(EDEMA PRECEDED BY STRANGLES. 
15 
The eye was ordered to be kept wet with a solution of sulphate 
of zinc, to which a little tine, opii had been added. I abstracted 
three pints of blood from the angular vein, which was a great 
quantity to be obtained from it. The vein was unusually dis- 
tended, and bled like an artery ; the blood had a peculiarly pale 
appearance. Medicine as yesterday. 
2d. — Walks extremely stiff ; swelling of the chest lessened : 
pulse 50. Eyelids tremendously swollen. She cannot masticate 
her food, on account of a swelling coming on in the night on the 
zygomatic arch. Venesection from angular vein to the same ex- 
tent as yesterday. Medicines continued ; fomentations and lo- 
tions applied to swellings. 
3d . — Symptoms of pleurisy ; respiration embarrassed : pulse 
70, and full, but not wiry ; refuses her food. The swelling of 
the chest has disappeared during the night; eye still in a shock- 
ing state, but has a little receded into the orbit. The haw and 
adeps that protrude have a gangrenous appearance, and there is a 
profuse discharge of purulent matter from the eye ; nose again 
swollen ; intestines slightly constipated. R Lotions to eye and 
nose ; fomentations to other swellings ; a seton inserted in the 
breast, and one under the eye; aloes 3j, administered twice a-day; 
blood-letting repeated from the angular vein, and three quarts 
taken from the jugular. When coagulated, it was* three parts 
buff', and instead of being tough, it crumbled to pieces in the 
hand, which distinguishes oedema from almost every other 
disease. 
4th. — Swellings every where decreased : pulse 50 ; appetite 
better; more lively and cheerful ; a great discharge of pus from 
the eye ; respiration not so much disturbed. R digitalis 3 j, nit. 
potassa 3ij, and camphor 3j, administered once a-day. Diet, 
bran mashes; fomentations and lotions continued. 
6th. — Patient worse : pulse 70, and weak ; excessive stiffness 
of the posterior extremities ; the inside of the thighs, fore ex- 
tremities, and nose, are again swollen. R Aloes 3j, twice 
a-day. 
8th . — Great improvement ; swellings greatly abated : pulse 
50; feeds better. Eye receded into the orbit. The cornea 
still opaque ; faeces hard. Give one drachm of aloes daily. 
11 th. — Pulse 50: appetite very good ; off arm again swollen. 
She cannot flex the limb. Ordered lotions to it ; aloes ex- 
hibited as before. 
1 2th. — Patient gaining strength quickly. Aloes 3 ’iss, daily. 
14 th. — Singularly and amazingly better. No swelling about 
the system ; walks well ; when turned out she kicked up her 
heels ; total blindness of the left eye. Where the skin was so 
