348 Surgical Cases in the Finsbury Dispensary . 



130 ; feculent matter vomited, and every bad symptom had 

 increased, so as not to leave any hope of success, except in 

 the performance of an operation ; which was no sooner pro- 

 posed than acceded to, and borne with the greatest forti- 

 tude. Immediately on the reduction being accomplished, 

 she expressed herself comfortable, and in three hours after 

 $hehad a copious evacuation ; the pulse 116, with a gentle 

 perspiration diffused over the whole body. 



R. Tinct. opii gtt. xl. aq, menth. 5^- M. f. haust. 

 Statim sumend. 



On the 27th she appeared quite well, had slept during 

 the night, and expressed a desire to have something to eat ; 

 the pulse 120, but soft. 



R. Aq. ammoniae acet. aq. menth. aa 3 IV ' M. 

 cochl. ij. bis in die sumend. 



2Sth> she had had a comfortable night, and appeared to 

 be recovering fast, being desirous to sit up. 



29th, the bowels had been more loose, attended with 

 pinching pain for the last eighteen hours. 



R. Opii gr. v. rhei gr. xxx. f. pil. x. capt. j. bis in die. 



30th, she was much better, and sat up several hours j 

 the wound was dressed which had nearly healed, from which 

 time she continued to regain her heakh ; and in a few days 

 came to the dispensary, being perfectly cured. 



J. F. aged 68, Green Arbour Court, Old Bailey, glass- 

 cutter, has had a femoral hernia on the right side for several 

 years, which he has always been enabled to reduce by pres- 

 sure when in bed. It came down on Wednesday, the 23d 

 1 of July, and could not be returned j he became sick immedi- 

 ately ; an enema was administered without any relief being 

 obtained, and cathartics appeared to increase the complaint, 

 26th, the stomach was become extremely irritable, every 

 thing being rejected as soon as taken, and the hiccup was 

 particularly distressing ; the pain and sense of heat iq the 

 umbilical region became almost intolerable. These sym- 

 ptoms continued to increase, and on Monday, the 28th, in 

 the afternoon I was requested to see him. All attempts to 

 reduce the hernia were ineffectual ; the countenance was 

 truly hippocratic ; the pulse intermitted about every fourth 



beat j 



