A SUCCESSFUL CASE OF PH RENIT IS. 
433 
was in a state of great excitement, he wandered round the stable, 
very frequently putting his head into the corners — his hind legs 
jerked up at every step, with twitching movements — his neck 
and head in a horizontal position — the ears erect — the eyes 
glassy — the pupils dilated — he foamed at the mouth and nostrils, 
appeared to have some difficulty in swallowing. The fits com- 
menced on Friday morning, and returned about every three or 
four hours, until the following day, when they increased to every 
half hour. A nose-bag was put on this morning, after which he 
became so furious, that he reared and dashed his head through 
the ceiling, and wandered round the stable foaming like a mad 
beast. 
On the 2d inst. I was called in at half-past ten o’clock, p.m., 
for the first time, when he was in one of his paroxysms. I waited 
about ten minutes, and he became calm and settled, with his 
head towards the door. His breathing was excited during the 
fit, but soon subsided ; his pulse was corded, and small, and 60 
per minute — ears and legs warm — eyes glassy — pupils dilated — 
conjunctiva injected, and also the nasal membrane — a quantity 
of frothy spume at his mouth and nose, with trismus at the jaws 
— abdomen rather tense, with slight perspiration in various parts 
of the body. 
1 ordered him to be bled to a state of syncope, which was done 
with great difficulty. After we had got about a quart of blood 
he became as furious as ever ; and it was with much trouble and 
some danger that we succeeded in getting about six quarts. 
The orifice was now pinned, and he soon became tranquil. His 
pulse had risen to 70. I ordered that some one should be con- 
stantly with him, endeavouring to keep him as quiet as possible, 
and to bleed him again about three in the morning, if he had any 
more fits, and give him an aloetic bolus. He had another fit 
during the night, and was bled to the amount of four quarts. 
I saw him again at eight o’clock, a.m., when he was attacked 
with another fit of a milder kind. The pulse 64, rather softer; 
other symptoms much the same. Two quarts of blood were with- 
drawn, which appeared to produce fainting. I now administered a 
strong sedative, composed of muriate of morphia, belladonna, with 
hydr. submur., and allowed him hay tea, which he drank freely 
during the day. We also administered injections, which operated 
very well. 
Seven o'clock , p.m. — Pulse 80, small and irregular. He ap- 
pears weak; other symptoms much the same. The sedative 
mass was given as before, with 3j of hyd. sub. He still foams 
at the mouth, but does not wander so much about the stable. 
4th.— 6 o'clock , a.m. — He continues to wander a little, but 
