never recovered.  I did not see him in the attack, but was informed, as far as I can remember, that he was on a casual visit at a friend’s house at luncheon (or it might have been dinner), when he suddenly became strangely excited, but not quite unconscious. . . .  I believed at the time, and do so still, that there was some capillary apoplexy of the convolutions.  The attack was attended with some hemiplegic weakness on the right side, and altered sensation, and ever after there was a want of freedom and ease both in the gait and in the use of the arm of that side.  To my inquiries from time to time how the arm was, the patient would always flex and extend it freely, but nearly always used the expression, “There is a bedevilment in it;” though the handwriting was not much, if at all, altered.

     In December, 1873, Mr. Motley went by my advice to Cannes.  I wrote
     the following letter at the time to my friend Dr. Frank, who was
     practising there:—­

[This letter, every word of which was of value to the practitioner who was to have charge of the patient, relates many of the facts given above, and I shall therefore only give extracts from it.]

December 29, 1873.

My dear Dr. Frank,—­My friend Mr. Motley, the historian and late American Minister, whose name and fame no doubt you know very well, has by my advice come to Cannes for the winter and spring, and I have promised him to give you some account of his case.  To me it is one of special interest, and personally, as respects the subject of it, of painful interest.  I have known Mr. Motley for some time, but he consulted me for the present condition about midsummer.

. . .  If I have formed a correct opinion of the pathology of the case, I believe the smaller vessels are degenerating in several parts of the vascular area, lung, brain, and kidneys.  With this view I have suggested a change of climate, a nourishing diet, etc.; and it is to be hoped, and I trust expected, that by great attention to the conditions of hygiene, internal and external, the progress of degeneration may be retarded.  I have no doubt you will find, as time goes on, increasing evidence of renal change, but this is rather a coincidence and consequence than a cause, though no doubt when the renal change has reached a certain point, it becomes in its own way a factor of other lesions.  I have troubled you at this length because my mind is much occupied with the pathology of these cases, and because no case can, on personal grounds, more strongly challenge our attention.

                                        Yours very truly,
          
                                        William W. Gull.

During the spring of 1874, whilst at Cannes, Mr. Motley had a sharp attack of nephritis, attended with fever; but on returning to England in July there was no important change in the health.  The weakness of the side continued, and the inability to undertake any mental work.  The signs of cardiac hypertrophy were more distinct.  In the beginning of the year 1875 I wrote as follows:—­

February 20, 1875.