HYDROTHORAX. 147 



quarts were withdrawn, and the skin allowed to close over 

 the wound. The horse experienced great relief, and im- 

 mediately began to breathe more quickly. The fluid, on 

 standing to cool, quickly coagulated. About three fourths 

 of it assumed the nature of fibrine, and the remainder was 

 of serous character. Give thrice a day ferri sulph. et resin, 

 aa ^ij, camphor. 5J. — 30th, Eats better. E,espiration more 

 natural. Wound closed. Continue treatment. — 31st, Aus- 

 cultation detecting some fluid on the left side, paracentesis 

 was performed ; but scarcely a pint was abstracted. Con- 

 tinue treatment. 



Feb. 3d, Pulse increasing ; breathing more laborious ; 

 appetite declining; water re-accumulating in the right 

 cavity. Operation again performed in the same intercostal 

 space, but a little below the former opening. Five quarts 

 were obtained in a full stream, which again appeared to 

 afi^ord great relief. Continue treatment. — 14th, Pulse 

 rising. Add digitalis 5J. — 16th, Pulse diminishing; re- 

 spiration not so laborious. Omit digitalis. Continue iron, 

 resin, and camphor. — 21st, Very restless; abdominal re- 

 spiration laborious. Regards his sides, and drily sighs. 

 Pulse hurried and irregular; extremities cold; symptoms 

 altogether betokening speedy dissolution. Paracentesis once 

 more on the same side and intercostal space, but with 

 considerable diflficulty. Three quarts were drained ofl", 

 but the stream was much impeded, either by the adhesions 

 of the pleura, or by clots of fibrine plugging up the mouth 

 of the canula. The patient experienced much relief again, 

 and once more rallied. Continue medicine. — March 3d, 

 Has had another relapse — has been exceeding weak, and 

 has lain down for the first time since his illness ; but this 

 aggravated the symptoms so as even to threaten life, so that 

 he only lay for a few moments at a time. He then rose in a 

 staggering manner, and constantly regarded his flanks, as 

 if pointing out the seat of pain and imploring relief. 

 Paracentesis again on the right side, anterior to the latter 

 puncture. This was followed by a copious flow of a turbid 

 whey-like fluid, seemingly a mixture of pus and serum, 



