680 
CASE OF SPASM OF THE DIAPHRAGM. 
and occasionally of a serious character, do not disappear until much 
later.” 
“ For a few days after the operation the food should be confined 
to mucilaginous drinks. If there is fever, small doses of sulphate 
of soda, or of magnesia, should be given; and, still later, arnica, 
gentian, and wormwood.” 
“ At some period after the operation, varying from fifteen days 
to three weeks, the beast may usually return to his accustomed 
work.” 
This account is followed by forty-four cases of this disease 
which had come under M. Anker’s notice. 
A case of laceration of the broad ligament of the right side of 
the uterus of a cow is appended to this work, and which caused 
considerable strangulation of the intestines. There is also a case 
of introsusception of the small intestines. In both cases he ope- 
rated with success. 
CASE OF SPASM OF THE DIAPHRAGM. 
By John Tombs, Esq., Per shore, late Bengal Artillery. 
September 22, 1838. — A gentleman residing ten miles from this 
town was out hunting -with Lord Segrave’s hounds on a young 
mare : in the pursuit of a fox he jumped a w r all obliquely down- 
wards, -which caused immediate and violent beatings of the heart 
of his mare, as he supposed from being too fat and out of condi- 
tion. He gallopped her four miles afterwards to the end of the 
chase, and rode her home, a distance of ten miles. 1 saw her in 
the evening; her head hanging — pulse 40 — violent spasms of the 
diaphragm, the noise being distinctly heard several yards off. 
She lay down, and appeared in great pain. I bled her to syn- 
cope, gave aloes and ol. ricini, and fomented the sides. 
23 d . — Spasms violent — pulse 60 — stands up — downcast coun- 
tenance. I bandaged the extremities, again bled copiously, and 
gave aloes, opium, and digitalis. In the evening she lay down — 
the spasms ceased for a few hours, and then returned with unabated 
violence, and continued until death, which took place on the 
26th : she fell down exhausted a few hours before she died, and 
was in dreadful pain. The beating of the diaphragm was awfully 
loud. During her illness she lost four gallons of blood ; had digi- 
talis and opium in large quantities, aloes ^iij, croton oil drops xx, 
ol. ricini 2 quarts, and injections repeatedly : the left side, where 
the noise was mostly heard, was blistered extensively, and both 
sides of the body continually fomented. Her bowels were not 
