THE INFLUENZA OF 1836. 
121 
denly developed, accompanied or rapidly followed by inflamma- 
tion of the eye, the nostril, or the throat — one or all. The con- 
junctiva becomes intensely red, the eyelid swollen, everted, 
closed ; tears run down the face, and light is painful. This in- 
flammation of the conjunctiva is never permanently injurious. It 
usually declines as rapidly as it rises. When the nasal mem- 
brane is inflamed, it becomes red or scarlet ; water flows from 
the nostrils, and scalds the skin. In two or three cases there 
have been patches of ecchymosis, and, though not lately, abra- 
sions and ulceration, all, I suppose, arising from intense inflam- 
mation. It frequently proceeds to suppuration, producing a co- 
pious discharge, which is generally yellow, but sometimes green- 
ish or bloody, and offensive. So soon as suppuration is establish- 
ed, the fever declines, and the horse recovers his strength and 
spirits almost immediately. The discharge has sometimes con- 
tinued for several weeks, but has been permanent in none. Sul- 
phate of copper was given in two or three cases. When the 
throat is inflamed, there is cough, or difficulty in swallowing; 
one or both, with or without enlargement of the parotids. In 
two cases the pharynx alone seemed to be inflamed. Degluti- 
tion was suspended, but there was no cough. When the larynx 
is the principal or sole seat of inflammation, the cough is distress- 
ing, but free and loud. It often remains for a long time. Seve- 
ral have it now that are at work and quite well. I fear that in 
some of them it is settled. 
In several cases the eye, throat, and nostrils, have all been in- 
tensely inflamed at the same time. But in general one has been 
much worse than the other two. Of late, the inflammation of 
cephalic influenza has attacked the nostrils and the throat 
more, a great deal, than the eye. 
The treatment consisted in copious depletion, gentle laxatives, 
spare diet, and throat blisters. The blister I often apply more 
as a precaution against inflammation to come, than as a remedy 
against that already existing. I think it fixes inflammation to 
the skin. 
The cephalic influenza is often combined with the thoracic, or 
the latter follows the former. Still, each occurs as an individual 
disease. I have never seen the cephalic produce death. But, if 
the horse go to fast work with the fever on him, a little destroys 
him. He dies, overmarked, from work that would not have 
been injurious had he been well. 
Thoracic Influenza. — It is this kind that has prevailed 
so much of late. I have seen no account of it, save that given 
by Mr. Turner in the debates of the Association. His opinions 
regarding the seat of the disease and its treatment are given in 
VOL. x. R 
