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constant stream of cold water, Avitli the object of arresting a farther 

 extension of the inflammatory process. To accomplish this pat the 

 patient in slings in a narrow stall having a slat or open floor. Bandage 

 the foot and leg to the knee or hock, as the case may be, with flannel 

 bandages loosely applied. Set a tab or barrel filled with cold water 

 above the patient and by the use of a small rubber hose of sufficient 

 length make a siphon which will carry the water from the bottom of 

 the tub to the leg at the top of the bandages. The stream of water 

 should be quite small, and it is to be continued until the inflammation 

 has -entirely subsided or until the presence of pus cau be detected in 

 the tumor. When suppuration has commenced the process should be 

 aided by the use of warm baths and poultices of linseed meal or boiled 

 turnips. If the tumor is of rapid growth, accompanied by intense paiQj 

 relief is secured and sloughing largely limited by a free incision of the 

 parts. The incision should be vertical and deep into the tumor, care 

 being taken not to entirely divide the coronary band. If the tumor ia 

 large more than one incision may be necessary. 



The foot should now be placed in a warm bath for half an hour or 

 longer and then poulticed. The hemorrhage produced by the cutting 

 and encouraged by the warm bath is generally very copious ami soon 

 gives relief to the overtension of the parts. 



In other cases it will be found that suppuration is well under way, so 

 that the center of the tumor is soft when the patient is first presented 

 for treatment. It is always good surgery to relieve pus whenever its 

 presence can be detected; hence in these cases a free incision must be 

 made into the softened parts, the pus evacuated and the foot poulticed. 

 By surgical interference the tumor is now converted into an open 

 sore or ulcer, which, after it has been well cleaned by warm baths and 

 poultices applied for two or three days, needs to be protected by proper 

 dressings. The best of all protective dressings is made of small balls 

 or pledgets of oakum, carefully packed into the wound and held in 

 place by a roller bandage 4 yards long, from 3 to 4 inches wide, made 

 of common bedticking and skillfully applied. The I'cmedies which may 

 be used to stimulate the healing i)rocess are many, and as a rule they 

 are applied in the form of solution or tinctures. 



In my own jiractice I prefer a solution of bichloride of mercury 1 

 part, water oOO parts, with a few drops of muriatic acid or a few grains 

 of muriate of ammonia added to cause the mercury to dissolve. The 

 balls of oakum are wet with this solution before they are applied to the 

 wound. 



Among the other remedies which may be used, and perhaps with 

 equally as good results, will be noted the sulphate of copper, iron, and 

 zinc, 5 grains of either to the ounce of water ; chloride of zinc, 5 grains 

 to the ounce; carbolic acid, 20 drops dissolved in an equal amount of 

 glycerine and added to one ounce of water, and the nitrate of silver, 10 

 grains to the ounce of water. 



