AND HYPERTROPHY OF THE HEART. 
some of it to fly upon my shirt, which it scarcely discoloured , a 
circumstance I remarked at the time to the horse- keeper, though 
not so perfectly aware of the cause as at present. I confess that 
1 then thought it attributable to some diseased state of the heart, 
of the precise nature of which I was ignorant. A rowel was in- 
serted underneath the chest, and one drachm each of pulv. digi- 
talis and antim. tart., with 3 iii of nitre, were given ; and, as 
the extremities were cooler than they ought to be, I had them 
well wrapped up in hay bandages before 1 left him for the night. 
In the morning I found no alteration, neither could I discern 
any thing characteristic. The nasal discharge had increased ; it 
was green, and of a thicker consistence ; yet the horse betrayed 
no signs of pain when pressed on the larynx or trachea, and re- 
spiration was as tranquil as in health. Although the pulse had 
increased to 85, yet it was soft. There was not the slightest 
perceptible intermission, yet at times the artery felt under the 
lingers in an almost collapsed state. The countenance was, if 
possible, still more pitiable, and the horse had evidently remained 
standing during the night, without tasting food, and with no ap- 
parent inclination to taste it. The faeces were rather softer ; the 
mouth a little warmer than in a healthy state ; the tongue clam- 
my, and covered with a white froth. With very faint hopes of 
success, the same medicine was again administered. 
At noon the ears and flanks were wet with sweat, and he was 
cold, and trembling violently ; but the respiration was not dis- 
turbed; in fact, it was as regular and easy as when in perfect 
health, and the pulse still 85, but without intermission. The 
medicine was repeated. 
At six o’clock, p.m., he was much in the same state, but did 
not sweat or tremble to so great a degree, and a slight warmth 
was perceptible. As the digitalis had not produced its wonted 
effect, another drachm, in conjunction with antim. tart, was ad- 
ministered. 
Third morning : the rowel has suppurated well ; the nasal dis- 
charge is greater, green, and slightly offensive ; still no pain is 
evinced from pressing the larynx, and a cough cannot even be 
produced. The eye and countenance do not so much betray 
that singularity of expression as heretofore ; the respiration is 
still tranquil, but the pulse has increased to 97, and still without 
the so much wished-for intermission : another drachm of digitalis 
was therefore exhibited. 
One o’clock, p.m. — He has eaten two or three carrots during 
the forenoon: pulse 97, as in the morning: no intermission. 
Medicine repeated. 
Six o’clock p.m. — I thought a slight intermission of the pulse 
