HEART AND INTESTINAL DISEASE. 187 
liver, I ordered Aloes, 31V, et Hyd. Chlor., 3j, to be given 
as a ball. On the following morning he was moderately 
purged, and continued so throughout the day. 
I visited him next morning. The pulse was more natural, 
and the appetite improved. The thirst, however, was very 
great, and as the kidneys did not act as I wished them to, 
I ordered nitrated water to be given, which had the desired 
effect. Being considerably better on the following day 
I allowed him “ half feed,” and gave instructions for him to 
be placed on a reduced diet for the future. —I must here 
mention that the stable-management was bad ; all the horses 
on the establishment being over fed and little worked. I 
stated this to the owner, who promised he would rectify it ; 
unfortunately, however, it slipped his memory, and therefore 
was not put into force till two other horses belonging to him 
were taken ill. — Four days had now elapsed since my patient 
was discharged, when he was again reported sick. I saw 
him half an hour afterwards showing all the symptoms of 
pneumonia. The breathing was very hard ; the pulse strong, 
quick, and at times intermittent; the skin dry ; the breath very 
fetid and the tongue furred. The bowels not having been 
moved for several hours, I ordered Oleurn Ricini, Oj, having no 
other kind of oil, to be given in aqua tepida, q. s. ; threw up 
occasional clysters, and applied a blister to the chest and sides. 
The oil failing to act upon the bowels, I gave Pulv. Verat. 
Radix, gr. xx, every four hours. Only three balls had been 
given, when I discontinued them, and ordered Ext. Bella- 
donna instead. I did this because I now began to suspect 
the heart was implicated, and I was sorry that I had not taken 
blood when first called in. I saw him at 12 p.m., when I 
repeated the blister to the chest and sides, and gave a 
clyster, which brought away a few hard dung-balls, covered 
with mucus. 
On the following morning the breathing was easier, but the 
pulse was extremely small, and towards mid-day he grew worse. 
Being near my own house, I visited the animal frequently 
during the day, and towards the latter part of it I became con- 
vinced that the heart was diseased. I at once told the owner 
of it. I left him at half-past five o’clock, and on my return 
home from the lines, I was met at my gate by a farrier who 
told me the horse had reared up and died suddenly. 
Next morning I made a post-mortem examination, in com- 
pany with my friend Dr. Morton, when a mass of disease was 
found present which I did not expect to see. On opening the 
abdominal cavity, I was struck with the vast amount of 
disease existing in the intestines. The small ones were 
