G 
PNEUMONIA — CARDITIS — HEPATITIS. 
9 p.m. — Much worse. Ears and legs cold — deathy, clayey 
cold ; pulse 100, full, intermittent ; then small ; then it would 
beat a few powerful strokes, pause, again become feeble, suc- 
ceeded by palpitation. She has been observed to look round at 
her sides two or three times during the day, and she has laid 
down on her left side, but only for a moment. Her dissolution 
is fast approaching. The rowel is going on well, but the blister 
has not rise n. A sour-smelling froth hangs about her mouth. 
I did not believe she would continue long, but was determined 
to use every available means. Rub a strong stimulating embro- 
cation on her legs ; apply hot fomentations to the blister for an 
hour; and let the following medicine be given every six hours, 
the first dose with Jviij ol. lini, hydrarg. subm., digitalis, 
gentian, aa 3 j. 
10 p.m. — 1 was sent for in great haste. The fomentations 
had been used about half an hour, when the mare fell down, and 
all present supposed she was dying. When I arrived she had 
become more tranquil, was on her legs, and drank about three 
quarts of gruel. All the symptoms are aggravated. The pulse is 
increased in frequency, being about 100, and maintaining its 
strange, irregular character. The mare died about half past one. 
Remarks , Sectio Cadaveris . — The lungs were only slightly 
inflamed, by which I must suppose that, although the symptoms 
were, in the early stage, decidedly those of pneumonia, and of 
a very urgent character, the inflammation had, by metastasis, 
assumed a more serious form, viz. carditis; probably from con- 
stitutional diathesis, as the mare was in high condition. The 
heart shewed appearances of the intensest inflammation, was 
enlarged, and both ventricles filled with blood. The liver was 
just beginning to participate in the mischief. The abdominal 
viscera were quite healthy. 
This, in the beginning, was a clearly-marked case of inflam- 
mation of the lungs, and seemed to be giving way to the mea- 
sures I adopted ; but the delusion was transient : all the symp- 
toms speedily assumed an extraordinary and fearful character, 
anomalous and contradictory. The breathing improves, the 
animal lies down, her extremities become warm, but the mem- 
branes continue highly injected, and the pulse still rises, and 
becomes full and hard, although the most energetic treatment 
was observed. Balancing the symptoms together, I concluded 
that the inflammation had become transferred to the heart ; and 
the inactivity of the blister proved the intensity of that inflam- 
mation, and the little hope of recovery. How rapidly were the 
organs of the circulation involved, as it were, in common sym- 
pathy : and yet a diagnostic symptom for each. The yellowness 
