TREATMENT. 2l7 ' 



applied warm water to the swollen parts, whicli, we before said, 

 readied sometimes down tlie neck as far as the fore-limbs. 

 Hot-water vapour inhaled has been thought to afford relief, and 

 of course this may be medicated in any manner which suggests 

 itself to the practitioner. 



In cases where the swelling of the internal or external 

 structures is likely to produce suffocation, recourse must be 

 had to tracheotomy. 



In other forms of localization, though with such in this 

 country we are not familiar, the same principles must evidently 

 be adopted. 



In anthrax, as in every other disease under our treatment, 

 symptoms must be assiduously watched ; the condition which 

 they indicate must be combated as the circumstances require. 

 The cauterization of local tumours Ave strongly advise, as also 

 the administration of carbolic acid in small and repeated doses. 

 The injection of the same agent hypodermically for effect on 

 the entire system, and into the tumour, is certainly worthy of 

 trial. During convalescence, a course of tonics and food of a 

 highly nutritious character should be given. 



In the same tone as we commenced to sj^eak about treat- 

 ment, so we must conclude : we cannot, Avith our present 

 knoAvledge, give much encouragement as to the likelihood of 

 benefit from curative measures in a large majority of cases, 

 but that is no reason why perseverance in further investigation 

 into the matter should not be stimulated; and we would 

 by no means muffle any attempts even in this direction, as 

 in every sense the study of the disease is of the highest im- 

 portance, both to the profession and the community at large. 



However we may find ourselves paralyzed in endeavouring 

 to bring about the healthy process in the diseased, Ave have no 

 inconsiderable command of means at our disposal for its pre- 

 vention ; and under present circumstances Ave feel Ave can do 

 very much in arresting its progress and averting its conse- 

 quences. A knoAvledge of the true pathology of anthrax in 

 all its bearings, and a due regard for its several phenomena, 

 especially those involved in its aetiology, are necessary before 

 consistent prophylactic measures can be suggested or carried 

 out. Though, Avhen studying this part of our subject, Ave 

 admitted there Avas yet more to learn as to the causation of 



