382 
A CASE OF HEPATITIS IN A HOUSE. 
the liver : I also gave aloes, hyd. sub. and enemas. A little huffy 
coat was on the blood when it was coagulated. 
6/A. — Intestines slightly acted upon — pulse 90, and still op- 
pressed — membranes of the eyes, nostrils, and mouth very yellow, 
lie does not lie down — stands with his head depressed as before — 
great reluctance to move. I bled again until 1 increased the fre- 
quency and strength of the pulse : there was more serum and 
coagulable lymph on the blood. 
7/A. — No visible improvement. Pulse 92. He refuses all 
food, but drinks a little. He reels about as he walks. Having 
pushed venesection to the utmost extent without that decided ad° 
vantage which I anticipated, I had the region of the liver blis- 
tered extensively. The liver must be obstinately torpid, the ani- 
mal having no motion since yesterday. Continue the medicines 
and enemas, &,c. 
8th, — Great tension of the abdomen — tunics of the eyes, mem- 
branes of the nose and mouth, not so yellow — pulse 85 — eats a 
little — staggers as he walks — no evacuation. Persevere with hyd. 
submur. and enemas. 
9 tli . — Pulse 80. He has had several liquid evacuations since 
yesterday, which have removed the tension of the abdomen, and, 
to a certain extent, my fears respecting effusion of serum into the 
cavity of the abdomen. Administer vegetable tonics. Give plenty 
of gruel. Extremities rubbed and bandaged. 
10/A. — Trivial improvement. Pulse 76, and not so feeble — 
bowels relaxed — great debility — pituitary membranes and buccal 
very pale — rolls about very much when made to walk. Supplied 
with gruel liberally. Give tonics as before. 
11/A. — Pulse 72, and stronger. The membranes before alluded 
to a little more injected with red blood — a large cedematous 
swelling under the abdomen from the effects of the blister and 
seton. Give vegetable tonics and mild diuretics. 
12/A. — The pulse lower, and the appetite improved. I had 
him led out in the stable yard, when a peculiar symptom mani- 
fested itself, viz., spasmodic contractions of the muscles of the 
left shoulder, ribs, and off thigh. When taken into the stable 
again these symptoms ceased instantaneously, and did not return 
at any subsequent period. Give vegetable tonics and nutritious 
food. 
15/A. — Gradually improving in appetite, strength, and spirits. 
When the coachman approaches the door he begins neighing. 
He lies down. Pulse 50, and stronger. 
16/A. — Moves about more — he has lost the staggering gait — 
the cedematous swelling has nearly disappeared. Remove the 
seton, and walk him about gently two or three times a-day. 
