562 
COD-LIVER OIL IN INFLUENZA. 
ter-irritation to the throat. To trace the disease in its daily varia¬ 
tions would occupy too much space and be attended with too 
little real advantage to justify the attempt; suffice it to say, the 
prior description will apply to the subsequently observed symptoms. 
The patient would for a day or two seem rapidly to amend, then an 
exacerbation would occur. Tumefaction one day in the knee 
would be replaced by enlargement in the hocks or stifles in the 
next. The stertorous breathing would ever and anon recur with 
all its intensity; while the hollow sonorous cough and the extreme 
emaciation, combined with the evidence auscultation afforded, left 
no doubt of the existence of chronic disease of the lungs. Up to 
Monday, Feb. 12th, the treatment, of course, varied with the symp¬ 
toms, but essentially consisted of tonic agents. 
Another examination by auscultation convinced me of the 
presence of vomicae in the right lung, and from other symptoms 
I had fair reason to infer tubercles; in fact, the disease might be 
now designated phthisis pulmonalis. Mr. Varnell, demonstrator, who 
had seen the case at various periods, and felt as much surprised as 
myself at its ever-changing aspect, made a careful examination 
this morning, the result of which confirmed my diagnosis; the 
respirations stand between 30 and 40, pulse 80, and much debility 
present. 
The agent, cod-liver oil, the use of which had reached a perfect 
furor in human practice, occurred to me as well worthy a trial in 
this case. Accordingly I procured some of the impure oil, and 
commenced its administration on Thursday, February 15th, in doses 
of half-a*pint three times a-day, using also vegetable and mineral 
tonics with generous diet: he continued markedly improving in 
condition up to March 6th, when the dose was decreased to one 
pint per day. Exercise well. 
Thursday, April 5th, 1849.—A primary symptom is this 
morning present, namely, enlargement of the off hock and lameness. 
Friday , April 5th .—All the former symptoms are present, the 
stiffness of movement, enlarged joints, and stertorous breathing, the 
only point in our favour being the improved condition of the lungs. 
Inhalation, counter-irritation, and febrifuge medicine, were had re¬ 
course to, to the exclusion of the oil, till Sunday, April 9th, when 
he was so far improved as to warrant recurrence being had to it: he 
continued till thus April 30, without any further return of alarming 
symptoms, when medicine was discontinued, and the patient sent 
to the marshes. 
Thursday, July 26th, 1849.—Hearing the horse had just re¬ 
turned, I proceeded to examine him, and was much gratified by his 
condition. Auscultation develops a little membranous thickening in 
the bronchiae, and he is a decided roarer: some enlargement still 
