HAEMORRHAGIC ENTERITIS. 
17 
every hour, and, if necessary, every fifteen minutes, until 
physiological rest is assured. This is one of the best remedies 
I have ever used, and I have the formula, if any of you desire 
it, which is as follows: 
Morph., HCL, gr. viii; acidum, HC 1 ., dil. 3ss; chlo¬ 
roform, 3 jss; cannabis indica tinct., 3j; alcohol, § ss; ol. 
pip. menth., mij; capsicum ol. res., mj. Misce. 
Friedberger and Frohner give tartar emetic, calomel or 
alkalies. While I do not wish to carp at what I consider high 
authority, I must beg leave to differ diametrically from this 
line of treatment. Warm oatmeal gruel may be given spar¬ 
ingly, but I prefer rectal feeding if the case requires it, with 
milk, eggs or beef extract. The prime object in view is rest, 
maintenance of a status quo until resorption and collateral cir¬ 
culation is established. While any statement of cures can 
always be met with the saying that recovery would have 
taken place anyway, or that the case was one of mistaken 
diagnosis, I fully believe I have seen five cases of genuine 
hasmorrhagic enteritis cured by the above treatment, and I 
hope you will all try it and let me know what your experience 
is in regard to it. 
Post Mortem Changes .—The stomach is thickened and the 
mucous membrane congested; usually the stomach contains 
some partly digested food. Some of our text-books claim 
the mucous membrane has many blood clots, but I have never 
found any. The duodenum, jejunum or ilium, or a portion of 
each, is filled with a hasmorrhagic exudate; the walls are infil¬ 
trated, indurated and discolored over the portion covered by 
the infarct, and if the case was one of the lingering variety, 
we may find necrosis, gangrene or rupture. If we examine 
carefully, we shall invariably find an embolism plugging the 
artery of supply of the infarcted region, and following on 
toward the aorta, we shall find a verminous aneurism of some 
of the large arterial trunks. 
Trusting that you will pardon me for monopolizing so 
much time, and thanking you kindly for your earnest atten¬ 
tion, I will now stop to hear the discussion. 
