132 
REPORTS OF CASES. 
sulph. gr. one hypodermically, and in a short time large quan¬ 
tities of gas passed per anus, and in an hour was considered 
well. 
The owner desired to take her to a barn about one-quar¬ 
ter of a mile distant, and he proceeded to take her there. On 
his nearing the barn we noticed that they had almost to drag 
her, being partial paralysis, hardened, and enormously swol¬ 
len muscles, and our case of acute indigestion had become one 
of azoturia. She was taken to a good box-stall, and being 
constipated the following was given: Hyd. sub. mur., one 
drachm ; ext. colocynth comp., one and one-half drachms; 
alee barb., four drachms; olei lini, one pint. In less than 
an hour she was down and unable to rise. Citrate of 
lithium, two-drachm doses, every four hours in sufficient 
water, and potass, chlor., one-half-ounce doses every day in 
her drinking water was ordered. Next morning the cathar¬ 
tic not having acted, olei. lini., one pint, was given ; other 
treatment continued. On the fifth day the lithium citrate 
was stopped, and liq. potass, arsen., one ounce daily, substi¬ 
tuted. Potass, chlor. in water continued. On this day she 
was raised with slings and stood about two hours, and every 
day after she was raised until the tenth day when she was 
able to get up herself. 
During all this time the appetite had been fairly good, and 
was now all that could be asked for, and we supposed our 
patient out of danger, as no bad symptoms presented them¬ 
selves, and only from loss of flesh and a few bed sores, one 
would not have known she had been sick. She was turned 
out to grass and carefully watched. One evening, after being 
out but a few days, when being fed and cared for, nothing 
wrong was noticed; but next morning she was found with 
swollen limbs and nose, and no appetite, and so we were 
again sent for. Imagine our surprise to find our acute indi¬ 
gestion, azoturia case now presenting the well known char¬ 
acteristic symptoms of purpura haemorrhagica, which caused 
her death inside of thirty-six hours after. 
Now here is a case where in the treatment of azoturia 
potass, chlor., one-half ounce, had been given every day for 
