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the case was regarded as an attack of a neuralgic and rheu-
matic character, affecting the aponeurotic or muscular struc-
tures. The surgeon thus portrays his own experience: —
" ' On the fourth night from the commencement of the attack,
I awoke with a drenching perspiration and extremely severe
pains, with tonic rigidity of the muscles of the chest, more
especially of the left side and shoulder. The pain, on attempt-
ing to move, was most excruciating. I found myself unable to
expand my chest, and the breathing was wholly abdominal. I
could not move. A sense of oppression and heat about the
sternum kept increasing, and the dyspnoea became so urgent
that I was fearful effusion was taking place in the pericardium.
Dr. Banks was called in, and immediately proposed acu-
puncture. In the course of a minute or two after the insertion
of the fii>t needle, which was pushed inward and downward
until in contact with the lower portion of the sternum, and
while 1 was silting up, I experienced a sensation as if some
strong, tense structure, which had previously bound down the
sternum, had given way. This sensation was followed by a
sense of approaching syncope, which was removed by lying
down. While in the recumbent position, I now found, to my
surprise and delight, that I could take a deep inspiration freely.
But the muscular pain still continuing, and encouraged as I
was by the great relief in my breathing already afforded, I now,
on my part, anxiously wished for the introduction of other
needles along the course of the fibres of the several muscles
affected. This having been done, I felt, in the course of about
ten or fifteen minutes, no uneasiness whatever in the chest, and
was aide to move about in any direction ; indeed, so great was
the relief, that after the removal of the needles, I was able to
dress myself with ease. I felt well. On the following evening,
and for about a week after, I felt some stiffness (but no pain) in
the left side, which, with a second insertion of three needles,
together with a slight anodyne, was entirely removed.
"' In this statement,' the doctor proceeds to say, ' I have
endeavored to relate my case and personal experience in simple
acu-puncture as faithfully as possible, and I find it difficult now