PHTHISIS - LION. 
21 
cough, and the countenance is becoming anxious. Give him to- 
day four grains of calomel and the same of antimonial powder, 
and resume the iodine to-morrow. 
13//i. — There has been a sudden and fearful change. After 
drinking his water, and that lukewarm, there comes on a la- 
boured and spasmodic breathing, threatening immediate suffo- 
cation. This lasts about ten minutes, and then gradually sub- 
sides, but leaving a permanent heaving at the flanks ten times 
more violent than three days ago. He can scarcely be induced 
to move : the expression of his countenance is much changed, 
and indicative of distress. Give six grains each of calomel and 
antimonial powder, and some warm blood at night. 
15 th. — The purgative did not act, therefore five grains of each 
of the powders were given yesterday : he has now been well 
purged, but apparently with some griping. He is better. The 
spasmodic breathing after drinking remains, yet it is not so 
violent; but the cough continues, and the rapid emaciation and 
the anxious countenance. The appetite is as good as ever. Give 
six grains of the hydriodate of potash morning and night. 
1 8th, — The spasms are subsiding, and the appetite continues ; 
but his flanks heave, and he loses flesh every day. Give ten 
grains of the hydriodate morning and night. 
20 th, a.m. — The occasional spasms are gone, and he is in every 
respect a little better ; but he begins to suspect his medicine. 
2 p.m. — A fearful change has again taken place since the morn- 
ing : his breathing can now be heard the moment I enter the repo- 
sitory. He is continually lying on his back, supporting himself 
against the side of the den, but shifting his posture every moment, 
with continual spasms of the abdominal muscles. We can make 
him change his posture a little, but we cannot induce him to get 
up. This is some abdominal affection, some metastasis of disease. 
The lungs are not, at present at least, so intensely affected, 
or they would not bear the pressure of the diaphragm thus 
thrown upon them. What can I do ? I am afraid to give him 
more calomel ; it has griped him enough already : still more 
I fear the croton. I have tried castor oil, Epsom salts ; he 
will not touch them. Give him the warm blood of a sheep, 
and all the inside fat, and part of the pluck, and a little pill of 
opium in it. 
21 st. — He drank the blood and ate the fat; he is easier, and 
we can with difficulty get him to stir a little. There is still 
evident spasmodic action of the abdominal muscles. We cannot 
get a sheep to-night. Rob the legs of mutton of their fat, and 
give it, with less beef, and two grains of opium. 
24 th. — He has been gradually improving: the spasms are not 
