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"Pity you lost that last trick," said my partner to me as we left the room; "it was absolutely in your hand." "Was it?" I asked innocently. We had a rush of work after this, and wounded again began to pour in from the Third Battle of Ypres. Early evacuations came regularly with the tides. They would begin at 4 a.m. and get half an hour later each day.
To all these questions Castaing's answers were such as to lead the President to express a doubt as to whether they were likely to convince the jury. Castaing was obliged to admit that he had allowed, if not ordered, the evacuations of the sick man to be thrown away.
"And to yourself," urged Squills. "One must attend to the natural evacuations of the brain. Ah! you may smile, sir, but I have observed that if a man has much in his head, he must give it vent, or it oppresses him; the whole system goes wrong. From being abstracted, he grows stupefied. The weight of the pressure affects the nerves. I would not even guarantee you from a stroke of paralysis."
Such gentle and unconfining evacuations would certainly prevent those feverish attacks to which everybody at your age is subject. By the way, I do desire, and insist, that whenever, from any indisposition, you are not able to write to me upon the fixed days, that Christian shall; and give me a TRUE account how you are.
The spleen which is situated in the neighbourhood, on the left side, keeps the liver bright and clean, as a napkin does a mirror, and the evacuations of the liver are received into it; and being a hollow tissue it is for a time swollen with these impurities, but when the body is purged it returns to its natural size. The truth concerning the soul can only be established by the word of God.
"Avicenna, after this, is for having the part anointed with the syrup of hellebore, using proper evacuations and purges and I believe rightly. But thou must eat little or no goat's flesh, nor red deer nor even foal's flesh by any means; and carefully abstain that is, as much as thou canst, from peacocks, cranes, coots, didappers and water-hens.
It then frequently commences with vomiting, and the stomach may continue so irritable for twenty-four hours as not to retain even a teaspoonful of cold water. At the same time the over-action of the bowels sets in, and twenty or thirty evacuations may be passed in twenty-four hours. The motions soon lose their natural character, and become watery, slimy, and mixed with blood.
I am accustomed to desire a record to be kept on a sheet of paper divided into six columns, one for food, a second for medicine, a third for sleep, a fourth for the evacuations, and a fifth for any special point which the nature of the illness renders it of special moment to observe, while the date is entered on the first column of all, indicating when food or medicine was given, or when and for how long the child slept.
Another account of the strange contents of the intestines of a bitch may be here introduced. A valuable pointer-bitch was sent to the infirmary of Mr. Godwin of Litchfield. She presented a very emaciated appearance, and had done so for four or five months. Her evacuations for a day or two were very thin and copious, and afterwards for several days nothing was passed.
While some of the food is got rid of by vomiting, some passes into the intestines, and there becomes putrid, as the horribly offensive evacuations prove. What wonder is it that in such circumstances the body should waste most rapidly; for it is forced from its own tissues to supply those elements essential to the maintenance of life, which its food contains in far too scanty a proportion.
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