708 
CASE OF STRANGLES. 
internal irritation by cringing down till his belly almost touched the 
ground, and fairly squealing out for pain. 
\.th .—During the last three days the apparent cerebral affection 
became more violent: he would force himself forwards in the field 
during the paroxysms, in spite of the restraint of two men. Some¬ 
times when we were pressing out any of the matter from the ab¬ 
scess, or applying the fomentations, or even when endeavouring to 
stop him, he would lift his head a great height, and occasionally 
throw himself down on his side. At other times, when in the box, 
he would force his head against the walls, rear up against them, 
and at length, he fairly pulled down the rack and manger. Last 
night we thought it prudent to secure him with the hobbles, and 
in the course of the day before I had abstracted about three or four 
quarts of blood, merely to lower the supposed cerebral excitement. 
This morning I inquired whether he urined pretty well, when one 
of the men replied ‘‘ Yes, and it stinks enough to knock a horse 
down.” It was, however, of a good colour. I saw no probabilit}^ 
of his getting well, and the owner shewed his humanity by order¬ 
ing him to be destroyed. 
Examination .—I first laid open the parts where the abscess had 
been, and found a mere empty sac, having several sinuses or tubes 
extending towards the vertebrse and head, under the parotid gland, 
but none of them near enough to injure the spinal marrow or brain. 
There was no other abscess forming any where about the neck. 
I then laid open the cranium and cervical vertebrae, but found 
the brain beautifully sound, and only a slight blush on the spinal 
marrow. You may imagine my disappointment at the result of 
my prognosis. 
' I still, however, thought it possible that the stomach might 
have been over distended, and so sympathetically affect the head, 
and was resolved to examine it; but here the lot of man again fol¬ 
lowed me, for I found it quite empty. The formation of the sto¬ 
mach was unusual, and instead of there being a greater and lesser 
curvature, it almost looked like two distinct stomachs, having two 
curves in it, the villous portion being about the boundary of one, 
and the cuticular of the other, the opening between the two, how¬ 
ever, being large. 
On the villous portion there were, what I never saw in any 
case before, about two hundred circular spots distributed nearly 
all over it, of a whitish colour, and from the size of a pea to that 
of a sixpence : the secretion on them stood higher than the sur¬ 
rounding parts. On scraping the mucous secretion off the parts, 
there was still a distinct mark of a higher colour underneath, and 
the whole had the appearance of smallpox marks. If he had lived, 
it would have become ulcerated. 
