BRONCHITIS ATTENDED WITH VOMITION. 
683 
did not fear ruptured stomach or diaphragm, I was rather pleased 
to see it than otherwise, feeling assured that it would be the means 
of removing some offending agent. I remained in attendance on 
my patient for an hour, and, finding that attempts at vomition con¬ 
tinued some time after the stomach, I thought, had evacuated itself 
of its contents, I thought it as well to try and stop the gastric irri¬ 
tability, by, at the same time, repeating nearly the medicine I had 
administered before, as it doubtless, when the vomition commenced, 
did' not remain in the system; I therefore sent the undermentioned 
draught:—Aloes solut. §ij, pulv. digitalis 3j, potass, nit. 3ij, bis¬ 
muth. trisnitrat. 3 j, acid, hydrocyanic dil. 3j, aquse distil. ;§viij. 
I saw my patient again in the evening. She had not vomited 
since the draught was given her, and her bowels had not passed 
any faeces since I first saw her. The other symptoms remained 
about the same. The legs being cold, I had them hand-rubbed and 
bandaged, backraked, and injected an enema of warm water to 
assist the action of the medicine, being afraid to administer more 
aperient medicine until a longer time had elapsed from that which 
had been given. 
June 6 A.M. —The carter not knowing the treatment the 
mare was under, imprudently gave her, before he left last night, a 
forkful of green meat, which has had the effect of causing her to 
vomit twice during the night, and she still attempts it. Her bowels 
have responded, but she does not purge—only just sufficient at least 
to shew the medicine has had a salutary effect. The breathing 
is somewhat relieved—the pulse, though still high (68), is altered 
in character—extremities warm—the mucous membranes have as¬ 
sumed a more healthy appearance. On the whole, I consider that 
my patient may begin to date her recovery from this time, though 
at such a critical juncture it will not do to be too sanguine. Re¬ 
peated the draught sine aloes solut., and ordered the liniment to 
be continued, which had already produced a certain amount of 
counter-irritation. 
9 P.M. —Visited my patient again this evening. Pulse 57— 
breathing more easily performed—bowels in a healthy state, has 
not tried to vomit since she had the last draught, but she coughs 
very frequently : this is what I think she endeavoured to do instead 
of vomiting, but was unable, from the constricted state of the mem¬ 
brane of the bronchi, and thus a counter-action was set up in the 
stomach; but, then, you will say that the vetches seemed to be the 
more direct cause. I think they had a tendency so far as this, 
that the small quantity of air which passed into the lungs was not 
sufficient to inflate them, therefore the stomach, being filled with 
that which was bulky, prevented the lungs acting upon that, and 
Nature relieved herself by disgorging the contents of the stomach. 
