MEDICINAL TREATMENT 203 
essential to omit the injections for a couple of days after 
they have continued for five or six days. 
It is conceivable, though doubtful, that the loss of 
hearing, scent, and voice, sometimes accompanying 
general paralysis, would be regained upon recovery from 
the primary paralytic condition. The amaurosis so arising 
at least appears to be always permanent and progressive, 
no treatment having any very decided effect. Eserine 
drops, however, may be tried, but with doubtful benefit. 
Cutaneous Lesions.—As a rule no treatment is required 
for the skin lesions of distemper, since they are mostly 
quite benign and transient. Nevertheless, as in rare in- 
stances we find the vesicles extending and coalescing, 
resulting in the formation of comparatively large moist 
sore areas, we may either bathe the places with a warm 
solution of Sanitas or Condy’s Fluid, or may resort to 
antiseptic dusting powders such as mixtures of zinc 
oleate 2, kaolin 3, and boracic acid 5; or Fuller’s Earth 5 
and boracic acid 5 ; or zinc oxide 1 with talc powder 10; 
-dusted on twice daily with cotton-wool. 
Defective Heart.—The deficient valvular action occa- 
sionally observed as a result of distemper or other in- 
fectious diseases, and particularly of chronic nephritis, 
must be considered as incurable, although we may 
endeavour to aid the organ by restriction of exertion and 
excitement, and, where the heart is greatly weakened and 
respiration more difficult, by administration of heart 
tonics such as tincture of digitalis (mv. to mxx.), tinct. 
strophanthus (mii. to mx.), caffeine citras (grs. ii. to 
grs. viii.) three times daily. The resulting dropsy 
must be relieved by giving diuretics such as_ liq. 
ammon. acet., spts. ath. nit., pot. nit., or pilocarpine 
hypodermically. 
A useful mixture for this complaint would thus con- 
-sist of: , 
