TUMOUR ON THK MKSKNTEU Y, &c. 563 
brancs of the eyes and nose a little injected — the extremities of a 
moderate temperature — the appetite impaired — and the bowels 
constipated. 
These symptoms, I was inclined to imagine, might arise from 
the pain in the hock joint setting up sympathetic fever. I did 
not, however, arrive at a correct diagnosis of his case until my 
car was applied to the left side of the heart ; and there I distinctly 
heard an irregularity in its systole* and diastole. I, therefore, 
came to the conclusion, whatever was the cause, that the de- 
rangement of the system was owing to some morbid lesion in 
the central organ of circulation. 
Notwithstanding this, however, I had the foot examined. The 
lameness was evidently inflammation of the hock. I considered 
that, as he was in good condition and his dung consisted of solid 
balls, a dose of physic was indicated, which he had, and an ene- 
ma, with directions that the inside of the hock should be well 
fomented three times a day. I kept him warmly clothed, and 
his diet consisted chiefly of a barley mash with a little green 
food. I desired that I might be informed if he appeared to be 
worse in the evening. 
28th. — He is a little livelier to-day. The dung of the consist- 
ence of that from a cow. He has great thirst, and is allowed some 
very thin gruel. He eats the mash with appetite. 
29 th . — I could not see him to-day, but was informed that the 
symptoms were not so favourable as yesterday. 
30M. — He is worse. The intermittent character of the pulse 
is more decisive; there is, also, evident prostration of strength. 
The extremities are rather cold, and the heart has a most peculiar 
irregular action. I gave him sulph. ferri 3ij, cum pulv. zingib. 
rad. 3j, made into a ball ; likewise had him hand-rubbed, and 
bandaged the legs. 
31«f. — No better. The weakness still increases. He cannot 
get up to take his gruel, which, however, was accomplished as 
he lay. The tonic medicine was repeated twice in the day. 
Aug. lsf. — Metastasis has taken place, and the lameness now 
affects the near hind leg : continue the tonics twice a day. Be- 
side his gruel, he has some sliced carrots. 
2d — Quite paralyzed in every extremity — the pulse indis- 
tinctly felt — regurgitation of blood in the jugular veins. Give 
carb. ammoniee 3ij in his gruel. 
I continued to give him small quantities of this medicine 
twice a day with his gruel, which we have now to horn down for 
him. 
On the eleventh day from the attack the symptoms grew' worse. 
The breathing was quick and laborious — the eyes were sunk in 
