592 INFLAMMATION OF THE LINING MEMBRANE OF THE 
panied by a copious discharge from the inner canthus. No in- 
clination to move her body : but continually stamping with her 
feet, pointing her nose forward, and curiously elevating her head. 
There was something singular in the train of symptoms, and 
I must confess I was quite at a nonplus to judge of the nature 
and situation of the disease. The symptoms seemed to favour 
the supposition that it was a case of cerebral disease ; but the 
more I thought of it, I suspected that the brain was only se- 
condarily affected, and that the primary malady was connected 
with the heart. The owner maintained that, whatever was the 
real seat of the malady, it was one of an acute inflammatory 
character, and called for prompt and decisive measures. I per- 
fectly agreed with him, and immediately proceeded to bleed her ; 
but before three quarts were abstracted, she fell and died without 
a struggle. During the time the blood was flowing not the least 
alteration took place in the heart’s action; but about two minutes 
before death the breathing was become more tranquil. The blood 
was very thick, and it was with the greatest difficulty I could get 
it to flow, having to press it out in the direction of the vessel. 
I felt satisfied, towards the sequel, from the stagnated and con- 
gested state of the circulatory system, that the heart was much 
involved, and that my prognosis as regards that organ was likely 
to be correct. 
About two hours after the death of our patient, I attended for 
the purpose of making a post-mortem examination, in order to 
ascertain, if possible, the cause of so sudden and unsatisfactory 
a winding up of the affair. I proceeded first to examine the 
abdominal cavity, using the greatest minuteness — the only me- 
thod to ensure correctness in our prognosis on future occasions — 
and found the chylopoetic viscera in a perfectly healthy state. 
I next examined the thoracic cavity : the lungs were much in- 
flated and congested with venous blood, but free from any in- 
flammatory or abnormal appearance. The heart was removed 
and laid aside until the examination of the head, which exhibited 
the following appearances: — the dura and pia mater were much 
more vascular than common, as well as the cortical portion of 
the brain — the net-work of bloodvessels on the inferior part of 
the medulla oblongata was much injected — constipation of the 
vascular system of the brain was evident throughout, but no 
inflammation or extravasation in its substance or meninges. 
The heart, enveloped in its pericardiac bag, exhibited no ab- 
normal appearance; but there was a little more fluid than usual 
in the pericardiac sac, and the bloodvessels were somewhat in- 
jected, yet by no means pointing out the least disease. 
Having carefully examined the external parts of the heart, and 
