INTESTINAL FEVER AND ULCERATION. 
277 
tenance, and that has always been the forerunner of evil. His 
bowels are not yet thoroughly opened. Give two grains of 
calomel at noon, and two drachms of the buckthorn at night. 
Qd . — The medicine has operated well, and the faeces were ex- 
ceedingly offensive. He appears to be a little better. He ate ail 
apple in his usual way as I stood by him ; but he is continually 
lying on his pillow, or coaxing his keeper or the housekeeper 
to take him and nurse him. Let him alone to-day. 
3d . — Little change, except more decided disinclination for 
food. Another surgeon joined me in consultation with regard to 
him. It seemed to us to be a case of fever, infantile fever with- 
out any local determination whatever. His pulse had risen in the 
last twenty-four hours from 94 to 100 ; but it was weak and irre- 
gular. Two grains of the white antimonial powder were ordered 
to be given to him morning and night. 
4th . — He is more dull, and now refuses his food. He is alto- 
gether worse. The pulse did not indicate bleeding, for, although 
it had risen to 104, it was weak, and almost intermittent ; never- 
theless I determined to bleed him. He was now irritable, and 
impatient of control, and his hide was tenfold more difficult to 
pierce than that of a dromedary which I bled almost immedi- 
ately afterwards, and I did not get more than twenty drops of 
blood from him. Give him two grains of calomel immediately, 
and repeat the antimonial powder in the evening. 
5th . — The surgeon who first met me in consultation again saw 
him. He approved of the antimonial, but, as the bowels were 
now again confined, he advised the union of it with syrup of 
buckthorn. 
6th . — Apparent improvement. The pulse has fallen to 96 ; 
but I am not satisfied with him, for his temper is changed, and 
he is too rapidly wasting away. As soon as I yesterday entered 
the room in which he was kept, he stripped up his sleeve and 
shewed me the puncture of the lancet, and scolded at me ; and 
when I offered him my hand, he tried to draw it through the 
bars, in order to punish me. He did the same to-day, but after 
much coaxing he shook hands with me, and we again were 
friends. The bowels are confined. Give two grains of calomel, 
and, two hours afterwards, two drachms of the syrup of buckthorn. 
7th . — The medicine operated well, and he is better. He is a 
little more lively, not so pallid, and not so pettish. He again 
shewed me the mark of the lancet, but he immediately after- 
wards offered me his hand, and told me that he forgave me. 
Another surgeon of deservedly high repute saw him, and pro- 
nounced it to be a case of teething ; but on examining his mouth 
on either side, above and below, I could not find the slightest 
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