The patient (John Bull) wears his trousers round his neck, his jacket around his legs, his shoes on his hands and his gloves on his feet: he has "phrenzy" (mania , delirium). Lord Eldon (left) feels John Bull's pulse. Lord Liverpool (upper left) bleeds him in the arm with a lancet, causing a spout of gold to be issued; the gold is siphoned off by Sir John McMahon, private secretary to the Prince Regent and keeper of the privy purse (bottom left) Castlereagh (above, centre) shovels boluses into his mouth. Napoleon (below) s wedged into an apothecary's mortar about to be crushed by a pestle wielded by Death portrayed as a doctor. Sir F. Burdett, fighting with a judge, holds a surgeon's saw. Grenville (right foreground, with large backside) walks off with a physician's gold-headed cane. Beyond him are two other whigs, Earl Grey (in profile) and Baron Holland