540 CASE OF SCARLATINA OR PURPURA HAEMORRHAGIC A. 
Symptoms. — Pulse 70 : respiration hurried, ears and extremities 
warm, Schneiderian and conjunctival membranes injected, ac- 
companied with rigors and loss of appetite. 
Treatment . — I drew blood to the amount of 7fbs, administered a 
laxative draught, had him placed in a well ventilated box, and 
left him for the night. 
17/A. — Pulse 65: respiration less hurried, appetite bad ; enor- 
mous swellings of the thighs, so that their insides were in contact 
with each other : they were of a serous character, pitting on pressure. 
It was with extreme difficulty that he was made to move in his 
box. I inserted a rowel in each thigh, which was followed by the 
escape of a large quantity of serum ; administered fever medicine, 
and ordered him bran-mashes and green meat. 
18AA. — Pulse 60 : respiration nearly tranquil, bowels relaxed, 
and moves better in his box ; appetite returning ; ordered him to 
have a little walking exercise. 
19/A. — Symptoms nearly the same as yesterday : repeat fever 
medicine, and continue his exercise : appetite improving. 
20 th. — Swelling in the thighs much reduced ; but it had moved 
to the under part of the belly, which was considerably swollen. 
Scarified the belly, and applied warm fomentations; gave him a 
little aperient and diuretic medicine combined. Continue exercise. 
21^. — Swelling in the thighs and abdomen less; but it had 
now attacked the lips and nostrils to that extent, that it greatly 
impeded respiration. Small red spots observable on the nasal mem- 
brane ; appetite bad. Scarified his lips and nostrils, and had his 
head confined in a nose-bag of warm bran. Gave him tonics with 
diuretics. 
22 d. — Swellings much less, patient improving. I ordered him 
to be turned into a little paddock close by, by day, and brought to his 
box by night. Repeat medicine as yesterday ; appetite improving. 
I ordered him a little corn night and morning, as there was much 
debility present. 
23 d. — Patient improving, swellings subsiding, red spots on the 
nasal membranes less observable. Repeat medicine and corn as 
yesterday. 
24 th. — Patient still improving, swellings less, and appetite good. 
Repeat medicine. 
2 5th. — New swellings appearing on different parts of the sides 
about the size of a man’s hand ; appetite not so good : scarify the 
swellings, and apply warm fomentations. Gave a little aperient 
medicine. 
2 6th. — Bowels slightly relaxed, swelling less, appetite better than 
yesterday : red spots upon the nasal membrane less observable. 
Give tonics with diuretics. 
