675 
CASE OF GASTRITIS, PERITONITIS, &C. 
the first day. He does not eructate so often, though when he 
does there is still an offensive smell. The abdomen is very much 
swollen where the actual cautery was applied. Give linseed tea, 
gruel, and gentian. 
4 th. — Pulse 105, and weak — purges excessively — no appetite — 
would drink cold water if permitted — experiences a violent twinge 
at times, and immediately looks back, and lies down, but does not 
roll. Has burst out bleeding from both jugulars in the places 
where he was bled. To suppress the haemorrhage it was necessary 
to insert sutures through the incisions in the skin. Prescribed 
vegetable tonics in combination with astringents — bandaged ex- 
tremities. 
5th. — Pulse ranging from 84 to 100 — a cessation of pain — stands 
the principal part of the time — breathes quick, and stands with his 
fore legs wide apart, similar to a horse with inflamed lungs — drinks 
gruel in large quantities. 
6th. — Pulse 86 and weak — looks excessively pulled down, and 
tucked up in the flanks — walks round the box, and then lies 
down, but does not roll upon his back — drinks large quantities of 
starch gruel and linseed tea. In a few seconds after drinking, 
liquid feeces are discharged, which emit an intolerable stench. Eats 
a few mouthfuls of hay : eructation has entirely ceased — eyes de- 
jected — both jugulars inflamed, and distended downwards. As the 
pulse is lower, and the symptoms generally more favourable, a 
slight glimmering of hope may be cherished that there is a remote 
chance of his ultimate recovery. The cuticle is desquamating 
where the cautery has been applied. Apply a lotion of the chloride 
of lime to the tumours on the neck, after a linseed poultice, giving 
astringents and vegetable tonics. 
1th. — Pulse 88 — bowels more regular — respiration much em- 
barrassed — kidneys irritable — voids his urine often. Give linseed 
tea to soothe the kidneys. The neck is alarmingly inflamed, with 
a discharge of foetid matter from the orifices of both jugulars, and 
sloughing has taken place all around them. Apply a solution of 
the chloride of lime, and afterwards poultices, to the sores and 
swelling. 
8th. — Pulse 96 — purges very much from the effects of the linseed 
tea: the jugular veins are enormously swollen, and in a state of 
congestion, the swelling of the veins and surrounding parts ex- 
tending to the breast. Give astringents, and poultice the neck. 
He drinks large quantities of thick gruel. 
9 th.' — Pulse 96. Countenance indicates internal agony ; it has 
not had a lively appearance from the beginning : rests his nose on 
the manger — breath short and quick, similar to the respiration in 
