774 DISEASES OF ACCESSORY ORGANS AND STRUCTURES. 



ing, with congestion or inflammation of the lymph-vessels, is 

 noticed, extending to the superior parts of the limb. 



Treatment. — This must vary in accordance with the stage 

 of the afi'ection and the causes believed to be in operation 

 for its production. When evidently associated with some 

 general disturbance of the digestive organs, or when there 

 seems a tendency to plethora, purgatives are called for, together 

 with a proper regulation of diet and attention to needful 

 exercise. This placmg of the whole animal functions in a 

 condition as nearly as possible approaching what is recog- 

 nised as the health-standard, can scarcely be over-estimated ; 

 for however much local causes may operate in the production 

 of local disturbance and change, internal agencies have a more 

 powerful and prevailing influence. With some of the milder 

 exhibitions of ' grease,' a moderate dose of medicine and atten- 

 tion to cleanliness, with the non-removal of the long soft hair 

 from the heels, will suffice to give a favourable turn to the 

 disturbed activities. When inflammatory action and pus- 

 formation have proceeded to any extent, particularly when 

 cutaneous fissures and much crusting of discharges have 

 occurred, the necessary removal of the irritation is only well ac- 

 complished by local anodyne applications, as poultices. These 

 when the fcstor is considerable, and indeed in most instances, 

 are improved by medication with such agents as charcoal, 

 salicylic, carbolic, or sulphurous acids. Although the removal 

 of hair tends to favour the appearance of this inflammation 

 of the skin, such may be needful, when the disease is once 

 developed, for the proper application of remedies. 



Having by j^oulticing relieved the local tension and pain, it 

 will be found in these instances where the perifollicular in- 

 flammation and suppuration have resulted in the production 

 of a raw surface, that some mild astringent is better fitted 

 than aught else to assist in restoration of healthy action. 

 Such washes as chloride or sulpho-carbolate of zinc, from gr. x. 

 to gr, XX. to the fluid ounce of water, having a little carbolized 

 glycerine added, serve very well in mild cases ; for the more 

 chronic, a steady perseverance is needful for some con- 

 siderable time. When not improving with this or any other 

 treatment, it is better to adopt a change of dressing. In many 

 obstinate cases, I have found a saturated solution of sulphate 



