230 DISEASES OP CATTLE. 



(4) Sterilize this entire apparatus by boiling for thirty minutes, and, 

 without touching the milking tube, wrap it in a towel that has been, 

 sterilized in a water bath or in live steam and dried. 



(5) Avoid drawing any milk from the teats; wash them and the 

 udder thoroughly with warm soapsuds; rinse off with well-boiled and 

 cooled water, and apply to the teats, and especially to their tips, a 5 

 per cent solution of creolin or lysol, taking care that the teats are not 

 allowed to touch any other body from the time they are cleansed until 

 the teat tube is inserted. It is well to rest the cleansed and disin- 

 fected udder on a sterilized pad of cotton or a boiled towel. 



(6) The injecting apparatus is unwrapped, the teat tube, seized by its 

 attached end and kept from contact with any other body, is inserted 

 into the teat, while an assistant working the rubber pump fills the 

 quarter as full as it will hold. The tube is now withdrawn and a 

 broad tape is tied around the free end of the teat to prevent escape of 

 the air. 



(7) The teat tube, which has been carefully preserved from possible 

 contact with other bodies, is dipped in the creolin solution and inserted 

 in a second teat, and the second quarter is inflated, and so with the 

 third and fourth. 



(8) The recumbent cow is kept resting on her breast bone, with the 

 head elevated, even if it should be necessary to pack her around with 

 straw bundles or to suspend the head by a halter. Lying on her side, 

 she is liable to develop fatal bloating and to have belching of gas 

 and liquids, which, passing down the windpipe, cause fatal broncho- 

 pneumonia. 



(9) If in two hours the cow has not got on her feet, if there is no 

 brighter or more intelligent expression, if she has passed no manure 

 or urine, and if the air has become absorbed, leaving the udder less 

 tense, the injection of the bag may be repeated, iinder the same scru- 

 pulous and rigid precautions as at first. In all cases, but especially 

 in severe ones, it is well to keep watch of the patient, and repeat the 

 distention on the first indication of relapse. Should there not be a 

 free discharge of feces and urine after rising, indicating a natural 

 resumption of the nervous functions, the case should be all the more 

 carefully watched, so that the treatment may be repeated if necessary. 



Accessory treatment may still be employed, but is rarely necessary. 

 A dose of purgative medicine (1| pounds Epsom salts) in warm water 

 may be given in the early stages, while as yet there is no danger of its 

 passing into the lungs through paralysis of the throat. Eserin or 

 pilocarpin (1| grains) may be given under the skin to stimulate the 

 movements of the bowels. Sponging of the skin, and especially of 

 the udder, with cool water may be resorted to in hot weather. 



Bloating may demand puncture of the paunch, in the left flank, 

 with a cannla and trocar, the evacuation of the gas, and the intro- 

 duction through the tube of a tablespoonful of strong liquid ammonia 

 in a quart of cold water or other antiferment. 



