14 ON HEPATIRRHOEA, HAEMORRHAGE FROM THE LIVER. 
11 th. —Pulse 46. Surface of the body comfortable; respira¬ 
tion about 40, v. s. lbs. viss: pulse faltered: pinned up. In 
other respects shewed no symptoms of fainting-. Administered a 
little alterative medicine. 
12 th. —Pulse 46, and fuller; respiration short and quick, as 
yesterday; other symptoms about the same. Inserted a larg-e 
seton in the chest, blistered both sides* and abstracted six and a 
half quarts of blood, which he bore well. 
13 th. — Symptoms about the same. 
1 4 th. —Ditto. 
1 hth. —Better, 
sheath came on. 
16 th. —Better. Small doses of aloes, and resin occasionally. 
17^.—Doing well: he is now evidently mending fast: pulse 
44. Lady Mary S, being obliged to leave Southampton, the 
horse was left under my care, and I accordingly had him removed 
to my infirmary, a distance of half a mile from his former stable. 
On his way thither the coachman and myself were pleased with 
his return of spirits and strength, which was manifested by a few 
gambols on his way: from this time up to the 23d of November 
he as rapidly recovered his condition as he had lost it; his ap¬ 
petite became voracious, for he ate with avidity every thing that 
was put before him. On the evening- of the 23d, Mr. W Gotten, 
at whose stables I have my infirmary, hurried to my shop, and 
informed me the horse had fallen in his box, and was extremely 
bad: this happened on the very evening 1 intended to have 
written to Mr. Kimber, informing him the horse w as in a fit- 
state to be sent to London. On arriving, the poor animal pre¬ 
sented a most pitiable appearance: large drops of sweat w ere 
rolling from off his cold skin ; the eye was not as though he 
was suffering from acute pain, but sunken and depressed; but 
the upper lip w as curled, the lower hanging pendulous, shewing 
the more plainly his grating teeth, and the whiteness of his 
tongue and gums, which, together with a total suppression of 
saliva, and a remarkable doubling under of the tongue and 
keeping it in that position for three or four minutes, and 
anxiously looking towards his abdomen, shewed him, indeed, a 
pitiable silent sufferer. The submaxillary artery was still, for 
it had nothing to contract on. Nothing of course w as done fol¬ 
ium, being convinced he was dying from internal haemorrhage: 
in about one hour and a half he again fell, and died in a few 
minutes. 
The post mortem examination demonstrated my prognosis to 
be correct: the peritoneal covering of the liver was ruptured 
completely in half; the liver broken down in structure through- 
During the night considerable swelling of the 
