330 DISEASES OF THE INTESTINES. 



still muster strength enough to rise. Again, at the last_, he 

 becomes convulsed, and in a few more struggles, less violent 

 than the former, he expires. 



It does not invariably happen that a patient in whom the 

 disease has terminated in mortification sinks immediately. 

 I had, not long ago, a remarkable instance to the contrary. 

 A horse of the Queen^s Guard was seized with enteritis at 

 half-past one o^ clock in the morning. No medical aid was 

 sought for him (and nothing, in fact, done for his relief) 

 until half-past eight the same morning ; at which time all 

 convulsion from pain had subsided. Four quarts of blood 

 were then abstracted; and afterwards I saw him, and ordered 

 some opium in an aloetic drink to be given. At ten o^clock 

 he walked, without apparent pain or difficnlty, from the 

 Horse Guards to the Regent Park barracks — a distance 

 of upwards of two miles. On his admission into a box, his 

 body was found cold, his mouth cold, his extremities very 

 cold ; his pulse small and quick ; such as indicated to the 

 feel "running down,^^ or "sinking.^' He manifested no 

 pain ; but stood quite still, hanging his head, and looking 

 hopelessly depressed and ghastly. He continued standing 

 until four o'clock in the afternoon, every effort to warm his 

 body having proved ineffectual. All at once his legs failed 

 him, and he fell with his head twisted under his shoulder, 

 and would, had not a man been in attendance, in that posture 

 have died, strangulated. He rose once more; but shortly 

 afterwards sank down a second time, and, after a struggle 

 or two, expired. From three to four yards in extent of the 

 ileum were found in a state of mortification. 



The SUREST Diagnosis between colic and enteritis is to 

 be found in the history of the case — in particular, in the 

 manner of attack ; in the intermissions ; in the state of the 

 pulse ; in the progress of the case : all which sufficiently 

 appear from what has been already stated. When the pa- 

 roxysms are not such as properly characterises7?«.9??zof/k<?o/k — 

 not so violent, nor the pulse thready ; but, on the contrary, 

 the fits of pain, though but occasional, are comparatively 

 light, simple twitchings or nippings of the bowels, and the 



