PNEUMONIA — CARDITIS— HEPATITIS. 
5 
Pulse oppressed, 50 ; breathing hurried ; nostrils expanded ; 
Schneiderian and conjunctival membranes much reddened ; 
stiffness about the fore-quarters, and unwillingness to move 
them ; ears and legs rather cold. I bled to the extent of Ifexviij, 
which seemed to have a very beneficial effect. I gave magnes. 
sulph. ^viij, digitalis pulv. 3j ; and ordered clysters of warm water, 
with a small quantity of table salt to be frequently thrown up; 
the legs to be well rubbed and bandaged, and the mare to be 
warmly clothed and placed in a cool box. 
4 p.m. — Membranes continue injected ; pulse again oppressed, 
50; respiration worse ; ears cold. Bleed to Ifexij ; a warm per- 
spiration immediately followed, and in other respects she seemed 
much relieved. Blister the sides; insert rowel inchest; and 
give the following in gruel every six hours : potass, nitr. 5 ij, 
digitalis, antitn. tartar, aa 5 j. 
9 p.m. — Pulse 76, full; breathing better, ears and legs warm. 
She has been down, and moves about her box. I think her 
better on the whole, but the state of her pulse is calculated to 
create alarm. 
25th, 10 a.m. — Pulse same as last night; other symptoms 
the same. Rowel is beginning to take effect ; the blister has not 
risen ; indeed, it has hardly had time to do so; but I am anxious 
to obtain speedy counter-irritation, therefore rub in some blister- 
ing liniment. Continue clysters and other treatment. 
9 p.m. — The bowels have been kept in very regular condition 
by the clysters. The membranes are still injected — that of the 
nose has assumed more of a purple hue ; she breathes better ; there 
is more of regularity and natural action at her flanks ; her ears 
and legs are of the natural warmth, but she is fidgetty, her 
countenance is anxious, and her pulse has increased to 100, 
hard, and full* The action of the heart is now distinctly audi- 
ble at a short distance from her side. Her strength is remark- 
ably well maintained. Bleed to ffexij ; let the medicine be given 
every four hours, blister repeated, and other treatment continued. 
Her only food consists of a few slices of carrots and a little 
hay. Each bleeding was pursued until the pulse was sensibly 
affected, or fainting appeared. 
2 6th, 10 a.m. — The bleeding of last night has not at all affected 
her pulse, which continues the same in frequency and character. 
I have now scarcely a ray of hope of her recovery. Her strength 
is rapidly declining ; depletive measures, therefore, must not be 
carried further. The other symptoms are much the same as 
last night, except that the conjunctiva has put on a yellow tinge. 
Horn down some thick gruel, and continue treatment, repeating 
the blister, &c. 
