42 
STRICTURE OF THE RECTUM, &C. IN A MARE. 
Nov. 15th, one o'clock, A.M. — Evincing more pain. Has com- 
menced blowing, and the pulse is beating firm and 70 in the 
minute. Abstracted sixteen pounds of blood, and exhibited per 
anum the fumes of tobacco. Either from the blood-letting or the 
tobacco enema she experienced relief, for, during the remainder of 
the night, she evinced no return of griping pains. 
Ten o'clock, A.M. — Is standing tranquil, but has a countenance 
betokening dull pain somewhere. Her abdomen is neither tense 
nor tumefied, nor tender to pressure. She has passed a few balls 
of dung, which are not particularly hard, and are coated with 
mucus. Her pulse is now small (not thready), and 90 ; her 
breathing somewhat disturbed; her legs warm. She took six 
ounces more of the gripe decoction, having before taken twelve, 
and every ounce containing a drachm of Barbadoes aloes, and an- 
other enema; and then was walked out again. While at exercise 
she passed several balls of dung, neither hard nor dark-coloured, 
but, as before, slimy, and encased in mucous envelopes. On her 
return to the stable she had a warm bran-mash offered her ; this, 
however, she refused, as she had from the first every kind of 
food ; the only sustenance she takes being occasional draughts of 
water. 
Six o'clock, P. M. — She has remained free from any acute pain, 
but still continues to express, in her countenance and manner, un- 
easiness, like dull pains somewhere. Her bowels have not acted; 
I therefore ordered her an aloetic enema; also a repetition of the 
mustard blister to the belly, and that she commence taking every 
six hours calomel 3j, c. opii gr. v, terebinth, vulg., et farin. 
Ten o'clock, P. M. — The mare began to get restless and uneasy. 
She had a simple enema administered, which brought away a 
small dung-ball, such as she has several times expelled during her 
illness. At eleven o’clock, P. M., being unrelieved by the simple 
enema, one of tobacco smoke was given. This produced such 
violent straining on her part, that the consequence was prolapsus 
recti to a considerable extent ; during which, all at once, she stag- 
gered and fell on her side as though overcome by the effects of the 
tobacco. She lay in this posture in a state of apparent stupor for 
about a quarter of an hour; then, recovering herself, she turned 
her head and looked pitifully at her side, as much as to say “ there 
it is I feel my pains again.” 
Nov. 1 6th, ten o'clock, A.M. — Within the last two hours the 
pains had increased so much that, on account of her violent blow- 
ing and the acceleration of the pulse, it was deemed advisable 
to bleed her again. She bore the abstraction of fourteen pounds, 
not, however, without at last shewing symptoms of faintness by 
staggering, &c. ; and though from this she seemed to recover while 
