LANCASHIRE VETERINARY MEDICAL ASSOCIATION. G13 
narian, p. 437, is of the same opinion ; but he does not believe that 
it extends to any great distance from the orifice ; seldom more than 
four inches. 
Professor Coleman said that he had seen some cases of it, but 
they were of rare occurrence, not more than one in a hundred. 
Gibson relates a case in which the horse was bled from the plate 
vein, and the inflammation extended upwards on the breast, and 
likewise down the leg. Mr. Clarke says he has known many cases 
of this sort. 
So far as my own experience goes, and I have seeti many cases, 
the inflammation now and then extends more than four inches, 
several of them five inches, down the neck. In a cow it extended 
nine inches, and in one case it penetrated into the chest, producing 
diseased ribs. (See Veterinarian, vol. xii.) 
The late Mr. Charnley and Mr. Mulliner, of Wrexham, have had 
similar cases ; but as a general rule, the inflammation does not ex- 
tend above four or five inches below the wound, the principal mis- 
chief being produced above the puncture. 
Comparative number in the human being and the horse . — It 
has been asserted that this disease occurs far more frequently in 
man than in the horse. Mr. Alcock asserts that one of his pupils 
had taken an account of more than 800 cases of bleeding, and only 
four among them had fistula. His father during nine years had 
bled some thousands, but had not met with a single untoward acci- 
dent. A surgical friend of mine — the late Dr. Hopkins, of Malpas, 
says that he well recollects a patient of his that he must have bled 
at least fifty times, and generally from the same vein in the arm ; 
that it only festered the first time he bled her, and never afterwards, 
and that quickly disappeared. 
Secondary effects. — -Mr. Hales, from having read a paper by Mr. 
Arnott, in the ‘Chirurgical Transactions,’ communicated one to 
the Veterinarian (vol. viii, p. 436), on the subject of the se- 
condary effects of inflamed veins. He inclined to the opinion that 
disease of the chest and lungs may succeed as secondary effects, 
and produce death. 
So far as I am concerned, I have no doubt whatever on the sub- 
ject, although it is not an invariable rule, either in the human 
subject or the horse. In the cases quoted from the Lancet we 
find that there was no disease of the chest, and the other case was 
not fatal. 
In the horse I have seen two fatal cases ; in one the lungs had 
chronic abscesses, the other was sound in the lungs. I have had a 
fatal case in the cow where the lungs had chronic disease. In the 
three other cases mentioned in the Veterinarian, in only two was 
there disease of the chest. 
That inflamed or diseased lungs may succeed this disease, and 
terminate in death, is highly probable ; and it is well known that it 
is often produced as a secondary effect from other diseases, as well 
as from this — from garget. In short, I would say that the lungs 
appear to be the most vulnerable part of the body, and most likely 
