| A REVIEW OF THE CASE, [ ■ ' i° THE PEOPLE agt. Rev. HENRY JUDGE, INDICTED FOR THE MURDER OF HIS WIFE PEI8CILLA BUDGE, (Tried at the Oneida, New York, Circuit Court, in August and September, 1861,) CONTAINING AN EXAMINATION OF THE MEDICO-LEGAL QUESTIONS INVOLVED IN THE CASE; A REVIEW OF THE POSITIONS TAKEN BY THE MEDICAL WITNESSES FOR THE DEFENCE; AN EXTENDED DISCUSSION OF THE POSITIONS ASSUMED BY THE MEDICAL WITNESSES FOR THE PROSECUTION, WITH CUTS, AND TABLES FOR ILLUSTRATION; LETTERS AND OPINIONS FROM VARI- • OUS EMINENT AMERICAN AND FOREIGN MEDICAL JURISTS; TOGETHER WITH COPIOUS ABSTRACTS FROM THE EVIDENCE ADDUCED, 'AND THE JUDGE'S CHARGE IN THE CIVIL ACTION OF HENRY BUDGE agt. CALEB LYON, for Libel, Tried at the Herkimer Circuit in October and November, 1861. YRY. 9 By JOHN SWINBURNE, M. D., Albany, N. Y. ALBANY: C. VAN BENTHUYSEN, PRINTER. 1862. w- S976v READ BEFORE THE MEDICAL SOCIETY OF THE STATE OF NEW YORK, AT ITS ANNUAL MEETING, February 5, 1862. REVIEW. On Sunday morning, December 11, 1859, Mrs. Priscilla Budge, wife of the Rev. Henry Budge, of Lyons Falls (Greig), Lewis county, was found dead in her bed, with her throat cut, exten- sively. A coroner's inquest was held, the same day ; there was no post-mortem, and the proceedings were similar to those usually had in an ordinary and readily explained case of sudden death. The doctor merely cleansed, stuffed, and sewed up the wound, and the verdict of the jury was, "Death by suicide." Suspicious circumstances, moral and physical, subsequently induced a disinterment of the body, four months afterwards, and a thorough examination of all the facts. The first inquest occupied but part of one day—the second, several days.' On the second inquest, upon the facts developed, a verdict of murder against the husband was rendered. Upon this, the prisoner demanded and secured an examination before the coroner. After a prolonged hearing, during which I was on the stand for twenty-two consecutive hours, the prisoner bring- ing forward no witnessess, he was committed for the action of the grand jury, on the charge of murder. Subsequently a writ of habeas corpus was issued by Judge Bacon, of Utica, and on argument thereon, he was discharged from arrest, on the ground of the alleged illegality of the second inquest, without any reference to the merits of the case, before the coroner. The latter part of *(|Jay, and fore part of June, about one month subsequent to the above, the matter was brought before the grand jury of Lewis county. Judge Morgan, of Syracuse, specially charged the jury on this case, instructing them to examine thoroughly into it, and to take testimony of all persons who knew anything of the facts, pro and con, especially the medical men, &c. The result was that after the examination of witnesses, among them, Dr. Olmstead, the family physician, and strong personal friend of the prisoner, and the first and only physician who saw the body of the deceased, and of myself, on the part of the people, while on the part of the defence, Drs. Thomas, Coventry and Hogeboom, of Utica, and two or three of the local physicians, eleven of the jury were in favor of indicting Mr. Budge. Several witnesses, who had been sub- poenaed, did not reach court until the jury closed the case, and adjourned. 4 Some time in September, I860, the case was again brought before the grand jury of Lewis county. Judge Turner, also charged the jury to hear testimony in this case, pro and con. On the part of the people, as witnesses, were the venerable Dr. James McNaughton, of Albany, Dr. C. H. Porter, and myself, and Dr. Olmstead, of Leyden. On the part of the defence, Drs. Clark, of New York, Coventry, Hogeboom, and others. The jury after a prolonged hearing, indicted the Rev. Henry Budge for the murder of his wife, Mrs. Priscilla Budge. Judge Morgan, of Syracuse, subsequently released the prisoner, on ten thousand dollars bail. In August and September, 1861, he was tried at Rome, Oneida county, Judge Allen presiding. After a trial of many days, in which no medical witnesses were called for the defence, and in which surgeons Mott, of New York, J. McNaughton, of Albany, and myself, on the part of the people, were subjected to lengthy and searching examinations and cross-examinations, the trial was suddenly brought to a close by the interposition of the court, which stopped one of the surgical witnesses from explaining in detail the action of the heart and lungs after the cutting of the pneumo-gastric nerves. The case went to the jury, pro forma merely, and the prisoner was acquitted on the direction of the judge. In relation to the sudden termination of this case I quote from the Albany Times and Courier: A RevieV of the Budge Case. "We publish to-day some of the evidence taken in the Budge murder trial, and also the views of the Rome Sentinel on the subject. It will be remembered that the examination of the body of Mrs. Budge was made four months after her death By Drs. Swinburne and Porter, of this city. They (from the testi- mony taken before the coroner as to thAcondition of the body, bed, instrument, &c, when collated with the dissection post mortem,) gave it as their opinion that Mrs. Budge came to her death by other means than her own bands. The medical facts of the case were submitted to Prof. Taylor, of Guy's Hospital, (author of Taylor on Poisons, and Taylor's Medical Jurispru- dence,) who gave his opinion, as published previously in this paper. The facts as they appeared before the coroner (acting as justice), were laid before most of the eminent medical men of New York and this city, as well as several foreign medical jurists, and their opinion coincided with Drs. Porter and Swinburne. " The testimony taken at the trial was essentially the same as that before the coroner. The venerable Drs. Mott and Mc- Naughton sustaining Dr. Swinburne, whose examination con- tinued most of three days. * # * # * * 5 "In this connection we give the material testimony of Dr. Mott, as reported in the Rome Sentinel, Sept. * * * "' This morning Dr. Valentine Mott, the eminent New York surgeon, was placed on the stand. He testified that he had been 56 years in practice, and had many cases by throat cutting. By far the greater number of suicides by throat cutting were too high up—that is, above Adam's apple. The flow of blood from a suicidal wound of this kind would be tremendous; the flow would be very great and extending very far. In die case of a person lying down with head imbedded in the pillows, not only the hand inflicting- the blow would be very bloody, but there would be a great display of blood about the face and every part of the front of the person. The blood would fly in all direc- tions, and if the walls of the room were in reasonable distance, it would hit them. The face and upper part of the neck would be very bloody, and there would be a full display of blood on the headboard and wall. The right hand, forearm and razor would certainly be very bloody.' " Dr. Mott's cross-examination elicited a point to which his attention had not been called of late years, and which was of vital importance to this case. In olden times it was thought that the cutting of the pneumo-gastric nerves would result in immediate death. Modern physiology shows this to be a fallacy, and that death ODly follows after days, while it does not inter- fere with the full and free circulation and active contractions of the heart, which continue until the body is emptied of blood. This is the case in cutting all the nerves and vessels of animals slaughtered, and in decapitations of criminals. "Dr. Mott, by acknowledging this point, had also to admit that the lungs must be congested as a sequel of the heart's paralysis. Taking this theory of the case, it would account for the comparative bloodless condition of the bed, and the bloody cernm found in the pleural cavities. This fluid is not found in the cavities of animals bled to death. This did not account for the bloody finger marks on the face and right hand pillow, which were supposed to be made by a hand not materially bloody. If Mrs. Budge died instantly upon cutting the nerves, how came the tongue bitten laterally, and the bloody finger marks on the face and pillow? Of course the hand is paralyzed as well as the heart. How came her head pressed firmly backwards in the pillow, and the spot of blood on the sheet below, 12 or 14 inches square, which seemed saturated with blood." The following is from the Rome Sentinel, Sept. * * * Judge Allen—Then I would submit to you whether, after the diligent investigation we have already given to the case, you deem it best still to press for a conviction. Certainly this was a case fit for a jury to investigate. As it first presented itself to those in the neighborhood, it was a case of strong suspicion, 6 difficult to explain, from the position and surroundings of the body ; the character and extent of the wound, (such a wound as Dr, McNaughton would not believe could be made by the person herself, were it not for the cases in the books;) the account given of the blood, as reported by those who were not accus- tomed to see such appearances, and who were not observing them for future statement and to be reported. These things, and the appearances found at the post-mortem examination, all tended to throw strong suspicion on the prisoner, and made out a case calling for judicial investigation. But frffm time to time during the trial qualifying circumstances have been proved tending to show how the blood might have appeared as it did, bow it might have got into the lungs without asphyxia ;• and a new element has been brought into this case this morning in relation to the par vagum nerves, the effect of their destruction on the action of the heart, and the appearance of the lung after death. Now it is not for me to say that the case shall close. There are cir- cumstances that might be urged forcibly to the jury ; but it strikes me that as the case stands it is only a balance of proba- bilities, in which it would be unsafe to convict. It was a proper case for investigation. It was due to the prisoner as much as to the public that it should be investigated. I have been very loch to interfere—but I think the case has taken much time, and if it continues, much more time probably will be taken. Counsel will appreciate the reasons which prompt me to make this suggestion. The Murder Trials. Two persons—one an educated and reverend minister—the other a dissipated low-lived individual—have been tried for their lives during the past few days in this village, and in neither case has there been a satisfactory arrival at the ends of justice. We are not complaining of the verdicts which were rendered—for under the circumstances the respective juries could not have decided otherwise than they did. We do not complain of the relieving of the accused parties from the imminent peril in wThich they stood. But we do complain, and that very earnestly, that after the counties of Lewis and Oneida have been put to an enormous expense for the prosecution of these parties, and for the vindication of the right of the deceased persons to have a strict inquiry made into the causes of their death, the public are still left without satisfactory and final knowledge as to how and by what means Mrs. Priscilla Budge and Lucinda McGinnis sever- ally came to their death. In the Budge case in spite of the astounding inventions to that effect propagated in the Utica papers of Friday, we are constrained to aver that no certain theory of the cause and circumstances of death has been arrived at. Judge Allen—whose dignified demeanor and profound famil- iarity with the science and practice of law, especially qua ified 7 him to preside at a trial where men of the most eminent pro- , fessional talent in this part of the State were arrayed opposite each other for and against the prisoner—used no such decisive and satisfactory language in regard to the reason for acquitting the prisoner, as that which the Utica papers presumed to put into his mouth. Instead of expressing his conviction that it had been clearly proved that the death of Mrs. Priscilla Budge was a case of suicide, Judge Allen said, as we elsewhere literally report him, that the case as it stood was one, though of "strong suspi- cion," yet so modified by "qualifying circumstances" that it became a mere "balance of probabilities" as to whether Mrs. Budge died by her own hands or by those of some murder- er. Of course, neither Mr. Budge nor anybody else should be convicted by the weighing of "probabilities." It is only "cer- tainties" that justify conviction; and in this case there was and is no certainty in the evidence, taken as a whole, and therefore Mr. Budge very properly received the benefit of the doubt and was acquitted. So in the McGinnis case. There is no more definite conclusion arrived at by the acquittal of George, than by that of Mr. Budge. It is a mere "balance of probabilities" whether Mrs. Budge killed herself. # * # # ##.###* Now, there is something unsatisfactory and that demands remedy in this. When a member of society dies, whether it be a lady occupying an estimable position in society like Mrs. Budge, or a poor girl like McGinnis, the community is entitled to know "how and by what means the deceased came to her death." It is for this the public pay coroners to hold inquests; it is for this that doctors are paid for holding post mortem examinations; it is for this district attorneys are elected and courts held. The public safety means the safety of individual members of society. When Mrs. Budge and Miss McGinnis die unnatural deaths, and the public find that forever henceforth the causes of those deaths are left in doubt, and the mystery unsolved, there is room for complaint. It becomes the duty of the press in such cases to in- quire whose fault it is, that with all the cost that has been in- curred, with all the machinery which is maintained at the public expense for the purpose of finding out how deaths are caused; we are yet left with nothing better than speculations and proba- bilities in regard to the causes of these two deaths. • Now whose is the fault? The judges tried these causey with careful impartiality and abundant legal erudition. The juries patiently endured their monotonous task. The counsel displayed acumen, industry, and an interest amounting almost to enthusi- asm. Whose fruit then is it that no more definite result was arrived at? #*# * * * ***» 8 And those who heard the evidence in the Budge case through- out, can easily see that the weak point of that case lay at the same spot. The village doctor who was first called in to see the dead body of Mrs. Budge, did not seem to dream that a woman's head could be half cut off by anybody but herself. He actually did not suppose that the coroner would need him as a witness; much less that a judicial investigation might subsequently need his evidence. Instead of taking out his note-book and carefully recording on the spot every atom of fact in regard to the spots of blood, the quantity, the position of the body, of the marks of blood and everything else which could throw a light upon the circumstances of the cutting, this doctor seems to have contented himself with poking cotton-batting into the wound and sewing it up. It is to be hoped that these two cases will be a lesson to gen- tlemen of the medical profession, when they are called in to see a body which has evidently come to its death by other than ordi- nary means. When there is a body found in the water, the pub- lic are entitled to something more definite than speculations as to whether the body fell in, or jumped in, or was pushed in. When a body is found with its head half cut off, the public are entitled to something more than a "balance of probabilities," as to whether her own or somebody else's right hand gave the fatal cut. The needed certainty can be had, in the present state of medical science, in ninety-nine cases out of a hundred. Does any one suppose that if Valentine Mott had been first called to the bedroom of Mrs. Budge there would now be more than one opinion as to whether the death was a suicide or homicide ? Or that if Dr. Mott had made the post mortem on the body of the McGinnis girl there would have been room for argument as to whether she was drowned or strangled? It may be said that at the best the opinions that medical men can give in such cases are only theoretical and circumstantial. But it must be remembered that in a-case of murder no evidence but circumstantial can be expected. A murderer does not com- mit his crime in the presence of third parties. There can be no possible conviction in such cases except on circumstantial evi- dence ; and such evidence, clear and irrefutable, can be given on the point of whether the death was by murder or not, in nine- teen cases out of twenty, by any medical examiner who under- stands his business and pays the proper amount of attention to his duty." A not unimportant fact connected with this case, is the result of the libel suit brought by the Rev. Mr. Budge against Hon. Caleb Lyon, of Lyonsdale. The latter, it was alleged, had in some verses charged Mr. Budge with the murdetfof his wife, and other gross offences. In the suit, damages were laid, I think, at $20,000. Mr. Lyon set up justification as his defence, as to the charge of murder, and no justification as to the other offences. 9 Last October and November, the case was tried at Herkimer, Judge Mullen presiding. Eminent counsel were arrayed on either side. As witnesses for Mr. Budge, appeared Drs. Clark, of New York, Coventry, Hogeboom and Thomas, of Utica, Olm- stead (the family physician), of Leyden, and on the part of the defence was Prof. Porter and myself. The trial lasted about three weeks* The fact of publishing the alleged libel was clearly proven, and not controverted. No defence to a portion of the alleged libelous publication was ever set up in the answer, or on the trial. The justification related only to the part charging murder. After three weeks of careful and patient investigation the trial was concluded by the jury rendering a verdict of one hundred dollars for the plaintiff, the damages claimed being, as I have before stated, twenty thousand dollars! Inasmuch as this slander trial contains the full defence, as well as the prosecution of the murder trial, and vice versa the slander case, I will make a synopsis from this reported testimony, as containing the whole case, of which the following is the title: Henry Budge, ") ag't } Caleb Lyon. J In this cause, the following is a brief portion of the medical testimony : Mrs. Budge, aged about 40, weight about 96 pounds—spare habit of body, but enjoying ordinary health and spirits, was found dead and cold in her bed, with her throat cut extensively; and from the circumstances attending the death, the entire absence of the physical appearances of death from cutting of carotids during life, the absence of " spirts" and spatters of blood, position of the body and surroundings, the moral circum- stances also of unhappy relations having existed between her and her husband for some time, induced an examination inform, and from this cursory examination, nothing was elicited, (except the testimony of the husband,) which threw any light on the subject. This examination was really a form, and nothing else. Four months after this, I, in conjunction with Prof. Porter, and several of the local physicians, made a careful dissection of the body. It had been buried in a grave of sandy loam, aboirt four feet deep, which was as thoroughly cold as a 'northern winter could make it. The body was entirely cold at its burial—the ground frozen for three feet, and chilled to the freezing point, much lower, so that there, could be no decomposition going on. It remained in this condition until the dissection, four months after burial, which revealed the following condition: 10 Synopsis of the Dissection, Post-Mortem. An extensive cut was found on the,neck, having the following Position.—On the right side 3^ inches below the lobe of ear —on the left side, about Z\ inches below lobe of ear—4£ inches below centre of chin on medium curved line severing cricoid car- tilage, oesophagus, arteries, veins, pneumo-gastric nerves, and all the muscles of the anterior part of the neck. Circumference of neck above, or at the wound, twelve inches—curved length of cut 5\ inches. Depth of cut in a direct line, 2 inches back to the vertebrae, cutting through the periostium, and into the osseous matter of the fifth vertebrae, and also shaving off a lat- eral portion of the transverse process of this vertebra. Skin on the right side cut down \ to § inch lower than tissue. Tissue on the left side cut deeper than skin by about \ to § inch, and extending down into the muscles external to the vertebrae, so that the skin at the termination of the cut on the left side appeared as if stretched and rounded instead of being sharp, or angular. Trachea and tissues retracted, so that the wound gaped about two inches. Tongue—There was distinct ecchymosis on each side, at points opposite the molar teeth. On the left side, this covered a surface of one inch in length, and \ inch in a lateral direction. On the right, 1^ inches in length. On the upper and wider part, near the base f of an inch, and diminish- ing towards the anterior portion, where it was \ an inch, and extending through the mass of the tongue, and visible from either side, as was demonstrated by making incisions through its substance, and subsequently soaking it in water. The tip of the tongue was somewhat discolored but not ecchymosed. The oesophagus for the space of about two inches near and below the root of the tongue was of an abnormally red, or maroon color. Right lung congested and engorged with blood, and apoplectic —pleuritic adhesion slight—otherwise healthy. Heart entirely sound in every particular. Chest—bloody serum in both cavi- ties of chest—on the left side full 5 oz.,—on the right side, full 8 oz. Right lung—weight 9 oz—specific gravity, .819. do small congested portion of this lung, .885. do apoplectic, .922. Right lung, weight with fluid 17 oz.—specific gravity with fluid, .904. Fluid in right cavity thick, and of the consistence of blood. Left lung—weight 7^ to 8 oz.,—specific gravity, .692. do weight with fluid 12^ to 13 oz. The heart, and large vessels were empty, while the capillaries of the extremities and dependent portion of the body were full of blood, and all the muscles retained their juicy and florid appearance. The right lung continued to discharge bloody serum, while the microscope distinctly revealed the presence of 11 diffused aud circumscribed apoplexy, as well as engorgement of its tissues. The left lung, when placed in a jar of fluid present- ed a large amount of debris of broken-down blood in the depen- dent portion, while the fluid was very much discolored. Brain examined—no appearance of any disease. All the other organs examined and found healthy and free from congestion. Stomach and organs removed for chemical examination. From the testimony taken at this inquest the following extracts are made: The room was about eight by ten feet, and about eight feet high, and contained a bed, (French cottage,) washstand and chair—there was a space in front of the bed of about three feet, and the same at the foot. This bed was composed of a straw and feather-tick, two sheets, two French pillows and covers; also two coverlids and quilts. The long axis of the bed corresponded with the long axis of the room, and hence the space at the side, and foot of the bed, and none at the head or back side. The bed- clothes were undisturbed, and carefully tucked in at the sides and foot, as if she were asleep, as one witness says, " looking from the foot of the bed she appears as if asleep," with the eyes and mouth closed firmly. The coverlids were carefully turned down on the left side to about the left breast, while on the right they were turned down about twelve inches farther, and smoothly, as if done with care. The blood flowed from the wound in the direction of its* gravity i. e., directly down behind the neck, back, and head, extending laterally on the right from the neck from two to four inches, and on the left, one to two inches— running up, under the back of the head, and down under the right hip, and making an irregular stain ou the sheet of about twenty by twenty-seven inches. The width of the blood-stain where the neck and head lay, coujd not exceed nine inches in width. The back of the right shoulder and arm lay in the blood, and hence were bloody! On the left side there was little blood. At the examination before the coroner, the family physician remembered of having seen blood (in spots, and not as if soaked in blood) on the anterior part of the sleeve of the night dress, near the wrist, and not on any other part. The lady who washed the body, as well as the coroner, and nearly all the other wit- nesses, say there was little if any, (and that more like a stain,) unless such as was produced from coming in contact with the blood in the bed. There was at most, a mass of bloody feathers in the feather- bed, matted together, equal to about a quart mug full; the remainder were not soiled, nor were there any adhering to the feather-tick. In the pillow on which the head lay, the amount of blood was evidently small. Taking this and other data, as a guide, there could not have been more than about one to two pounds of blood lost. There were no spirts or spatters of blood in any direction, and there was no blood on the anterior part of tho 12 body, night dress, or body clothing, below the cut, nor was there any on the face and neck, above the cut, except a slight stain of blood on the under side of the chin, as if some bloody thing had been wiped against it. and the bloody finger marks hereafter refer- red to, on the face; no blood stains on headboard, pillows, bed- stead, clothes, walls, or otherwise, except as above described. The family physician discovered a few (6 or 8) spatters of blood on the face, (in addition to the finger marks) as large as a pin's head, while no one else sworn on the inquest or before the magistrate, saw them, not even the lady who washed her.* He says on his first examination: " I discovered no spatters upon the bed clothing, nor nowhere else, except on the face; discovered blood on the pillow, under the neck, and can't say that the blood extended two inches on either side of the neck; besides the spot of blood on the upper sheet of 6 to 8 inches one way, and 10 to 12 the other, discovered no other blood on the upper clothing, etc." At his first examination he discovered exactly what the other witnesses did, except the spatters on the face. On his second examination, he says, in substance : " The bed clothes were turned down across her chest, 8 or 10 inches below the chin, lower on the right side than on the left, folded smooth on the left side. She lay on her back, a little inclined to the right, body nearly straight, head on left pillow, inclined back, and to the right, left hand on left breast, palm down, fingers partly flexed, right hand and arm lay to the right, palm up, and looking towards the body. A razor was lying under the arm, nearer the wrist than elbow, two-thirds open, the blade uncovered, edge lying towards her, two-thirds of the edge in length, and one-third in depth, i. e. two-ninths of the razor blade was bloody. The inside of the fingers of the right hand were stained with blood; noticed no blood between the fingers; no blood on the upper bed clothing, (except the spot on the upper sheet,) blood on the right cheek and chin, as though something bloody had touched them; they were only slight stains, and some spatters of the size a half drop of blood would make, in striking on a surface; some not larger than a pin's head. Of these there may have been a dozen; discovered none of these sprinkles on the left side of the face. The blood extended on the right side from the neck on the pillow, perhaps two inches, on the left, perhaps an inch. The blood flowed back from the wound, into the clothing, back of her neck and head, and down under her, which ran by gravitation up as far as the ear and as far below the wound as I could see with- out raising her. There was more blood on the right side than on the left of the wound; no blood on the wrist of the right arm. The sleeve of this arm, from 4 to 6 inches, was besprinkled with blood, but not entirely covered, as though soaked most near the •These were not seen by Mr. Shepherd, who first saw the body, and hence I would suppose that these might have been sprinkled on by Dr. Olmstead while washing and cleaning fhe wound. * T/tix I'ta/e rr/MMii/.v/he t/escrifwU'lostiin/t inw/ne/i Mrs hiuit/e ivas/otnuLaUo the e.iteid et/ut charade/-n/'the ll'mwct in thrXcek. 7/ie /h.vdwn o/'the Stains at/flood ci/hh// /jVv/ a/ia />'o 5. In the instance already cited (Beck, v. ii, p. 134) on the authority of Adelon, Dubois, Boyer, and Rami, it is reported that one pound of blood was lost. In this instance, however, it will be remembered there was congestion of the lungs, and blood in the air passages. 6. In Beck (ii. 348) it is reported on a Boston authority that a prisoner cut his throat, and died with the loss of a pint of blood. It is suggested, however, in this case, that air might have entered the jugular vein. It would seem, then, that persons whose throats are fatally cut may die on the loss of a pound of blood, and it does not affect the question at issue that a circumstance other than the mere loss of blood aided to produce the death. The question is, What is the smallest loss of blood, which of itself alone, or complicated with other circumstances incident to such wound, may prove fatal in a cut throat? The question of how much blood the body natu- rally contains, though raised in this case, is in no manner essential to the issue." Why not? If this body was in the condition stated by him—i. e., every part empty, " the lungs and probably brain excepted," which would involve the loss of 12 to 15 pounds of blood, and hence the amount of blood is, in a special manner, " essential to the issue," since they can have no possible bearing in a case where both carotids are cut, and no obstruc- tion exists to the loss of blood, most of these were punctured wounds, and the blood flows in the cavity of the pleura or peritoneum, or when the wound is valvular (case 5), it may flow into the trachea and produce suffocation. Since, as he says, " My researches have lead me to the inference that when both carotids are entirely divided, the spirting or sprinkling of blood from Mem is almost nothing'' (Idem, p. 344); so in tho case of Mrs. Budge both carotids were cut, and hence she must have lost only a small amount of blood, which is inconsistent with his entire theory of the condition of the circulating system. 4 50 \ scarcely see them. * * And " if blood is found on the face of a sui-l* cideit would come from the small superficial arteries and from the lower i lip of the cut M." This anomalous statement that "the carotids would not spirt," would be worth a passing notice were it not of itself quite too ridiculous, and also that some object was to be attained by this statement, which seems evidently intended to account for the absence of profuse spirting of blood, such as would be made by the action of the carotids and described by surgeons (Mott and Gross), while to account for the few small pin-head spatters on the face he makes the minute super- ficial arteries to spirt blood over this part—still forgetting that the "carotid arteries do not spirt." Again, he states that "if one carotid artery is unsevered (not cut entirely off) the blood will shoot about very much. If cut square off, and no obstruction, it would not go straight but a few inches, * * in all 21 to 3 feet."* This admission is in- tended probably for the obvious purpose of accounting for any blood- stains which could not be the result of gravity or bloody fingers (for- getting that when both carotids are cut they do not " spirt"), tie further says that the "head cannot be turned so as to let artery discharge (its blood) outside of the neck." This, in»his opinion, is the main reason •In reference to the flow of blood from cutting arteries, Doctor Clark's (Bulletin Academy of Medicine) says: sprinkling or spirting of blood. " The sprinkling or spirting of blood from wounds in the neck appears to have attracted but little the attention of medical jurists. In by far the largest proportion of cases it is not mentioned, even when the description is in great detail. In this case, however, it becomes a question of importance, on the theory that the woman was suffocated*and that her throat was cut afterwards. It was urged that in such a case the spirting of blood would be little or none at all, while on the other hand it was claimed that if the throat was cut in full life the blood should have been thrown to a considerable distance upon the bed, and even upon the walls of the room. (See Note A.) It was even claimed by one of the medical witnesses that a cut made in this situation, the heart being vigorous, the head in the line of the body, the body lying upon the back, that the blood would have been thrown from each carotid past the lips of the wound, past the jaws and head, and would have struck in full force against the head-board. My researches have led me to the inference that when the carotids are entirely divided the spirting or sprinkling of blood from them is almost nothing, (See Note B.) but that when either of them has been partially divided so as to give such direc- tion to the current of blocd as that it will flow 'orward, unobstructed by the lips of the wound, then the jetting or sprinkling of blood may be considerable. Thus in the case already quoted from Marc, of the young man who cut his throat standing before a window, the furniture and window were spotted with blood to the height of about three feet, an overturned chair was sprinkled with blood, a night-cap on a step before the window, raised about one foot, was spotted on its upper side. In this instance neither carotid was entirely severed, both were cut into " and the right half cut, the left more than half cut." " In a case reported by Rami, Adelon, Dubois, and Boyer (Annates d' Hygiene, xv., 394; Beck, ii., 134,) in which only about one pound of blood was lost, the throat was supposed to be cut while the woman was standing a short distance from a wall; the wall was sprinkled to the height of three feet four inches at one spot, and at another spot to the height of two feet six inches. In this case the right carotid was cut in two-thirds of its circumference, on its inner side. " In the case of Mrs Duval, referred to by Beck (ii., 214), reported by Devergie (Legal Medicine, ii., p^ge 168), the larynx and hyoidbone were broken, the superior thyroid artery was cut, but the carotids wove not. The blood had been thrown in jets over the features, but it is not remarked that it was thrown upon the furniture. This was a case of homicidal cut-throat; the thyroid artery was enlarged to supply an enlarged thyroid gland "In the case of Sellis, (See Note C.,) the valet of the Duke of Cumberland (Beck, ii.), there was a wound in the throat six inches long, dividing the arteries on both sides, whether wholly or not, is no* stated^ There was blood on the walls of the room, on the curtains, washstand, basin, and drawers. The body was extended in bed, but Sellis's cravat was cut in several places. On the duke were two scalp wounds, his arm was wounded, his little finger nearly cut off, and there was bloody water in the basin in Sellis's room. Under these circumstances it would seem at least questionable whether the blood upon the walls, bed, and furniture was from the arteries of the servant or the mastnr. These are all the cases of cut-throat that I have met with in which the subject of sprinkling has been considered of sufficient importance to have been described in detail ■ " Taylor (page 286) makes the following statement. "The sprinkling may be expected only when the wounded artery is small, or when the blood is effused at a distance. This is .^~r~*"T-- /// //// V ' /../■ * ' 1 / / / /' I * e* S L -\ /- 51 why the blood was found only where the laws of gravity would take it. If this were true, then the following sentiment quoted from Dr. Clark is untrue: " In case of throat cut (recumbent posture), the blood has been sent into hair and temples, * * it would be evidence of heart's action." M. (What says the Doctor of the agency of an assassin?) I find, from actual observation, that the course of the arteries from their origin, in the aorta, to this point, (the cut) would direct a stream distinctly outside the cut, and even the head, (this is also in accordance with the statement of Prof. Valentine Mott). Here Dr. Clark virtually denies what he before stated, that the blood from the carotid arteries " did not spirt," and if it did to any extent it would be stopped by the "upper lip of the wound," and that the " head could not be turned " to pre- vent this, while the counter spattering from the lip of the wound would not "exceed 6 inches."T. In my experiments with an ordinary 8 oz. gutta percha syringe, where the power applied was about equal to the left ventricle, 16 oz. of defibrinated blood were thrown with force against a screen of 4x4 inches; there was counter spattering of 9 ft. in each lat- teral direction, 4| ft. front and rear, equal, in all, to an oblong circle of 9x18 ft. (See plate No. 2.) On this point I will refer the reader to the testimony of surgeons Mott and Gross; also to my report in the Medical and Surgical Reporter,*.(vol. 6, p. 371), also in the annexed report of fifteen cases of death from cutting of carotids, two of whom cut both carotids. Now to account for this anomalous action of the carotid arteries, Dr. Clark states that the blood runs "through arteries at the rate of less than two and five-twelfths inches per second, inside of three inches." This is equal to about one foot in five seconds. Car- penter, Todd, Bowman, Kirk and Paget, all say, (in effect) blood trav- els 1 foot per second, in arteries, and the entire circuit of the circula- tion in (less than) one minute. The whole arterial and venous circuit does not exceed 10 feet, not more than 5 of which is arterial, equal to 5 seconds. The capillaries, 1 inch per minute, the longest of which is 1-10 inch, equal to 6 seconds, leaving 49 seconds for the circulation through the heart and veins. Now, when it is known from the experi- ments of Herring, Poisieulle, and J. Blake, that substances put in arte- ries or veins of the animal, performed the entire circuit of the circula- tion in from 15 to 40 seconds, and hence, either all these observers are leading the profession astray or else Dr. Clark has made a new discov- ery as to the rapidity of the circulation. The doctor, (Clark) says, "I don't believe that Carpenter says that the blood runs at the rate of one foot per second, in the arteries." T. Now Carpenter, quoting from Volkman, states, " that the average velocity of the current in the carotids of a considerable number of mam- mals which he examined, was about 300 millimeters or nearly 12 inches per second. Dalton, in his Physiology, page 271 and 272, states that "the rapidity with which the blood circulates through arterial system is very great. * * a fact which medical jurists should not overlook;" but he adds that it may be accidentally sprinkled from a vein. He says also (page 277), " The hand and weapon cannot escape being marked with blood." He says also, " Sprinkling of blood, when it exists, may be evidence that it came from a living body." Note A. See letter of Surgeons Mott and Gross. Note B. See appendix to this paper. ... Note C. All good authority says Sellis was murdered and hence its ana ogy is just as apparent as his other cases; when one caiotid only was cut and that in such a manner as to produce death without the possibility of external hemorrhage, (see wound by nail-rod quoted above) * See Appendix. \ 52 Volkman found as the average result of his observations, that the! blood runs in the carotid arteries of warm blooded quadrupeds with a' velocity of 12 inches per second. * * * The velocity of the venous blood as compared with the arterial, is therefore, as 2 to 3, or about 8 inches per second. * * This expresses with sufficient accuracy the relative velocity of arterial and venous currents at corresponding parts of their course. * * * The rate of movement of blood through the capillaries is rather less than 5^ inch per second, or not quite 2 inches per minute. To further demonstrate the rapidity of circulation, Dalton quotes from Herring, Poisieulle and Matteucci, who found by experiment that the entire circuit of circulation was performed " In the horse in 28 seconds, In the dog in 15 seconds, In the goat in 13 seconds, In the fox in 12^ seconds, In the rabbit in 7 seconds." When it is known .that man contains about twice the amount of blood in proportion to his weight, as that in any of the warm blooded animals; hence, we say, their circulation ought to be more rapid, while mental emotion or "insanity" should increase the heart's action, and hence give more impetus to the flow of blood. Still further to account for the absence of blood, Dr. Clark states: " The artery when cut entirely off would retract into the flesh, and would break to a considerable degree the current of the blood." T. Fur- ther on he acknowledges that the "carotids retract the same as the cut, and the wound gapes immediately, and the obstruction to. the flow occa- sioned by the retraction would not be appreciable." T (Consistency, thou art a jewel!) Now, as to the carotids, they either do, or do not spirt, as well as " superficial arteries," and that, too, furiously, and cover the head, body, and portions of the room, furniture and walls, and in proof of this, I need only quote from the testimony of the venerable American Surgeon, Pro- fessor Valentine Mott, on the same data as that from which the medical counsel for the defence argues. He says, (in substance) " I have seen much blood flow in surgical opera- tions, and in suicidal acts, and when all the great vessels have been divi- ded, and all cases, the flow isfremendovs. When all the vessels of the an- terior part of the neck are divided in the sitting posture, the flow is more terrible than you have any idea of, for terrible it is, to a person unused to blood. And the quantity of blood lost would be tremendous, under such circumstances. "In this position, the flow of blood would be very great, and extend very far." "If this same person were lying down in bed, with chin elevated and head depressed in the pillow, not only the hand inflicting the blow would be very bloody; everything around would be very bloody." " If the flow of blood was obstructed, the display of blood would be very great, too; there would be a great display of blood on the face and breast, and bed, and bedding around. The blood would fly in all directions, to a great extent, and if the walls were at a reasonable distance, the blood would hit them. I do not think any one could cut this throat as it was cut, without making a brilliant display of blood about the breast, face, head-board and walls above, hand, arm, etc., all would be very bloody. Oreat muscular force is required in any position to cut the left carotid with a razor—(much more to cut both, and the bone, as this was cut). 53 I cannot conceive it possible that death should take place from a wound like this, without the agonies of death. I rhean movements and contortions of the body. It is impossible, in my humble judgment, that it should be otherwise. In violent deaths great disturbance and con- tortions follow, when both carotids are cut, the head thrown back and the wound gaping as this did. The blood would spirt outside of the wound very distinctly." T. The contortions here spoken of would have disturbed the bed, while this was entirely undisturbed. So say all the witnesses, and the defence try to get by this, by saying that the contortions were confined to the arms and jaws. On the subject of the spurting of blood Dr. Gross says, "It is impossi- ble for any person to cut the large vessels of the neck without being inundated with blood. If Mrs. Budge had been alive at the moment her neek was cut, the blood of the carotid arteries would have spirted about in every direction, soiling not only the bed and body clothes, but also the floor and probably the Avails and ceiling of the apartment. I assume that this circumstance alone is amply sufficient to establish the fact that she had ceased to breathe when her throat was cut. From the position of the razor and from the almost entire absence of blood upon it, to say nothing of the peculiar shape of the wound, I cannot suppose that it was the weapon used to kill Mrs. Budge." In what Position was this Cut Made ? Doctor Clark states: "Think there is no attitude in which a third person could (be placed to) make this cut." Though he confesses that the "position of body after death is no evidence of its position before." * * And it would "not be difficult for a person behind her when arm moved as hers did to make this cut." M Now Dr. Clark makes the character of the cut a special reason why it could be made only by herself, and in reference to this he says : "There was a depression the width of a finger below line drawn from (anterior) surface of vertebrae to left termination of cut in skin and there is no motion of hand (homicidal) that would make this dip on left side. A person on the bed to her right could not make this cut, and hence it would come out with a tail. M The reason why he says it was cut from left to right is * * that it was so deep into the tissue, ran over the bone, and the manner it came out is what satisfied me that it was (cut) from left to right." * * Looked particularly at (the) wound; at left end it passed directly down into neck at right angles with skin. * * On right side (skin) cut \ incn further than tissue," and * * 1 could tell whether (it was) cut from left to right or the contrary. No other person could make this cut from left to right. Not possible to have skin and tissue rolled back before weapon when drawn from right to left so as to sweep back and leave the wound of the shape it was on tho left side." M Now this is the very condition that we have contended for on the theory of homicide, and a reference to the letters of Prof. Taylor and Gross will fully demonstrate this point, while they show that we are right and Dr. Clark is wrong, and as to the especial effort that Dr. Clark makes to shew that as a gcn'eral rule suicidal cuts have a direction a little down to the right, I have only to say this direction is not uniform- by any means, while homicidal cuts made in any'of the four designated positions, the direction is uniformly downwards to the right or upwards to the left—just the counter part of this cut in Mrs. Budge's neck. 54 With reference to the skin being cut farther than the tissue on the left/ side, Dr. Clark says: "In case of suicide the skin is cut farther at the' end where the weapon comes out," M The medical counsel (Doctor Clark) quoting from Taylor says that the cut usually terminates in the skin farther than in the muscles. "The fact that this cut went directly in on the left side, and popped over the bone and out, straight on the right side is evidence to me that it was made from left to right." T. To this Taylor says, "Assuming that the incision was made from left to right, the fifth vertebra must have been implicated in the incision before the weapon was carried to the right side at all, and yet it is stated that on the right side of the neck, there was a cut in the skin one quarter of an inch further than the tissues wounded." "This fact proves to my mind a deliberate withdrawal of the weapon, quite inconsistent with the fact that the blood vessels on both sides of the neck had been divided, and the periostium and osseous structure of the fifth cervical vertebra had been cut, or penetrated." Now after the Doctor (Clark) stating that this could not be cut in any position by any one but herself, he further says that "Mrs. B. could make this cut with her right hand either lying down or sitting up. Lying on back does not interfere with the action of the arm, less when lying on a how came the oesophagus (see Dr. Hogeboom's testimony) redened and discolored just behind the larynx, and not in any other portion un- less it had been bruised by some violence before death—-while on the theory of suicide it should have been exsanguined, or at least of the same appearance as the residue. On this point, Professor Lcc says, " there is little doubt that death resulted from suffocation," and even if she were subject to insanity, " I should decidedly coincide in the opinion you have expressed in regard to the cause of death, for all the facts point irresistibly to the agency of another hand." Geoghegan says, "the absence also of more than slight stains of blood on the hand, the division of the transverse process of the cervical vertebrae and the condition of the tongue are presumptive of homicide." Taylor says : " The spot of blood twelve or fourteen inches in length, &c, on the bed-clothes, and the spots on the pillow to the right have no communication with the main source of hemorrhage. They must have been produced subsequently to the wound in the neck. There is no con- ceivable theory by which the deceased could have produced them, or that they could have resulted from any act on her part on the supposi- tion of suicide. Taking the attitude of the body, the nature of the wound, and the medical circumstances in reference to the position of the stains of blood and the weapon, I am of opinion that this wound was not inflicted by deceased on herself, but that it must have been inflicted by some other person. The head of deceased was pressed backward on the pillow, and it would appear as if the chin had been raised or pulled upward at the time of act of cutting." On this subject, Prof. Gross says, "how she (Mrs. Budge) was killed. I will not pretend to affirm, but probability suggests itself to my mind of manual strangulation, and that the throat was cut immediately after. This idea derives plausibility from some of the circumstances revealed during the dissection of the body." In strangulation or suffocation are marks of violence necessary? We say no; for confirmation, quote from Taylor's Medical Jurisprudence. page 576, where he says, "If a very soft, elastic band was applied to the neck with a regulated force, it is possible that an individual might die strangled, without any external sign being discovered to indicate the manner of his death." Indian surgeons inform us that Thugs and other robbers in India are thus accustomed to destroy their victims with the dexterity of practiced murderers. • A case involving this question of strangulation without marks of vio- lence, was recently tried in France, and from the medical evidence was decided in the affirmative. Now in opposition to this Dr. Clark makes the following statement: " In case of death by strangulation or suffo- cation the rule is, that there are marks on the murdered person as well as on the murderer. No recorded case in which there were not marks, on persons murdered, when they were adults in possession of their strength. Persons strangled usually struggle to the extent of their muscular power and with great advantage." M In answer I will only quote from Watson on Homicide, page 130, who says: " Death may be effected by strangidation without leaving any marks on the neck. * * When the cord (or hand) is removed some time pre- viously to the inspection, the livid"dy, swelling and blackness of the face and other signs of turgesence of blood about the head may have gone off from the fluidity of the blood" and particularly so if all the large vessels of the throat are cut afterwards. Again, in reference to manual strangulation, Wat- son on Homicide, (p. 135) states that " When death takes place from / 61 asphyxia, caused by the compression of the larynx or trachea, and without compressing the great blood vessels of the neck the countenance remains pale and the head exhibits few of the signs of cerebral congestion; convul- sions take place, respiration is interrupted, venous blood circulates in the brain, insensibility, coma, cessation of the heart's action, and death follows : Doctor Clark says : " In case of death by suffocation (or strangula- tion) there would be some marks which would lead to suspicion; thinks the marks might not be satisfactory." (M) For the elucidation of this subject I have only to refer to Watson on Homicide, page 127. He says : " The appearances observed after death by strangling are the same as those which I described as occurring in asphyxia." Again, in the form called throttling, " the return of blood from the head is not so much prevented as when the ligature surrounds the neck, so that the appearance of turgescence of blood about the head is less marked, or may be entirely wanting." Here he denies that there is any distinctive appearance in death from throttling or strangulation from any other form of asphyxia. Even Dr. Clark thinks that opening the veins might remove many of the marks, which is expressed thus : " In case of strangulation or suffocation the opening of the jugular would remove many of the marks." (M) And as to the inportance of an early examination, post mortem, in order to make the case more satisfactory, he (Dr. Clark) makes this statement : "An early post mortem examination would give more satisfac- tory evidence of asphyxia than 4 months after death." (M) This is an honest confession, at least, so far as external marks of the body are concerned, since, at the time of death the physician made no examination of this body, except the face and neck, while at the time he (Dr. Clark) saw the body it was covered with mould and had been much disturbed by a pre- vious dissection. The next point of interest is that in reference to the post mortem appearancps in death by suffocation, etc. The doctor (Clark) states : " There are certain distinctive internal evidences of strangulation and smothering, we searched for them, but could not find them. We find the same general internal appearances in all cases of asphyxia, except it is produced by smothering and suffocation. In these we find the effusion of blood under the pleura and scalp." (T.) In elucida- tion of this point I have only to refer to Christison, Taylor, Watson, Wharton, and Stille, &c. Taylor, who (Med. Jur., page 594,) says, " in Medical Jurisprudence (there is not perhaps an instance in which we have fewer medical data to base an opinion on than in a case of alleged death by suffocation,) the inspection of a body suffocated, presents so littte that is peculiar that a medical man, unless his suspicions were aroused by circumstantial evidence, or by the discovery of foreign substances in the air passages, would probably pass it over as a case of death without any assignable cause ; in other words, from natural causes." The following from Wharton and Stille's Med. Jur., §897: "Never- theless, these miserable wretches (Burke and his accomplices) reduced murder by suffocation to a system, choosing it as the mode of death most likely to leave no marks of crime behind. The murderer bore with his whole weight on the chest of his victim and with his hands covered forcibly the mouth and nostrils till death came on. (The body of one of the vic- tims presented, according to Dr. Christison, so few traces of injury that without the assistance of proof from other sources, it would have been impossible to have declared that the death was not a natural one. Idem, §894. 62 The post mortem appearances in suffocation, as Casper has pointed out, will be found to differ more or less, according to whether death has been sudden or prolonged, whether it was produced by syncope or by congestion of the internal organs, and whether the person was scantily or abundantly supplied with blood. If a person has been smothered with the bed clothes or suffocated by a hand Held before the mouth or by compression of the chest, a distinct and satisfactory indication will seldom be had." Dr. Clark, referring to Christison, says, " there is a case in which Dr. Christison says, the marks would not justify him to say death was caused by suffocation. Have not seen any case in'which there was no external marks." (M) I will here quote Christison's views on this subject, from Watson on Homicide, p. 115 and 121. "Dr. Christison, remarking upon the case of Margery Campbell, sup- posed to have been suffocated by the notorious Burke, says, ' the con- viction in the public mind that a well informed medical inspector should be able to detect death by suffocation simply by inspection, and without a knowledge of collateral circumstances, is erroneous and may have the pernicious tendency of throwing medical inspectors off their guard by leading them to expect strongly marked appearayices in every case of death by suffocation. That such appearances are very far from being always present, ought to be distinctly understood by every medical man.'" Again he says: "When asphyxia, on the other hand, has caused death quickly and suddenly, there is little or no unusual congestion of blood in the lungs or heart." My own opinion is that if these marks, bruises and effusions occur, they are only accidental, that they are the exceptions, and not the rule. I have examined three cases of accidental suffocation, and have report's from physicians of three more, and in none of them did this condition exist. Dr. Clark makes the following statement, which careful experiment proves to be untrue. He says that the third stage of asphyxia is "where all external evidence of life ceases, and the heart continues to beat." Now, in this condition, if the carotids are cut " the flow of blood would be little." (M) Doctor Clark cannot, surely, be ignorant of the experiments of Doctor John Reed, of Edinburgh, who states, in substance, " when an artery is cut across, immediately after insensibility has supervened (after asphyxia), the blood springs in a full stream with a force equal to what would occur if arterial blood was circulated in the vessels." Also, when " a tube, with a stop cock, was fixed in the trachea and a hemadynometer was introduced into the femoral artery of an animal (asphyxiated and insensible), the mercury actually stood higher in the instrument and the arteries became more distended and tense for about two minutes." this was true even when the blood in the arteries had become equally as dark as it was in the accompanying vein." Now, in this condition, then, the blood would even spirt more furiously after con- sciousness ceases and the arterial blood is fully changed into venous, which occurs in one minute and a half to two minutes* after the air has been entirely excluded from the lungs. This ill accords with Doctor Clark's statement, which is, if Mrs. Budge was " smothered and (the throat) then cut, not much more than a half pint of blood would run out—maybe less," and this cutting in this condition " would not lessen (the) weight of that lung." Now, this would depend on the •Edinburgh Medical and Surgical Journal, 1841, v. 55, p. 446 and 450. 63 time at which the cutting was done. If cut at the stage spoken of by Prof. Reed, the force of the current would be greater, and the amount of blood lost—both from the lungs and the general system—would be as much as if cut during full life and consciousness. Now, to show that in death from asphyxia that nearly all the conges- tion can be removed by cutting the throat and severing the large veins, I quote-from Watson on Homicide, page 136, where he says, " in'conse- quence of the blood remaining fluid (in death, from asphyxia), * * the position in which the body may have been placed may have removed the congestion about the head and face. The greater part of the blood may also be removed from the body by opening the jugular vein and destroying the congestive ' appearance.' " This contrasts strangely with the above statement of Dr. Clark, and still this quotation from Watson is in accordance with my observations. "A large flow of blood may take place from the body, after death, from asphyxia, inasmuch as the blood remains fluid and gravitates freely, and coagulates only imperfectly on being discharged from the body.' " Dr. Clark, in speaking of blood in the bronchia, says: " In case of suffo- cation, blood could not get into the bronchial tubes ; suffocation has some- thing to do in causing death in case of throat cut." (M) I will hereafter show from Watson and others that in death from asphyxia blood is effused into the mouth, nose, bronchia, &c. If so, why not, even in the air cells, while, during the spasmodic efforts at respiration,.it would become firmly packed into the cells, thus constituting circumscribed apoplexy; while, like the covering of the brain, the sub-arachnoidean cellular tissue, the general cellular tissue of the body, and the general connecting tissue of the lung may be the seat of diffused apoplexy from the same cause; and, as to " suffocation" having anything to do in "causing death in case of throat cut," like this (neck cut half off), it is quite needless for me to say, it can have none, since they are dead before " suffocation" can be induced. Here, again, Doctor Clark will allow me to respectfully differ with him. In reference to the next point, though spoken of before, still as it ignores entirely death by suffocation, &c, in contradistinction to death from haemorrhage, Doctor Clark says: "Blood bubbling up in wind-pipe by raising arm after death, would show that blood had been drawn in life, thus mixing it with air—that could not be so if suffocation had preceded the death, as in that case there would be no air in motion in case of suffocation." M Now, this fact proves to my mind most incon- testibly, 1st. That this fluid blood was not the result of hemorrhage before death, since, in that event, all the blood becomes solid coagula and serum; 2d. The fluidity of the blood is evidence not of death from hemorrhage, but, on the contrary, of death by "asphyxia." And, as to the " blood bubbling up in the wind-pipe" as the result of alternately expanding and compressing the chest by raising and depressing the arms, thus virtually imitating muscular action in producing respiration (post mortem), hence the "mixing it (fluid blood) with air" could as well be effected post mortem as ante mortem, hence this large amount of "fluid-blood" issuing from the trachea, vessels and tissues is, by itself, proof positive to my mind that this cut teas made post mortem instead of ante mortem. Again, Dr. Clark states that " the marks on the tongue were such as might have been made by convulsive movements of the jaws dying, by hemorrhage." And again, he states that " the marks (ecchymosis) on the tongue might be produced by convulsive movements in death from asphyxia." M 64 Now in either event there would have been a severe struggle, and convulsive in its character, so that the bed and body clothing would have been materially disturbed (while they were undisturbed); so that taking either horn of the dilemma, we conclude that some one besides Mrs. Badge had to rearrange this bed. In death from asphyxia,it is known that the tongue is sometimes wounded, while in the hundreds of animaTs slaughtered by cuts made in the same way, I find no chewed tongue. Hence, this would seem more as if produced by chewing in death by smothering. The absence of any evidence of convulsive movements about the bed or body clothing is significant of post mortem interference, while the ccchymosis of the tongue points conclusively to the agonies which accompany a violent death; and unless the bed had been rearranged after this, it would still have given evidence of these convulsive movements, whether death occurred from suffocation, hemor- rhage, or convulsions from any other cause. This cut (on the theory of suicide) was made at one stroke with a razor;* hence, after the comple- tion of this cut, the hand would have to carry the razor clown and drop it by the side of the body; then carry the sheet up, and bloody it from the cut, carry it down to the position in which it was found, then carry the hand to the face, then to the pillow, and thence back to the right side, and drop it over the razor. This presupposes 1st, voluntary mo- tion; 9d, a bloody hand; ,and 3d, that a piece of cloth "satu- rated" and " soaked" with blood, would not soil other clothes with which it came in contact—all of which is untrue. Lungs and their Condition. Now, to account for the congestion, engorgement and apoplexy of the right lung, the Doctor (Clark) pursues a roundabout way to accomplish it; and since the reasoning is so novel I will take some pains to lay it fully before the profession, that they may know how adroitly the defence was managed. I have already shown how he disposes of the carotid arteries and their natural action, and since this is equally ingenious, I will present all he says on the subject. 1st. He is shown a lung having great specific gravity, portions of which Professor Porter and myself swore were congested, some engorged, spme diffused and circumscribed apoplexy—only a small patch of what appeared circumscribed. (I swore, on the trial, that this last portion was about as large as a hazel-nut, 1 drm.) Now Dr. Clark saw all these, acknowledged that one was congested, one was apoplectic; and by reference to his sworn statement, it will be' seen that he finds that this apoplexy (if not of the circumscribed variety) would be troublesome to account for on the theory of death from hemorrhage, and hence goes into a general denial as to there being any diffused apoplexy, any con- gestion or engorgement—but says that " the parts of hugs I saw in Albany were apoplectic. There were 3 pieces (1| to 2 oz.) 1 considered apoplectic. * *. The blood I vsaw in the apoplectic part of the lung, (which) I saw in Albany, was in air-cells, and must have gone through breathing tubes; blood cannot get into bronchial tubes unless through cut, or (the) blood is discharged from (mucous) membrane (while) living." (M) Now to demonstrate still further his theory of sucking in blood, to account for the apoplexy of this lung, he makes the following state- ment: " The apoplexy of the lung seen at Albany, induced me to sup- * A razor is an unmanageable instrument to use where any degree of foroe is repaired, •ince the whole purchase (unlike a knife) for the hand does not exceed two inches. . 65 pose that there had been blood in the trachea, and drawn into the lungs." This condition, according to his theory, could only be produced by "cutting the throat; and severing of trachea at the same time would produce it." This "would be caused by blood passing into tho windpipe, * * by convulsive breathing." (T) It is worthy of note that this cutting was the exact counterpart of what takes place when animals are slaughtered Jew fashion, i. e., cutting all the tissues ante- rior to the vertebrae (from without inwards), and still this apoplexy by "insufflation" never takes place, nor can it take place for reasons before stated. Then to negative the idea that there could be any congestion, ho denies there being any in the left, and then reasons in this wise: " Con- gestion resulting from suffocation or strangulation (or any analogous causes) would be the same in both lungs." On the other hand, if the throat was out—and by his theory of insufflation you would have " apo- plexy" circumscribed, which "might be in both lungs—it would be most likely in the right." (T) He further states that "asphyxia generally produces congestion of lungs, never apoplexy. If asphyxia should produce apoplexy, it would be that in which the blood is diffused into the tissue." I have always supposed one was apoplexy as much as the other. At least all good authority lays it down as such With reference, however, to the quotation, taking it for granted to be true, it is just the condition we found in the right lung, i. e., at most a small clot and a large circum- scribed portion of diffused apoplexy and a much larger portion border- ing on apoplexy, and still a larger portion congested, so that in his anxiety to make this apoplexy appear out of the range of possibilities, as having been induced by asphyxia, he has inadvertently given me tho data which make it not only consistent with death by asphyxia, and throat cut afterwards, but renders it a moral certainty. Even the next quotation when viewed in its proper light will only strengthen this view. He states that "in drowning the person can get no air,"(M) so that there can be no circumscribed apoplexy, and hence the conges- tion is alike in all parts of both lungs. Not so in manual strangulation or suffocation where there is more or less remission which allows the air to pass. He must certainly acknowledge that it seldom happens that in this latter form of death and under any circumstances where the struggles are severe, violent and protracted, the air is not suddenly and entirely suspended, and hence if blood was discharged into the bronchia by this struggle it might and would be sucked into the air cells while it never could be in cutting the throat as this was cut, on the theory of suicide—(taking his own statement.) In death by asphyxia from suffo- cation or strangulation, if blood can be forced out in the tissues such as the scalp and sub pleural tissues, why not into the cellular tissue of the lung and that too at some points and not generally through its sub- stance, and if so, agreeable to his own statement the right lung being larger and supplied more directly with blood would be the most likely to suffer. Hence we should have precisely what was here found, i. e., congestion, engorgement, diffused, and circumscribed apoplexy. On the other hand he claims what was untrue, i. e., that all of the 3 ounces of lung seen in Albany was "circumscribed apoplexy," and that this could not be produced by any form of "aspl^xia," and that if there was any congestion at all it should be alike in both lungs. This I am sure is incorrect,'for I have seen apoplexy (circumscribed) pro- duced by a combination of strangulation and suffocation in two instan- ces, and still he insists that cutting throat as this was could produce 5 66 the condition here found in the following words: "I became satisfied by the appearance of the apoplexy in the lungs that the death was from throat- cutting."^.)* I felt inclined to invite him to write a distinctive text- book on the subject of apoplexy, and to give us the especial points of difference, as the Profession had been laboring these 1900 years without this grand desideratum. Again he says: "There is no difficulty in the blood getting into the trachea in any position of the body."(T.) With reference to this anomalous doctrine, I have only to say it is too ridiculous for discussion, and still this grave counsel says : "I have never seen a case of this kind." He should not have stopped there but should have said, "nor has any one else ever seen one," nor can it be so pro- duced when the parts are severed as in this case. And as to the right *The Doctor's statement that "circumscribed apoplexy" can be produced by "cut- throats" and not by asphyxia from suffocation or strangulation if worthy of notice, hence I will quote all he says on this subject in his Academy of Medicine, report page 331. PULMONARY APOPLEXY. " It was claimed by the prosecution that in the right lung there were several points of pulmonary apoplexy, and that statement was admitted as true on inspection of the part of the lung. The explanation given by the prosecution and defence was very different; the former claiming that these effusions were the result of suffocation; the latter, that so far from having been produced by this cause, their very existence proved that no suffocation had been attempted. No cases were cited, and it is believed that no instance can be found in which suffocation has produced circumscribed pulmonary apoplexy.* If the explanation which Watson (Pract. Phys., 3d Amer. Ed., p. 613) and Carswell (Path. Anat., part Haemorrhage) have given of this occurrence is admitted, it' will appear obvious that the fact is inconsistent with asphyxia in any form. Watson, speaking of the ordinary occurrence of pulmonary apoplexy, says : "The seat of the effusion is in one or more of the larger branches of the air tubes and the bl> od, or a part of it is driven backwards into certain of the pulmo- nary lobules by convulsive efforts to respire. * * * * It is easy to understand how certain portions of the lung, without undergoing any actual change of condition, may be so ehoked up and crammed with blood as to preclude any subsequent admission of air." He here speaks of the variety called circumscribed apoplexy of the lung, which was the vari- ety observed in the lung in question. This choking up and cramming with blood is a filling of the air cells of the lungs. This can be made evident by the same procedure by which we determine the seat of the effusion in pneumonia; (See Note A.) by the aid of a lens the little coagulum formed in a single air cell can be turned out with the point of a needle and its character ascertained under a microscope, and thin sections of pulmonary apoplexy under the microscope can be easily made to show that it is the air cells that contain the blood and not the general tis.ue of the lung. Now it is claimed that pulmonary apoplexy of this variety can be produced in cut-throats, (See Note B.,) merely by a forcible inspiration taking place while the trachea is more or less filled with blood from the cut, and inasmuch as "convulsive efforts to respire " are necessary so to fill the air cells, it is plain that such efforts are not likely to take place during an attempt at homicidal suffocation; (See Note C.,) and further, on this supposition there is no source from which the blood can flow to be drawn into the lungs. Those who have noticed the effect of cutting the trachea and large vessels of the neck in the inferior animals will easily understand this. After the wound is made, for some seconds there is no effort at inspiration, but before death takes place there are usually th-ee or more, and one or more of these will be observed to be convulsive and noisy from the blood that has already entered the severed windpipe; and as an ol'served fact circumscribed apo- plexy of the lung does take place in these animals under these circumstances, and will occur in the right lung when the body of the animal is inclined to the right, or in the left lung -.hen inolined to left. (See Note D.) In confirmation of this view of pulmonary apoplexy I may be permitted to cite a case that occurred under my own observation. At Bellevue Hospital, some yeare ago, we had a patient who had occasional vomitings of blood, from ulcer of the stomach. One day, while enjoying the sun and air on the south side of the building, sitting with other patients on a bench, he suddenly disoharged from his stomach a large quantity of blood. A loud gurgling noise was heard in his breathing, and he fell dead. At post-mortem examination, coagulated blood was found in the stomach. The trachea and bronchial tubes contained frothy blood, and both lungs were studded with numerous masses, large and small, of circumscribed apoplexy. There was no other lesion of the lung. It seems to me clear, that this man, feeling the urgen t want of breath while the throat and mouth were full of blood, had drawn this fluid into the lunga by one or more violent inspirations." (See Note E.) * Doctor Clark says, he has never heard of a case of circumscribed apoplexy from this kind of throat cutting. Note A. What analogy is there in death from pneumonia, and death from severing both earotids? 67 lung being the especial sufferer in this any more than in any other form of apoplexy, he does not deign to tell us where those anomalous cases can be found, only "he has not seen them." The bold inconsistent assertion "that there is no difficulty in the blood getting into the trachea in any position of the body" bears too strongly the impress of buncombe to require any consecutive reasoning as may be seen by reference to the animal while being slaughtered. And as to the possibility of the "concurrence of suffocation and hem- orrhage, (so as to prevent the full amount of blood from being lost,) "when the cutting was done as this was (on the theory of suicide) it is quite out of the question since there are but few efforts at inspiration which continue 2 to 3 minutes after this kind of cutting, while the bleeding is finished in 1| to 2| minutes and the convulsive efforts con- tinue for 4' to 5 minutes. In asphyxia from hanging, the heart continues to beat for 10 to 15 miuutes, and hence the natural inference would be, that in death from carotid cutting, the heart continues to act as long as there is any blood to act on. For instance, in cutting all the parts anterior to the verte- brae of several sheep in the sitting posture, so that the wind-pipe was filled instantly with blood; all the efforts at respiration only blocked it up more thoroughly, so that there was not one expiration after the cutting. The result was, that the trachea and all the large bronchia were blocked up with solid coagula, no "fluid blood" flowing from the wound after half-an-hour. One hour after the wound was nearly dry, the same as all the others slaughtered, by cutting both carotids and pneumogastrics, and hence, " no fluid blood bubbled out." These lungs when deprived of the trachea were, only about 1| ounces heavier than those of the sheep bled in the ordinary way, while the specific gravity was much less (about one-third), owing to the impossibility for the air to escape from the closed^bronchia. By the most "careful examination of these lungs, there could be found no traces of congestion, diffused or cir- cumscribed apoplexy. I wish now to note some points in reference to the opinion expressed by Dr. Clark, as medical counsel, respecting the weight and specific grav- ity of the lungs. Dr. Clark states the specific gravity of the left lung to be 665. Now, Dr. Hogeboom states (June 2, I860,) before the grand jury: " Took left lung home with us—examined it on the spot—specific gravity, .692. Again in September, 1860, he says, "specific gravity, .692." Prof. Coventry (June 2, I860,) says, "specific gravity, .692; and on the 13th of September, 1860, says, "specific gravity, .692," so that we have these two consecutive statements by these physicians, who were associated with Dr. Clark in this examination, and though this statement makes only a difference of .027, it will be seen of what im- portance it is sought to be made in the ultimate results—taking his Note B. This circumscribed portions of apoplexy cannot be found in those dying from hemorrhage where both carotids are cut; by a careful series of experiments on animals slaughtered by throat-cuts in the way Mrs. Budge was cut, none of this apoplexy is found. Note C. If blood is effused in trachea during suffocation, why not" have it down in the air cell6? . ..,.».. Note D. From experience, I Bay this is not borne out by experiment, while if the inspec- tion is delayed some time there may be static congestion. Note E. If this case is presented as analogous to Mrs. Budge, I ask in the name of com- mon sense and oommon reason, can that analogy be " ulcer of the stomach" and vomiting of blood and sucking into the bronchia and air cells just the condition that would occur in suf- focation when blood is forced out of the bronchia, and so be "choked up and crammed with blood as to preclude any subsequent admission of air." On the other hand if the head is cut half off, and no obstruction to the flow of blood, there could be no blood in the air eel's and henci no circumscribed "pulmonary apoplexy." 68 data. Dr. Clark's first statement is : " The range of the specific gravity is, from .343 to .746," (in life) the mean of which, .544. The capacity of the left chest is " 109 inches," and hence the lung in life is the same. The lung when exposed to the air sinks to two-thirds its natural size." Suppose this lung died with all the blood which it contained in life. " By this contraction its specific gravity is reduced one-third, and on this basis the lung should have been 73 inches. Then its specific gravity would have been .181. ***** Jts specific gravity adding escaped fluid to weight as found, would be .288. This lung, (Mrs. Budge's left) instead of shrinking to only " 73 cubic inches," ought to shrink (on data of animals bled) to 12-24 cubic inches. Now, Dr. Clark states, that on the basis (of death from hemorrhage) he has laid down that the lung shrinks to two-thirds its natural size, " when the chest is opened, and that" its specific gravity is reducpd one-third '' in consequence." This statement, on the theory of hemor- rhage is erroneous. I find after a series of experiments on animals bled in the way Mrs. B. was supposed to have been bled (by Dr. Clark), that the lung instead of shrinking only " one-third," that the mean ratio of shrinkage is nearly eight-ninths, and consequently the specific gravity is reduced in proportion, and instead of being reduced only one-third, it is reduced as low as five-eighths to seven-eighths; and hence when in- flated to life data, it presents a density of only .112, instead of .343, or .746, what he claims is the life data from full inflation, or .288; what he claims must have been the specific gravity of Mrs. Budge's left lung at the time of death. This is on the data of " 21 cubic inches," as ho found it. Now on the same data (animals bled to death) as above stated, instead of this lung having 21 cubic inches, (in death from hemorrhage) it should have been only 12.24 inches, so that a lung bled to death in the way Mrs. Budge's was supposed to have been, should shrink when the chest is open to one-ninth its original size, and its specific gravity is increased pro rata. This lung instead of having a specific gravity of ".288," (life data) should have been .112, if bled to death. Now, instead of this left lung of Mrs. Budge's having only 21 cubic inches, if we add the 5 ounces of fluid which had escaped, it would have been 30 cubic inches instead of 21 as stated, and taking Mrs. Budge's left lung as 21 cubic inches—then add the 5 ounces of fluid, 30 cubic inches, and hence, 109 cubic inches, the life data of Mrs. Budge's left lung is reduced by shrinkage to 30 cubic inches instead of 12.24; hence taking the data of Dr. Clark (in reference to Mrs. B.'s lung), the sheeps lung, (bled to death) which had a life capacity of 210.96 cubic inches, should shrink only to 59.69 cubic inches, instead of 12.24; 12.24 cubic inches, the mean data for sheeps lungs, bled as Dr. Clark supposes Mrs. B.'s was. The following tables will give some idea of the comparative relation so far as specific gravity is concerned between the lungs, where death is known to have taken place from hemorrhage, and Mrs. Budge's lung which Dr. Clark says, died of hemorrhage by cutting of both carotids, and still, when collated with those are found to have a specific gravity of .120 to .193 greater than his data would indicate. While, if we take the right lung, the difference will be more manifest. 69 Sheep's Lungs.—The lungs used in these experiments were taken from the sheep killed, " Jew fashion:" i. e., (placed on the back, head forced backwards, all the tissues, cut from without inwards, and down to the spine.) Before inflation. After inflation. Fluid. Fluid. No. 1, lungs displaced, [of water] .................. 16 ounces. 102 ounces. No. 2, lungs displaced....do........................ 16 ounces. 130- ounces. No. 3, lungs displaced....do........................ 10 ounces. No. 4, lungs displaced-...do........................ 11 ounces. 120 ounces. No. 5, lungs displaced....do....................... 11 ounces. 112 ounces. No. 6, lungs displaced.... do........................ 15 ounces. 122 ounces. 79 ounces. 586 ounces. 13.16ounces. 117;2 ounces. Assuming Dr. Clark's data, 1£ ounces=2.7-10 cubic inches, we have the average bulk of lungs uninflated, 23.69 cubic inches, and the average bulk of lungs inflated, 210.96 cubic in- ches. Mrs. Budge's left lung uninflated=30 cubic inches, inflated 109 cubic inches. Hence, 210.96: 23.69 : : 109 :12.24, and conversely, 109: 30: : 210.96 : 59.69. Six sheep weight averaging about 120 lbs. bled by cutting both caro- tids and nerves, trachea, &c. Mean weight of both lungs, weight 14.9 oz. on the data of 1| oz.= 2.7-10 cubic inches. Mean weight of both lungs, uninflated, gives 23.69 cubic inches. Mean weight of both lungs, inflated, gives 210.96 cubic inches. This makes an average shrinkage of 9 times its original bulk instead of one-third. On this data the specific gravity in life was .112. Woman weighing 140 lbs., bled by cutting one carotid and windpipe. Taking 109 cubic inches for the life data of the left lung, then the right having 3^ cubic inches more, makes this lung .112^. On this data, this right lung presents a specific gravity when inflated of .168; the left lung presents a specific gravity, when inflated, of .163. On the same data, Mrs. Budge's left lung was .288; and her right lung .305. Now if we take pro rata muscular weight of body, one (Mrs. Budge) being 96 and the other 140 lbs., the relative specific gravity of this left lung would be about .150 instead of .163, when however it is known that this woman bled from one carotid only it may account for the slight differ- ence in density as presented between her lungs and the mean density of those of six sheep bled to death by cutting both carotids and pneumogastric nerves; the latter however are nearly uniform, and even more exsan- guined than where only one carotid and no pneumogastrics are divided. Now contrast the density of either the animals' or the woman's lungs as compared with Mrs. Budge's left, .288, or right .305, and we have reason to take Doctor Clark's statement that this .288 would be a good deal below the average .545, his data of specific gravity of a lung, with many grains of allowance, since it furnishes irresistable proof that death took place while the lung was full of blood—in other words, death was not produced by hemorrhage, since the lungs were not exsanguined. Now, it will be remembered that there had been some decomposition of the blood going on during the 4 months, and much bloody serum was driven out through the wound; and some had infiltrated into the cavity of the pleura, and still this lung weighed at the time of death near 13 oz., and when examined near 8 oz., instead of which, if this lung died from hemorrhage it should have been reduced to 4^ oz.* Now, if this (Doctor Clark's case) lung died with a normal amount of blood in it, and still during 55 days it is reduced to about what it would have been (4£ oz.)* had it been bled to death, while its specific gravity was * Bulletin Academy of Medicine, p. 11, experiment No. 4, made by Doctor Segur, by di- rection of Doctor Clark, and contained in his report of the case, says, " A woman aged 21, weight estimated at 110 pounds, died of meningitis, the right lung weighed 13^ oz., and Total displacement... Average displacement 70 diminished .049. Now, if Mrs. Budge's left lung had contained only fluid blood and no congestion at the time of death, the lapse of 120 days would surely have reduced this (Mrs. Budge's) lung to 4| or 4£ oz. by the same process, (drainage.) The Doctor (Clark) is here presuming on the condition of lungs in a normal state in life, and not those which are supposed to have died from hemorrhage, which would have completely exsanguined these organs so that scarcely one drop of bloody serum could have escaped by the pro- cess of "drainage," hence his assertion that "This drainage of 8 oz. of fluid from the right and 5 oz. from the left would not be an unnatural quantity at the end of 4 months in case of death from throat cut," (T.) (death by hemorrhage.) Here his statement is entirely opposed to a eeries of experiments conducted on the lung's of animals, bled to death by cutting in the same manner as Mrs. Budge was cut. (See table No. 1. p. 110.) Hence, I say that 5 and 8 oz. respectively is an unnatural quantity after end of 4 months, in case of death by hemorrhage. And as to the assertion that the lung shrinking from its own elasticity only one-third when the chest is opened in those bled to death, it is untrue, and is evi- dently intended to convey a wrong impression, as can be easily demon- strated by inspection df-animals and their lungs when bled to death in the usual way by cutting all the parts anterior to the vertebras. I think .300 to .700 the range of specific gravity as laid down in Gray's Ana- tomy, is not intended as life data, since it does not seem probable that there could be such a range in life: but that this is intended for the healthy lung (inflated with the residual blood in it) of those dying from ordinary diseases not involving the lung tissue; and as to the one-third increase in specific gravity when the lung collapses, I can only say that the condensation and specific gravity of a healthy lung depends entirely upon the amount of air and blood contained in them or the degree of putrefaction. Now, perhaps Dr. Clark means to reason thus, as to the specific grav- ity of the left lung. If the lung, in life, has a capacity of 109 cubic inches, and on the basis of death, with the lung containing the life data of blood, then, on opening chest it would contract one-third and leave the lung of the capacity of 73 inches, instead of 21 cubic inches as found. And in proportion as the lung contracts the specific" gravity increases, leaving it of a density of .288, life data, instead of .343 or .746, the extremes of what he claims as life data of specific gravity. Therefore, if this is his meaning he reasons himself out of the range of probabilities, i. e., if this body died of hemorrhage. If it did not then its condition corresponds with post mortem hemorrhage, and is still inconsistent with his theory of death from hemorrhage and circumscribed apoplexy. The last and perhaps not least point relied on by Dr. Clark was, that " blood bubbled up in wind pipe by raising arm after death, would show that blood had been drawn in in life, thus mixing it with air. That could not be so if suffocation had produced the death, as in that case there would be no air in motion." He states that all the blood " coagulates in death, by cutting throat, and hemorrhage and forms into clots around and in the wound," and in a cutting like this "the arteries would continue to drip as long as the heart beat and until coagulation of the blood in the body." (T.) Now, 22 hours after death, and cold weather at that, every drop of blood displaced \1\ oz., giving a specific gravity of .729, suspended in a stop jar 55 days, the drain- age was 9± oz.; the lung then weighed 4^ oz., and displaced 6 oz. of water, the specific gravity being .680. Here it will be seen that in 55 days, more than two-thirds of the ordi- nary weight of the lung has drained from it in fluid matter, leaving the lung tissue not yet dried weighing not more than 4J ox." 71 would, of necessity, be coagulated in the bed, and agreeably to this theory the body, wound, and wind pipe, and there could be no " fluid blood to bubble out." For instance, in cutting the throats of animals, abso, in suicides, by cutting one or both of the carotids, in an hour or two, at farthest, there is not one drop of fluid blood, it is all separated into coagula and serum*, and since "fluidity of the blood is com- mon to all modes of asphyxia " and since this was precisely the condi- tion of Mrs. Budge (agreeable to their own theory) we have no evi- dence of any coagula, except, perhaps, some small ones in the bed. If (on the theory of suffocation J her throat had been cut in the third stage of asphyxia, then I ask, Where did all this blood go to ? when it is known that accoucheurs say in post partum hemorrhage that 15, 20 and even 30 lbs. of blood is lost in the course of a few hours (also in decapi- tation 24 to 28 lbs. of blood is lost). * The whole bed including the straw as well as feathers and tick, would be saturated, and would even extend through to the floor, leaving a deposit of several pounds of blood on it; and as to the sudden loss of blood having any bearing on a death produced by this kind of cutting it is quite needless for me to say that there is none since fainting has little, if any, effect on the amount of blood lost when its exit from the heart is as free as when both caro- tids are cut. The heart being an involuntary organ, its action is not materially interfered with, even though syncope supervenes, and more especially, if the blood finds a ready exit as it would in this instance. During syncope, the force of the circulation is somewhat diminished in the system, i. e., in the vessels. Even during this condition if the largo arteries (carotids) were cut, the blood would spirt furiously and tho amount lost would be nearly the same as if cut during full conscious- ness, so that syncope, and the small loss of blood are obviously out of the question. Thus, if this body, in life, contained 25 lbs.-of blood and there was no more than a quart lost, where (on the theory of suicide) had all the blood gone ? I will answer! This body was dead or nearly so before the throat icas cut and the residuary amount of blood in the large vessels was driven, by the gases generated from its own decomposi- tion, into the capillaries, and out of the wound, and thence settled to the most dependent position, just where we found it, and so reported in our notes of the case. This theory of the medical counsel is sadly want- ing in consistency. Now if she had been asphyxiated and life not quite extinct^ then the blood which flowed in the bed might coagulate imper- fectly, while the portion which remained in the body would, of necessity, hefluid. On the contrary, if the cutting was done in full life, she would have bleed out at least 16 to 18 lbs. agreeably to his own theory, and hence there would not have been left the "fluid blood to bubble out" 22 hours after death, so that " stuffing with cotton bat, sewing up, com- pressing and bandaging did not arrest the bleeding." Now suppose Mrs. Budge had died of "asphyxia," and the throat cut even after she is entirely dead and cold, the trachea filled with fluid blood. Then the arms are lifted, the ribs elevated and depressed alternately so as to imitate respiration, would not the "fluid blood" and "air" be churned up as thoroughly as it could be under any other circumstances? Add this to the fact stated by their witness Dr. Olmstead, that "3 to 6 ounces" of fluid blood oozed out of the neck during its dressing and this was only suppressed by compress and bandage and we have I apprehend data quite sufficient to establish the fact that Mrs. Budgs died before her throat was cut. On the contrary if this throat was cut in •See Appendix. 72 full life the blood is all clotted in cut, wind pipe, &c, so there is "no fluid blood to bubble up" or churn, even though all the appliances possi- ble were used to effect this end. The effort made by the defence to show, through their medical counsel that elongated spots of blood were found on the sleeve of the right arm, and fore-arm, when the evidence was that there, was none in the direction in which the carotid arteries pointed, whether she were in the sitting, or lying position, is foolish, in the extreme, since no heart or any other force pump ever propelled a stream without there being drops extending continuously from the point of gravity, (i. e. directly under the nozzle,) to the most extreme point to which the fluid was thrown, and so here the stream could not spirt up, on the face, and leave the intervening neck clean, and still more preposterous would be the idea that the blood could spirt laterally over the sleeve, and still leave the intervening space on the bed entirely clean, and besides agreeably to their theory "blooddoes not spirt 'from a' carotid artery" when cut as this was. So also if she were sitting up on the bed, (as has been gravely suggested) and held this saturated sheet up before the neck, still the right hand would be between the sheet and neck, and would of necessity become covered with blood, i. e., if the flow, or jets on the sheet, were sufficient to saturate its substance—the anterior part of the body would necessarily be covered with blood, and if, in the same (sitting) position, the sleeve of the right arm was blooded, as above stated, the space on the bed, between and beyond the arm would necessarily be covered with blood from its spirting, on the same, theory—suicide. Another point worthy of notice presented by Dr. Clark is that " there was on back of (left) lung more" blood than natural. It is such as is found in every body after death.(M) Now he states that this body is empty front and rear, capillaries and all, and still there is static con- gestion of this lung; if this body (which he says died of hemorrhage) is empty "entirely" why should not the lung be also "empty." In animals bled to death, the lungs and body are equally exsanguined, and hence the static congestion should he equal (in death by hemorrhage.) Doc- tor Clark further states that the weight of the left lung (of Mrs. Budge) was about 13 ounces. "In life it should have been 17 ounces." If^ we adopt the data of 4.50 ounces for this lung if bled to death—17 ounces as his life data, two-thirds of which, or 11.33 ounces is lost by hemor- rhage, leaving only 5.67 instead of 13 ounces as found by him. The same figures are applicable to the right lung which at death could not have weighed less than 17 ounces when the life data "would be 19 ounces." Then starting with 5.50 ounces, the weight if bled to death, 19 ounces as the life data, two-thirds of which, or 12.66 ounces, is lost in hemor- rhage, leaving the weight at the time of death 6.33 ounces instead of 17 ounces, the least amount it could have weighed at the time of death, and perhaps much more. Hence, taking his own figures as data to reason from, we have I apprehend more reason to adopt some other theory to account for the condition of these lungs than "throat-cut" and "hemorrhage" in life. Again, notwithstanding "there was on back of (left) lung more blood than natural, (M) he goes on to say, "no congestion in that lung before death—no evidence of it, but evidence to the contrary."(M) Now, let us see what this " evidence" is. He says, "there is in lungs (of an adult) during life not more than 35 to 40 ounces" (M), taking 35 73 ounces for a small woman, and the left lung, according to Doctor Clark's statement, is two ounces less than the right, which would leave it (the left) 15.5 oz. as the life data; now, if (his data, § or) 10.33 ounces are lost by hemorrhage, this would leave the absolute weight of Mrs. Budge's left lung, at death, 4.15 oz., instead of 18 ounces as found 1 Now, the right lung (from the same figures, his-data) would present an absolute weight, at death, of 6.5 ounces, instead of 17 ounces as found. Now, adopt any mode of reasoning from the figures presented by Doctor Clark, and we find that these lungs were "congested before death," and hence "more blood than natural in posterior part of lungs," while both lungs, at death, were nearly three times as heavy as they should have been, in death by hemorrhage! Now, to follow up the analogy still further, I quote from Taylor, p. 319, table of mean weight of infants lung before and after respiration: 649 grs. before respiration of a full developed infant, 927 after full respiration, giving an increase of 278 for full respiration and establishment of the life data of blood in the lungs; this, then, resolves itself into a mathematical problem. Now, Doctor Clark has established by the process of "drainage" (see note-report of case copied from bulletin of the Accademy of Medicine) what he thinks is near the weight of an exsanguined lung, we then take this as the data: Then take 649 grains for the child before respira- tion, 729 grains after respiration, what will be the increase on 4£ oz. (2,040 grs.),=567,120 (or 6 oz. and 15 grs.), so that, upon this data, this left lung with its blood in life would have weighed 6 oz. and 15 grs., instead of 17 oz. Ergo, Mrs. Budge's left lung should have weighed no more than 6 oz. with the natural life blood in it, or 4£ if bled to death; hence Doctor Clark's 17 oz. as the life data is entirely too much, and our statement that the lungs were congested, is not so far from the truth (as Dr. Clark supposed) on the theory of death from hemorrhage. And his statement of "more blood than natural" in "the posterior part of the lung," (though inconsistent with some of the other statements made by him5' is quite consistent with asphyxia and post mortem throat cut- ting, since the fluid in the jar in which it was placed (Mrs. Budge's left lung), subsequent to its removal, was highly discolored with blood, while there was a large deposit of debris of broken down fibrin and blood in the form of a nocculent sediment in the bottom of the jar, this could not have existed if she had died from hemorrhage from cutting throat, as this was (on theory of suicide). Hence, I say, that the cutting icas done after death. I have examined all the points contained in the following quotation from Doctor Clark's testimony, except that which so emphatically denies the possibility of death from any other cause than hemorrhage. I have insisted from the first that this woman was dead before the throat was cut, and that the cutting was done to cover the crime of murder, and suggested asphyxia—by strangulation, suffocation, smother- ing or 'some other analogous cause, as the probable mode of death. The condition of the lungs, tongue, pharynx, &c, &c, were inconsistent wrth death from hemorrhage, and I here again quote the whole paragraph where he (Dr. Clark) says: "The condition of the body of Mrs. Budge externally—the absence of marks of violence upon it, the character of the wound in the neck, the condition of the body internally, the empty vessels of the circulating system, the absence of blood, together with the condition of the organs and parts of the body seen by me enable nie to state confidently what was the cause of death, as strong as language 74 can express it, that she did not die of suffocation or strangulation, but from the loss of blood beyond a doubt." T. Now, I will endeavor to show that the condition above mentioned was not only consistent with asphyxia, but that those appearances conld not well have been produced by any other cause. I will also endeavor to show that death from all forms of asphyxia leaves nearly the same post mortem appearances as to congestion, taking into consideration the fact that time effaces this congestion in the heart and large vessels; that cutting the jugular veins disgorges the heart and large vessels connected therewith, and by induction also may relieve at most some of the conges- tion of the lungs, or Sit least that portion which is situate above the level of gravity; tln>t where the inspection is delayed some time after death, the heart and large veins are empty; that when the vessels of the neck are not constricted during the production of asphyxia, the face is pale; that where there are marks on the body of the asphyxiated person, post mortem hemorrhage would relieve or obliterate most or even all of them; that asphyxia may produce circumscribed as well as diffused apoplexy; that (in death from asphyxia) blood is found in the trachea and bronchia, and hence may be sucked into the bronchial air-cells, producing circum- scribed apoplexy, which (I have previously shown) cannot he produced in any way by cutting the throat and hemorrhage in life, as this was supj)osed to have been (by Dr. Clark). The first point I shall notice (from Dr. Clark) is, " that congestion resulting from strangulation or suffocation would be the same in both lungs —having regard to their relative size." (M) Now by a series of careful experiments on the animal (sheep), I find in death by hemorrhage, where the cutting involved the same as did the wound in Mrs. Budge's neck, that the difference in weight of the right as compared with left lung did not exceed 2| ounces; while in those suffocated or strangu- lated by a slow process, the difference was in some instances as much as 6 ounces, but always greatest in the right lung. (See tables 1 and 5, p. 110.) And again, he says: " If she had been smothered the (left) lung should have been above average, and its weight would have been at least 22 ounces." (M) Now suppose this lung had weighed 22 ounces at the time of death, and the throat cut after, then the heart would have been emptied by the post mortem hemorrhage (and changes which would leave the lung as found, 13 ounces), and if the hemorrhage alone did not relieve the conges- tion, subsequent post mortem changes by the generation of gas would effect this most fully; so that even if this lung contained at death 22 ounces, 13 ounces would be a great weight after the lapse of four months, and the throat cut at that; hence his statement that "cutting her throat after smothering would not have lessened (the) weight of lung," (M) is not borne out by experiment, since it will be seen by reference to the quota- tion from Taylor, where cutting the veins of the cranium or neck (in death from asphyxia) drains the heart and large veins of the thorax. The following case is quite in point, except that its throat was not cut at all as Mrs. B.'s was: Case of W. B Kirwan; Taylor, p. 504; death from drowning. "It had been lying nearly a month in a wet grave. * * The lungs were congested at the back and lower parts, arising from engorgement of blood; the internal organs were not decomposed; the heart was healthy; its cavities, as well as the large vessels leading to it, were empty." In this case one of the witnesses stated that "the engorgement in those lungs was greater than he had ever seen in a case of drowning;" and still like Mrs. Budge, the "heart as well as the large 75 vessels leading to it were empty." Now upon careful inspection of many bodies, after partial decomposition of the blood, I find the heart and large vessels empty, while the lungs are materially affected by drainage into the cavity of the chest. Appropos, to elucidate still further this matter of the emptying of the thoracic viscera and particularly the fluid portion of it, I will quote from Watson on Homicide, (p. 354) in which he says: "If a person has died from asphyxia and if the head is opened first the whole blood congested about the right side of the heart may escape from the cranium from the jugular veins, and thereby materially alter the appearance in the thorax." Now this fact alone would account for the emptiness of the heart, (in Mrs. Budge) while much of the congestion which existed at the time of death either ran out of the jugular veins by gravitation and the natural elasticity of the heart and v ssels or was driven out by the development of gas, or leached into the pleuritic cavity of the chest. Add to this the fact (Taylor, 528) that "if the subject (asphyxiated) has remained a long time in water, (or ground) (see ib. page 534) before inspection the viscera of the thorax will not present the characteristics above described, (i. e., congestion of the thoracic viscera,) independently of the changes which take place in consequence of putrefaction, the right cavities of the heart and vessels immediately connected with them may be found collapsed and generally destitute of blood," thus showing the inconsistency of Dr. Clark's statement that "if she (Mrs. Budge) was smothered and (the throat) then cut, not much more than half a pint of blood would run out, may be less. The circulating system, in that event, (would) be full of blood, except near the cut, * * (and) If person (is) smothered and throat cut (afterwards) no blood would flow from artery (except) what gravity would drive out by contraction of artery" M. 'This I find from a series of observations on bodies dying from asphyxia, from drowning, accidental suffocation, &c, is untrue, in proof of which I will quote from Watson on Homicide, (p. 115) in which he states that " the most important and characteristic appearance which is observable on dis- sect/ion after death by asphyxia, is the great accumulation of blood in the right side of th&heart, and its great -m'nsthe pulmonary artery and vessels of the lungs, while there is a comparatively empty state of the left side of the heart, the large pulmonary veins, and the artery. This gorged state of the right side of the heart and lungs is greatest where the asphyxia has been slow and gradual, by the access of air to the lungs not having been completely prevented. When asphyxia, on the other hand, has caused death quickly and suddenly there is little or no unusual congestion of blood in the lungs or heart. Besides the congestive state of the heart and lungs the veins of the different organs in the abdomen, particularly those most dependant are generally found to be unusually distended with blood. The vessels of the brain, too, are in some cases more distended with blood than is commonly observed in cases of death by other causes. In cases of death by asphyxia, as in most cases of sudden and violent death, the blood is usually found in a fluid state, or very imperfectly coagulated. The blood therefore flows freely out from the large veins when they ark divided; venous blood, may sometimes be found also in the large arteries." Watson on Homicide, p. 136, says: "In consequence of the blood remain- ing fluid (in death from asphyxia) * * the position in which the body may have been placed, may have removed the congestion, about the head and face. The greater part of the blood may also be removed from the body by opening the jugular veins and destroying the congestive appearance." And in proof of the blood being fluid in all cases of asphyxia, I will 76 quote from Doctor Clark's statement, which is, that "fluidity of the blood is common to all kinds of asphyxia." N. So, also, Watson (p. 155) states that "the blood of drowned persons is generally found to be fluid, as in other cases of asphyxia," and as the point relied on by Doctor Clark for proof positive of hemorrhage during life, and in opposition to death from asphyxia, viz, the coagula said to have been found in the bed near hip, &c, and slight or imperfect coagulation about cut, I will only give the following quotation from Taylor's Medical Jurisprudence, (p. 217,) in speaking of the coagulation of blood, he says: "Some hours may elapse before it (blood) coagulates in the heart and body, hence blood, although it would not be found diffused as by spirting, might, in so far as coagu- lation is concerned, assume the appearance of having been effused from a living body." Now this is precisely the case of Mrs. Budge where there was no spirting, and at most but slight coagulation, while at the time of the inquest 20 to 22 hours after death, there was fluid blood oozing from the tissues, vessels, and trachea, which was spoken of as "3 to 6 ounces of fluid blood "sponged out in the dressing of this wound which required stuffing, compressing and bandaging to prevent the flow of fluid blood con- tinuing. Notwithstanding this, it still oozed out by the side, and through all the dressiyigs, while the bubbling "of air and blood" from the trachea when the arms were elevated arid depressed producing artificial respira- tion, which was relied on as evidence of death from hemorrhage, was in fact the best evidence of death from asphyxia, since if this blood had been deposited in the trachea from the living body it would have been solidly coagulated; the same would be true of the "fluid blood" from the wound, and hence no "fluid blood" could flow or "bubble out" as there would be no blood to "produce it." As to the presence of blood in the trachea and bronchia, which would account for the apoplectic condition of the right lung (taking Dr. Clark's statement that the 3 pieces of lung (about 2 ounces,) which he considered circumscribed apoplexy, and which he says could be produced by "cutting throat and severing trachea" at the same time. On this point I will show that blood can be effused in the bronchia during the production of asphyxia, while it can- not be drawn into air cells, where death is produced by this mode of cutting, under any circumstances. In Watson on Homicide, p. 115, in speaking of the effusion of blood, in asphyxia, he says, "Blood or bloody froth is often found to have issued from the nose, moxdh, &c.; internally, the appearances are somewhat various according to the manner in which the asphyxia has been occasioned and whether death had taken place quickly or slowly," and in speaking of the following (case 126, p. 164) he states "that forcible compression of her chest (was effected)' * * with his (the murderer's) knees, * * there was bloody mucus in the trachea and bronchial tubes" so that, in order to have blood sufficient to produce circumscribed apoplexy, it is not necessary that "cutting the throat and severing trachea at" the same time should take place that the requisite amount of blood should be present. Since Doctor Clark, who is the only author (that 1- can find) who speaks of circumscribed apoplexy produced by throat cutting (as Mrs. Budge's was), acknowl- edged "he had never seen one," and though he live as long as Methuselah, I can assure him he will never see one. Now another point adduced by Dr. Clark to prove death by hemor- rhage and not by asphyxia, he quotes the "empty heart and large ves- sels"—that they were "empty and colorless." That they were empty I do not deny, but that they were "colorless" 1 do deny, most emphatically. 77 Now in reference to the empty vessels and heart occurring some time after asphyxia, I have only to. say that the following condition as detailed by Taylor (in his Medical Jurisprudence) does exist in death by asphyxia, where none of the large vessels are severed, how much more reason would we have for expecting to find this empty condition where all the large vessels of the neck were severed near the sternum. In asphyxia from drowning Taylor says (p. 528): "On examining a body internally we may expect to find in a recently drowned subject that the viscera of the thorax will present the appearances indicative of asphyxia. The right side of the heart and the vessels connected with them (pulmo- nary arteries) are distended with blood, * * the venous system is generally gorged with dark colored blood, and the left cavities of the heart are empty, or contain only a small quantity of black blood. * * If the subject has remained a long time in water before inspection the viscera of the thorax will not present the character above described, independently of the changes which may have taken place; in consequence of putrefaction the right cavities of the heart and vessels immediately connected with them may be found collapsed and generally destitute of blood." So in Mrs. Budge, who had lain four months in a grave, thence the heart-and large veins were empty. Taylor (page 557), post mortem appearances in death from asphyxia by hanging, says, " Internally we meet with the appearances described under the head of Asphyxia, i. e. engorgement of the lungs and venous system generally with dark colored blood; the right side of the heart and great vessels connected, are commonly distended with blood. But when the inspection has been delayed for several days this distension may not always be observed." Watson on Homicide (p. 162, case 125), in speak- ing of a case of drowning, some days previous to dissection, and though in this case, the " lungs were healthy * * and of a more livid color than natural, and their vessels filled with venous blood * * the heart was almost empty, the right side was particularly empty and flaccid." Now in reference to Doctor Clark's statement, that suffocation and strangula- tion in opposition to other forms of asphyxia left distinctive marks such as " effusion of blood under scalp, under pleura * * pericardium," &c, I shall only state, that' if blood can be forced out into the cellular tissue of these parts (in the form of ecchymosis), why not into the pleu- ral cavity, bronchia and air cells and cellular tissue of the lung in the form of what we found, i. e., diffused apoplexy—congestion and engorge- ment, also a very small point (as large as a hazel nut) of circumscribed apoplexy. In answer to the statement of Doctor Clark, I will quote a case in point with this exception, that its throat was not cut after the induction of asphyxia, as we suppose Mrs. Budge's was. Watson (p. 117), says, "After death by suffocation, the usual marks of asphyxia are generally present." Also, page 122, case 106, of strangulation, " Some blood was issuing from the mouth * * the veins of the neck and upper part of the chest when divided poured forth dark colored blood very copiously. The right side of the heart and large vessels contained dark colored fluid blood, * * lungs natu- ral in color and consistence, though collapsing less than usual; when cut into the incision was a livid, fleshy (circumscribed apoplexy) color, and venous blood was copiously poured out. The congestion, particularly in the right, seemed considerable." Now this is a case precisely in point with Mrs. Budge. Now Watson's case was known to have been suffocated and when on dissection the medical jurist cuts the veins, a large amount of venous blood is poured out. So also when the murderer cut Mrs. Budge's throat, after asphyxia, the veins also discharged a considerable 78 amount of blood. Again in Mrs. Budge, like Watson's case, you have congestion and engorgement, and most in the right lung, while the diffused apoplexy was so considerable that they did not "collapse readily," and when cut into, presented a "livid flesh color," evidently apoplexy of the diffused and perhaps circumscribed variety. While if careful inspec- tion had been instituted it would probably have presented some points of circumscribed apoplexy, from the blood being sucked into the air cells from the trachea and bronchia in the struggles for air. This would be even without Doctor Clark's desiderata, i e., "throat cut"'\n order to have the requisite "blood in air cells" Another point insisted on by Doctor Clark, is that " neither strangulation nor suffocation would force blood into the pleural cavity." (M) As to this, I cannot contradict the state- ment, since I have no data. When I first made this examination, I stated that the fluid in the right cavity of the pleura was blood; I so judged from its consistency and general physical characteristics. In this state- , ment, I may have been mistaken, though reasoning from analogy we find blood in other shut sacs, such as the arachnoid, and this exudation, takes place without perceptible lesions, called " exhalation," while the fact that this blood coagulates and even becomes organized where life is prolonged some hours or days. Now, supposing this (fluid in the right cavity) to have been pure blood and effused before death, the carbonated condition of the blood, from the induction of asphyxia, would have been a valid reason for its non-coagulation in the pleural cavity. On the sub- ject of effusions into cellular tissues and the arachnoid, without apparent lesion, I quote from Solly on the Brain, p. 378: ."Extravasations on the surface of the brain have sometimes been described as meningial apo- plexy. This is divisible into two kinds, one into the cavity of the arach- noid, the other into the sub-arachnoid tissue. Effusion in the arachnoid cavity is never the result of such a decided rupture of the vessels as is visible to.the naked eye, and hence it has been called an exhalation." In this case the legal, through their medical counsel, insisted that this "exha- lation " could not permit the passage of the blood—that there must be a perceptible lesion, in order that all of the constituents of the blood could pass through. Now if there is none in the arachnoid membrane, why should there be ever " a decided rupture of the vessels * * visible to the naked eye in case of effusion into the pleural cavity," (idem) page 380, "Apopletic effusions on the surface (of serous membranes) gene- rally arise from the rupture of small vessels; sometimes no rupture whatever can be found." Now as to the analogy of the serous mem- branes, I quote from Gray's Anatomy to confirm it. He states, " the arachnoid, like other serous membranes, is a shut sack, and (like the pleura,) consists of a parietal and visceral layer." There are instances in which large effusions take place, sometimes even nearly surrounding the entire brain, which we generally find coagulated (showing that it is pure blood), still " the effusion in the arachnoid is never the result of such decided rupture of the vessels as is visible to the naked eye," and hence Doctor Clark's medical advice to his legal associates is premature, and unsustained by the best authority in the world. I will present some figures to still farther elucidate the point of the absolute weight of lungs in certain modes of death—their bearing will be seen at a glance. I will also elucidate some of the points raised on the murder trial by the defence, which no doubt emanated from Doctor Clark, and since some of them were quite novel to me, I was then unable 79 to give a satisfactory answer. I therefore present the result of my subsequent investigations in this connection. I examined a muscular woman, weighing 140 lbs., and bled to death, (she lost, as was supposed, 16 to 20 lbs. of blood), her lungs weighed 14.75 oz., while Mi$. Budge's lungs weighed 30 oz. If this woman had weighed no more than Mrs. Budge, her lungs ought to have weighed only 10.32 oz., on the data of equal muscular weight, and death from same- causes. Hence Mrs. Budge's lungs weighed 20 ounces more than they should have weighed, on the theory of death from hemorrhage. Taking the above data I think the following tables will be about cor- rect when they are compared with those taken from the animal. They are as follows : 10.33 oz. is the weight of the lungs of a sheep, bled to death. 17.10 oz. is the weight of the lungs of a sheep whennearly suffocated, and then bled. 29.37 oz. is the weight of the lungs of a sheep dying from suffocation and throat exit after. (See table No. 5.) On the data of the woman bled to death: 10.03 oz. should be the weight of Mrs. Budge's lungs if bled to death. 17 oz. should be the weight of Mrs. Budge's lungs, partially suffocated and then bled to death. 29.50 oz. should be the weight of Mrs. Budge's lungs suffocated and cut after death. (Table No. 8, p. 112) Now, the degree of congestion might be much greater than this, depending upon the weight of the body and the means used to effect death. In one instance I found the two lungs of a man (weighing 160 lbs.) strangled and suffocated, weighing 105 oz.; and since the mode of suffocation of the sheep was effected with- out any struggles, it being produced by close confinement in the cars, hence the congestion and absolute weight would not be as great as it would if done by manual efforts. The amount of drainage of bloody serum from the lungs depends upon the mode of death. (Table No. 8.) When- death takes place from full arterial hemorrhage there is no drainage up to the time of decomposi- tion,- (Tables No. 8, and No. 1.) while from those dying from other causes there is an indefinite quantity, depending upon the mode of death and the degree of congestion. (Tables No. 2, 3, 4, 5, 7, 8 and 9.) In the above case of death from hemorrhage there was no effusion of serum during decomposition. In a case of a man weighing 120 lbs., and dying of cancer of the stomach, where the lungs were exceedingly light (both lnngs 12.16 oz.) there was no effusion during decomposition, (Table 3.) In cases of drown- ing I have found from 20 to 40 oz. of bloody serum effused. (Table No. 8.) 80 TABLE No. 1. Changes in Density of Sheep's Lungs by Throat Cutting. weight, 120 lbs. WEIGHT, 140 lbs. • DAYS AFTER DEATH. Right. Left. Right. Left. wt. Den. Wt. Den. wt. Den. Wt. Den. 6.85 7.14 7.36 7.38 7.50 .537 .519 .516 .591 .586 5.75 5.88 6.11 6.29 6.26 .500 .547 .490 .536 .617 11.06 11.28 11.83 11.76 11.81 .589 .557 .493 .547 .622 8.52 8.78 8.90 S.86 8.85 .608 .566 .531 .571 .512 Total increase in weight. • .65 .... .51 .... .75 .... .33 TABLE No. 2. Copy of Experiments to ascertain Changes in Weight and Density of Human Lung. DAYS AFTER DEATH. BIGHT LUNG. Weight. Density. LEFT LUNG. Weight. Density. 1. Saturday . 3. Monday. • • 5. Wednesday 7. Friday ... 9. Sunday ... 11. Tuesday .. 13. Thursday . 5.02 4.27 4.05x 3.92 3.69 3.56 3.44 .647 .600 .682 .739 .763 4.31 3.92 3.72 3.54 3.36 3.28 3.19 .594 !573 .615 .671 .728 .750 TABLE No. 3. Changes in Density of Lung. Man, aged 40, died of cancer of stomach and liver. Weight 125 lbs. After the first den- sity was observed, the lungs were placed in glass jars, covered with india rubber. The right lung lay on the bottom of the jar; the left was suspended from a string above. The right lung effused 1.15 fluid oz. of blood; the left lost 1.4 fluid oz. DAYS AFTER DEATH. RIGHT LUNG. Weight. Density. LEFT LUNG. Weight. Density. First day....... Tenth day...... (Adding effusion) 8.0625 7.0625 8.21 .442 .406 .442 5.750 4.391 5.790 .469 .399 .467 81 TABLE No. 4. Changes in Density of Lung. Boy, aged 17, weighing 100 lbs. Died of suffocation. DAYS AFTER DEATH. First day........ Twenty-first day.. (Adding effusion). BIGHT LUNG. Weight. 13.19 6.94 Density. .659 .365 .517 LEFT LUNG. Weight. 9.55 4.92 Density. .658 .505 .648 These lungs had been preserved, one in a closed jar in an ice-chest, tho other in a closed jar at the ordinary temperature of the air, about 68°. The former had exuded six fluid ounces of blood, which would give for average density of lung and blood, .517. The latter had lost four fluid ounces of blood, which gives for average density of lung and blood, .648. TABLE No. 5. Density of Lungs of Five Sheep of nearly equal weight. MODE OF DEATH. Hours after death. Wt. Den. Wt. Den. 1. Bled to death by severing carotids.................. 2. do do .................. 3. Bled to death after partial suffocation............... 4. Suffocated....................................... 5. Suffocated; distended with gas from decomposition 42 24 4 24 48 5.33 5.62 9.90 16.39 17.48 .592 .700 .514 .819 .721 5.00 4.08 7.20 12.92 11.89 .645 .740 .655 .861 .660 TABLE No. 6. Lung, with normal Amount of Blood, the root of the lung being ligatured before weighing. Weight. Density. Density while ligatured......... After removing ligature......... Difference between densities 10 oz. 10 oz. .620 .607 .013 TABLE No. 7. Sheep Bled to Death, and Blood allowed to flow into the Trachea and Obstruct the Bronchial Tubes. Weight. Density. Loss by effusion. Density of both lungs taken immediately . Enclosed in sealed jar. Density, 10th day Enclosed in sealed jar. Density, 20th day Loss of weight of lungs Decrease of density oz. 18.5 17.5 16.75 .528 .500 .424 1.75 oz. .104 1 1.75 6 82 TABLE No. 8. Densities of Human Lungs. MODE OF DEATH. Weight. Time after death. Weight Density Weight Density. 1. Suicide.—One carotid and one jugu- lar cut: body inflated with gas. No effusion..................... 2. Mrs. Budge. — Both carotids cut. Lungs alone.....*.............. In right pleura, 8 oz.; in left, 5 oz. Effusion........................ 3. Death by severing jugular veins.— No effusion..................... 4. Death by drowning.—Lungs alone .. In right pleura, 20 oz.; in left, 12 oz. Effusion................ 5. Death by drowning.—Little decom- posed. Lungs alone............ In right pleura, 8 oz.; in left, 12 oz. Effusion....................... lbs. 140 96 96 140 160 160 180 days. 8 120 120 10 240 240 30 8.00 9.00 17.00 15.00 12.50 32.50 18.00 26.00 .762 .819 .904 .575 .984 .995 .766 .838 6.75 8.00 13.00 15.00 14.75 26.75 18.50 30.50 .687 .665 .692 .585 .983 .990 .742 .843 TABLE No. 9. Sheep, weight about 140 lbs., bled to death lying on the back, with the head thrown back as in Mrs. Budge's case. Density. Density taken immediately Density taken 10th day... Density taken 20th day... No effusion from the lung, but an increase of weight from absorption of water while taking the density. Density decreased .190 in twenty days, from blood decomposition or generation of gases, showing an \pcrease in weight of 0.55 oz, and a decrease of specific gravity of .190. In one case of death from combined strangulation and suffocation both lungs weighed over 100 oz., while the drainage during decomposi- tion was enormous, and hence the statement of the medical counsel Dr. Clark, of the " drainage of 5 to 8 oz. of bloody serum being not an un- natural quantity for one dying from hemorrhage" is untrue and not borne out by experiments. In death from suffocation in the animal, the absolute difference in weight of the right as compared with the left lung, was in some in- stances as much as 6 oz., (Tables No. 4. and 5.) while in death from hemorrhage it did not exceed 1 to 2 1-2 oz. (Tables 1 and 5.) The healthy lung, dying with all the blood in it, constantly decreases in weight during the process of taking its specific gravity, from day to day, induced by the leakage of bloody scrum. (Tables 2* 3 and 4.) The lung which is bled to death, while undergoing the same process, increases in weight from the absorption of water. (Tables 1 and 9.) The tying of 83 the root of the lung before the taking of specific gravity makes an average difference only of about .013. (Table No. 6.) The suscepti- bility of the right lung to congestion would account for the greater amount of fluid found hi one pleural cavity than in the other, in Mrs. Budge 2 oz. in lung and about 3 in fluid. (Tables 4 and 5.) The escape of bloody serum which takes place after death from the lung, decreases its specific gravity in proportion to its loss. (Table 4.) The escaped bloody serum, when added to the lung at any time before decomposi- tion of lung tissue, will give the approximate specific gravity at the time of death. (Table 3 and 4.) The specific gravity steadily decreases during the drainage of serum, and the development of gases up to the time of decomposition of the lung tissue, (in one instance, as much as .104, see table 7, and .190, table 9,) after which it suddenly decreases, and the addition of the bloody serum (drained from the lung) to the lung itself, gives the ori- ginal weight and specific gravity. (Table No. 9.) . The comparative weight of the lung to the body depends entirely upon the mode of death. The residual amount of blood in the brain at the time of death is decomposed before the brain is, and hence gases may escape where the vessels are cut, but the blood cannot escape in any appreciable amount. Another point in reference to the left lung upon which Doctor Clark dwells with much emphasis. He states, " none of its connections had been disturbed, it was perfect." M Now, I stated at my examinations that both lungs were removed, the right we brought to Albany, while the left was returned to the chest—with reference, however, to the left I was mistaken, it being a matter not of vital importance%ither way, though Doctor Clark, and his legal associates, construed it into a wilful attempt' to misrepresent. Be this as it may, I leave it for the pro- fession to decide. Doctor Clark knows very well that, when he was in Albany, on his way to make the examination of this body, Doctor Porter and myself showed him all we had in the way of parts or parcels of this body with a degree of frankness that must now bring the blush of shame to his cheek, when he remembers how that frank- ness has been requited. His positive denial of all that occurred (of material importance) at that meeting of entire strangers, as we were, is too apparent, when it is known that his statement is that he "might have joked upon it (the conversation which took place at that meeting)."M* I think it a serious joke, and one which should not often be indulged in among strangers. I acknowledge, in the first place, that, unlike Doctor Clark, I make no pretensions to physiological or patholo- gical lore, and hence there may have been many points upon which I was not well versed; some points there were upon which I was doubt- ful, and many of them had no bearing, in fact, and were intended only to confuse the medical witness, and make him appear to a disadvantage on the stand. Of this, however, I do not complain. Mr. Budge's legal counsel, I presume,were paid, as were also his medi- cal, if we are to believe Dr. Clark's statement, which is, " I received $250 *The following is the substance of the conversation as sworn to by myself as having occur- red on this occasion. Doctor Clark (after looking at the chewed tongue) said, "You must not blame us, we are going up (to Greig, Lewis county,) to investigate this case very care- fully, and if they (the Medical Counsel) could find any loop hole out of which they could (help) this man (Budge) they should do it." M. In answer I said, (lvery well! I did not know that this was the duty of a medical man.'' M. Again, he denies that the fact sworn to by Doctor Porter, that part of the right lung was congested. Doctor Porter swore that " Doctor Clark said (to him in the Laboratory of the Albany College) that part of (the) lung was congested." M. 84 for the first five day's spent in the examination." (Post mortem.) " I have spent in all fifty to sixty days' in the examination of this case. I have received nothing but $250, and have expectations of receiving more. ( T. ) Now, if the doctor receives pay in proportion to the first install- ment for the first five days, it would amount to the nice little sum of $2,500 to $3,000. Contrast this with the $000 that we received from the county where the Judge (Bacon) declares a second inquest illegal, and hence void! Consequently all bills which otherwise would be audited by the authorities are dishonored. Neither Prefessor Porter or myself have received the first farthing as pay, either for time or for any of our disbursements. Hence, taking all the circumstances into consideration, it should not be expected that I, as an humble citizen of a country town, could cope with one so amply feed, and who " lives in New York" (is) physician and surgeon—have been so since 1835, (was) between three and four yean studying in London, Paris and Edinburgh. I am Professor of Pathology and Practice of Medicine, and Physician in Bellevue and St. Luke's Hospital. I have examined a great number of dead bodies, be- tween 3,000 and 4,000. (M.) I, on the other hand claim only a reasonable common sense, guided by a knowledge of the facts in the case—a just transcript of which I have endeavored to give, and leave the result to the enlightened decision of the scientific medical world. And with you gentlemen of the society, I now leave this case; I have endeavored faithfully and fairly to present it, in all its bearing, and I desire the full expression of your views regarding it. To me it has been the most interesting medico-legal case that I have ever been called upon to examine, since the number and diversity of scientific points are worthy of 10»e attention of a decided devotee to science; hence, I was in hopes that Doctor Clark would assist in the elucidation of the intricate questions, and recipro cate at least some of the frankness manifested towards him. We had no secrets in this case ;• we expected him to have none. As an instance of his treatment, I will simply mention, that Mr. Budge's counsel were desirous of showing that this cut might have been made while the head was flexed on the neck. In a private con- versation with Doctor Clark, I asked him how the cut could be made in the fifth vertebra, and through the cricoid cartilage at one stroke, since, if the head was flexed on the neck, the cricoid cartilage corres ponds with the seventh cervical vertebra. His answer to me was, " you must ask me no questions now." And again, when he presented apart of the case before the Academy of Medicine, New York, for discussion— though Dr. Clark did not make any public objection to its discussion; still he by his silence sanctioned it. Why this fear of discussion? would not his case bear the light of science ? if so, why hold it back from that light? I will answer, Dr. Clark knew full well it w.ould not bear the light—that it (his statement) was based not on the "rock," but "on sand," which washed away by the light of a little common sense. This case in all its bearings forcibly reminds one of the famous case of the Earl of Essex (which all good authority acknowledge to have been a murder) and when one is familiar with all the attendant circumstances, he could say with Beck, ( in his Medical Jurisprudence ) p. 139, vol. 2. The inquest was plainly a sham, facts were suppressed, &c.; * * * the investigation was suppressed* in a very suspicious manner * So in this case, the first inquest occupied but a few hours, and the second was deolared illegal, and hence void. (See Judge Bacon's decision.) The first Grand Jury (see Judge Morgan's charge,) were directed to take testimony of al\ persons pro and con, while for the people I beliave no one but myself was examined. P rofea- 85 and finally came to nothing, now * * * men do not take so much pains to conceal facts, unless they are aware that the truth will hurt them. * * * A surgeon is stated to have suggested to the coroner's jury, "that the notches in the razor were made by my lord against his neck bone." Now this case was presented by Dr. Hogeboom before the Grand Jury, reading the opinion of the old physicians from Taylor's Medi- cal'Jurisprudence, p. 212, and stopping short of Taylor's views in the case, where he says, to tfie above quotation, "forgetting before this (cutting into the back bone) could have been done by deceased, all the great vessels of the neck must have been divided !" * The next case, at all like Mrs. Budge's, is that of Sellis. In speaking of this, Dr. Beck, p. 130, says: "The arteries on both sides of the neck were severed. Is it possible for a man to inflict such a wound1? * * Again, his cravat was cut through; do men usually omit to take off the cravat when they cut their own throat ?" Apropos, In the case of Mrs. Budge the evidence was that there was a piece of candle (in the candlestick) unburnt, showing that if Mrs. Budge cut her own throat, she first put out the light, laid down, covered herself up carefully, and then cut her throat—and this is done in the dark. Now then if there was any doubt as to Sellis having power to cut both carotids off, how much more would there be in a feeble woman like Mrs. Budge making a much more extensive cut, even cutting into the spine, and in the lying position at that. On this point, see Taylor's Medical Jurispru- dence, p. 214, case of Lord William Russell: "the throat had evidently been cut while deceased was lying in bed; the blood was effused on each side of the neck only." This is the case referred to in his letter to me, in reference to this case (Mrs. Budge). (See page 42.) He states that "the wound in the throat must have been inflicted while the deceased was lying on her back, i. e., in the recumbent posture; there was no blood on the anterior part of the body or night-dress. * * The description of the flow of blood being chiefly on each side of the neck is in accordance with the views that the wound was inflicted while deceased was on her back." I have now collated all of the cases from English and American works in which there is any analogy to this Budge case, viz., Lord William Russell, murdered by Corvoiser, 1841. (See Taylor, letter p. 42.) Sellis, murdered by the Duke; and the Earl of Essex in the Tower, for political reasons. (For the full expose of which we are indebted to Brandon.) These three cases were at first considered doubtful, but the develop- ments of science and common sense have revealed their true nature,, murder most foul instead of suicide. So in the case of Mrs. Budge. At first sight it was consid- ered a case uf suicide—subsequently when people allowed the sober second thought to prevail they began to doubt; and finally the number who believed that a murder had been committed continued steadily on the* increase, notwithstanding the attitude of certain parties, threat- sors McNaughton and Porter were subpoenaed too late, and did not arrive till the jury was dismissed. On the part of the defence were Drs. Coventry, Hogeboom and Thomas, and, I think, some of the local physicians. For result, see legal part. The second Grand Jury indicted the Reverend Henry Budge, though even Judgo Turner in this instance charged the jury to take all medical testimony, pro and con, (see legal part), Judge Morgan discharged the prisoner on $10,000 bail. Again, on the murder trial, the prisoner, as well as medical and legal counsel, and nearly all who were in any way interested in having a verdict of acquittal rendered, boarded at the same house, while the judge and jury boarded at the same place. * See Taylor's letter in reference to the division of vessels, &e., in Mrs. Budge's case. 86 ening every one connected with the prosecution of this case with dire vengeance in some form if they dared to do their duty. Of this species of abuse I received my share. Some of the local press were threatened with prosecution if they published even the testimony taken at the inquest ; other parties of the press in adjoining counties seemed determined to keep the truth "under a bushel." The only one of them who were disposed to ex- amine the subject dispassionately was the Some Sentinel. (See copy of article forming a part of this paper.) The last though not least important act in the drama was the presen- tation of what purported to be this Budge case to the Academy of Medi- cine, December 18, 1861. Here again it is sought to shut off discussion from those who were familiar with this case in all its bearings. If by thus doing it was intended to obtain an ex parte expression of an opiniron from that honorable body, disappointment followed, since truth, that mighty ele- ment did and must always prevail, notwithstanding all the mal-influ- ences which are brought to bear against it from various sources. The important parts of the report of this case as presented by Dr. Clark on that memorable evening is worthy of some notice in this connection.* (In reference to the testimony of Doctors Coventry, Hogeboom & Thomas, it is merely an echo of Doctor Clark! hence requires no separate comment.) In conclusion I will add my article published in the Philadelphia Med- ical and Surgical Reporter (Vol. 6, page 377) and inasmuch as it is a complete synopsis of the conditions attending death from carotid cutting (one and both including the pneumogastric nerves) I make no apology for appending the same as a matter of reference. * I have added such portions of his statement in the way of notes as I thought might be interesting to the profession. APPENDIX Report of Fifteen Cases of Suicidal Death by Cutting Carotid Arteries. The question is often asked, Why are the surroundings so diversified in suicides by cutting throat ? In answering this question it will be- come necessary to examine the subject a little more in detail. In so doing I shall divide the mode and manner of death into those which involve: 1st. The arteries, (one or both.) 2d. Those which involve the veins and some minor arteries, with or without involving the trachea. 3d. I will analyze the causes of death of such other circumstances a3 govern the flow of blood. • 1st. In Suicides by Gutting Carotids.—The appearances are uniform so far as the amount of blood lost, while the direction of the spirting or flow of blood will be modified by u.e position of the body while the cut- ting is being done. When any large artery, such as femoral and carotid one or both is cut, death takes place inevitably from hemorrhage. This is the law of nature which applies invariably to the human subject, the exception is where the artery is secured by ligatures. Fainting does not prevent the flow of blood from continuing until life is extinct. In- stance the invariable uniform amount of blood which flows after decapi- tation and in slaughtering of animals. I have collected about one hun- dred cases of suicides and attempted suicides by throat-cutting; in which a very small percentage of them have succeeded in cutting the carotids; many of them presented most frightful cuts and even a suc- cession of cuts, which would seem to involve all the important vessels, but which (when examined by a careful surgeon or physician) were found not to involve the large arteries. Some of these were six and even eight inches in length, and still the wound did not prove fatal. These cuts are mostly in the line of the inferior maxillary, and some of them opening into the pharynx or trachea. With reference to those which involve the carotids, I shall deem it of sufficient interest to the profession to give a concise and detailed description of such by themselves, inasmuch as there are no articles devoted to this subject. The few cases which might happen to have been subjects of medico-legal inquiry, are not sufficient to elucidate the many points in this inquiry—while the others which only involve the veins and trachea, I will divide into 88 1st. Such as die from asphyxia induced by insufflation or running of blood into trachea. 2d. Such as die from syncope. 3d. Such as die from the excessive loss of blood. 4th. Such as die from introduction of air in the wins. In all these forms of cutting, where veins only are involved, the blood runs out as observers say. It is this form of cutting which, ena- bles the suicide so to arrange the surroundings that there shall be no soiling of adjacent objects. Instance, sitting on the side of the bed and leaning over the wash dish; sitting on a privy seat and catching the blood in a spittoon; kneeling in a large chest or dry goods box, and leaning the head over and allowing the blood to flow into the dirt in the cellar. I find the greater number of suicides make more than one attempt—some make two, three, four, and even five efforts—and still sometimes fail to complete the work. I find one suicide taking two razors and a rope, fearing the first might fail. In fact I find few cases where there was not more than one attempt made at cutting, or in other words few make an incision sufficiently deep at the first attempt to sever the arteries or destroy life. It is that class of suicides, where the carot- ids are cut, to which I wish to call especial attention In all these cases where the suicide was standing or sitting, and the room a small one, we find that the furniture, room, and clothes of patient, walls, and in some instances, the ceilings were covered with blood, while where the room was large, the jets of blood assumed a parabolon, and blooded the ground or floor for several feet around the spot, leaving a pool of blood where the cutting was done. (See case 4.) On the contrary, if the cutting is done while on the knees and elbows, the jet strikes the floor near the head, and little blood is found on the person of deceased. (See cases Nos. 6, 9, 15.^ In every case of throat-cutting, whether arteries or veins were sev- ered, the instrument use,d, whether razor or knife, was covered with blood, the same is true of the hand and wrist, while, if they were in the sitting or standing position, their clothes were saturated with blood. In no case have I found a female cutting more than one carotid, while the large majority of suicides by throat-cutting were males. In every instance where any observations were made, the wound was found dry a short time after the cutting, and there was found no oozing of fluid-blood from the cut vessels. The eyes and mouth, so far as note was made of the fact, were open. The tongue was never bitten or laterally chewed, so far as any note was made of the fact. Convulsive movements of the limbs, the same as is observed in ani- mals slaughtered, were not uniform, from the fact, perhaps, that many of these cases occurred in the standing position, and many of them stood nntil they had bled out. In none of the cases can I find that the soft parts (including trachea) were positively divided at one stroke of a butcher's knife or razor, and in none can I find that the cervical bones had been cut into at all. In no instance did the suicide lay on the back while the cutting was being done. Sitting, standing, or kneeling was the universal position according to my observations. In suicide by cutting of carotids, the external appearance and ex- aminations by post mortem evidence, were entire exsanguination including the lungs; suicidal cuts in the line of the inferior maxillary 89 and above the os hyoides, are more easily made, and inasmuch as they open into the fauces, are of necessity longer, deeper and more frightful in appearance, but no more destructive to life. It will be seen that the greater number stand while the cutting is being done. In the fifteen reported cases of carotid cutting, nine were standing, three kneeling, and three sitting on the side of a bed. This is about the rates of positions in the hundred cases, while these three are the only positions ir; which any attempt has been made at cutting. The percentage of those who cut the carotids to all who attempt self- destruction by this mode, is about one in about twenty to thirty. Case No. 1.—For the following very interesting case I am indebted to Dr. Barent P. Staats, of this city. The subject, a male, aged forty, weighed one hundred and sixty pounds, quite muscular. The room eight by twelve, and ten feet high, contained bed, chairs, etc. While sitting on side of bed, cut his throat with a razor (am not positive with which hand the cutting was done), slid off and fell upon the floor. The cut was in a curvilinear direction, and in a line with inferior maxillary and above the thyroid cartilage, cutting more on the right than on the left side; one carotid cut, pharynx opened, wound about five inches. As he lay on the floor, the razor, which was covered with blood, fell from his hand; the ceiling, and sides of the room, the bed and body clothes, face and hands were covered with blood. The floor contained a large coagu- lum of blood in which he lay. He could not have lost less than sixteen to twenty-four pounds of blood; bound up the wound some two hours afterwards, and found no blood oozing from the vessels; in fact the cut was dry, and the body was virtually bled out. The face, body, and lips were very pallid, ashy, and quite exsanguined. He had much con- vulsive action of inferior extremities. I saw him before he was dead.. Case 2.—For the following exceedingly interesting case, I am indebted to D. S. Young, M. D., of Cincinnati, Ohio. The subject, a German male, aged fort}7; weight, one hundred and sixty; muscular; with a butcher's knife, sixteen inches long and much nicked, cut, haggled, and mutilated his throat (while standing) very much, making several dis- tinct efforts, cutting off all the soft parts, including both carotids, both jugulars, trachea, esophagus, etc., down to the bone. He was standing when the cutting was done, head thrown back, and retained the knife within the grasp until he fell, which was forward and partly on his face. The room was a cellar, attached to a pork packing establishment, about ten by twelve, by seven feet high. The blood spirted all over the ceil- ing and sides of the room. His clothes were saturated with blood; his head, face, hands, and knife were covered with blood. The body seemed entirely exsanguined; face, lips, and body were as white as alabas ter. One hour after, no blood oozing from the cut vessels; the cut vessels seemed dry. From the quantity of clotted blood on the floor, walls, and person, I judged that there was not less than sixteen to twenty pounds of blood lost. Case 3.—The following case is one of special interest, from the amount of blood lost and the distance that he walked after the cutting was done. It occurred under the observation of Dr. Willard, of Berne, Albany county, New York. The subject, a male, aged forty, weight one hundred and fifty pounds, full habits. He went to a garret with a rope and razor; with the razor he cut his throat, while standing about four feet from garret stairs. From this point he descended two pairs of stairs, walked the whole length of lower hall (about thirty feet), out back door, 90 walked outside 3 or 4 steps, leaned against side of house for a moment, and finally sagged down, like one in a faint. Here was found a large pool of blood; and when taken up he had bled out. After some little time, body was carried into the hall, when it was not even emitting blood enough to stain the carpets. The first dash of blood struck the side of the halls, stairs, and stairway; the stairs and sides, and the whole track from the garret to where the body lay was spattered and thoroughly bedaubed with blood; in fact, the halls and stairs were drenched with blood; the blood running like a penstock, by jerks. His wife stood in front door and saw him coming down the second flight of stairs. Her screams brought others to her assistance. Front of body, hands, and clothes were covered with blood, also the razor, (which was retained in the grasp of right hand until he fell at the back door,) hands and face were covered with blood. The cut was just below the thyroid cartilage, and severing a piece of the same, was large, five to six inches, commencing on left side of neck, back of sterno-cleido mastoid muscle, cutting through all the Soft tissues of that side, including trachea; oesophagus cut partly through; the carotids on right side not cut, on left side entirely cut off; the vertebra? not cut. I saw the body soon after the accident, and sewed up the wound some four hours after. There was no blood oozing from the wounded vessels; it hardly soiled the fingers, but left a fleshy smell on them. The amount of blood of course is speculative; the quan- tity was very large, more than I supposed was contained in any person. Case 4.—For a very full and concise history of the following very interesting case, I am indebted to Doctor Walter Boothe, of Booneville, Oneida county, New York, of which the following is an abstract: D. S., aged sixty, weight one hundred and sixty, of nervo-sanguine temperament; for some time he had been somewhat despondent and gloomy. He was standing near the railroad track, and just as the train passed out of the depot, he drew a razor from his pocket, threw back his head, and made an incision, severing all the superficial struc- tures and jugular veins. The blood flowed moderately; seeing persons approaching, he made a second desperate cut, and so exactly* in the course, of the first one, that no appearance of two incisions was visible on examination. The incision commenced on the left side, two inches below the lobe of the left ear, extending across the neck, in a curvilinear direction, above the thyroid cartilage, opening into the pharynx, cutting all the soft tissues in front of the vertebrae, but not cutting into its covering, and terminating one and half inches below the lobe of the right ear. The right carotid was entirely severed; the left one, nearly. The blood spirted laterally and in front four to five feet, in a parabolic stream, covering the clothes in front Of his person very much with blood, as was also his right hand and the razor covered with blood. Not more than ten minutes supervened from the first incision to the time of death, which took place with only slight tremors. The eyes and mouth were open; tongue not bitten. Since the receipt of the doctor's com- munication, I received information from a reliable source that the loss of blood was very large, sixteen to twenty pounds, and that the blood flew in jets for at least eight feet laterally and in front, and at an angle of forty-five degrees from the body, covering the board walk and ground with blood; also a large pool of blood where he stood. Not * In a recent conversation with Dr. Boothe he says that there was scarcely an appearance of two incisions. 91 less than sixteen to twenty pounds of blood was lost, judging from the appearances and clots on the ground. Case 5.—For the following case, I am indebted to Dr. P. P. Staats, of this city. The subject, a male, aged forty, rather corpulent, weight one hundred and fifty, cut his throat (while standing) with a razor; he soon fell on his back. The cutting was done with right hand and above the thyroid cartilage, cutting through carotid, trachea, and all the soft struc- tures, but not involving the vertebrae. The blood spirted six to eight feet from where he stood, leaving a large pool of blood on the floor. The amount of blood, of course, was very large; I think twelve to sixteen pounds, from the fact that the body was left exsanguined, and also the condition of the floor and his clothes, which were saturated with blood. Case 6.—Dr. C. P. Staats.—T. 0., aged 25, weight 140 lbs., muscular. Position.—Cutting done while kneeling, and his face imbedded, and fell down on face; this was in a straw loft, and straw about five feet in thickness; cutting done with right hand, which, with the right arm were covered with blood. Wound.—Commenced at angle of left jaw, and made three distinct cuts: first, one cut was in the carotidian direction of chin at five inches, mostly on left side; second, below, mostly on left side, and four inches just below the first, and mostly a skin cut; third cut commencing at the angle of the first cut, and extending obliquely downward across the thyroid cartilage, (but not into it,) severing the carotid on the left side. Blood.—Chin, neck, and breast were covered with blood, right hand, ^inside and out,) wrist and sleeve, (five inches from hand,) were covered with clotted blood; razor left in wound, and dropped out when he was lifted up. The blood stained this five feet of straw, also two floors and two ceilings and floors; and on this lower floor, at least one pint of blood was found I judge there to have been at least three gallons of biood lost, from the condition of the stairs, floor, ceilings, &c. Face was bluish white, lips like marble, tongue contracted and shriv- elled, and not bruised or bitten. Eyes and mouth open.—-Sewed wound about an hour after cut; it was covered with dry clottedmood, and no oozing from divided vessels. The straw which was close about his neck prevented the blood from spirting. Breast and clothes on front of body were saturated with blood to the inferior portion of #sternum, and his shirt rolled down some dis- tance below his neck. Face looked ghastly, and not like one asleep. The razor was nicked. Ca.se 7.—For the following case I am indebted to Dr. Burton, of Troy, N. Y. The subject a female, aged 30, weight 120. She was standing in front of a mantle looking-glass, when she cut her throat with a razor, and soon tell on her left side. The cut was made by the right hand, and cut commenced on the left side, cutting the sterno-cleido mastoid muscle together with nearly all the soft parts of the left side of the neck, also the carotid, and through the trachea below thyroid cartilage; the blood spirted out in jets over mantle, glass, etc., covering the same; all the clothes on the left side of the body were saturated with blood, and bloodying neck, breast, hand and razor, most thoroughly, and leaving a large mass of blood on the floor; at least 12 lbs. of blood was lost; mouth and eyes open, tongue not bitten; when the wound was sewed up, the edges were dry, and of course no oozing of blood from the vessels cut; an examination, post mortem, revealed entire emptiness of the circulating system. 92 Case 8. For the following interesting case, I am indebted to Dr. Thorn, of the Marshall Infirmary, Troy, N. Y. The subject, a male, set. 50, full habit of body. The room was about 12 by 20 feet, and con- tained a bed, chairs, and looking glass, near which he was standing when the cutting was done; from this position he staggered about nine feet, and fell on the bed. The cut was mostly on the left side, com- mencing just behind the angle of the jaw, cutting on a line with it to and through trachea, and severing the carotid. The instrument, a razor, was held in the right hand, and was not retained in the grasp. The blood jetted several feet, and struck the wall, which was spattered with blood, while the bed where the body lay, and body clothes were saturated with blood—the right hand, arm, face, and razor, were covered with blood ; the quantity of blood on the floor, walls, bed, furniture, and body clothes, of course, was speculative, but was very large, as the body was exsanguined, and the edges of the wound dry, no oozing of blood from the cut vessels. Case 9.—For the following exceedingly interesting case, I am indebted to Dr. Benjamin E. Bushnell, of Little Falls, Herkimer County, N. Y. Suicide, a male, set. 55, weight 150, lean habit. Position.—When first seen, he was on his knees and resting on his left elbow, head near the floor; he had then only lost about one-half pint of blood ; when I arrived, he lay on his left side, with the left side of his head in a pool of blood, and gasped once or twice. I found that he had made two cuts, one across the thyroid cartilage, very slight; the second commenced under the left ear, and extended obliquely down- wards and forwards across. the thyroid cartilage, cutting jugular vein, carotid artery, but not the trachea. The right hand was covered with blood, little on the clothing, as from position of the body the blood poured directly on the floor; two razors were found near by, one directly in front, and a little to the right, covered with blood, the other not bloody. With regard to the quantity of blood lost, it is difficult to say how much, as it was a loose floor, and the blood ran freely through it, but from appearances, should say there was a large amount lost. He evidently died of hemorrhage. Upon examination of the abdominal cavity, the blood vessels were empty. The examination of the wound was made but a few minutes after death, and there was very little oozing from its vessels at the time. S. N. Sherman, M. D., of Ogdensburgh, N. Y., now member of Con- gress and Surgeon of the Thirty-fourth Regiment of New York State Volunteers, sends me report of the following cases, which I have read with interest. Case 1.—Male, age forty-five, weight one hundred and seventy pounds; while standing with head turned to the right, made two distinct efforts to cut his throat with a butcher's knife. First cut extending through the skin, cellular tissue from the angle of the left inferior maxillary downwards across the neck, not so far on right side as left. Second cut was on the right side, between thyro-cricoid cartilage, and made by a back hand movement, severing the trachea, both carotids, and most of the soft parts of the right lateral position of the neck, and extending about six inches in length, and nearly square across the neck. The blood spirted all over the ceiling, (9 feet high,) and about eight feet in every direction, covering his hands, face, etc., completely, and saturat- ing the clothing on the body, losing not less than sixteen to twenty- four lbs. of blood. The knife, (sixteen inches in length,) lay on the floor, and covered with blood. The face, lips, etc., (after being washed,) were ashy pale. He remained standing for some seconds after the cutting, then-fell forward on his face, when active, convulsive efforts supervened, lasting some seconds. The tongue was not bitten ; sewed up wound within an hour, and there was not enough moisture to soil a sponge, no blood oozing from divided vessels. Case 2.—A female, aged thirty-five, weight one hundred and ten pounds ; was sitting on side of bed ; cut throat, commencing posterior to the mastoid muscles of left side, just below the lower lobe of ear, ex- tending in a curvilinear direction, on a line with the lower jaw, termi- nating one and a half inches lower on the right than on the left side, severing the left carotid, and opening into the fauces above the thyroid cartilage, but not the cervical bones. She slipped off the edge of the bed to the floor, and lay partly on her face, which rested across the right arm. The blood spirted about ten feet in ev"ery direction, saturat- ing her clothes, and thexarpet on the floor was saturated with blood; a large pool of clotted blood, in which she lay immersed, not less than six- teen to twenty-four lbs.; her hands, face, and razor, were covered with blood. Razor had evidently slipped out of the right hand as she lay on the floor, and the eyes and mouth were open, and tongue not bitten. The clothes of her person were somewhat disarranged, as if convulsions had supervened. No blood oozing from divided vessels, nor was there any blood moisture at the wound one hour after the cut was sewed up. Case 3.—Male, aged thirty-six, weight one hundred and eighty; while standing in front of looking-glass, (in a room about ten by ten, and eight feet ceiling,) with his head thrown backwards, cut his throat with a razor. Cut commenced on left side, extending across the neck in a line with the chin, cutting both carotids into fauces, etc. The blood spirted over the glass, ceiling, sides of the room, table, chair, face, head and hands, (right and left.) He ran round the room, leaving prints of bloody fingers on the sides of room, and finally fell on his face, where there was a pool of bloofl. His clothes, also, were saturated with blood; the entire loss of blood could not have been less than sixteen to twenty-four lbs. The razor, handle, and blade, were covered with blood, and lay on the table under the looking-glass; mouth and eyes open, and no oozing of blood from cut surface, which was dry. He had convulsive movements. Case 4 and 5 wore males, laboring under delirium tremens. The cuts were large, severing the carotids higher on the left than on the right side. He did not see them until they were in the dissecting room, and hence could only say that their bodies were entirely exsanguined, and not blood enough oozing from the wounds to soil a pocket handkerchief; lips were completely blanched, while no blood flowed on dissection; tongue not bitten. Case 13.—Dr. J. P. Boyd, of Albany, N. Y., communicates the following interesting case: Male, aged forty, weight one hundrod and forty pounds, spare. Cut throat, (supposed sitting on edge of bed,) severing left carotid, wind- pipe and nearly"all soft parts on left side of neck; when found, was on his back in bed; clothes much disturbed ; wound gaping; mouth open ; room about seven by eight feet, about eighteen feet high, and contained bed, chairs, etc. Sides of room seven to eight feet from the floor were covered with blood, spirted from the vessel; bed, bedding, body, and 94 clothing were saturaed with blood; head, face, hands, etc., were covered with blood; did not see instrument; no blood oozing from wound or cut vessels; they were dry. It seemed to have bled out. There was evi- dently a large flow of blood, and death was evidently attributable to that cause. Case 14.—I am indebted to Dr. Duane, of Schenectady, for the follow- ing very interesting suicide, the extent of the cut makes it especially so. The subject, a male, age forty five, weight one hundred and eighty. He was standing, when the cutting was done, and soon fell on a straw bed, (which was on the floor,) with the head resting on a feather bed, rolled up, and laid on a straw tick. The cut below the thyroid cartilage was long, severing both carotids, trachea, etc., extending farther to the left, than the right side, cutting only to the mastoid muscles of right side, while on the left it was severed, (no bones cut). He had two razors, one in his pocket, and the other retained in the grasp of the right hand, and covered with blood, as also the right hand and wrist. It was an ordinary sized bedroom; bed on the floor. The blood spirted all over the walls, floor, bed, body, clothing, etc. There could not have been less than eighteen to twenty-four pounds of blood lost, judging from the condition of the apartments. The mouth was open; the chin dropped. Case 15.—Dr. El wood, of Schenectady, sends me the following case: Subject, male, age about thirty-six, weight about one hundred and fifty; cut his throat while on his knees and elbow, and fell forward on his face. Cutting done with right hand, and was mostly on the left side; com- menced two and a half inches back of carotid, severing it completely; cut above the thyroid cartilage. The bedroom about fourteen by four- teen. The floor received most of the blood, owing to the position of the body; still the body, also, the right hand, razor, and face, (ghastly and bloody,) were covered with blood. The amount of blood lost was at least sixteen lbs., (two galls.,) judging from the condition of the room. Eyes and mouth open. l>