INFLAMMATION OF THE LUNGS. 
325 
ficulty of staling is stated to have diminished. Pulse extremely 
quick and very weak, great dullness and anxiety of countenance, 
bowels rather confined. As the digitalis has not had the slightest 
apparent effect upon the pulse, I now determined to try the white 
hellebore. R. Pulv. veratri 9ij, ant. tart. 3^ ss > se m * bni pulv. et 
syr. q. s. Remove the faeces, and administer an enema ; stimu¬ 
late the legs, &c. 
Two p.m.— No change. Bol. ut supra. 
Eight p.m. —Rather worse upon the whole. I had hitherto 
been deterred from further venesection, in consequence of 
the exceedingly weak pulse, and I did not altogether see that 
it was imperatively called for, as the skin and legs were easily 
kept at a moderate temperature; but as I now saw no reason¬ 
able hope of the recovery of my patient, I decided upon 
using the lancet once more, thinking, but not expecting, that I 
might draw a prize. I therefore opened the jugular, but could 
not obtain a pound of blood ; the little that did flow was nearly 
black, and as thick as treacle. During the operation the mare 
staggered about the stall, and appeared almost unable to support 
herself. Repeat the hellebore, administer enema. 
May 1G, seven a.m. —No visible alteration in any particular. 
Bob ut ante. 
Two p.m. —Still no change, except that she appears rather 
uneasy, and has lain down two or three times, for a few seconds 
each time. Fearing this uneasiness arose from the extension of 
the inflammation to the intestines, I did not hesitate to bleed 
again instantly ; and, to my astonishment, the blood flowed in a 
free stream, until I had obtained about six pounds, when the 
mare almost sunk from debility. Bolus ut ante. 
Eight p.m. —Uneasiness not the least increased, but, if any 
thing, rather diminished ; in other respects, I do not perceive any 
alteration in the symptoms. Not the slightest effect appears to 
have been produced upon the pulse ; it is still about 120, and 
scarcely perceptible. Fresh grass was placed before her, but she 
would not touch it. In consequence of the possible appearance 
of enteritis, I did not venture to proceed further with the helle¬ 
bore, but merely administered ant. tart, and potassae nitr. 
May 17 —My patient is this morning altogether worse, and T 
do not expect she can survive over the day. Evident symptoms 
of inflamed bowels now shew themselves: she is in great pain, 
constantly looking at her flanks, and stamping with her hind 
feet. The pulse at the jaw, can only be distinguished by the 
greatest attention and silence. Administer a mucilaginous opiate 
enema, and support her failing strength by gruel, given with the 
stomach pump. 
Two p.m. —The symptoms of enteritis have increased consi- 
vo l. v. y y 
