REPORTS OF CASES. 
363 
stered acid salicyl. § ss in bolus, and enough of theinjectio quinise 
liypodermica to equal quinia sulph. 3 ij• Every two hours gave 
acid salicyl. 3 ij in bolus, and the liypodermica equivalent of quinia 
sulph 3j- At 12 p.ra. the nostrils were dilated, respiration 60 
and very laborious, pulse intermittent, and a friction sound on 
auscultation behind left elbow. Applied a strong fly blister over 
this region, gave my patient acid salicyl. 3 vj., and a rousing 
stimulant, and left him for the night. 
October 6th, 7 a.m.—Temperature 104°, pulse 60, breathing 
nearly natural. The rheumatic swellings had almost entirely sub¬ 
sided, and he could bear the pressure of my hands very com¬ 
fortably on his hocks. Gave 3 ij doses of the acid and 3j of 
quiniae hypodermically every three hours during the day. 6 p.m, 
—Temperature 1034, pulse 60. 
October 7th, 7 a.m.—Temperature 103°, pulse 52, crackling 
in joints has nearly ceased, less clear and hard, no pain on pres¬ 
sure. Ceased the quiniae, but gave 3 vj of the acid during the 
day. 
October 8th, 7 a.m.—Temperature 102 9 , pulse 50. Gave 
same doses of the acid as yesterday. 6 p.m.—-Temperature 
100^°, pulse 45. 
October 9th.—Temperature and pulse normal, no crackling of 
the joints, and walks as well as he ever did. 
There had been complete anorexia from the first, which I 
think was partly due to the well-known unpleasant stomachic 
effects of salicylic acid. The bowels opened on the third day, 
and as the kidneys were inactive gave pot. nit. freely in the 
drinking water. He was a plethoric animal, and as he seemed 
willing to emulate Dr. Tanner and drink lots of water, I did not 
trouble myself much about his prolonged inappetence. All the 
symptoms subsided nicely; directly I stopped the acid, the ap¬ 
petite returned, and to-day he is as well as ever. I think this 
case well exemplifies the anti-rheumatic value of salicylic acid, 
especially in the acute form. Watch the pulse and temperature 
carefully, and push the acid until yon get the effect you want, 
and keep it up until the crackling in the joints has entirely 
ceased. It has never disappointed me in acute rheumatism. 
