CASE OF STRANGULATED PHRENIC HERNIA. 
435 
remote degree by a rowel in the chest. This latter is a common 
country treatment. These various modes of treatment must be 
combined and regulated by the nature of the case, according to the 
views of the practitioner. There is one addition which, though 
not bearing directly on the disease, I should recommend ; that is, 
the administration of a dose of physic, which has an influence 
indirectly, and is almost always of service to the general health. 
I may remark, that in the chronic form, though the band of ab- 
normal horn may be less than an inch in width, yet the animal will 
not recover soundness until this has grown down below the upper 
third of the crust : above this it acts mechanically, by compressing 
the parts beneath ; and, farther, the horn below will continue to be 
brittle, and the shoe will be very apt to be thrown off (which is an 
untoward circumstance), until the whole of this portion is removed 
by the growth of new normal horn. 
In conclusion, I trust that these will not appear to be trivial re- 
marks on an unimportant disease, when the simulation to other and 
more important diseases is considered, and which are all of more 
difficult removal or amelioration. If I succeed in drawing the at- 
tention of other and more able practitioners than myself to the con- 
sideration of the disease, I shall feel that I am amply rewarded for 
the labour I have during many years bestowed on it. 
July 10, 1845. 
CASE OF STRANGULATED PHRENIC HERNIA. 
By E. N. Gabriel, M.R.C.S. 
On the evening of the 8th of this month, my attendance was 
required at an establishment at Battle Bridge, on a black mare, 
reported as being griped. A mixture which the horse-keeper always 
has by him had been given previous to my arrival. I was with 
her about two hours after the commencement of the attack, which 
occurred while she was at work : she was a black cart mare, blind 
in both eyes, of high courage, and a remarkably good worker. When 
I saw her, the symptoms were by no means severe : she was up and 
down frequently, and occasionally rolled over, but would lie quietly 
intermediately for five or six minutes. There was not any perspira- 
tion, nor was the breathing accelerated — the only deviation from 
the usual symptoms of colic was in the pulse, which was full, hard, 
bounding, and about 80. I immediately had a laxative combined 
with an opiate administered, and a vein opened, with the intention 
of taking at least five or six quarts of blood from her ; before she 
had lost half that quantity, however, symptoms of syncope super- 
