10 TETANUS IN A FOUR-YEAR OLD HEIFER. 
which the man informed me had been mawbound from the 
previous Friday^ the 23rd. On my arrival I found the 
patient apparently in acute pain, the back was arched and the 
tail held straight out and quivering ; on taking the pulse I 
found it was very little altered from a normal condition 
either in character or number. On endeavouring to open the 
animal's mouth I at once discovered the true malady which 
my patient was suffering under. I informed the owner at 
once, and stated the probability of the result being unfa¬ 
vorable, when, to my surprise, the man in attendance said he 
had endeavoured two or three times to force the poor brute’s 
mouth open with a stick, but with an unsatisfactory result. 
Treatment .—As the jaws were quite closed I asked my client 
for a wine bottle and administered at once the following 
Mag. Sulph. lb. iss, Aquse tepid. Oij, and an enema of 
tepid soap and water, ordering that the patient be not in any 
way disturbed until next visit. I saw my patient again in 
the evening and gave her the following:—Spt. ^th. Nit. 
5ij, 01. Tereb. ^j, Ol. Lini Oj; another enema of soap and 
water was thrown up. I then left her for the night, ordering 
that she should be kept perfectly quiet. 
27th. I visited my patient this morning and found the 
symptoms unabated and the jaws still closed. I administered 
a stimulating draught as well as the animal could suck it 
down; this was followed up by an enema of the following :—^ 
Acid. Hydrocyanic. 5jj Aquae tepid Cj ; after staying with my 
patient half an hour without any visible change I again left, 
saying I would see her again at night. I found, upon again 
visiting her, a great amount of tympany present. I at once 
administered the following:—^ Spt. Ammon. Arom. 3ij, 
Gruel Oiss, which was taken with difficulty. The same 
quantity of hydrocyanic acid in enema as in the morning. 
I stayed about an hour and a half, and finding the animal 
not relieved by the draught, I had recourse to paracentesis 
abdominis, by which my patient was immediately relieved, 
and as the symptoms of tympany did not again appear I 
left her for the night. The same treatment, viz., stimulants 
and the hydrocyanic acid injections twice daily was con¬ 
tinued until the 30th, when my client told me he considered 
the case hopeless and would not go to any further expense. 
Thinking it a very interesting and rare case I wished 
him to allow me to continue with it, which 1 did for 
two days in the same manner as before, when the bowels 
became quite relaxed, and the animal was able to suck up a 
little wet bran. The medicine and enemas were gradually 
discontinued, and the animal was enabled to eat freely; the 
