18 
INFLAMMATORY OEDEMA. 
to be amiss on the Sunday morning previous, and was then 
taken up from some low-land grass, together with her suck- 
ing foal. The tongue and mouth were then much swollen 
and inflamed, with great difficulty in eating and swallowing. 
This latter had in a great measure subsided by the Tuesday 
night, but the swelling passed down and became fixed along 
the whole length of the neck, burying the jugulars on both 
sides, except close up to the bifurcation of the vessel on the 
off side. There we managed to detract blood, after a little 
pressure, which caused it to pit at that part and buried the 
vein more. All around the breast, lower parts of the 
shoulders, elbows, and upper arms, the tumefaction extended 
to a frightful extent ; the animal appearing just like a slaughter- 
ed calf, blown up by the butcher, previous to taking off the hide. 
The mare was immoveably fixed, and the owner expected she 
w 7 ould drop dead before morning; but I entertained a different 
opinion, as the extremities were warm and no sinking pulse. 
It was something over 90, full and bounding; the respiration 
materially increased ; a good deal of anxiety expressed in the 
countenance, and futile attempts to move were made ; the 
knees faltered; her nose was poked straight out; inability to 
move the head laterally, or only in a very slight degree ; 
faeces matted together with a quantity of viscid mucus, but 
relaxed rather than otherwise ; the swollen parts hot and pain- 
ful to the touch, except near the head, where it pitted a little 
on pressure. I bled until the pulse faltered, w ith other indica- 
tions of having withdraw n blood enough ; the amount w ? as 
seven or eight quarts. I then gave a laxative combined w 7 ith 
a diuretic ; inserted a long seton at the breast, and a row el 
in the intermaxillary space ; had a rug made with arm holes to 
fit all around the breast, shoulders, and low r er part of the 
neck, and hot wTung-out flannels applied continuously 
through the night. 
October 31st. — 8 a.m. I found my patient standing firmer 
on her legs ; pulse 86, softer and less in calibre ; respiration 
much as before ; she has eaten a mash, and taken a few* 
gulps of w 7 ater. She is evidently easier, although little or no 
perceptible impression is made on the swelling. I punctured 
the breast and upper arms in about twenty places. From 
some of the punctures, pure blood escaped ; from others a 
fluid resembling serum. Gave a diuretic ; stimulated the 
upper part of the neck, and directed the fomentation to be 
left off at bed time if the animal w ent on well. The Lini- 
mentum Saponis w 7 as applied to all parts affected ; a hot dry 
rug or blanket placed inside the other, which had become 
wet. 
