ON PNEUMONIA. 
271 
monary inflammation (not perhaps so minutely as should have 
jn, but which deficiency, I hope, will be made up by the 
cussion that may follow), the treatment, which is certainly the 
st material part of our subject, must be our next consider- 
)n. As far as my short experience has extended, bleeding, 
II regulated, forms the. most essential part of that treatment, 
frhe commencement of the disease we ma)*^fcke three, four, 
five quarts of blood, depending on the condition and age 
our patient, and the violence of the attack; after which 
resection should be resorted to with caution. I am aware that 
,ny gentlemen will deem this quantity small; but I am one of 
se, who, from the observations I have made, and from the 
ictice I adopt, consider there is very frequently much more 
iod taken than is at all necessary; at least, I think that on an 
rage, where many practitioners would take twelve pounds, I 
uld take only eight. If we can produce the same effect by 
ling a less quantity, the constitution generally cannot be so 
likened as if we took a larger portion. 
fhe pulse is the principal index by which our bleedings must 
regulated. I continue to bleed until it loses the peculiar in- 
i:inct and oppressed feel, and perhaps I may be obliged to re- 
t the operation three or four times; but that is seldom the 
e. I rarely exceed four quarts at the first, and from two to 
ee quarts £t the second and third bleedings, unless the symp- 
is are extremely violent, and the patient happens to be young 
l in high condition. I may, gentlemen, be incorrect in my 
itment : I give it to you either for your adoption or rejection, 
now that I differ materially from the advice given by our best 
hors, but I am satisfied with the success that attends this 
de of proceeding, and it must be a loss of many patients to 
i se me to adopt any other. 
external stimulants for the purpose of producing counter irri- 
on, as blisters, rowels, &c. are certainly highly beneficial, and 
i uld be adopted without loss of time. Blistering the sides, in 
humble opinion, is next in efficacy to venesection. The legs 
uld be kept warm by hand-rubbing, and bandages and a hood 
uld be put on to keep the head and ears warm. The horse 
i uld be moderately clothed, to produce, if possible, determina- 
1 to the skin. He should be placed in a box tolerably warm, 
with a free circulation of air, and, if costiveness be present, 
hould be relieved by clysters. 
rVith respect to internal medicaments, white hellebore in doses 
m a scruple to half a drachm, given every six or eight hours, 
trongly recommended by Mr. William Pcrcivall, who says lie 
beeu in the habit of using it for a gjeat number of years, and 
