626 ACUTE LAMIN1T1S, ENTERITIS, AND TNEUMONIA. 
a.m. She presented all the symptoms of acute laminitis 
affecting all four feet. She was breathing and sighing heavily, 
quivering from pain, standing with the fore feet far forward 
and widely separated ; the hind feet, less advanced,- were 
apparently placed as far apart as possible. All the feet were 
unnaturally hot, the fore feet most so. The pulse was 82, 
and very strong; the respirations were too confused and 
sighing to be properly counted. The body was covered with 
profuse perspiration, which trickled down the legs, and 
dropped freely from underneath the abdomen. 
She was bled to the extent of xvj lbs., and had Aloes, giv, in 
solution. Tinct. Aeon. (Flem.) xxvtq, was ordered every 
three hours. Shoes to be removed, and soles freely pared 
out; if possible she is to be made to lie down. Bran water 
allowed freely to drink; no food to be offered. Injections ordered. 
7 p.m. Relieved in every way since morning. While the 
shoes were being removed, she leaned gradually more and 
more weight upon the smith, and eventually went down. 
She has laid on the left side ever since, and the feet have 
been constantly enveloped in cold water cloths. Diarrhoea 
has set in during the day; the liquid faeces contain great 
quantities of black oats and green wheat. These are articles of 
diet which she certainly has not eaten since the time of pur- 
chase, now a week ago. 
25th, 10 a.m. She has continued to lie. During the night 
she frequently raised her head, looked towards the flank ; then 
extending the head again, she groaned, attempted to rise, 
but never gained her feet. She is evidently more restless 
and feverish than last evening. The respiration and pulse 
are quicker, and there are plain indications of enteritis. The 
lungs also are probably congested and inflamed, as often occurs 
in acute cases of this disease ; as the mare is down, however, 
and as the existence of enteritis is certain, the signs of pulmo- 
nary disease are not prominent beyond other symptoms. The 
diarrhoea has ceased, since midnight; injections, I hear, have 
been used since, and in the now more solid faeces, the black 
oats and young wheat are still seen. The feet are cooler, but 
in every other respect the mare is decidedly worse. 
Very hot water cloths to be continually applied to accessible 
surfaces of the chest and abdomen ; mustard embrocation to 
be rubbed in every hour ; feet treated as before. She was 
turned on the right side. Aconite continued; Tincture of 
Opium, 3 ij, Castor oil, Jvj, every two hours, until three doses 
have been taken. As she is thirsty, thin meal gruel is allowed 
to drink. She was visited in the evening by several of the 
students ; they did not report any improvement. 
