314 BURSATTEE. 



rational, and from their adoption Ave may fairly expect to 

 confer benefit on our client and patient. 



Having regard to the condition which is likely to be pro- 

 duced by ulcers of long standing of any character, we must 

 endorse the jDractice of those who from the first have recourse 

 to general tonic remedies in company with nutritious diet. 

 A change of air, also of food, and improved sanitary arrange- 

 ments, have been found markedly beneficial. 



However, from what we have stated respecting the compara- 

 tive insignificance of the constitutional disturbance and 

 symptoms of kunkurs in internal organs, also as in the 

 majority of cases it is impossible until ulceration has com- 

 menced to say definitely if this process will assume the 

 character of bursattee — it is not customary to mterfere surgi- 

 cally — it is manifest that the ulcer will occupy the bulk of the 

 practitioner's attention. 



As simple wounds may become complicated with bursattee, 

 in the management of animals it will behove us to avail our- 

 selves of every means for reducing to the minimum the 

 chances of injuries producing these. Harness should fit com- 

 fortably, bits which abrade the angles of the mouth should be 

 avoided, shoes applied so as to prevent striking, etc., etc. ; 

 while the use of eye-fringes indirectly effect the same 

 purpose. 



In the early stages of ulceration those who support the 

 theory of its parasitic nature recommend such dressings as 

 contain carbolic and sulphurous acids, and other parasiti- 

 cides ; this course can be open to no objection. While 

 those who credit flies with a large share in its production 

 advise the application to the wounds in the earliest stages of 

 camphor and oil, or other agents distasteful to these insects, 

 and the removal of the j)atient as much as possible from chance 

 of their attacks. 



The ulcer itself should as early as possible be reduced to 

 the condition of an ordinary wound, and then treated as such. 

 All vegetating growths and masses of kunkur should be 

 extirpated by means of the knife or the actual cautery, and in 

 carrying this out it is essential that the whole of the ' special ' 

 growth be removed ; and to this we must bear in mind the 

 tendency of the material to undermine the edges of the ulcer. 



