198 
A CASE OF MALIGNANT EPIDEMIC. 
1 2th. — Pulse 60 ; respiration 12, and natural ; the faeces fluid, 
and frequently evacuated. She has lain down several times 
during the day, but there was no indication of pain. Medicine 
continued, with thick starch. 
V3th . — The same as yesterday. Continue medicine, with plenty 
of thick starch ; also enemata of starch frequently. 
11th . — Pulse 65, weak, small, and tremulous ; legs and ears 
hot ; great prostration of strength ; skin hot and dry to the 
touch; breath hot and offensive ; she grunts when moved; the 
Schneiderian membrane of a scarlet hue, and bleeds from the 
slightest touch; urine in small quantity, and high coloured ; the 
faeces watery. R pulv. opii 3ss, pp. cretae, 3 iv, starch Oj, given 
twice in the day. 
1 5th . — Pul se 70. The undulatory motion of the heart seen at 
her side ; respiration 10; legs, ears, and skin hot; buccal mem- 
brane covered with a brown crust ; breath foetid ; Schneiderian 
membrane livid ; throat very sore ; faeces fluid, very offensive ; 
frequently lies down, but not so as to indicate severe pain. Pulv. 
opii 9ij, camphor. 3j>sp. aether, nit. §j, starch Oj : boiled rice to 
be given frequently, and blister the whole extent of the trachea. 
Enemata of starch, with tinct. opii §j. 
16th . — Symptoms same as yesterday ; no faeces seen since last 
night; Schneiderian membrance of a leaden hue; buccal mem- 
brane ulcerated in several places. Cinchonae §ss, disulphate of 
quinine 3ss, given twice in the day. The blister does not act ; 
repeat it, with sp. tereb. eight parts, potass, tart. ant. one part. 
The mouth to be washed, and the stable frequently sprinkled 
with a solution of the chloride of lime. 
1 7th . — Pulse 90, and frequently intermitting; respiration 9; 
frequently lies down ; extremities cold ; the buccal membrane 
peels off in various places, leaving an unhealthy-looking surface 
beneath. Continue medicine, with port wine occasionally. 
Blister has had no effect. 
18 th . — Pulse 100. Worse in every respect. She seems almost 
a mass of putridity. I advised the owner to have her destroyed, 
but he would not consent; and the medicine, &c. was continued. 
19 th . — Pulse scarcely to be felt, and almost too quick to be 
counted. The excretions are expelled involuntarily, and are ex- 
tremely offensive. A great deal of bloody foetid mucus is voided 
through the rectum. I must still continue treatment; medicine, 
&c. the same. 
20 th . — She is a horrid spectacle, and so offensive that no one 
likes to go near her. At eight o’clock p.m. she died. 
Autopsy , twelve hours after death. The mucous membrane 
of the caecum, colon, and rectum in a state of gangrene; the sto- 
