716 A CASE OF DISORGANIZATION OF THE LUNGS. 
to the amount, he thought, of two quarts. On examining him, I 
found that he laboured under inflammation of the larynx and tra¬ 
chea, accompanied by a frequent and painful cough; the pulse 
about 60, and full; respiration rather hurried; no discharge from 
the nostrils. I commenced treatment with bleeding to nearly four 
quarts, when the pulse faltered. I next inserted a seton in the 
chest, and blistered the throat and along the course of the trachea, 
and gave tart, ant., digitalis, and nit. potass., in a ball, which was 
repeated twice in the day. I removed him into a cool airy box, 
with his body warmly clothed, and his legs flannel-bandaged. Re¬ 
gimen, green meat and linseed infusions. 
18^A.—Going on well; the cough has altogether left him, and 
he eats with tolerable appetite. Give only one sedative ball in 
the day, with which combine §ss of spt. nit. ether. The legs 
are oedematous. Give gentle walking exercise for a quarter of an 
hour. 
20^/i.—He continues to improve. Add to the former ball rad. 
gent. 5 ij. 
25^4.—All going on well. Being obliged to go from home for a 
few days, I told the owner that what he now wanted was good 
nursing, and to have regular gentle walking exercise; but, as roar¬ 
ing is a frequent consequence of this .disease, I recommended the 
application of a little blistering liniment to his throat, and which I 
accordingly applied. I left home that night on professional bu¬ 
siness. 
28^/i, 7 P.M. —Having returned home, I immediately went to 
visit my patient, expecting to see great improvement, when, to my 
astonishment, I found him very ill; the pulse imperceptible at the 
jaw, respiration hurried, the extremities cold, with a dull, haggard 
appearance, plainly indicating the approach of speedy dissolution. 
He had got in my absence a small quantity of castor oil, and was 
purging. I immediately blistered the sides and chest, and gave 
sedative medicine, ordering him starch gruel to drink, in order to 
stay the purging. I, however, gave up all hope, and told the 
owner that he would not live until morning, and, when examined, 
it would be found that effusion had taken place to a considerable 
extent in the thoracic cavity. 
^Oth .—He died. 
Examination seven hours after death ,—The abdomen, the peri¬ 
toneum, and mesentery, were all highly inflamed—the large and 
small intestines, also, bore marks of inflammation—the kidneys 
were twice their natural size, and contained a quantity of purulent 
matter in their pelves, and they were both studded over with small 
abscesses containing a similar fluid. The liver was rather pale, 
and soft. 
Thorax ,—This cavity was completely filled with’ a yellowish 
