448 WATERY FARCY — EXTERNAL DROPSY, &d. 
28/4. — Since last report the swelling of the limb ‘has increased, 
and now is extending upwards into the arms and thighs, with every 
character of diffuse inflammation of the cellular tissue, or inflam- 
matory dropsy, or water farcy, or by whatever other name it may 
be called. The nose has likewise become involved in the disease, 
the nostril of the near side being swollen to that extent that it 
is with difficulty I can get a view into the interior to look at the 
membrane. Abstract six pints more of blood, and give a ball, 
morning and evening, containing calomel 3ss, digitalis 3ss, purging 
mass 3j, diuretic mass 3ij ; and continue the cold water bandages 
and the exercise. 
Nov. Is/. — The medicine, exercise, &c. last ordered have been 
persevered in, without, however, any perceptible benefit, the 
limbs continuing as much swollen as ever ; and there presenting 
itself to-day a new symptom, petechia upon the Schneiderian mem* 
brane upon both sides of the septum nasi. There is fever in the 
system, but it seems disposed to run into the low kind. Neither 
his appetite nor spirits maintain that buoyancy they possessed at the 
beginning, and there is considerable difficulty in getting him along 
at his exercise ; and yet if he is allowed to stand in his box — for 
he by no chance hardly moves of his own accord — his limbs swell 
frightfully. I dare not bleed any more ; neither dare I purge, for 
fear of inducing diarrhoea. What is to be done 1 I cannot ima- 
gine such a case would be benefitted by tonics — supposing even, 
with the fever existing, it would bear them. I will try mercury. 
Let him take every eight hours a drachm of calomel with five 
grains of mercury, meal, and common turpentine. 
5th. — -An ounce and a half of calomel have been taken without 
affecting the mouth or breath. The swellings have not sensibly 
augmented ; neither have the petechia or red spots upon the 
nasal membrane undergone any alteration, save that they are not 
of such a bright red aspect as they were at first. He is growing 
so weak at his exercise, that, with declining appetite as well as 
strength, I am afraid to carry the mercury farther. Let him, there- 
fore, take iodine — 3 ij of the iodide of potash, morning and even- 
ing, with meal and turpentine. 
8th. — An evident change for the better ; his limbs are less tume- 
fied, and his appetite is improved. For some days the man has 
been watching an opportunity to catch some of the patient’s urine, 
but has not succeeded until this morning. Tested by bichloride of 
mercury, it proved albuminous, though heat failed to disclose the 
albumen. I had hair, to the extent of about a square inch, shaved 
off the skin of the hind part of the buttock ; and it appeared to 
me that there were some red spots — petechia — upon the cutis, 
