118 
SCARLATINA MALIGNA IN A HORSK 
8 o’Clock P. M. — Pulse 66, respiration 10 — ears and legs warm. 
Pie has not lain down during the day. Bowels very much relaxed, 
and very watery, and have been so all day. — r Tinct. opii §j. 
18/A, A.M., I was sent for in great haste to see my patient, as 
there was a strange alteration in him. When I arrived I found the 
following symptoms : — Pulse 90, weak ; respiration 9 — his nose, 
towards the off-nostril, swelled — serous discharge, intermixed with 
blood, from both nostrils. On opening his nose I perceived irregular 
scarlet spots, extending as high up the nostril as I could see. This 
appearance occupied about three-fourths of the Schneiderian mem- 
brane. He is more swollen under the abdomen than is usual from 
the effects of mustard — the tongue is covered with a thick mucus 
— the bowels are open, and the ears, legs, and body, very hot, with a 
feeling of dryness. His throat appears very sore. 
R Pulv. opii 3ij, nit. §ss, dissolved in warm water, and ad- 
ministered in gruel. The throat to be rubbed with a stimulating 
embrocation. His mouth and nose to be washed with vinegar and 
water. He drank a pail of thin gruel during the night: he will 
not touch that which is thick. 
19/A. — Pulse 72, weak ; respiration 8 — abdomen, chest, and 
nose, swelled more than yesterday — ears, legs, and body, very hot 
— bowels watery, but not acted on so often. Urine very high 
coloured. His breath has a strong putrid smell — the throat very 
sore. He drinks his gruel — lies down sometimes, but not so as 
to indicate pain. 
R P. opii 3ij, nit. §ss ; starch enemas to be thrown up often. 
20/A. — Pulse 70, and weaker; respiration 8; discharge from the 
nose the same as yesterday; the breath having still a putrid smell; 
the dung a little thicker; urine very high coloured; swelling not 
so great; ears, legs, and body still very hot; but throat evidently 
sore. Drinks his gruel. Treatment the same. 
21s/. — Pulse 72, very weak; respiration 8; discharge from the 
nose continuing the same; the breath still putrid; dungs often, and 
very watery; ears, legs, and body, not so hot; urine very high 
coloured. Drinks his gruel, and has eaten one small carrot and two 
little pieces of mangel wurzel. The hair comes off the mane, tail, 
and legs at the least pull. Every person that sees him declares 
that he is rotten ; and, in fact, he stinks so that no person likes to 
approach him. R Tinct. opii §j, spt. nit. aeth. §j, liq. amm. acet. 
§iij, cretse pp. §ij. Starch enemas often. 
22 d . — Pulse 72 ; respiration 8 ; the discharge from the nose 
mixed with mucus; he also coughs up a great quantity of mucus; 
the breath still possessing the putrid smell ; he has dunged but once 
since yesterday ; ears and legs cold ; the scarlet appearance not 
so great; urine not so high coloured. Will not drink his gruel, 
