254 
ENLARGEMENT OF THE PAROTID GLANDS. 
nately; and in this manner he was treated until the 30th, when 
he was left to the care of the groom, with a healthy respiration, 
and pulse at the natural standard. 
I submit this, Gentlemen, to your remarks. I myself have re¬ 
flected,upon it, and the result seems to me to shew the advantage 
of the digitalis, in these cases, over every other medicine^ Had 
I given the aloes in small doses, or the hellebore, I think I should 
have lost my patient ,• with the^former, by hypocatharsis ; and, 
with the other, from debility, arising from the unconquerable 
nausea induced : but here, as may be seen frequently in practice, 
the digitalis had the desired eflect upon the heart; and, after 
the inflammatory action had subsided, gentle tonics, it seems, 
may be given, without producing any bad effects ; and still fur¬ 
ther benefit may be derived from them in cases of effusion, when 
that does not arise from primary pleuritic affections ; and even 
in that case it is a question whether or not gentle tonics, toge¬ 
ther with fever medicine, and a small portion of diuretic, would 
not be of service. 
A CASE OF DANGEROUS ENLARGEMENT OF THE 
PAROTID GLANDS, 
SUCCESSFULLY TREATED BY FRICTION WITH IODINE. 
Bi/ Mr. Charles May, V. S., Maldon. 
On the 6th July, 1832, I was requested to see a mare, be¬ 
longing to Mr. Q-n, of Little Totham, about four miles from 
this place. When I arrived, I found my patient (a little blood 
mare, with a foal at foot) in great distress, being scarcely able to 
breathe, and her countenance giving indication of most acute 
• suffering ; the cause of which I found to be enlargement of both 
the parotid glands, “ and to such an extent, that the trachea was 
completely pushed out of its natural position, and so distorted, 
that there was scarcely room left for any air to pass. In order 
to afford as immediate relief as possible, I performed the opera¬ 
tion of tracheotomy, leaving a canula in the trachea. Her 
breathing soon became tranquil ; the anxious expression left her 
countenance, and she seemed desirous of food, but unable to 
swallow any thing solid, in consequence of the pressure of the 
enlarged glands upon the esophagus; I therefore ordered her gruel 
and mashes. Upop inquiiyq I found that the glands had been 
gradually enlarging for some months, and that, as they enlarged, 
they had become hard. They had been frequently blistered, but 
without any beneficial effect. 
Having succeeded in abating the more urgent symptoms, I 
now directed my attention to the reduction of the glands, and, 
