20 
The Bulletin 
Since obstinate vomiting is such a prominent symptom of tbe disease 
in man, physicians and others have very commonly employed the name 
sick stomach, Beck (1822), Bennett (1822), Campbell (1881), Cham¬ 
berlain (1826), Crookshank (1826), Drake (1836), Drake and Yandell 
(1840, 1841, 1842), Haines (1822), McCall (1830), Wright and Ben¬ 
nett (1827), and Yandell (1832). 
The name “tires and slows,” employed by Howard (1871), Logan 
(1849), and Byford (1855) are used in some sections. Jordan and 
Harris (1909) are of the opinion that “alkali poisoning” of western 
Texas and Yew Mexico is identical with trembles or milksickness in 
States east of the Mississippi Biver. Other names, which have at one 
time or another been employed but which have not been generally used, 
are swampsickness, river fever, puking fever, stiff-joints, colica tre- 
mentia, morbeo lacteo, ergodeleteria, gastritis, gastro-enteritis, mukoso- 
ma, syro, lacemesis, caconemia, and paralysis intestinalis. 
Clinical History 
Sympto7ns 
The published reports of observations by others are essentially unan¬ 
imous in stating that horses and cattle are both very subject to the dis¬ 
ease. Sheep and goats may furthermore be affected and a number of 
writers have asserted that hogs are susceptible. McCall (1822), Cole¬ 
man (1822), Drake (1840), Winans (1840), and Davis (1881) are 
among those who claim that hogs are subject to the disease. Some 
writers have claimed that hogs are at most only rarely affected— 
Woodfin (1878) and Johnson (1866). It has been stated, too, that 
deer may suffer from the disease, and that other wild animals, such 
as wolves, foxes, buzzards, vultures, and crows may contract trembles 
by feeding upon carcasses of animals which have died of this disease. 
a. In Cattle .—The symptoms of trembles among domestic animals 
have been described with no great degree of fullness except in cattle. 
The following account is substantially a concensus of all who have 
observed the malady. The first sign of the disease is indicated by a 
listlessness and disinclination to move. In his memoir, Drake (1841) 
has well characterized the initiation of trembles by stating that “the 
animal begins to mope and droop, to walk slower than its fellows, to 
falter in its gait.” Practically all accounts record the exhibition at 
this stage of muscular weakness and of trembling, especially when the 
animal is driven. Such animals, too, are generally constipated. Some 
few writers record that cattle in this stage are greatly excited and are 
disposed to fight; this is not mentioned, however, by the great majority 
