HYDROPHOBIA. 
239 
the chest, more particularly in the region of the diaphragm : breath- 
ing hurried ; pulse about 100. Almost immediately on entering 
the doors of the hospital he ran into the garden, and could only be 
got into the ward by entering through a window, as he declared 
his inability to pass along the passage, the slightest breath of air 
being sufficient to cause considerable distress : he was ordered 
carbonate of ammonia and opium, ten grains of the former and one 
grain of the latter, in the form of a pill, every hour, but which he 
refused to swallow. At this time he was perfectly sensible, and 
was ordered a blister to the spine, and an enema, containing an 
ounce of laudanum, to be administered. 
During the night the spasms became extremely violent and more 
frequent, starting up convulsively every minute. About eight 
o’clock in the morning he was extremely violent, so much so as to 
require five men to hold him to prevent his doing some mischief to 
himself. At this time the convulsions were very violent, and the 
sense of suffocation extremely distressing. About nine o’clock, the 
enema ordered last night, but which could not be administered 
before, owing to the violence of the convulsive struggles, was 
administered, and about ten o’clock another containing six drachms 
was thrown up. About half an hour afterwards another was 
administered, and ordered to be repeated every half hour. 
An ointment composed of two drachms of the acetate of morphia, 
with one ounce of hogs’-lard, was directed to be rubbed over the 
spine : but this failed in producing any beneficial effect ; on the 
contrary, we thought the spasms were more violent during the 
friction. Shortly afterwards he became less violent, but this was 
probably owing more to the exhaustion of nature than to any effect 
produced by the remedies employed. His pulse became extremely 
rapid until his death, which took place about two o’clock. 
The animal died a few days after inflicting the bite, but we 
attributed this to some person having given it poison, not thinking 
for one instant of its being in a rabid state. 
Inspect io cadaveris, twenty-four hours post-mortem : — On re- 
moving the calvarium, there was found to be an effusion of serum 
between the pia mater and tunica arachnoides ; and on cutting into 
the substance of the brain a greater number of red points were 
seen than usual. About half an ounce of serum in the lateral 
ventricles. On cutting through the theca vertebralis, a small 
quantity of serous fluid issued out : the spinal marrow appeared 
more vascular than natural, and opposite the cervical vertebrae it 
presented a brownish appearance. The tongue was examined, but 
no pustules, as described by some authors, could be discovered. The 
glands on the dorsum of the tongue were in a state of enlargement, 
