STRICTURE OF THE DUODENUM. 
329 
bile becomes absorbed and taken into the circulation, is like¬ 
wise evident from the obstinate, and in too many instances fatal, 
constipated state of the intestines, and the yellow tinge of the 
tunica conjunctiva; and still more strongly from the fact, that 
the very milk (when any is secreted) as well as the urine, are 
saturated w'ith bile. This latter circumstance I have clearly and 
satisfactorily proved by analysis; an ounce of urine being found to 
contain rather more than one-fourth part of bile. It is likewise 
demonstrable, but in a less satisfactory manner, from the action 
of purgatives; for I have personally witnessed several cases, in 
which the water has become clear after the administration of 
physic, and tw^o or three hours prior to the commencement 
of the purging; and this I have generally regarded as a favour¬ 
able omen. 
STRICTURE OF THE DUODENUM. 
Bi/ Mr. John Tombs, V.S., Betigal Horse Artillery, 
7 A.M. Jan. 15, 1833.—An aged troop horse was taken sud¬ 
denly ill on the parade ground. He w'as brought home imme¬ 
diately, and admitted into the infirmary with the following 
symptoms :—he lies down frequently and rolls on his back ; per¬ 
spires profusely, with the pulse quick and hard; and I had 
great difficulty in feeling it, as the animal threw himself about 
violently. The conjunctiva was very much reddened, and he 
appeared to be suffering the most excruciating pain. He was 
bled copiously : ol. terebinth, and enemas were administered, 
and the abdomen and extremities were stimulated with volatile 
liniment. 
9 A.M. —The symptoms are not in the least degree mitigated. 
He was again bled largely ; tine. opii. et spts. nit. aether were 
exhibited, and the abdomen fomented. In a few minutes after 
the medicine was given he appeared sick, and made a-success- 
ful attempt to vomit the contents of the stomach, which escaped 
through the mouth and nostrils. Soon after this he was drenched 
with some warm water, which also was instantaneously ejected 
from the stomach. 
10 A.M. —No remission of the pain. Bloodletting repeated ; 
a solution of aloes given, part of which was quickly expelled 
from the stomach, wholly through the mouth : fomentations and 
enemas continued, 
2 p.m. — The legs and ears cold, the surface of the body 
covered with clammy sweat, and he rolls about in great agony. 
I could not succeed in extracting much more blood, it being 
