22 
ON SPASM OF THE DIAPHRAGM. 
is dull: — abdomen distended a little — stands perfectly still, and 
does not express the least pain, but looks about her nearly as 
usual. She is excessively fat, and had been out a few miles 
yesterday evening, and seemed then to be quite well, but the 
man said that she did not seem inclined to eat much that night ; 
indeed, the man did not take the least notice of her present con- 
dition, as the owner accidentally found it out, and sent for me. 
V. S. ad ifcvj, and R pot. nit. cum aloes Barb. 3ivss, and to have 
bran mashes and warm water. 
6 and 8 P.m. — About the same, and not much relieved. 
2 Qth, 8 a.m. — No better. Physic beginning to operate a little 
- — all symptoms about the same. I now took about four quarts 
more blood from her, which relieved her a good deal. 
6 p.m. — Symptoms as at first. She dunged scarcely any thing 
all day. Gave small doses of aloes ant. p.t. fob digital, et resinse. 
8 p.m. — Nearly the same The ball has nauseated only. 
2 7th, 8 a.m. — Pulse 90, and small — bowels not opened — has 
urinated in the night — abdomen much distended — legs and ears 
warm. V. S. ad H>iv. Repeat pot. cum opii 3ss. Blister each 
side of thorax. 
6 p.m. — Respiration nearly natural: the spasmodic action has 
gradually subsided, and the pulse has also become more natural: 
— legs and ears warm, and she appears evidently much better — - 
is thirsty, but will not eat — drinks gruel. Give 3 ij aloes, 3 j di- 
gital., 3 j colchici antim. et ol. menth. pip. guttae x, and repeat the 
blister, the other not having risen. 
2 Sth, 8 a.m. — Worse. Pulse 100, and feeble — legs and ears 
cold — looks dull and heavy, and will hardly move about: has 
not dunged yet — -abdomen tense. Repeat mist, aper., and give 
aperient clysters. 
11 a.m. — On my arrival, l found she had died a short time 
before, and for the last half hour prior to her death she was in 
a great deal of pain, and rolled and tumbled about a good deal. 
Examination. — The whole of the intestines were much dis- 
tended with water, and some food interspersed in it — the colon 
was very full, and a little inflamed. The whole of the intestines 
were slit open, and there was not the least mechanical obstruc- 
tion or inflammation, except as above, throughout their whole 
track, and what was in them was perfectly soft. The bladder 
was empty — the heart was very much loaded with adeps, dark 
coloured, and very tender : — no effusion in the pericardium. The 
lungs were inflamed, but the lobes on one side, I forget which, 
much more so than the other, and congested with dark blood, 
but they were not in any way considerably diseased. The flanks 
were several inches thick of fat. 
