310 The Case of a Man who died 



swelling extended to the elbow, and at half past four it hat! 

 reached half way up the arm, and the pain had extended 

 to the axilla. At this time Mr. Brodie, who visited him in 

 my absence, firat saw him: he found the skin cold ; the 

 man's answers were incoherent: his pulse beat 100 strokes 

 in a minute, and he complained of sickness. Forty drops 

 of aqua ammonias puree, and thirty drops of spiritus setheris 

 vitriolici in an ounce of mistura camphorata, were given to 

 him, but did not remain on his stomach. The wounds 

 were bathed with the aqua ammonia purse, and the arm and 

 forearm had compresses wetted with camphorated spirits 

 applied to them. At five o'clock he took two drachms of 

 spiritus ammoniae compositus, and 30 drops of aether, in 

 an ounce and a half of mistura camphorata, which re- 

 mained on his stomach. At six o'clock his pulse was 

 stronger; at half past seven his pulse was very feeble, and 

 30 drops of aether, and the same quantity of aqua ammoniae 

 pure were given in water. At half past eight it was re- 

 peated. At nine o'clock he had the feeling of great de- 

 pression, his skin was cold, his pulse weak, beating 80 

 strokes iu a minute. The dose was increased to 50 drops 

 of both medicines, and repeated. At a quarter past ten 

 o'clock the pain had become very violent in the arm : hi* 

 pulse was stronger, but fits of faintness attacked him every 

 15 minutes, in which the pulse was not perceptible, but in 

 the interval his spirits were less depressed. In the course 

 of the evening he had two stools. At half past eleven 

 o'clock I first saw him. The hand, wrist, forearm, and 

 arm were much swelled up te> the top of the shoulder, and 

 into the axilla. The arm was quite cold, and no pulse 

 could be felt in any part, not even in the axilla, the swell- 

 ing preventing me from feeling the axillary artery with any 

 degree of accuracy. The wounds made on the thumb were 

 just perceptible ; those on the finger were very distinct. 

 His skin generally was unusually cold. I took some pains 

 to diminish his alarm of danger, and found his mind per- 

 fectly collected: he said he hoped he should recover. At 

 one o'clock in the morning of the 18th, he talked indi- 

 stinctly: his pulse beat 100 in a minute; the attacks of 

 faintness came on occasionally. The mediciue was re- 

 peated every hour. 



At eight o'clock in the morning of the 18th, his pulse 

 beat 132 strokes in a minute, and was very feeble. The 

 swelling had not extended beyond the shoulder to the 

 neck, but there was a fulness down the side, and blood 

 was cxtiavasated under the skin as low as the loins, giving 



the> 



