114 
MISCELLANEA. 
swelling and tenderness of the cervical and parotid glands : the 
swelling subsided during the night — bowels open — tongue clean, 
and moister — pulse 84, soft — appetite good. The thumb still ex- 
hibits some swelling and redness, with tenderness, and the finger 
is rather more swelled and painful than before. Ordered two co- 
locynth and calomel pills to be taken each night — applied nitrate 
of silver round the thumb, at the base of the swelling, and to the 
fourth finger : — continue the poultice. 
October 3 d. — The swelling of the thumb and finger have nearly 
subsided, and, though stiff and a little painful, he is able to use 
them a little : sleeps well at night— bowels regular — pulse 78, 
moderately full, and soft — tongue clean — expresses himself in bet- 
ter spirits this morning, and wishes to go to work. Ordered him 
to leave off the poultice, and regulate his bowels by an aperient 
occasionally. 
1 saw this man several days afterwards, and he assured me that 
the only inconvenience he felt in the thumb and finger was from 
stiffness in the joints: he looked well in the face and was living in 
his accustomed way. 
Remarks. — I rest my opinion that the foregoing case was one 
of modified glanders upon two circumstances, — the character of the 
local symptoms, and the disposition of the glandular s}^stem gene- 
rally to become affected ; and this is strengthened by the know- 
ledge that many cases are on record to warrant the belief that 
glanders is capable of being communicated to the human subject 
by inoculation. The character of the local symptoms differed 
from those of a simple poisoned wound in the affection shifting 
its position, and in the appearance of the circumscribed swelling, 
which was unlike any swelling arising from a poisoned wound 
that I have ever seen : it more resembled what is called “ farcy 
buds” in horses. The scratch was on the end of the thumb ; it 
was on the joint that the swelling arose : and on the sixth day, 
without any apparent cause, a similar “bud” shewed itself on the 
fourth finger. The absorbents of the arm were slightly inflamed 
at first, and there was a little stiffness in the axilla ; and on the 
tenth day the cervical and parotid glands were swollen and tender 
for some hours, evidence of the disposition of the glandular system 
to become affected. It has been asserted that “ glanders” is al- 
ways accompanied by the well-known defluxion from the nose. 
I am not sufficiently acquainted with the nature of the disease to 
say whether this assertion may be modified or not ; but certainly, 
in this case, there was no increase of mucous secretion, nor was 
there any pulmonary symptom to lead to the suspicion that the 
mucous lining of the air-cells was at all affected, though, on the 
