303 Case of Hernia Uml'dicalh. 



should be lost. We called upon the medical gentleman who* 

 had the cara of the patient in this as well as in her former 

 illness, to learn the history of the case now, and to have 

 his assistance; but he was from home, having left a mes- 

 sage thai I was to do what I pleased with her. On his 

 assistant referring to his day book, it appeared that she was 

 taken ill with symptoms of strangulation on the l6th, and 

 visited by this gentleman on the 17th, when the symptoms 

 were very urgent, and the hernia irreducible. 

 R Magn. sulphas 5 f5. 



MisV amygdal. ^vi. M. Fiat mist. Cochl. iij. 4tis 

 horis. 



On the 18ih the symptoms had not been at all relieved, 

 and she was worse in every respect. The following nnxuire, 

 which she has bt-en in the habit of taking subsequent im 

 the former operation, was sent. 

 R Magn. sulphas ^i- 

 Mannae ^i 6. 

 Aq. menthas '^w']. M. Gochl iij. 4tis horis. 



A comnioa glyster with one ounce of salts was now ad- 

 ministered without any good effect. 



On the 19th all the bad symptoms were aggravated : an- 

 other glyster of the same kind was administered, and some 

 castor oil which she had in the house was taken. She ap- 

 peared at this time much worse ; the castor oil was taken 

 in coffee in the evening, and remained on the stomach du- 

 ring the night. 



On this morning (4 A.M. 20lh) the skin on the lips, 

 hands and feet, and on the hips and loins, was discoloured, 

 rather purple : another glyster was administered, and three 

 pills composed of jalapi 3i. Hydr. suhmurias grs. x. 

 were taken, and immediately rejected by the stomach. 

 Stercus matter was now vomited, and all the symptoms 

 indicated the greatest danger. Yet it does not appear that 

 any means were taken to endeavour to obtain relief till 

 4 P. M. when 1 was first applied to, and visited her imme- 

 diately*. 



The pulse was low, weak, and irregular, at times the 

 beat scarcely perceptible ; cold clammy perspirations par- 

 tially diffused over the body ; the extremities cold and of a 

 very dark colour : the skin on the face was nearly purple, and 

 on the lips almost black ; her strength was so much reduced 



* The above particulars were obtained from her husband, children, and 

 herself, and also corroborated by the testimony of the assistant to the gentle- 

 inaii who bad attended the cas^. 



that 



