262 CLINICAL VETKRINARV MEDICINK AND SURGER'S'. 



As soon, therefore, as the animal is seen to be ill it should be stopped, 

 taken out of the shafts, and removed to a neighbouring stable, or 

 placed in an ambulance and taken home. Arrived there it can be 

 placed in a box, where it should be kept warm and quiet. Animals do 

 better if able to stand, for which reason slinging may prove useful. If, 

 however, the patient is totally incapable of standing even with slings, 

 it should be given a thick bed of straw. 



The present- uncertainty regarding the nature of haemoglobinuria 

 renders treatment hesitating. As in all diseases in which the essential 

 cause is unknown, a large number of methods and innumerable drugs 

 have been recommended. Many are only injurious, but some are of 

 real value. While combating the more marked disease symptoms, the 

 general line of treatment should resemble that prescribed against toxic 

 infections. 



In the grave form — especially when dyspnoea is marked — ^bleeding 

 may be practised, seven to fourteen pints of blood being removed 

 according to the animal's size. This constitutes a first method of 

 removing the poisons, microbic or cellular. Whether disease be trifling 

 or severe, attempts should be made to secure an action of the bowels 

 by administering a hypodermic injection of 2 to 4 centigrammes of 

 hydrobromate of arecolin, 5 to 10 centigrammes of sulphate of eserine, 

 or 10 to 20 centigrammes of hydrochlorate of pilocarpine. The body 

 and limbs can afterwards be briskly rubbed with flannel or with straw 

 wisps. If necessary the hypodermic injection can be repeated on the 

 following days. 



Lafosse, Colin (de Vassy), Jouquan, and some other veterinarians 

 have recommended continuous refrigeration of the dorso-lumbar region 

 by irrigation, or by applying wet cloths frequently moistened with cold 

 water. This is one method of treating the myositis and congestion of 

 the spinal cord. 



Sometimes excitement is severe. The emimal struggles violently, is 

 covered with sweat, and the body is severely bruised by striking against 

 the ground. This excessive excitement should be combated by nar- 

 cotics and anaesthetics. If water is readily taken, laudanum should be 

 added to it ; but if refused, morphine should be subcutaneously injected, 

 or chloral given in a ball. The animal must be frequently turned over 

 and provided with a good bed, both to prevent hypostatic congestion 

 and the formation of bedsores on prominent parts of the body. 



When appetite is preserved, or when it returns, the animal should 

 be supported on gruel and milk. It may also be given green food, ha}-, 

 and a small quantity of oats. 



In addition to the alkaloids alread}- mentioned, internal medication 



