91 
STRANGULATION OF THE ILEUM. 
shoulders and loins. The pulse was undisturbed ; the circulation 
was free through his extremities ; the salivary secretions were di¬ 
minished ; the conjunctive and Schneiderian membranes healthy. 
Treatment .—I administered an enema, but it was followed by 
no relief. Nine pounds of blood were then abstracted ; still no 
relief. One pound of ol. lin. and four drachms aloes barb, were 
administered, and friction applied to the abdomen, which, with 
hot fomentations with flannel cloths, and enemas again repeated, 
relieved him. . 
I called on the next morning, and found him purging briskly, 
and quite relieved. We meet such cases, to all appealance, so 
very often, that I thought no more of it, conceiving it to be a 
simple case of colic or indigestion ; but the owner of the horse 
called on me next day, and, after asking ray opinion, he told me 
he did not know what to think of his late purchase, as he had 
been three or four times seized in a similar manner, although not 
so severely as the last time, and talked of returning him to the 
person from whom he had bought him, thinking it to be some 
bad habit or trick he had acquired. The former attacks had only 
lasted about ten or fifteen minutes, at the expiration of which 
he got up, shook himself, and commenced eating as greedily as 
ever. 1 told him it might very possibly arise from worms, 
and advised him to let the horse have two doses of oil and aloes, 
which were administered to him at different periods, but without 
effect. I then tried the starving system, such as a very limited 
allowance of corn, little hay, and bran mashes, which not. only 
seemed to diminish the frequency of the attacks, but mitigated 
the violence of the symptoms ; and I thought, by a continuation 
of such treatment, that he would entirely recover. I was, how¬ 
ever, disappointed. The owner had to meet an appointment in 
the country, and, being late, had to drive his horse beyond the 
ordinary rate; and, on returning home, the animal was seized 
with another and fatal attack. I employed every means to re¬ 
lieve him, but all were in vain, and the following are the post¬ 
mortem appearances :—The small intestines very much inflamed ; 
and a double stricture, the contracted spots about eight inches 
from each other, near the termination of the ileum : the portion 
of intestine posterior to the stricture was a good deal dilated, 
and thickened and inflamed, particularly at the very neck of 
the stricture, which was also stopped up with food : the large 
intestines were slightly affected ; the left kidney diseased, and 
about an ounce of pus in its pelvis. The lungs in a state of con¬ 
gestion. 
Remarks.— There is no doubt that the various attacks he 
had during the time I attended him were brought on by the ex- 
