TETANUS 177 



not named and including the Passiflora treatment rec- 

 ommended by the author since 1905, are truly nothing but 

 symptomatic treatments. In all truth and candor, from 

 the clinical standpoint (which is always and only the 

 viewpoint of the practitioner), we must confess that what- 

 ever we have of value in the treatment of tetanus is dis- 

 tinctly of a symptomatic nature. We try our best to 

 control the disease and its symptoms; but we are not 

 remarkably successful even in this. 



I will briefly discuss the most usual forms of treatment 

 in vogue for this disease at the present time. 



Phenol treatment. Commonly termed the carbolic acid 

 treatment. This form of treatment has survived longer 

 than any of the other forms. It consists of the hypoder- 

 mic injection of from two to five per cent solutions of 

 carbolic acid in water. Sometimes a little glycerin is 

 added. From thirty to sixty mil. are injected once a day, 

 or every other day. Some veterinarians inject it at inter- 

 vals of three days. Many cases recover with the use of 

 this treatment, but so do they with the use of other treat- 

 ments. The most noteworthy disadvantage in connection 

 with this method is the formation of abscesses at many 

 points of injection. The most noteworthy feature of an 

 advantageous nature is its low cost and the ease of 

 application. 



Magnesium sulphate treatment. This treatment is 

 quite as ancient as the carbolic acid method, but it has 

 recently been again brought out as a new treatment. 

 Various amounts of a solution of magnesium sulphate are 

 given by hypodermoclysis. No standard strength or 

 quantity of solution has ever been established for veter- 

 inary use. In my opinion this treatment has less ground 

 for existence than any of the others. 



Ldbelin sulpjiate treatmsnt. The use of lobelin sul- 

 phate in the treatment of tetanus is quite recent in origin. 



