He was almost completely exhausted, and, after thawing the ice from his clothes, stockings, and boots,--which had not been removed since December 13th,--it was found that both hands and forearms were completely mortified up to the middle third, and both feet and legs as far as the upper third; both knees over and around the patellae, and the alae and tip of the nose all presented a dark bluish appearance and fairly circumscribed swelling.

No evacuation of the bowels had taken place for over two weeks, and as the patient suffered from singultus and constant pain over the epigastric region, a light cathartic was given, which, in twenty-four hours, gave relief.

The four frozen limbs were enveloped in a solution of zinc chlorid.

The frozen ears and cheeks healed in due time, and the gangrenous parts of the nose separated and soon healed, with the loss of the tip and parts of the alae, leaving the septum somewhat exposed.

On January 10th the lines of demarcation were distinct and deep on all four limbs, though the patient, seconded by his wife, at first obstinately opposed operative interference; on January 13th, after a little hesitancy, the man consented to an amputation of the arms.