the tongue is clean, the bowels are fairly regular, there is no fever, and there is nothing amiss with the urine. Digestion, assimilation, and excretion go on satisfactorily.

The heart and circulation.—When the heart is examined, if the case be at all recent or moderately severe, attention is at once arrested. On inspection it may be remarked that the impulse is diffuse, that there is epigastric pulsation; that the carotids throb too violently; that there is that peculiar wobbling,