ON THE DISEASES OF THE HEART, 
126 
the 1st of November, 1832, he was too ill to go to work, and I 
was requested to see him. I observed the following symptoms: 
pulse 70, rather oppressed; respiration somewhat disturbed; 
extremities cool; a frequent and distressing cough. 
This cough had existed for a week in a milder degree, and 
he was considered to be a horse delicate in constitution. Messrs. 
Shipton usually keep their horses in high condition, and this 
horse was fat, and the membranes of his eye and nostril indi¬ 
cated plethora. 
I listened to the ingress and egress of air through the bron¬ 
chial tubes, but detected no sputa within them. Some inflam¬ 
mation, however, being present in the mucous surfaces of the 
larynx and bronchi, although insufficient to produce this dis¬ 
turbance in the heart, and evidently but concomitant or subsisting 
with a more important affection, I proceeded in the treatment 
by bleeding freely; I placed an issue in the brisket, rubbed 
some blister-liquid on the throat and lower part of the trachea 
in front of the chest, gave a laxative ball, ordered thin gruel to 
be offered to him frequently, a mash diet, with clothing and 
bandages to the legs: prior to all this, the horse was placed in 
a cool loose box. 
2d day. —No improvement; the bleeding and laxative repeated. 
3c? day. —The horse is not so well as yesterday; he lies down 
and rises frequently. I bled again to one gallon, gave two 
drachms of Barbadoes aloes in a ball; the other treatment being 
continued as before. 
Ath day. —Pulse 80, cough better; respiration but little dis¬ 
turbed, extremities warm, eats nothing, but takes his gruel 
freely: digitalis 3ss every six or eight hours. 
^th day. —Pulse 90; intermits one every 30th beat: the 
treatment as before. 
Qthday .—Pulse as yesterday; bowels relaxed; membranes of 
the eye and nose a good deal injected; lies down most of his 
time, but when up expresses considerable anxiety. 
7th day. —Pulse 80, dung pultaceous; extremities warm, with 
a good flow of blood through the jugulars: no digitalis given 
yesterday, but repeated this evening, and gruel to drink every 
hour. 
Sth day. —Much the same as yesterday : the medicine con¬ 
tinued, which acts freely on the kidneys. 
day, 10 o’clock, A.M. —Pulse strong at the jaw, with an 
occasional intermission; the countenance is distressed; the 
membranes of the eye and nose vascular; the carotids are 
bouncing in the neck, and the heart throbs violently; the blood 
flows freely through the jugulars; the legs and body are warm ; 
