110 SPECIAL EQUINE THERAPY 



around the vessels, thus bringing about the swelling in 

 the gluteal or the brachial region. 



"9. From viscosity to thrombosis is a short step. The 

 patient goes down, and if thrombosis has occurred and 

 the clot is not fixed, the patient is dead in a few days from 

 embolism, dying with symptoms of apoplexy. 



"10. When the condition is less severe, halting at 

 viscosity, the patient recovers or lingers along and finally 

 dies from the various results of prolonged decubitus. (A 

 good example of a very mild case of azoturia we expe- 

 rience when we sit a long time in one position and a leg 

 or an arm 'goes to sleep.') 



' ' Theoretical proof of our theory and proof of the abso- 

 lute falsity of the theory of a toxemia lies in the fol- 

 lowing : 



' ' If this horse is exercised very mildly and then allowed 

 to rest for a half hour before he is put to work, thus 

 allowing the muscular tone of the vessels to regenerate 

 itself preparatory to prolonged exertion, the disease does 

 not occur. 



"We will go still farther and say the horse, instead 

 of being first exercised, is at once put to work and is 

 attacked by the disease, but the driver stops him as soon 

 as he sees the symptoms coming on. We all know that 

 this horse will not go down and will recover with no fur- 

 ther treatment than absolute rest. This, because it gives 

 the circulatory muscular apparatus an opportunity to 

 revive and fortify itself before the vessels are pumped so 

 full of blood that absolute, or practically absolute, stasis 

 occurs." 



The greater portion of this theory is amply substan- 

 tiated by the clinical manifestations of the disease. This 

 is more than can be said of any other theory applied to 

 it in the past. Parts of it could be a little finer drawn, 

 and still remain sound; on the whole, it meets with the 



