Treatment. 213 



artificial feeding may then be instituted (see page 123). This 

 is best accomplished by the introduction of liquid food into 

 the stomach through the stomach tube. Most patients permit 

 the introduction of this instrument without any difficultv. If 

 stenosis of the larynx exists at the same time, a preliminary 

 tracheotomy must be performed. The authors have in this 

 manner fed many horses for days and even for weeks and have 

 thus prevented inanition and aspiration pneumonia. Cribs and 

 utensils soiled with pathologic secretions must be cleansed at 

 short intervals. 



The local treatment consists in the application of astringent 

 and disinfectant solutions, such as 2% nitrate of silver, 3 parts 

 of tincture of iodine Avith 25" parts of glycerin, 10% alum- 

 glycerin; peroxide of hydrogen, 15% creolin-vasogen. These 

 medicated solutions are used to paint the pharyngeal mucosa; 

 however this procedure can be employed only in short headed 

 animals. If the animals so treated show too much excitement, 

 it is better to desist from this form of treatment, likewise in 

 larger animals when the difficulty in deglutition is not too great ; 

 in such cases disinfectants may simply be added to the drinking 

 water, such as chlorate of potash (horses 40-50 gm. for each 

 bucket of water, dogs a 2% solution in tablespoon doses), or 

 salicylate of sodium (80-100 gm. or a 0.5% solution). Inhala- 

 tions of the vapors of pure water, or of a 2% carbolic acid 

 solution, or a finely divided spray of astringent or disinfectant 

 solutions (1-2% carbolic acid, creolin, alum, or tannic acid, 

 possibly corrosive sublimate 1:1000) may also be used. It 

 appears best to introduce these solutions with a Frick or a 

 Bayer-Kieselbach spraying apparatus. In horses which are 

 not particularly restless these astringent and disinfectant 

 drugs may also be applied in the fonn of ointments. This 

 can be done with the aid of a long, metallic sound. Its dull 

 end is wrapped in cotton, saturated with the ointment (accord- 

 ing to Bringard eucalyptol and vaselin 1:15); the sound is 

 introduced below the inferior turbinate into the pharynx, and 

 the ointment is rubbed over the dorsal surface of the soft palate 

 and over the mucosa of the naso-pharynx. Intrapharyngeal 

 injections from the trachea as recommended by Dieckerhoff 

 are not always devoid of danger ; the same is true of the intra- 

 nasal injection of fluids through a hard rubber tube or a 

 urethral catheter. The injection of larger amounts of fluids 

 may, in difficult deglutition, give rise to the aspiration of fluids. 

 External applications in the region of the pharynx are always 

 beneficial. In the earlier stages cold applications are indicated, 

 later on Priessnitz' applications, with disinfectant solutions. 

 Warm applications (with oat, barley or linseed meal, etc.) may 

 be used in case of continued swelling to hasten the ripening of 

 the abscess. Ointments favoring resorption (gray mercurial 

 ointment, camphor or iodoform ointment 1:10) niay likewise 

 be useful. . If the swelling shows no tendency to go down, inunc- 



