APPENDIX. 119 



the case to a speedy and fatal termination. An- 

 other distinct phase of this disease convinces us 

 that (if not the true seat of the affection) we have 

 a serious if not a fatal complication of the Ab- 

 dominal vicera to combat, which are ushered in 

 by torpor, stupor, tention and tenderness of the 

 Abdominal walls evinced by colicky pains, 

 ardent thirst, coated tongue, yellowness of mem- 

 branes of nose and eyes, yellow or reddish urine, 

 costive bowels, and dung in pellet like form 

 and thickly coated with mucus. Rheumatic swel- 

 ling and tenderness may take place of muscles 

 and joints, lasting for months ; in others, paraly- 

 sis or delirium ensue or, finally, severe inflam- 

 mation of the eyes take place. 



TREATMENT : Overcome attendant costiveness 

 by giving one third to one half pint linseed oi} and 

 bountiful injections of warm water repeating both 

 sufficiently often to keep the bowels open but not 

 to the extent of weakening catharsis. Give 

 febrifuge diuretics, such as liquor, acetate Am- 

 monia, Spirit nitrous Ether, with anodynes 

 (extract Belladonna) and when fever subsides 

 and great prostration comes on, stimulants, such 

 as Nitrous Ether, aromatic spirits Ammonia, 

 Carbonate, Ammonia, and tonics such as fluid 

 extract Gentian or Quassia may be given. But 

 in case of great difficult of respiration, Pleuritic, 

 Pneumonic, or any of the more common symp- 

 toms of this character too prompt use cannot be 

 made of the following remedies, viz : Aqua Am- 

 monia, Fortis and Olive oil equal parts, and 

 mustard paste with which rub throat, chest, and 

 abdomen frequently as the case may require, to 

 subdue accompanying inflammation, and should 

 all the foregoing remedies fail, do not neglect 

 blistering or even bleeding, before the strength is 



