164 SYMPTOMS OF GLANDERS. 



turn out one of some value to us: I fear, however, it is one 

 unconfirmed by experience. 



DISCHARGE FROM THE NOSE, though the symptom 

 which commonly first attracts notice, is not the first in the order of 

 appearance of the local symptoms, it being often, I believe generally, 

 preceded by the tumefaction of the glands underneath the throat. 

 At its commencement, the discharge is scanty and limpid, amounting 

 to nothing beyond a little aqueous or serous fluid, trickling or drop- 

 ping, commonly from one nostril only, but without intermission. 

 The next day, or the day after, this watery discharge mostly ap- 

 pears streaked or intermingled with ropes of mucus; and in a day 

 or two after that it will probably have become altogether mucous 

 in its nature, and now glairy in its aspect, after which it gradually 

 assumes a tinge of yellow, from the admixture with the mucus of 

 albuminous matters, the aqueous discharge now diminishing, but 

 not altogether ceasing. From this, which may be regarded as the 

 incipient or first stage of glanders, the ordinary course of the 

 disease is into 



The Second or Ulcerative Stage. From being aqueous 

 or aqueo-mucous, with little or no show of purulent matter, the 

 discharge by degrees acquires consistence, turns of a straw colour, 

 exhibits true purulent characters, and soon flows in abundance, 

 there remaining, however, still more or less aqueous stream mingled 

 along with it. In time, this augmented flux, shewing less of the 

 aqueous admixture, becomes thicker, less disposed to run ofl", 

 acquires tenacity, and begins to cling about the hairs fringing the 

 nostrils. At length, it becomes converted into a truly viscous 

 flux, possessing glutinous properties of that remarkable kind that, 

 like birdlime or glue, it sticks, nay, firmly adheres to the hair of the 

 nostril, collecting and concreting within the corniL or fold of the 

 ala nasi, and clogging, and more or less obstructing, the aperture, 

 and in this manner, by occasioning impediment to the breathing, 

 generating a snuffling noise in the passage of the air something 

 similar to the mucous or bronchial rale, and which to the ear of the 

 experienced practitioner is a sound so peculiarly characteristic of 

 the state the patient is in, that, the moment he hears it, he is but 

 too well informed of the nature of the case he is about to inspect. 



