614 INTERMITTENT GASTRO-ENTERO HEPATITIS. 
hibited and under the influence of determinate causes, easy to be 
appreciated ; but, later, its appearance was more gradual, and 
the causes of its return more obscure. 
In the beginning of September, the same beast was attacked 
with serious lameness. He was kept for some time in the stable, 
from which he seldom accompanied his fellows to the water- 
troughs in the yard. In twelve days’ time, however, he was ap- 
parently well again ; but, on the 16th, without any known cause, 
he again lost all his spirit — he was continually yawning and 
grinding his teeth — his muzzle was dry — his respiration quick 
and difficult, and his coat was sadly rough. Supposing it to be a 
new attack of the old disease, the bailiff’ hastened to summon me. 
As he supposed, the malady which now offered itself was no 
other than a return of gastro-entero-hepatite, the symptoms of 
which have been already related. 
Two bleedings, of 8 lbs. each from the jugular, and other medi- 
cal treatment, as before, restored him to health. 
From this time to the end of March 1839, he had at intervals, 
approaching nearer to each other, repeated attacks of this dis- 
ease. They remained longer upon him, and they were now 
evidently undermining his strength and energy. The intervals 
varied from two to six months. His strength, however, evidently 
wasting, he was ordered to be destroyed. 
Several days after this I happened to see the same ox in the 
possession of the man who bought him. I remonstrated with 
him, and obtained a promise that he would sell him to a butcher 
in the neighbourhood of Narbonne. I very much desired to have 
been present at the post-mortem examination, but not having 
been made acquainted with the time, I was disappointed. I could 
only see the liver, which had not been offered for sale on account 
of its diseased appearance. It was of a deep yellow colour, with 
brown spots of various sizes, and was also softened in several 
parts, and gave way at the slightest touch. There were also 
seven or eight caverns, in which were found many calculi, of 
which the colour, the quantity, and the consistence were variable. 
Enough, however, has been observed to justify us in placing 
this in the list of new diseases. The existence of this malady 
being demonstrated, where shall we find the cause of the return 
of these intervals, giving a character of intermittence so well 
defined ? 
This question appears to me very difficult to answer, and I 
leave to others the honour of resolving it in a satisfactory manner. 
I may, perhaps, be permitted to ask, whether hepatitis was the 
original disease, or whether it was consecutive to the gastro- 
intestinal inflammation ? I am inclined to think that the first of 
