the first dilu-
tion and give a single drop, I give the one-hundredth part  of a grain.   I
usually use the pellet.   I put the pellets in a vial about two thirds full, and
drop in  three drops of the tincture, cork  the vial and allow them to be ap-
parently dry by capillary attraction. Then about six hundred in  a vial
two-thirds full.   They will vary from three to six  hundred.   I give about 
38
from three to six when I give them dry.  When in solution, I dissolve from
six to twelve in  half a tumbler of water, and give three  teaspoonfuls at a
dose.   If I give the twelfth dilution, there  must be less than the quadnl-
lionth of a drop ; if the third there is less than the decillionth.  I have used
this same medicine when practicing allopathically.  I used it in solution.
took three grains of the extract of belladonna and dissolved in  two  ounces
of some liquid that was supposed to  be not  much medicinal.  I think 1
gave about five drops at a dose;  it produced a good  effect.  I gave about
the fiftieth of a grain.   I find tbe decillionth of a grain produces as good  an
effect as the larger dose.  I find, if we give belladonna in scarlet fever, we
find  the  scarlet  fever is subdued, if the scarlet fever existed in the same
degree of intensity it did before,  and  the belladonna also existed.   The lo-
cality of the two actions must be greater than either of them ;  and we must,
in that case, have a disease that would be equal to the sum of the two, viz.
that produced by the poison of scarlatina, and that produced  by the bella-
donna.  In regard to the mumps and intermittent fever, I know no  reason
why they should not.   The poison which produces mumps may act upon
various parts of the system beside the parotid gland.   I cannot say whether
the mumps would be any more dangerous if they attacked the brain. I do
not remember ever having seen a case of primary disease of mumps  in tbe
brain.  I have seen cases of swelled face from irritation about the teeth, and
am not able to say whether the  glands in  such cases become enlarged or
not.   I have made and seen postmortem examinations.
   I suppose the blood thrown  up from the lungs  was brought about by
congestion, and  that caused by  the  convulsions.   I cannot say positively
how they would produce the congestion.
   [To a juror.]—I have not used the sulphate of quinine since I have been
a homoeopathist.


                  MRS. LOTTIMER'S TESTIMONY.

   Mrs. Lottimer, sworn.—I was the mother  of Agnes E. Lottimer. My
child was taken sick on the 1st  of August.  Dr. Wells saw  her  the next
day.  He said her disease at that time was congestive fever.   On the tenth
day he called it intermittent fever.  On the Thursday previous to her death
Agnes first complained of pain and soreness in the neck, and on that day I
called Dr. Wells' attention to it;  he did not examine her neck on Thursday;
I did two or three times; he did not account for the stiffness, <fec.   On Fri-
day I next called his attention to it;  he then examined the neck; he said
there was no appearance of mumps  now at all.   On Saturday, about  12
o'clock, Agnes was taken with convulsions.  The time Agnes was in a con-
vulsion, he said he thought that the mumps had flown to the  brain.  He
was  asked by my friend, Mrs. H. Hill, if that might be the case *  and  in
answer to  her question, he said it might.   On Saturday, when Ao-nes bad
convulsions, I asked him  two or three times what was the matter and
he said it was congestion of the brain.
   I nearly daily, during my child's illness, expressed strong anxiety about
her.   I said I  thought my child was not getting better, and that they
let the chills last too long.  This was both to Dr. Wells  and to  Dr. Dun-
ham.  They said they would soon break them, and  they expected every 
39
day they would slip by; that I need not feel uneasy, Agnes would get well.
About three  weeks before Agnes' death I  sent for Dr. Dunham.  I  said
I felt uneasy, that Dr. Wells' countenance  seemed to change; and I felt
alarmed, though Dr.  Wells said nothing.   Dr. Wells put  his ear  to
the child's chest; he only twice—once when she was first taken ill at Bath,
and once at Brooklyn—put his ear to her chest.  Dr. Wells never stated that
he feared congestion.  He frequently examined her tongue and felt her
pulse, up to about a fortnight of  her  death; after  that, not so frequently.
At the time Dr.  Wells  last put his ear to my child's chest, I asked Dr. Dun-
ham if there was any congestion  about Agnes' heart or lungs, or any other
vital part;  and he said I was very nervous and unnecessarily alarmed;  that
there was nothing of the kind; she was all right.  He did not make any
examination whatever previous to answering me.   I never saw Dr. Dunham
examine Agnes about the chest;  I was  generally in the room when  they
came.   On the 14th of September, about 11 o'clock at night, I sent for Dr.
Dunham, with my tooth paining; it seemed to have a great deal of inflam-
mation ; I had leeched the gum  in the afternoon, and had applied hops and
vinegar to my face about eight o'clock in  the evening; my gum and the
side of my cheek were very much swollen.   It pained me all underneath my
jaw-bone, more the jaw-bone than the glands; the swelling was more under
the jaw-bone; the glands underneath the ear seemed slightly, but not much,
swollen.  It was a day or two before my child died that I got entirely free
from  all pain and soreness about my face and neck;  I never got entirely
well of the swelling and pain in  my face, and  then the swelling commenced
under the ear; it was all together.  My sister,  Mrs. Large, told  me  that,
when a child, I  had mumps on one side.  My sister could not recollect, and
I do not know, on which side of my neck I had mumps.  About the third
day after I complained of this tooth, Dr. Wells told me I had mumps.  The
next morning Dr. Wells prescribed for my face, and  attended me for it
constantly.   My face was still swelled, and  Dr. Wells told me there was
matter on the tooth; at the time he told me I had mumps.  I am  certain
this was all together, and not two different attacks. I have frequently before
had trouble about my teeth  and  gums, with swelled face frequently; at the
times before, my jaws have been stiff and a great  deal  of  swelling  of the
face,  though not so much as this time.   I have before had to call in medi-
 cal advice; Dr. Wells several times attended  me with it.   I have suffered
 from neuralgic pains of the face.
                   DR. ROSMAN'S TESTIMONY.

   Robert Rosman, sworn.   I am a physician, practicing Homoeopathy in
the city of Brooklyn.
   The  homoeopathic law  is " similia similibus curantur" that is the
whole of it.  The size of the  doses of medicine used has nothing to do with
it. I practice strictly according to that law, and use my medicines in doses
that  I think will cure my patients.
   For intermittent fever, I use arsenic, ipecac, aconite, belladonna, peru-
vian  bark or its salts, etc.  In using the vegetable  remedies I generally use
the crude tincture, some five or six drops, in water, and my doses are either 
40
 a  teaspoon or tablespoonful, or double the quantity, with nux vomica.  1
 sometimes use the first, second, or third centesimal.   I use quinine when I
 think necessary, in the dose of half a grain or a grain.  From what I have
 beard of Miss Lottimer's case, so far as concerns the remedies selected, I should
 think the treatment was right; but I should have used stronger doses. A tinc-
 ture is a saturated solution of a medicine in alcohol.   That is what I spoke
 of as a mother tincture.   It is a matter of opinion  which is the  proper
 mode of administering the tincture.  I mean  to say that my dilutions would
 be  of  a lower grade.  I have arrested  the paroxysms in two or three days,
 and have  been as many weeks.   I  think I should not use quinine in this
 case.  The testimony, as read, leads me to the conclusion that the mumps
 was the cause of the convulsions.   Mumps would not have occurred to me
 independent of the statement that the mother had mumps.  I don't think
 the convulsions in connection with the symptoms would have induced  me
 to think of mumps, independent of the mother having mumps.  It would be
 fair to  infer the child had mumps  from  the indications, combined with  the
 fact that the mother had mumps.   Common cold might affect the parotid
 gland  so as to leave  it obscure.   Quinsy, sore throat, all the eruptive dis-
 eases, require specific manifestations to determine the disease.  I never had
 a case  of translation  of mumps to the brain.   I never  knew of such a case.
 They are spoken of,  and written of.


                      DR. DUDLEY CALLED.

    Coroner Ball called Dr. Dudley,  who took the stand.
    Coroner—Did you make, or assist in making, a postmortem examination
 of Henry Lottimer, and when ?
    Dr. Dudley—I, with Dr. Parker, made a postmortem  examination of
 Henry  Lottimer,  aged about three years, at the  request of the family,  I
 think on the 11th of September.
    Coroner— (Handing Dr. Dudley a manuscript)—Do you verify this  pa-
 per as a correct statement of the postmortem examination ?
    Dr. Dudley—I do.
    The paper referred to was in relation to a postmortem examination upon
 the body of Mr. Lottimer's little boy, who died a few weeks before the girl.
 It is as follows :—                                               &


 POSTMORTEM EXAMINATION  OF THE BODY OF  HENRY  LOT-
                              TIMER.

    The body presented, externally, a dirty pale color, the  face placid,  the
eye clear, and the conjunctival covering not injected.  The section through
the scalp was followed by no blood.  On removing the skull, no fluid  es-
caped.   The vessels  of  the membranes of the brain  were congested   the
brain otherwise healthy.   Some serum found  in the ventricles of the  braiii
but nothing more than normal.  On  opening the thorax, the luno-s on S
cut were slightly congested throughout.  The heart and its covering w2
 normal; no coagula  in the ventricles.   The  abdomen being opened,  the
 omentum and  small  intestines were healthy, but almost  bloodless  The
 stomach tied at both its extremities, and removed for examination  The 
41
liver enlarged, but otherwise healthy.   The spleen about  three times its
natural size,  and much congested, and  easily broke  down between the
fingers."

    DR. CHILTON'S  EXAMINATION OF THE CONTENTS OF
                           THE  STOMACH.
    James  R. Chilton, sworn.—I  am a physician  and practicing chemist
I made an examination of the stomach of Agnes Lottimer, and its contents.
I found the stomach to contain about four ounces  of a thick, dark colored
liquid.  I analyzed the liquid.   I could detect  nothing but a little blood
and mucus.   I tried  it  carefully  for  different poisons,  but could detect
nothing.  I made all the usual tests to discover the different  kind of poisons.
I tested it for strychnine, arsenic, not belladonna.   There might be  many
vegetable substances administered as medicines that might not have been
discovered.   There might be  many poisonous substances  that  could not
have  been detected.   The  examination that  I  made gave no  vegetable
alkaloid, that I could recognize.

    Coroner Ball read to the jury the following extracts from the law relative
to inquests, and then delivered his charge :—

    " Wherever any coroner shall receive notice  that any person  has been slain, or
has suddenly died, or has been dangerously wounded, or has been found dead under
such circumstances as to require an inquisition, it shall be the duty of such coroner
to go  to the place where such persons shall be and forthwith  to summon, <fcc, <fec.
    "The jury upon inspection of the body of the person dead or wounded, and after
hearing the testimony, shall deliver to the coroner their inquisition  in  writing,
to be signed by them, which they shall find and certify, how and in what  manner,
 and when, and where, the person so dead or wounded came to his  death or was
wounded,  as  the case  may be, and who such  person was;  and all the  circum-
stances attending such death or wounding, and who were guilty therefore, either as
principal or accessory, and in what manner."—Revised Stat. Vol. 11, p. 925.

                     THE CORONER'S CHARGE.
    Gentlemen of the Jury :—This case comes under the head  of  sudden
 death, insomuch as the patient, according to the statement  of the attending
 physician, was in no danger, slowly progressing to^ recovery, when she is sud-
 denly taken  with unexpected convulsions, and dies in the course of a few
 hours.
    This case, Gentlemen, is one  of a  peculiarly delicate nature, involving,
 as it  does, inquiry on your part into the mode of  practice  and  conduct of
 the medical  attendant.  It becomes you, therefore, to divest your minds
 of all prejudice,  and  to  be  governed solely  by  the testimony  before
 you.   You  are to decide, so  far  as  you can from the  evidence, in con-
junction with the postmortem appearances, of what disease Agnes E. Lottimer
 died,  ancLall 4he circumstances attending such  death.
    The only two diseases in evidence before this jury, as supposed to be pre-
 sent at the termination of the case, are intermittent fever, and mumps trans-
 lated  to the brain.
    That intermittent fever did exist, and was  of long  continuance, all the
 witnesses agree.
    In relation to the existence of mumps  there  is  a  diversity of opinion,
 nearly all  the witnesses being governed in their evidence by the presence of
                             4 
42
mumps in the mother.  On this point you are to take into consideration tbe
testimony of Mrs. Lottimer, her statement of the commencement, progress
and termination of the ailment in her face  and neck, commencing on the
14th of September. Also the fact of her previously, in her childhood, having
mumps, and the  uncertainty as to which  side the disease affected; it being
conceded by all the witnesses that this does  not  twice affect the gland on
the same side, and thought by some  that an  attack of mumps on one side
gives immunity from a second affection of the glands on either side.  Com-
paring the statement of Mrs. Lottimer with the history of mumps as given
by the several medical witnesses, your own common sense will enable you
to decide how far her illness on the 14th was the disease commonly known
as mumps, and how far likely to be  communicated to her child.
    If you come to the conclusion  that mumps were present, you are next
to decide was there translation of this disease to the  brain, and was this
translation the cause of the convulsions  and haemorrhage from the lungs
of which this child died.   On this point all the physicians testify that this
translation is of  very rare  occurrence, but two of them  ever remembering
to have seen a case.
    There is also, according to the  evidence of  the gentlemen who made
and witnessed the postmortem examination, the absence of all traces^ of
recent inflammation of the brain, all the morbid appearances found having
been the result of disease  of some weeks standing.  In  opposition to_ this
you have the opinion of others that there was a translation to the brain.
    If there was a translation of mumps to  the brain, how far was this  the
cause of the convulsions and death ?  This you will decide as the testimony
of the various witnesses impresses your mind.
    As some  aid in forming an opinion, as to the death resulting from  the
translation of mumps  or  from intermittent fever, I deem it proper to  call
your attention to the case  of  Henry Lottimer, who had intermittent fever,
died in convulsions, and no mumps present; as also to a comparison of  the
postmortem appearances in his case and that of Agnes E. Lottimer.  As
to  the haemorrhage  from the  lungs, which was the immediate cause of
death, you have the postmortem appearances, showing intense  congestion
of the lungs, pleura, and  bronchial  tubes, as also the testimony of all the
witnesses as to  the  existence of this congestion.  There  is a difference of
opinion  as to tbe  cause of this congestion: some alleging it to have been
the result of the spasms ;  others holding that it was the effect of repeated
chills in cold stages of intermittent fever, gradually leaving the lungs more
and more congested  with  blood,  interfering  with  their function,  and
eventually altering  their   structure, until  they  became  unfitted  for  the
proper performance of the duty assigned to them, as evinced by the partial
crepitation, and their increased specific gravity, showing they were imper-
vious to air, thus preventing the proper decarbonization of the blood,  and
this impure blood acting  deleteriously on the brain.  The truth is  for your
 decision.
     And now, Gentlemen, I come  to the last, and  to  me  by far the most
 delicate part to  discuss—to you the most difficult to decide upon :  I allude
 to the conduct and treatment of this case.
     Patients sometimes die from too active treatment;  at others, from  mis-
 applied  remedies, arising  from a mistaken view of the  case;  again, from
 inefficient treatment, whereby the disease is allowed to kill. In either  case 
43
a physician is responsible.   In order to arrive  at a just decision, among
other suggestions that will present themselves, the following will be proper:
If mumps were present in the mother, and the attending physician's atten-
tion was called to the stiffness and soreness of the neck in the child, which
he assigns as the principal reason for supposing the presence of this disease
in her, and this, too, in a patient debilitated by an unusually long contin-
uance of a disease congestive in its nature—the mother constantly with her
child, and liable to  communicate the disease to her—how far was he justi-
fiable in not critically examining for the presence of this disease in  the
patient'; how far culpable  in neglecting, immediately on  his  conviction
that the disease was translated to the brain—which  took place, according
to his statement,  on Saturday morning—to use the proper remedies to pre-
vent evil consequences ?  As to the treatment of the intermittent fever part
of this case, you have the evidence  of physicians on  both sides that under
both modes of treatment the disease usually yields, and the paroxysms are
checked  after three  or four returns, sometimes the disease lasting, at the
outside, three weeks ; none testifying  to any in their own practice exceed-
ing that period.  You  have the experience of  gentlemen using the anti-
periodics—of which quinine is.the principal—two of  whom are homoeopa-
thists, others who practice allopathy, some who now practice homoeopathy,
having  formerly prescribed allopathically, all  of  whom state  that  under
both modes of practice they almost invariably cured the disease speedily,
and  lost no  patients.   Couple  with this  the facts, that in this case the
attending physician's attention was constantly kept alive  by  the  daily
expression of anxiety on the part of the parents of this child;  the disease
continuing for a length of time so far exceeding the  usual duration of this
complaint.  The child  having been in the first place taken with disease of
the membranes of  the  brain, which he told the  mother was  congestive
fever,—how far was he justified in pursuing his own course, relying  upon
his own judgment, and discouraging the employment of additional counsel,
who might have discovered some cause for  the slowness of the recovery,
and  suggested  some improvement in the treatment  which might have
escaped the notice  of the  medical attendant, and thus have secured a dif-
ferent result?  This view of the case, I feel  in  duty bound to present tor
your notice.   Of all professional  men, there are none in whom more blind
and  implicit  confidence is placed  than in physicians.  Patients are com-
pletely  at their mercy.  Their accountability  cannot be too strict.   No
class of men  should be more distrustful of their own judgment  if there is
the least shadow of doubt on their minds;  or bear with more humility the
responsibility imposed upon them  by the Almighty,  when they elected the
profession of medicine as their path of  usefulness  through life    All that
a man hath will  he  give for  his life."  When we reflect that physicians
hold the fearful balance between life  and death, and by their judgment is
 the  scale made to  preponderate, we  cannot but  acknowledge that  the
 responsibility is  too  grave, the  consequences to  those entrusted to their
 care too important, to be lightly assumed or rashly exercised.
     These considerations, Gentlemen, render this case of far more import-
 ance than the ordinary cases that come before a coroner's jury, and make
 it imperative on you to weigh this case the more carefully, that you may,
 on the one hand, do no injustice to the physician, nor on the other neglect
 the duty you owe  the public. 
44
    One other suggestion, and  I  have done.   How far Avas the physician
justified  in totally neglecting  an established mode of  practice, in this dis-
ease of intermittent fever, by bark and remedies of a  like nature—which
has been pursued by physicians for some two hundred and fifty years—and
by quinine, a preparation of bark, for some fifty years, with sufficient suc-
cess to continue its use unto the  present day in all cases, and this, too, be-
fore the varieties of the disease that is made by the homoeopathists; and
pursuing another course of later date, when he saw that these remedies did
not prevent the continuance of the disease for so great  a  lapse of time be-
yond the usual period for arresting it ?
   As to the comparative efficiency of high and low dilutions, if  you con-
sider it necessary to make that a  part of your inquiry,  you have the testi-
mony of physicians using both  to guide you.
   With these remarks, Gentlemen, I leave the case in  your hands.

   The following is the verdict of the jury, rendered November 4th:—

                     VERDICT OF THE JURY.

   The jury, on view of the body of Agnes E. Lottimer, and after hearing
the testimony  in the  case, find and  certify that she died on the 7th day
of October, 1854, at the house of  her father, in Union street, in  the city of
Brooklyn, from haemorrhage of the lungs, the result either of unusual con-
gestion of that organ, or of convulsions arising from a  generally  diseased
condition of her system consequent upon an unusually protracted intermit-
tent fever.
   That the treatment of her disease by her physicians was homoeopathic,
and the remedies used were what are commonly known as high dilutions;
but whether such remedies are  efficient or not, the jury are unable  to de-
termine.
                                          John N.  Taylor,
                                          E. L. Trowbridge,
                                          Thos. D.  Middleton,
                                          Alex. M. Greig,
                                          Isaac H.  Frothingham,
    XT     i.   .  . ~                         M* F* HODGBS.
   November 4, 1854. 
** 
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