650 
M ETA ST A SIS OF INFLAMMATION. 
blood came slowly: continue the fever medicine; hand-rub and 
stimulate the legs, and then bandage with flannel and haybands; 
blister both sides of the chest; give gruel with the horn. 
Qth day .—Worse ; the blister has produced no effect whatever; 
pulse 80, and hardly perceptible at jaw, but an occasional 
intermittence, about once in forty beats, may be detected ; re¬ 
spiration very quick and hurried ; extremities very cold; counte¬ 
nance exhibiting the haggard expression which generally drives 
away all hope. Repeat the blisters, and the stimulant to the legs. 
Persevere in the febrifuge medicine, adding aloes 3 ss to each 
dose. 
7th day. —Still the blisters have produced no effect; all the 
symptoms are aggravated ; pulse 90, and fuller than yesterday. 
V. S. Ifo iv, medicine ut ante. Ant. tart. 3 ij; spt. terebinth. 
2jij mt. to be rubbed upon the chest. During the application 
of this liniment, the patient shewed great uneasiness: the 
sides shortly became very hot, and I augured good from its use. 
10 p.m. —The effect of the antimonial liniment has passed away, 
it was therefore repeated, and again produced decided effects, 
even after the blisters had totally failed. At 12 p.m. the patient 
was left for the night, in the full expectation that he would be 
found dead in the morning. 
8 th day. —Contrary to all hope, the patient seems better 
to-day ; the breathing is more tranquil; the pulse has fallen to 
60 ; he looks about with more liveliness, and even picks amongst 
the straw, &c. Continue the medicine. 
8 p.m. —The improvement in the morning was deceitful—it 
was only a brighter flame preceding utter extinction. About 
noon all the bad symptoms returned, and at 7 o’clock he fell 
down, and died without a struggle. 
October 19.—Inspectio cadaveris, sixteen hours after death : 
On removing the skin from the sides where the liniment had 
been used, a collection of not less than a pint of serous fluid was 
discovered in the areoli of the cellular membrane on each side; 
pleura healthy; left lung inflamed through all its substance, but 
not to the extent of suppuration in any part; right lung less 
affected than the left, but still considerably inflamed ; about a 
pint and a half of serum in the pericardium ; external surface of the 
heart apparently shewing no signs of disease ; lining membrane 
of the heart highly inflamed, the left auricle and ventricle being 
covered with spots of ecchymosis, and the whole surface of the 
cavities on the right side being discoloured by inflammatory action ; 
liver quite healthy; intestines healthy, except a little appearance 
of inflammation on the mucous coat at the commencement of 
the rectum, and a slimy covering greater than natural through its 
extent. 
