SCARLATINA ANGINOSA. 
257 
8 p.m.—Animal much easier, and evidently under the 
influence of the large doses of opium she has been receiving. 
By the attempts she made to drink some gruel, my attention 
was attracted to the state of her mouth, and on examination 
I found the sides of the tongue and the mucous membrane of 
the cheeks and gums covered with large, irregular, but well- 
defined purple-coloured patches, closely resembling the tint 
assumed by tanned leather after being steeped in water. 
The greatest difficulty is experienced in breathing, and swal¬ 
lowing is all but impossible, the greater portion of the fluids 
returning by the nostrils. 
Ulcerations exist at the commissures of the mouth, where 
the skin is naturally thrown into small folds, and the integu¬ 
ment about the cheeks and lips is hard and painful. 
Mustard applications to the throat, alternate gargles of 
alum and the biborate of soda for the mouth, and fumiga¬ 
tions of hot-water vapour and turpentine. 
10th.—The enteritic symptoms have almost disappeared, 
and the mare makes attempts to eat a little mash. Water 
can be swallowed in small quantities. Pulse 75. Respira¬ 
tion tolerably tranquil. The purple discolorations of the 
mouth are becoming of a lighter colour, and on one side of 
the tongue sloughing has taken place, leaving a healthy 
granulating surface. Give 
Ammon. Bicarb., 51 j; 
Tinct. Opii, ^ss. Thrice a day. 
11th.—Great improvement. All the coloured patches of 
mucous membrane are sloughing, leaving the mouth very 
tender. 
12th.—Still improving. Give ferruginous tonics, and 
dress over the bare surfaces of skin with 
01. Olivse, Oj; 
01. Terebinth., : 
to promote the growth of the hair, as the skin is now tolerably 
cool, and desquamation has ceased. 
13th.— From this date up to the 31st everything has gone 
on well, and the return to health has been rapid and satis¬ 
factory, owing, no doubt, to the strong and vigorous consti¬ 
tution possessed by the animal. 
When I last saw her she was in excellent health, and 
though she still presented a rather disreputable appearance, 
yet the new hair was growing rapidly over those places where, 
weeks before, nutrition was totally perverted. 
XXXII. 
35 
