140 
CEREBRAL AND ABDOMINAL DISEASE. 
temporal artery, and continued cold water. He died about seven 
o’clock. He had, from the first, appeared worse every twelfth 
hour, at noon and at midnight: he was seen to look back to his 
flank once, and had not appeared sick, or at all affected by 
medicine. 
On opening him, I found the vessels of the brain turgid. 
There were several small browm spots upon the substance of the 
brain, under which were small quantities of pus. The lungs 
appeared healthy, but, as it was getting dark, they were not cut 
into, and the heart was forgotten, and not examined. The liver 
was enlarged, of a dark green colour, and attached to the stomach 
by a hard and large substance, on cutting into which several 
abscesses were found. The stomach contained some liquid, and 
appeared to have recently taken on inflammation; the spleen, in 
part, thickened, and in that part containing pus, as it were, in 
ceils; while other cells w^ere distended with grumous blood. 
The mesentery w^as of a brown colour, thickened and contracted, 
drawing and attaching the bow^els together in a strange manner; 
the small oijes in parts contracted, and in others forming 
pouches ; the large ones containing a good deal of excrement, but 
on no part of the bowels was there any trace of recent inflam¬ 
mation. This case I at first supposed to be stomach-staggers, 
and treated*it in a way according with my ideas of that disease, 
though after the first day I was by no means satisfied. I do 
not like to see any one sounding his own trumpet in a work de¬ 
voted to science; at the same time I feel disinclined to record 
misconception of disease, ignorance of the proper mode of treat¬ 
ment, or ill success: but in the above account it will be seen 
that no treatment could have succeeded ; and though it may be 
difficult to account for the symptoms and difference of symp¬ 
toms shewn in this and my other case, it proves how much dis¬ 
ease may come on without being noticed, how careful we ought 
to be in our prognosis, and how absurd is the idea of pronouncing 
a horse sound, because w^e cannot discover any disease. 
CASE II. 
Termination of Strangles in Affection of the 
Brain and Spinal Chord. 
1830. June \0tli .—I was called in to a half-bred four year-old 
gelding, that had been attacked by strangles a month before, 
and had been treated for it by a neighbouring farrier. I was 
informed that there had been much discharge from the nostrils; 
that the glands had been enlarged, but that suppuration did 
not take place (some ointment having been applied); that his 
