93 
INFLAMMATION OF THE LUNGS, WITH BRAIN 
AND SPINAL AFFECTION. 
By Mr. Proctor, Solihull. 
Early on the 5th of November last, Mr. Kimbell, surgeon, of 
Knovvle, wished me to attend a chesnut horse, five years old, 
lightly made and narrow chested. His health had been declining 
for the last month : he was emaciated, dull, with delicate appe¬ 
tite, and bad cough. When I saw him, he was labouring with 
symptoms of inflamed lungs, such as quick and wiry pulse, diffi¬ 
cult breathing, coldness of ears and extremities, loss of appetite, 
unwillingness to move, and grunting when moved ; diminution of 
the natural secretions. He had on the preceding night a shiver¬ 
ing fit, and refused his meat. 
Treatment .—Bled to six quarts ; gave Barbadoes aloes three 
drachms, and digitalis a scruple; setoned the chest; blistered the 
breast; bandaged the legs; well clothed the body, admitting 
fresh air to the nostrils. 
6 p.m.—N o alteration, except the pulse being a little better; 
gave digitalis a scruple, nitre half an ounce; reblistered bosom ; 
aloes begin to operate. 
6th .—Appears better; breathing more easy; extremities little 
warmer; no appetite ; great thirst; pulse better; aloes operate 
greatly. Blister causes irritation on the breast. 
5 o'clock, p.m.—G reatly altered; appears as if sinking from 
exhaustion; pulse almost gone; ears and legs intensely cold; 
complete loss of appetite ; mouth and tongue pale and cold, and 
appears as if inanimate. 
Sat up with him all night; gave stimulants—port wine, nu¬ 
tritious gruel, bathed the legs with hot water and salt, embro¬ 
cated them with oil of turpentine, flannel bandaged them, and 
used friction to the body. In two hours the wine cheered the 
patient, raised the pulse, and created warmth of body ; but as it lost 
its effects, so the coldness returned, and the pulse fell. I then 
gave doses of ammonia with opium, which had a beneficial effect. 
7 th .—In a mending state; gave half a pint of brandy* ; after 
sulphate of copper half a drachm, which caused a better appe¬ 
tite and warmth of body. 
8 o'clock, p.m. —Better in other respects, but the brain is evi- 
* Did notour valuable correspondent commence the stimulating system 
too early, and push it too far? May not this afford us a clue to the subse¬ 
quent history of the disease ? 
