Xiv INTRODUCTION. " only been attacked that morning. All his consideration seemed absorbed " with a pain in his chest. He answered to my questions whether he had " not other pain, as in his head, his back or limbs, that these were slightly " painful; but he immediately recurred to his chest, dwelling upon that with a " look of most painful distress ; and if not questioned about other symptoms, " it seemed as if he would not have mentioned them. He had besides a very " slight cough-so light that it might easily have escaped unnoticed-and " this was accompanied with a discharge of blood from the mouth. The " following day he was delirious, had a burning skin, with a very quick pulse, " I searched for, but found no buboes. He died in the course of the succeed- " ing night, i.e., in less than forty-eight hours from the first attack. The " characteristic symptoms of this variety are, slight cough, pain of the chest, '' and haemorrhage from the mouth, attended with fever, but no buboes." Mild Bubonic Plague. Dr. White also observed a " mild bubonic type," which he describes as follows : - " I saw," he states, " a great number who had buboes without any fever, "and was told that upwards of one hundred and twenty had suffered in this " way. These people walked about without either alarm or inconvenience, for "none had died, and not many of the buboes suppurated." Quain also records a similar form * :- " In 1677 an outbreak occurred at Resht, the capital of the province of " Ghilan, Persia, and in the surrounding district. Ghilan lies at the south-west " angle of the Caspian Sea. The same year cases of a fatal bubonic febrile " malady occurred in the District of Baku on the Caspian shore of Trans- " Caucasia : and an outbreak of a non-fatal bubonic affection took place in " Astrakhan and its vicinage, since recognised as a form of plague.' It is interesting to note that the same form occurred, in Cutch last year, and is thus described by the Political Agent, Major Hyde Cates †:- " During the last three months of the year under report (i.e., March, April, "and May 1899), several cases have occurred in which there has bubo a bubo (gene- " rally in one of the arm-pits), bub without fever. The person attacked has suffered ''from headache for a day or two, but has not otherwise been inconvenienced.' The Pali Epidemic 1836-1838. The second epidemic was the Pali outbreak of 1836-38 ; although a disease suspiciously akin to plague was discovered by Col. Skinner at Hansi (Punjab) in 1828-29. The Pali outbreak occurred in the District of Merwara, between the State of Jodhpore on the north; and the State of Udaipur on the south. Breaking out in July 1836 at Pali, a large town in Marwar, where it destroyed some 4,000 people, * Quain's Dict. of Med., Art. "Plague." † Cutch Political Agent's Report No. 339 of 24th July 1899.