99 
INFLAMMATION OF THE LUNGS, &C. 
dently much affected ; eyes almost closed, having a yellow deposit 
in their anterior chambers; conjunctiva appears like scarlet 
velvet; dimness of the cornea ; does not perceive the hand when 
moved about the eyes ; almost torpid ; sometimes he places head 
and neck in an erect position, then flings them up and down for 
some time, and makes the most curious contortions. 
Did not bleed him, as he was very weak; gave a sedative; 
sat up with him nearly all night; frequently gave gruel. 
8th .—Considerably different; seems as if fixed to the floor; 
incapable of moving; a twitching and trembling in all the 
muscles of locomotion ; those of respiration and mastication 
much affected, so that he could not eat; pulse quick and inter¬ 
mittent; tongue and skin hot; he expressed great pain. 
I expected tetanus to appear, therefore gave ammonia a drachm, 
and opium half a drachm, three times, and stimulated the whole 
spine twice during the day. 
6 o’clock, p.m. —Little better; the servant sat up all night, 
who continued the gruel and medicine. 
9th .—Twitching has left the muscles of the jaws and of respi¬ 
ration and the anterior part of the body, and the disease seems 
now settled wholly in the loins and hind extremities, which in¬ 
duced us to think the spinal chord of the lumbar vertebrae now 
became affected by the shifting inflammation. This appeared 
evident, from striking the loins in order to jar the chord, which 
brought on great agony, followed by violent twitchings and con¬ 
tractions of the muscles of the loins, extending quickly to those 
of the thighs, which felt like lumps. Pulse very quick ; faeces 
mixed with great quantity of tough yellow mucus. 
Bled to three quarts ; the blood much buffed ; gave a drachm 
and a half of aloes; applied a stimulant to the loins. 
4 o’clock, p. m. —Great deal better; could walk about the 
stable, although the partial stiffness remains; pulse better; 
aloes operate; no appetite : continue nutritious gruel. 
10th .—Remains better; aloes purge much; no appetite; gave 
sulphate of copper half a drachm in a pint of beer; ordered 
plenty of gruel. 
5 o’clock, p.m. —Muscles less affected; appetite bad ; purges 
to an excess ; gave, as an astringent, tincture catechu an ounce 
and tincture of opium half an ounce; ordered plenty of thick gruel : 
the purging stopped two hours after having the astringent; servant 
sat up. 
Hth. —Better; appetite mended ; gave half a drachm of sul¬ 
phate of copper, and ordered gruel, young grass, and carrots. 
8 o’clock, p.m. —Appears rather dull and stiff; eats little; 
continued the gruel ; friction to the loins. 
