6
admitted into hospital on 25th February 1898. Death occurred on 14th July.
The body was thin and emaciated. The brain which weighed. 43 ounces was
softened, and was anæmic on the left and somewhat congested on the right
side; its ventricles contained no fluid. The heart was pale; but its valves were
normal. The lungs, liver, spleen and intestines were anæmic. The fatal case
of empyema was admitted into the asylum on 14th August 1896 for demen-
tia (epileptic). Shortly after admission he had severe epileptic fits which
frequently recurred and were complicated with pleurisy and bronchitis. He
died from empyema on 14th July 1898. The body was flabby and pale, and the
face somewhat œdematous. The brain which weighed 46 ounces was anæmic ; a
little serous fluid was seen in the ventricles, but no morbid growth in its sub-
stance. The lungs were congested, and the right pleural cavity contained about
a pint of thick pus. The liver and spleen were anæmic. The patient who died
of phthisis pulmonalis was, on admission into the asylum on 17th January 1898
for acute dementia, in a very weak state owing to frequent attacks of bronchitis.
When transferred to the Asylum hospital on 25th February she was much
emaciated and very anæmic, and had well-marked bronchitis. Though nourish-
ing diet was freely given, she became gradually worse and died on 14th August 1898.
The body was thin and pale. The right pleural cavity contained a large quan-
tity of thick and stinking pus, and the lung was quite disorganized by purulent
degeneration. The other organs, including the brain, were anæmic. There
was some serous fluid in the cavity of the arachnoid and in the ventricles of the
brain. No abnormal growth could be seen. The fatal case of epilepsy entered
the asylum for acute mania on 26th November 1896. Shortly after admission
he was seized with a sharp epileptic fit, and continued liable to recurrent attacks
until death on 26th September 1898. The body was thin and anæmic. The
brain, which weighed 44 ozs., was congested on its surface and pale within: and
there were about 3 ounces of thin serous fluid in the cavity of the arachnoid
and ventricles. No abnormal cerebral growth was seen. The right lung was
consolidated in parts and adherent to the sides of the chest. The left lung
pale. There were about 2 ounces of thin serous fluid in the cavity of the peri-
cardium. The abdominal organs were anæmic. The insane who died of albu-
minuria was, at the time of admission into the asylum on 12th September 1898
for chronic dementia, suffering from albuminuria associated with epileptic fits;
and he died in a very weak and exhausted state on the 26th idem. The brain
was found soft and pale, but contained no abnormal growth or fluid. Lungs
congested. Heart pale. Kidneys contracted and atrophied.
The Dhárwár Asylum returned 5 deaths against 6 in 1897, giving a ratio
of 68.5 per mille of the total population as compared with 85.7 in the previous
year. Two deaths were due to diarrhœa and 1 each to remittent fever, debility
and cerebral hæmorrhage. The death from general debility was in a male
admitted into the asylum on 11th November 1897 in a feeble state of health.
He laboured under fits of excitement and frequently refused his food. He
gradually became weaker and was unable to walk or assist himself in any way.
On 11th May 1898, while in the act of hurriedly drinking some water, violent
hiccough set in, and he immediately sank and died, though artificial respiration
and galvanism were resorted to. The patient who died of apoplexy was,
on admission into the asylum on 20th February 1898, returned as in a bad
state of health and partly paralysed.
He gradually became worse and
was unable to walk or assist himself in any way. On the morning of 23rd
June he was suddenly seized with a fit and remained unconscious for 24 hours
when he expired. The brain was found to weigh 52 ounces; its membranes
were deeply congested and the subarachnoid fluid was very greatly increased
in quantity. The case of remittent fever was in a female who was transferred
from Bombay to this asylum on 4th October, when she exhibited signs of great
restlessnes, was very talkative and noisy and dirty in her habits. She also
refused her food and scarcely ever slept. On the morning of the 13th idem
she had fever with rigors, her temperature being 102°, bowels constipated,
tongue dry and coated. In the evening her temperature rose to 105°, and up to
her death it varied from 100° to 104°. She gradually became more weak and
emaciated, and it was with the greatest difficulty she could be persuaded to take
any nourishment or medicine. She died on the 18th October 1898 from collapse