BOWEL AFFECTION, TETANUS, AND OPERATIONS. 577 
under similar circumstances. The first attack occurred April 13th, 
and was caused, apparently, by his eating a quantity of wheat in 
the chaff. He was relieved on that occasion by a full dose of 
aloes in solution with opium and sether, assisted by the usual 
accessory means, as enemas, friction, &c. The second attack came 
on whilst he was at grass, on the 7th of June, and was a far more 
severe affair than the first, running on to enteritis, which was with 
difficulty subdued by the most energetic treatment, viz. copious 
and repeated bloodlettings, calomel and opium, with extensive 
counter-irritation, the application of hot water, and other means 
which it will be needless to mention. Suffice it to say, his conva- 
lescence progressed as well as could be wished up to the 19th. I 
may mention that his food consisted, since his last illness, of bran 
and boiled oats, with very little hay, and that for the last two or three 
days he has been turned out in a paddock for two or three hours in 
the middle of the day. This afternoon, about two o’clock, he sud- 
denly commenced (to use groom’s expression) “ the old game/’ 
without shewing any previous uneasiness. I was in attendance in 
little more than an hour, and found him exhibiting symptoms of 
acute abdominal pain : the expression of his eye is wild and fiery ; 
nostrils are dilated ; he paces round the box, paws, and strikes at 
his belly with his hind feet ; regards his flanks, and suddenly throws 
himself down, quite reckless of the fall ; rolls upon his back, and 
curves his head to one side, in which position he will remain for a 
short time, then suddenly jump up, and commence the same ma- 
noeuvres again ; panting and reeking until the perspiration drops 
off him. The pulse is hard and wiry, and 60 or 70 per minute. 
My first act in the way of treatment (knowing the subject 
I had to deal with) was to employ an exhausting bloodletting: 
a ligature was placed round his neck, and both jugulars opened. 
The blood flowed freely until he evinced symptoms of weakness, 
and when the ligature was removed he dropped down, and remained 
pretty quiet for a quarter of an hour, during which time he was 
raked, and an enema administered. He was, however, soon on 
his legs again, with his head towards his flank, shewing that the 
pain still continued. I gave the following draught in a little tepid 
water : R opii 3ij, sp. sether. nit. et sp. sether. sulph. aa § ijs ; 
had the sides of his abdomen rubbed with a stimulating liniment, 
the inferior surface being still raw from the blistering on the 7th 
inst. In spite of the above treatment, oft repeated, he continued 
to get worse. For two or three hours the paroxysms were more 
violent, and without intermission : his belly became tympanitic, and 
he shewed other alarming symptoms, such as crouching with his 
hind quarters in a corner of the box, sitting upon his haunches like 
a dog, waving his head to and fro, panting and sweating, until the 
