AZOTUBIA— PARALYTIC HEMOGLOBINURIA 203 



subcut.) or pilocarpin (grs. iij subcut.). Aloes and salts are 

 also employed. The urine should be drawn only if necessary, 

 best by pressing the bladder with the hand, or, in case this 

 does not sufi&ce, by the use of the catheter. The body should 

 be rubbed frequently. Hot applications over the loins and 

 croup are recommended. Blisters, however, are not indi- 

 cated. Bleeding is of no therapeutic value, but can do no 

 harm. The patient should be given plenty of water in which 

 sulphuric acid (3vj to a pailful) has been placed. The 

 decubitus should be fought off by frequently shifting, the 

 patient and by the use of astringent strew powders, such as 

 compound alum powder, liberally applied. Heart weakness 

 is combated by using excitants such as oil of camphor (gss 

 subcut.) or caffein (3j subcut.). Alcohol and black coffee 

 are also indicated. For threatening paralyses, which may 

 become sequels, use strychnin nitrate (gr. J subcut.). 



Digalen, a proprietary preparation of digitalis, has been 

 recommended. The dose is 15 c.c. twice daily. In some 

 cases a single dose sufficed. A subcutaneous injection of 

 morphin is recommended to be administered 20 minutes 

 before digalen is given. Pantopon, a preparation containing 

 the alkaloids of opium in soluble form, may be substituted 

 for the morphin. This treatment has not given very general 

 success although some practitioners still adhere to it. 



The food should consist of bran mashes, green food and 

 small quantities of hay. 



Prophylaxis. — Horses accustomed to regular work should 

 be exercised when off duty and the food reduced. 



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