594 
CASES OF ANASARCA. 
of the head down the cheek. The inferior part of the thorax, the 
breast, the belly, the scrotum, and the limbs, were all swollen, and 
in all of them the limit of the enlargement was marked by a pro- 
minent horizontal line. There was little heat or pain on the sur- 
face of the engorged parts, and, the finger being pressed upon 
them, the indentation remained. The conjunctiva was infiltered 
with a yellowish red tinge. The whole surface of the pituitary 
membrane which the swelling of the nostrils permitted to be seen 
formed one petechial surface, covered with bloody mucus that 
adhered to the alse of the nose. The pulse was small and quick, 
and the breathing of the heart strong and accelerated. The move- 
ments of the flanks were deep and trembling, and the respiration 
was loud from the contraction of the nostrils and the engorge- 
ment of the mucous membrane. Neither auscultation nor percus- 
sion yielded any positive indication. The kidneys did not give 
way to pressure. The coat continued smooth and shining, and 
the animal searched for food. 
Our prognosis was of a serious character. We were fearful of 
suffocation if the swelling about the head increased ; and, on the 
other hand, we dreaded those gangrenous affections which are 
sometimes connected with obstruction of the nasal cavities. 
Treatment , — Deep scarifications of the enlarged parts, and the 
application of the actual cautery. Injection of a concentrated 
solution of alum up the nostrils. The quantity of food dimi- 
nished. 
14^. — No amendment. The engorgement of the head in- 
creased and the breathing more difficult, and to be heard at a 
considerable distance. A thread was passed through the edges of 
the nostrils on either side ; and the alae of the nose were thus 
elevated and kept open by these strings being tied across it. 
The astringent injections were more frequently applied; drinks 
of strongly scented wine were administered ; and frictions of tinc- 
ture of cantharides were applied near and over the different scari- 
fications. Bandages, also, were lightly applied round the limbs. 
The animal has preserved his appetite. The quantity of food was 
a little increased. 
15^. — Suppuration appears from the different scarifications. 
A yellow discharge, and considerably limpid, comes from the nos- 
trils. The animal eats with appetite. The prognosis is more 
favourable. 
1 6th . — The swelling of the face has diminished, and the respi- 
ration is more free. The scarifications of the chest and belly 
suppurate well. They are dressed with equal parts of blister 
ointment and basilicon The injections into the nostrils were 
