INFLAMMATION OF THE BOWELS. 



503 



merited, the legs and ears get deadly cold; the pulse becomes 

 weaker, and soon is imperceptible ; the mouth gets cold and clammy ; 

 extravasation of blood is going on in the bowels ; mortification sets 

 in, the pain ceases, and he may stand up. rje is dull and stupid, 

 surface.of the body cold, mouth cold, twitching of the muscles,' and 

 retraction of the upper lip. He soon falls violently to the ground, 

 endangering the lives and limbs of the attendants who happen to be 

 near him, and after a few struggles expires. After death, the bow- 

 els are very much inflamed, and the inner surface black and clotted 



Fig. 823. — First Stage of Inflammation of the Bowels. 



with extravasated blood. De^th sometimes occurs in from six to 

 eight hours, and even in shorter time.. When occurring in conse- 

 quence of colic or constipation, it is very difficult to determine the 

 exact transition from spasm to inflammation. 



Treatment. — -In the outset, especially when occurring as a pri- 

 mary affection, and not as a consequence of another disease, copious 

 blood-letting will be advisable — from four to six quarts, or sufficient 

 to make an impression oh. the pulse. He should' be turned into a 

 well-littered loose box, and allowed to roll as he pleases. The bow- 

 els are obstinately constipated, but drastic pugatives are apt to in- 

 crease the inflammation ; our utmost efforts must therefore be di- 

 rected to open them by copious injections (of linseed tea, soap and 

 water, tobacco-smoke, or infusion of tobacco), back-racking, etc. A 



