PHTHISIS: LIONESS. 
91 
5 th . — This appearance of amendment, like some preceding ones, 
is delusive. She can scarcely be induced to get up, and lies 
down again immediately. Her eyes are sinking in the orbits, 
and there is a dimness stealing over them. If possible, get her 
to take two grains of the sulphate of quinine daily. 
8th . — The quinine has been given. She is not worse. Dr. 
Marshall Hall was so kind as to examine her with me. We 
agreed in attributing the loss of power over her hind limbs partly, 
if not entirely, to pressure on, or inflammation of, the spinal chord 
by the evident increase of the tumour on the spine. Counter- 
irritants were talked of, as a seton or a blister; but, then, the 
first it was impossible to apply; the second might be imper- 
fectly applied once: but how far would one slight blister (for it 
could not be more) reduce a bony enlargement of so long stand- 
ing? We agreed that, with such a patient, in one way only 
could inflammation be somewhat abated, and the progress of the 
evil somewhat retarded, viz., by the application of cold. It 
was determined that this should be tried, and we ordered that 
the back should be well bathed morning and night with water 
from the well. The tonic medicine to be continued. 
11 th. — She bears the bathing of the back with cold water 
very well — she even seems to like it ; at least, she conies to the 
bars when she is ordered so to do, and stands quiet while the 
bathing process is going on. If I could believe it, she is a little 
better. Continue the cold application, and give four grains of 
the quinine. I am induced to double the dose of the tonic, from 
the suspicion that, while the weakness or paralysis is mainly 
attributable to the spinal tumour, the long continuance of large 
doses of the iodine may have had something to do with it. We 
certainly succeeded beyond all expectation in removing the 
cough and all the symptoms of phthisis ; but while we procured 
the absorption of the tubercles, may we not have a little under- 
mined the strength of the system ? She is a good creature, and 
she gives us every chance. 
14 th . — She takes her double dose of the tonic, and submits to 
the bathing well. She evidently stands firmer on her hind legs : 
she begins to take her usual walks, and she has even challenged 
her companion to play. 
19^4. — She is improving. Continue medicine. 
• 24 th . — Still doing well. Continue treatment. 
29 th . — I have again heard the cough : I heard it twice. Give 
four grains of the hydriodate of potash every morning, and the 
sulphate of quinine at night. 
31sL — Does not cough so much. Continue medicine. 
Nov. 3d. — So much better that I shall discontinue to report 
