398 
INTUSSUSCEPTION OF THE CAECUM. 
short time I left, giving directions for the enema to be repeated 
at intervals, and promising to attend again the next da} r . 
29th, 4 o’clock, afternoon.—My patient since I last saw 
him had been lying down a good deal, apparently suffering 
more pain ; otherwise the symptoms varied but little from 
those observed the previous night. As no action of the 
bowels had taken place, and as the pain seemed rather more 
acute, I gave— 
Liq. Am moil., ^iij; 
Spt. Ether. Nit., sjiss ; 
Tinct. Opii, sj; 
01. Croton., gtt. xv. Et. haust. 
I also gave instructions for the enemata to be continued, 
and the mustard cataplasm to be repeated. As I believed 
that my chance of success depended upon an evacuation of 
the bowels, I also left a draught similar to the last, with 
the exception of the croton oil, to be given if the pain 
increased before I saw him next day. I did not consider it 
necessary to exhibit any quantity of medicine .from time to 
time, but to wait patiently for the effect of that which had 
been given. 
30th, 3 in afternoon.— Bowels acting very freely,extremities 
cold, pulse 80, and scarcely to be felt, breathing accelerated, 
and the visible mucous membranes of a pallid hue. I should 
remark that since the attack the animal had only eaten a 
very little bran mash, but would drink rather freely. I 
thought that some of the symptoms observed to-day might 
depend upon the action of the medicine, which was rather 
violent. I ordered the extremities to be hand rubbed, the 
surface of the body kept as warm as possible, the enemas to be 
discontinued, and a little warm gruel given occasionally. 
31st, 10 a.m.—Purging not so violent; abdominal pain 
less, and altogether the animal appeared better, but he takes 
no food. Continue giving gruel. 
From this time to Monday, April 4th, the acute symptoms 
seemed to abate, the pain especially not being so great, but 
as there was no disposition to partake of any food, and the 
pulse had not assumed a natural tone, I gave a guarded 
opinion as to the result. 
April 3th.—The animal is to-day in more pain, his bowels 
are acting, and he lies down a good deal, which he has not 
done since Friday. Gave in draught—- 
Tinct. Opii, 3J'; 
Liq. Ammon., ^iij; 
01. Terebinth., §j. J 
