CHOREA. 123 



turning, and the spasms being considerably less. The distemper-ball was 

 continued. 



4th January, 1841. The spasms were better; but the vision did not 

 improve. In the afternoon he fell into a momentary fit. He almost im- 

 mediately rose again, and proceeded as if nothing had happened. An ounce 

 of Epsom salts was given, and then the tonic balls as before. 



22nd. The spasms were lessened, the clambering gait nearly ceased, but 

 the vision was not improved. The seton was removed, and only an addi- 

 tional dose of salts given. 



21th. The spasms suddenly and very considerably increased. The left 

 side appeared now to be particularly affected. The left leg before and be- 

 hind were most spasmed, the right scarcely at all so. The vision of the 

 left eye was quite gone. The dog had been taken to Mr. Alexander's, the 

 oculist, who attributed the affection of the eye and the general spasmodic 

 disease to some pressure on the brain, and recommended the trial of copious 

 and repeated bleeding. 



28th. The dog was dull ; the spasms appeared to have somewhat increased 

 and decidedly to affect the left side. Fever-balls were ordered to be given. 



29th. Considerable change took place. At three o'clock this morning 

 I was disturbed by a noise in the hospital. The poor fellow was in a 

 violent fit. Water was dashed in his face, and a strong emetic given ; but 

 it was not until seven o'clock that the fit had ceased ; he lay until eleven 

 o'clock, when the involuntary spasms were almost suspended. When he 

 was placed on his feet he immediately fell ; he then gradually revived and 

 staggered about. His master brought a physician to see him, who adopted 

 Mr. Alexander's idea and urged bleeding. Ten ounces of blood were 

 immediately taken ; the dog refused to eat. 



1st February. The strength of the animal was not impaired, but the 

 spasms were more violent, and he lay or wandered about stupid and almost 

 unconscious. I subtracted eight ounces more of blood. 



2nd. The spasms were fully as violent, and no amendment in the vision , 

 Eight ounces more of blood were subtracted without benefit. A fever- 

 ball was ordered to be given. 



3rd. No amendment ; but the bleeding having been carried to its full 

 extent, I again resorted to the tonic balls, which were given morning and 

 night. The dog was well fed and the seton replaced. 



5th. A very considerable amendment is evident. 



9th, The spasms rapidly subsided and almost disappeared. Vision was 

 not perfectly restored ; but the dog evidently saw with his left eye. He was 

 taken away, and tonic balls sent with him and ordered to be continued. 



6th March. The dog had improved in strength and no spasmodic affec- 

 tion remained ; he likewise evidently saw with his left eye. The tonic balls 

 had been discontinued for a week, and his master hoped that all would turn 

 out well, when suddenly, while at home, he was seized with a fit that lasted 

 ten minutes. A strong emetic was given, which brought up a vast quan 

 tity of undigested food. A strong purging-ball was given to him in the 

 evening. 



13^. The dog had lain slightly spasmed for two or three days, when they 

 all at once ceased, and the animal appeared as well as before. Suddenly 

 he was taken with another fit, and again a vast quantity of food was vomited. 

 These spasms remained two days, but on the 21st the fit returned with the 

 same discharge of food. Courses of purgatives were then determined on. 



