CONSTIPATION. 
695 
Oct. '30th. — At six o’clock this morning he began to evince pain 
again. His respiration became quick, and expressive of irrita- 
tion, both his nostrils and flanks shewing sensible movement. I 
saw him at eight o’clock, at which hour there was evidently con- 
siderable irritation expressed, owing, apparently, to dull pain or 
much uneasiness in his bowels. His pulse was 90 — his breath- 
ing short and irritable — his countenance desponding. The ca- 
thartic draught had not operated, and, therefore, 1 ordered him 
four ounces more of the comp, decoct, of aloes — a repetition of 
the blood-letting, to the extent he would endure, which proved 
to be to the amount of twelve pounds — and this was followed by 
a copious perspiration. The mustard blister was repeated to his 
belly, and the tobacco-smoke enema was administered. About 
a dozen lumps of dung were voided after the enema ; and, there- 
fore, 1 ordered a repetition of it at mid-day and in the evening, 
being compelled, myself, to leave home for the day. Such sub- 
sequent enemae brought away a few lumps of dung, but nothing 
like a full dunging, or an approach to catharsis ; though once 
was remarked a conglomeration of dung-balls, the size of a pint 
pot. 
6 o'clock , p.m. — I saw him again. He was expressing little 
more irritation than in the morning. His pulse was small and 
compressible, and reckoned 90. The blister to the belly had 
made the parts very tender. I ordered him another tobacco 
enema at eleven o’clock, p.m., and to be set up with. 
Oct. 31s£.~— The clyster brought nothing from him. He re- 
mained tranquil the fore part of the night; but at four o’clock, 
a.m., his blowing commenced again. Tobacco-smoke was tried 
again ; but now, as it had done the time before, failed to elicit 
any discharge of faeces. I visited him at nine o’clock, a.m., and 
finding that his cathartic medicine (although he had now taken 
§ij of Barbadoes aloes) had, together with the clysters of tobacco 
he had received, both failed, I came to the resolution to try a 
practice I had, in two previous cases of similar character pursued 
with success, viz. the exhibition of mercury with opium, and, 
therefore, ordered the following ball to be given every ten hours, 
without intermission during the night : — 
R Hydrarg. chlorid 3j 
Pulv. opii gr. v 
Terebinth, vulgar Jss 
Farin. avenae q. 8. ut fiat bol. 
2 o'clock, p.m. — He passed a few dung-balls, and, an hour 
afterwards (at three o’clock) passed a scanty portion of soft dung. 
6 o'clock , p.m. — Is now tranquil, and apparently free from all 
