96 
CASE OF FRACTURE OF THE UPPER JAW. 
excessively diseased at the first, as the quantity of blood and 
lymph discharged was not very great, nor the straining very 
frequent, nor did the latter continue of much consequence for 
above a day or two after I first saw her ; but I think it highly 
probable that staking existed at its commencement. Had I 
known of the existence of the state of the third stomach, I do 
not think that I should have taken so much blood from her; but 
thinking the bowels the primary disease, I was induced to do so ; 
indeed, it might have been the case, and the bleeding may have 
had a decidedly good effect on the bowels. I do not think it 
generally advisable, when they are merely staked in the third 
stomach ; and I much doubt whether it is prudent to carry the 
depletory system too far even in the bloody flux of the bowels. 
I do not think that any medicine would have opened the stomach ; 
but had not the disease of the bowels existed, I should have given 
more stimulants. 
A CASE OF FRACTURE OF THE UPPER JAW. 
By Mr. W. C. Lord, F.S., Parson’s Town , Ireland. 
I ha ve just dismissed from my infirmary a beautiful race-mare, 
well known in this country as the property of J. Salor, Esq., 
Gurteen. 
She got her leg entangled in the collar, and her struggles to 
disengage herself were so violent that she fell, and her front teeth 
came against the manger with such force that it fractured the 
anterior from the posterior maxilla, driving the former three inches 
within the inferior ; so that when first I saw her she looked like 
a bull-dog, having the lower teeth projecting over the upper. 
The first word the groom said was, “ The mare’s teeth are 
driven down her throat, Sir;” which I thought was rather an 
unfavourable position to have them in. However, to make a 
long story short, I cast her, and had very great difficulty in re- 
ducing the fracture, as five or six hours had elapsed since it 
occurred, and there was considerable inflammation in the gums : 
but by patience and perseverance I succeeded. Placing my two 
fore fingers inside the teeth and my thumbs on the gums over 
the fracture, I pulled steadily, but without very great force, for 
about twenty minutes, when I got it into its right position. I 
then took a large pledget of tow, placed it inside, and secured it 
with tape, and bound up both jaws so as to prevent the slightest 
mastication. 
