364 
ENLARGEMENT OF THE SPLEEN. 
] did not see him again until the 7th instant, three days pre¬ 
vious to which he was attacked with violent haematuria, or the 
voiding of bloody urine. When I pressed my hand over the re¬ 
gion of the kidnies, he crouched almost to the ground. The 
conjunctival and Schneiderian membranes were highly injected ; 
the testicles were hanging low, swollen, and very hot; appetite 
impaired ; but there was great thirst, with considerable dulness. 
The breathing was not affected, nor was there any cough. There 
was stiffness about the loins; shifting of the hind legs, keeping 
them apart; and the horse constantly appeared to be in the atti¬ 
tude of staling. There was tenesmus ; the bowels rather open ; 
a staring coat; pulse 62, and hard. From these symptoms I 
was led to consider that he laboured under nephritis. 
The horse had been bled by the groom. I ordered six quarts 
more to be taken away immediately, and this repeated in twelve 
hours if the horse was not better. The bufly coat was uncom¬ 
monly thick. I administered an enema of warm water and soap, 
and applied scalding fomentations over the loins; and mustard 
poultices, spread on a newly-stripped sheep skin, were kept on 
three hours. R superacet. plumbi 9j, catechu 3iv, sulph. zinci 
conf. rosoe q. s. Beat this into a ball, and give it daily. 
12 th. —The horse still laboured under considerable fever. 
Pulse 80. The patient was much emaciated, and ate but little. 
Great quantities of coagulated blood had been discharged. Re¬ 
peat the venesection to six quarts; keep the testicles still sup¬ 
ported, and apply frequently aqua, ammon. acet. Take of tart, 
antimon.,pulv. digitalis aa jss, bals. copaib. jij,linseed mealjij. 
Make this into a ball with conserve of roses, and give one daily. 
13 th. —The hemorrhage still continues ; but the inflamma¬ 
tion, both general and local, is subdued. The horse does not 
flinch when pressure is made on the loins; pulse 67: continue 
the medicine, giving also a pint of lime-water twice in the day ; 
keep the scrotum wet with the Goulard lotion, and supporting it 
with a bandage, applying also a large charge over the loins. 
18 th. — Still getting worse; immense quantities of blood 
coming away; refuses his food; pulse 68; does not appear to 
be labouring under much pain ; bowels very lax. R superacet. 
plumbi 3ss, catechu 3v, sulph.- zinci 9ij, conf. rosae, q. s. 
Make into a ball, and give one every morning. Give also a 
drink at night, composed of pulv. opii 3ss, pulv. alumen 3 j, aqua 
menth. pip. ^viij. 
22 d, noon.—I found the patient turned out of the stable, and 
put into a shed at a distance: has passed a great deal of blood 
since last visit; at present it is dropping from him. Pulse 72; 
debilitated. Testes drawn up. 
