A CASE OF NEPHRITIS. 
37 
previous to the operation. All hope of success being now gone, 
I got her destroyed with the owner’s consent. The post-mortem 
examination fully verified the diagnosis, as the mucous coat of the 
oesophagus was found to be ruptured, and separated Irom the mus- 
cular about an inch and a half. 
A CASE OF NEPHRITIS. 
By John Tombs, Esq., Pershore. 
March Ylth, 1843. — My services were required to a cart-colt, 
three years old, belonging to a farmer living four miles hence. 
He was taken ill on the 12th inst., and had been treated by a 
neighbouring farmer, fond of dabbling in veterinary matters. He 
had bled him thrice to the amount of two gallons, and clystered, and 
given him repeated doses of nitre, gum arabic, and spermaceti, in 
a decoction of marshmallows. 
I found him with a strong pulse of 90 — countenance dejected — 
tunica conjunctiva flushed — walking round and round the stable — • 
sometimes standing still in one corner of the stable, where he in- 
variably voided his faeces. He is frequently staling small quantities 
of urine, which is very thick and pale-coloured — he suffers great 
pain previous to and after urinating — lies down often, and looks 
back occasionally — eats now and then voraciously — he neither 
walks stiff, nor evinces pain when pressed on the loins. I believe 
the ancients used to say that these were concomitant symptoms in 
inflammation of the kidneys, but it is an indisputable fact that they 
rarely exist in this disease. I bled him until I altered the cha- 
racter of the pulse. The bowels being slightly constipated, a laxa- 
tive was given, enemas repeated, and linseed tea — the loins stimu- 
lated with a mustard embrocation. 
18 th . — Pulse 100, in great agony prior to and after voiding his 
urine — continually lying down and getting up again, and pacing 
round the stable. I ordered a sheep’s-skin to be put on the loins 
reeking hot from the sheep’s back. The bowels having responded 
to the medicine, gum acacia, opium, linseed tea, and enemas, 
were administered. 
19th . — I found my patient in agonizing pain, and bordering on 
syncope, from the effects of the sheep’s-skin. It had caused ex- 
ceedingly laborious breathing and intense perspiration. I had it 
instantly removed, and waited until the breathing had become more 
tranquil, and the effects of the sheep’s-skin had nearly ceased. The 
