252 
A CASE OF BRONCHITIS. 
distended with the same, the edge of the knife came in contact 
wdth a brass pin, two inches long, and weighing 30 grains ; the 
same which I have sent you. On putting in my hand, [ found 
that the pin had pierced through the parietes of the pericardium, 
which was much thickened, and altered in structure. The point 
of the pin had w^ounded the apex of the heart, wdiich was much 
enlarged. The lungs, and the walls of the chest, bore evident 
marks of inflammation, and its consequences. 
A CASE OF BRONCHITIS, WITH EFFUSION, 
SUCCESSFULLY TREATED WITH DIGITALIS. 
By Mr. M. E. Naylor, V.S., Wakejield. 
March Wth .—I was called in to see a horse, the property of 
a gentleman in this town, that was labouring under a severe 
attack of bronchitis; his pulse was 85, and the breathing difii- 
cult, and there was cough, but not very troublesome. On hav¬ 
ing recourse to auscultation, there was considerable rattling in 
the air-passages. On inquiry, it appeared that he had been 
sometime prior to this attacked w ith diarrhoea, which had re¬ 
commenced a few days previous to the present affection. On 
the 8th he had shewn some difficulty in voiding his urine, for 
which the groom had administered a diuretic; but on the 9th, 
not seeming better, the smith was sent for, who bled him to the 
amount of Ibxii, and gave him antim. tart. 3ii, in a ball, with 
honey and linseed meal. In the evening he appeared much bet¬ 
ter, and w'as not seen by the smith until the 11th, Monday 
morning, wdien he was found to be so much worse, that he said 
they had better call in a regular practitioner, and accordingly I 
was sent for. 
I immediately abstracted from 10 to I libs, of blood, and ordered 
pulv. digitalis 3ss, antim. tart, siss, nit. pot. sii, to be given three 
times a-day ; and that they should throw up frequent enemas of 
linseed tea, and gruel. In the evening he was much the same ; 
and I blistered the course of the trachea, and put a rowel in the 
chest. He was in an airy two-stall stable, from which I request¬ 
ed that the other horse might be removed as soon as convenient. 
\2th .—This morning there was no improvement: the pulse 80, 
full and sharp : V.S. Ifeiii ] he could not bear the loss of more. 
I increased the digitalis to 5i three times a-day ; and threw up 
enemas as before. 
13^^ and 14M.—The same course of treatment w^as pursued, 
with but very little alteration in his symptoms, except that the 
