DISTEMPER. 369 
eggs, and the quantity be from a teaspoonful to a tablespoonful ; while the in- 
tervals between doses should be from three to five hours, as the need is urgent. 
But even brandy may not prove sufficient to stay exhaustion, and then to 
each dose of it must be added the aromatic spirit of ammonia, as follows: 
One-half a teaspoonful for largest breeds; twenty drops for medium size; 
fifteen drops for fox terriers; and ten drops for toys. 
Brandy combined with the aromatic spirit of ammonia is the stimulant to 
be relied on in the so-called typhoidal stage, and when the brain seems to be 
affected. 
Lest there be confusion and misunderstanding, the subject of stimulants is 
briefly considered. 
Even if the patient seems doing well and his attack a fairly mild one, it 
will be advisable to commence the use of the tonic and stimulant preparation 
beef, iron and wine before the end of the first week. As long as he is holding 
his own that may be solely relied on, but if he is growing weaker, sherry wine 
should be added to it. When this combination fails to keep up his strength, 
brandy should be substituted; and thereafter be persisted in, the doses being 
increased as necessary. 
Some who have discussed in print the treatment of distemper have recom- 
mended that one of the various so-called bitters be given for the purpose of 
improving the appetite, but as long as the fever exists improvement in that 
direction is not likely to occur. 
While the beef, iron and wine is being given no other tonic will be re- 
quired ; but after the loss in strength has necessitated the use of brandy instead 
of sherry wine, a more powerful tonic can properly be substituted. 
Quinine is an efficient substitute for the beef, iron and wine, and the doses 
may be as follows: 
For the largest breeds, two grains; medium size, one and one-half grains; 
fox-terriers and the like, one grain; toys, one-half a grain. The appropriate 
doses can be made up into pills by the druggists; and one should be given 
every six hours. 
An admirable tonic, better suited even than quinine to most cases of 
advanced distemper, is the elixir of calisaya, iron and strychnia. After brandy 
has been substituted for the sherry wine, instead of the beef, iron and wine, 
this may be given in the morning, at noon, and at night, in the following 
doses: To the largest breeds, one teaspoonful; medium size, three-fourths of 
a teaspoonful ; fox-terriers and such, one-half a teaspoonful ; toys, fifteen drops. 
The use of this can be persisted in as long as a tonic is required; and every 
three days, for three weeks, an increase of two drops at a dose may be made 
with toys; five drops with fox-terriers ; eight drops with the medium size; and 
ten drops with the largest breeds. It is best always that it be administered 
with the food, or shortly after feeding. 
