124 
OBSERVATIONS ON HYDROCEPHALUS 
such as has been noticed, and a considerable quantity of turbid 
offensive urine, all which was followed by very perceptible relief. 
Annot. I. ]t would have been better to have specified the quantity of 
blood abstracted; because a bleeding which to one practitioner appears co¬ 
pious, to another may seem inconsiderable, or at least too small on such an 
occasion.’^ 
In the evening, being found boring his head again, he was 
bled afresh, had olive oil administered internally, and ice applied 
to his head, and received more injections ; after which he pass¬ 
ed a quiet night. 
II, The return of the symptoms showed that the cerebral congestion re¬ 
mained in full force; in such cases, ice ought not to be applied near to the 
affected organ, the seat of predominant irritation, until a marked remission 
has become established; otherwise, and experience proves it, so far from di¬ 
minishing the afflux of blood and local congestion, the effect of the ice is to 
augment them, and so act contrary to our expectations/' 
The following evening the symptoms grew worse again. While 
leaning his neck upon the manger, the vein burst out bleeding 
afresh, and he lost a considerable quantity of blood. He fell 
down, dashed his head and feet violently about : at length he 
arose and experienced very marked relief from free evacuations 
both of urine and excrement, the latter sheathed in mucus and 
quite fetid. On the third day the animal with difficulty main¬ 
tained the erect posture ; pulse irregular ; symptoms in general 
aggravated towards the evening; drowsiness, plainly showing 
irreparable lesion of the brain ; the following night he died. 
III. This sort of interrnittence in the symptoms, at the same time that it 
warns us of the seriousness of the case, is in fact one of the principal special 
characteristics of affections of the brain, both acute and chronic." 
Examination — of the Abdomen. Considerable effusion of 
reddish serocity; peritoneum reddened ; alimentary canal shew¬ 
ing traces of inflammation; mucous membrane of the stomach, 
duodenum and ileum, thick, rugose, ash-coloured, exhibiting 
some blackish spots, besmeared with bile and mucus, and slightly 
ulcerated towards the coecum. Dark-coloured, dry, fetid excre¬ 
ment in the coecum and colon : lining of the latter pale and ash- 
coloured. Liver greyish, interiorly a dirty yellow, pulpy; fluke 
worms within the biliary passages, which were in many places 
obstructed by concretions of black bile; kindneys inflated 
and soft. 
Of the Thorax. Lungs gorged with blood ; reddish serous 
effusion into the pericardiac cavity, but no perceptible inflam¬ 
mation. 
