284 ASCITES COMBINED WITH IIYDROTHORAX. 
dually spread once more over the under abdominal surface, ulti¬ 
mately extending between the fore legs, and reaching to the 
mammae; but it did not equal, either in extent or volume, the for 
mer abdominal cedema. Neither now, nor at any former period 
have the legs taken to swell: they continue perfectly free froir, 
deposit, and remained so, indeed, even until death. Her appetite 
begins to decline: it certainly is not so good as it has been 
but she continues to lie down. I have, however, on several occa¬ 
sions found her lying flat upon her side, with her head, and neck, 
and legs stretched out at full length; and while thus lying, groan¬ 
ing, as if she felt some gnawing inward pains. Still, on being 
aroused, she would get up (though with some reluctance) and 
take to feeding or to drinking (for she drank much), and then 
appear as well as usual. 
On the morning of the 25th, I saw her, as was my custom, al 
eight o’clock, and she appeared no worse than she had been 
(taking into consideration her gradually declining state) for the! 
last few days past, though her walk (for I had her led out) 
showed infirmness and debility: she was better of her lameness,, 
and even, on being instigated, trotted a few yards. This morn¬ 
ing, however, she had refused all food; indeed, she had not fed 
well overnight; nor did it appear she had lain down at all in the 
night, which was with her very unusual. At eleven o’clock, a. M. 1 
I was unexpectedly called to her, and found her suffering acutely 
from an attack similar to the one she had experienced a montn 
back. Her flanks were working with extreme rapidity and ap¬ 
parent pain; her pulse was 100; her body, covered with rugs, 
was all over in a profuse cold sweat; her extremities were cold; 
she hung down her head under the manger; now and then pawed 
the litter with the off fore foot, rather manifesting sensations of 
distress for breath, or some inward uneasiness, than any griping 
or acute pains; for she never once lay down, or moved any part 
but this one fore foot, and that was very seldom, and not long 
continued: she made several efforts to stale, but voided very 
little urine, and she dunged scantily; both these efforts of eva¬ 
cuation, however, were evidently occasioned by the existing in¬ 
ward irritation. Weak as she was, the symptoms were so urgent 
in calling for some immediate relief, that I felt desirous to try 
what effect a very sparing letting of blood would have. I accord¬ 
ingly opened one of her jugulars, and drew about two quarts: 
this was succeeded by the abstraction of some faecula from the 
rectum, and the injection of an enema; and by the exhibition of 
a drachm of opium in bark. She was kept warmly clothed, but 
had free access of air given to her. While the attendants were 
changing her clothes, and I was standing at some short distance 
