The next case was forwarded on medical descriptive lists from the FIRST DIVISION of the ALEXANDRIA HOSPITAL, Virginia, Surgeon Charles Page, U. S. A., in charge:

CASE 437.—Private Israel Bush, company I, 46th Pennsylvania volunteers; age 33; admitted September 16, 1863. Dysentery. The patient has frequent bloody discharges from the bowels; pulse 100; tongue coated. He is very much reduced in flesh and strength; no appetite. To take every three hours a powder containing one-eighth of a grain of calomel, three grains of Dover's powder, two grains of tannic acid, and four grains of prepared chalk. September 18th: The discharges from the bowels are restrained; the patient is feeling more comfortable, but is very weak and has no appetite. September 20th: The bowels are moved from five to six times a day; pulse 100 per minute; tongue covered with a white fur. ℞. Nitrate of silver four grains, opium eight grains; make sixteen pills. Take one every four hours. Milk-punch. The dysenteric discharges, however, continued unchecked, and the patient gradually sank. Died, September 25th. Autopsy twelve hours after death: There was extensive peritoneal inflammation; the mucous membrane of the ileum and ascending colon was also inflamed, and the latter was extensively ulcerated. The mesenteric glands were enlarged.—Acting Assistant Surgeon John Flickinger.