DISTEMPER. 371 
The use of the peroxide of hydrogen is urged because of its germicidal and 
antiseptic properties. There being good grounds for the assumption that the 
point of infection of distemper is in the nose, manifestly if that is promptly 
freed of germs, also of the poison generated by them, the attack must be less 
severe than it would be were they and their dangerous products left undis- 
turbed; when undoubtedly they would multiply with great rapidity and 
increase in virulent potency. 
In very severe cases, in the course of a week or ten days, the so-called 
typhoidal stage is usually entered. In this the brain is clouded as it were, and 
all the senses seem to be benumbed. When called in loud tone, or shaken, 
the effect upon the patient is generally a slight movement of the ears merely, 
and possibly of the legs or body, but he cannot be aroused ; and, in a state of 
lethargy, he will likely lie for hours without any voluntary movement. 
In this state his brain and nervous system are overwhelmed; and while 
recovery sometimes takes place, the chances are nearly all against it. 
The disease is now often, and improperly, termed ‘‘ head distemper.” 
Convulsive movements or true convulsions may occur; and if so, and the 
attacks do not end quickly, the hydrate of chloral may be administered, as 
advised in convulsions. 
In this stage and whenever the brain seems affected, the aromatic spirit 
of ammonia should be given with the brandy, for it is essentially a brain 
stimulant. 
If the eyes are sponged frequently, and thus accumulation of the discharge 
is prevented, and the solution of borax and camphor water is dropped into 
them every hour, the cornea is not likely to become ulcerated. If, however, 
that accident happens, professional assistance must be obtained it possible. 
In its absence it were best to leave the case to nature to effect a cure. 
The skin eruptions which often appear in the course of distemper scarcely 
require other than simple treatment, as the application of vaselin, ointment of 
sulphur and lard, or the like. 
Jaundice with this disease does not call for any special treatment. 
Suitable jackets are inexpensive and easily made, hence it is advisable that 
two be provided, and a change made every morning. The one not in use 
should be hung out-of-door during pleasant days, in the sun; and before the 
other is put on the hair should be rubbed gently with a soft towel, and then 
made straight and smooth with a brush. 
During convalesence from distemper, cod-liver oil can properly be given in 
the majority of cases. 
In that stage, vigilance must not be relaxed, because during the following 
two or three weeks there will be danger of relapse, which is always singularly 
liable to occur after distemper. Therefore every patient should continue to 
have the best of care; and especially be protected against sudden changes in 
