PARALYSIS — PALSY. 43 



not to the spine, our treatment must in course be directed : con- 

 gestion, or inflammation, or effusion, may be present, and call for 

 the same remedies as are recommended in encephalitis. In fine, 

 our grand object must always be to seek out the primitive affec- 

 tion, to discover whether the palsy be directly the consequence of 

 lesion or altered condition of the brain or spinal marrow, or pro- 

 ceed from some irritation in another part, proving the result of a 

 reflex impression along the nerves, through the medium of their 

 common cerebral or spinal centre. 



The proper Situation for the patient is a loose box. And 

 when slings are not used, or even when they are, as patients in 

 general cannot for any great length of time be kept in them, par- 

 ticular care should be taken that the horse does not lie too long 

 upon the same side* : he should every now and then be turned 

 over, and never turned without having placed under him fresh, 

 clean, and dry litter ; otherwise, excoriation, and even ulceration 

 and sloughing, may be the consequence. 



Other Plans of Treatment have been adopted, with varied 

 success, by different veterinarians. I will mention such as have 

 been employed on the Continent, and afterwards those that have 

 proved most serviceable in our own country. M. Jacob, in para- 

 plegia, inserts setons in the thighs, and rubs the hind limbs with 

 camphorated ammoniacal liniment ; applies poultices to the loins, 

 and gives opiates and quinine. Bouley, who has paid espe- 

 cial attention to this subject, and has had great opportunities of 

 observation, places most reliance in emissions of blood, regarding 

 all other remedies but as auxiliaries, and wisely insisting on the 

 vast importance of early and cojnous blood-letting, and of a re- 

 petition of this, even at a short interval of three hours, should cir- 

 cumstances warrant it. Chariot has exhibited, after blood-letting, 

 nux vomica with advantage, in doses up to 45 grains, French: 

 Clichy has given as much as six drachms at a dose. Mr. Snewing, 



* Mr. Spooner, veterinary surgeon, Blandford, relates a case of tetanus, in 

 The Veterinarian for 1830, wherein " the serratus magnus muscle of the 

 near-side was found in a state of approaching gangrene ;" supposed to " have 

 been occasioned by the mare's having lain upon that side for twelve or four- 

 teen hours preceding her death." 



