INTESTINAL TYMPANY 179 



zymotic, in order to prevent further fermentation. If 

 the colon followed immediately upon the stomach, the 

 treatment already recommended for gastric tympany 

 would do equally well here. It must be remembered, 

 however, that all remedies administered pey oreiii will 

 first have to pass through the small intestines before they 

 can reach the seat of mischief, and that the presence of 

 large quantities of food in the stomach and fore part of 

 the intestines will proportionately nullify their action. 

 It follows from this that administration of the anti- 

 zymotics by the mouth is not the readiest route, and 

 that their direct injection into that part of the intestine 

 visibly affected would be far more likely to be followed 

 by good results. 



This is the method of operating : The bowel is first 

 punctured, in the region of the flank, with an ordinary 

 trocar and cannula. After the escape of the gases, the 

 antizymotic determined on is injected, by means of 

 Toope's injection cannula, directly into the intestine. 

 This generally proves effectual in staying the re-forming 

 of gas, and the further treatment of the case will run on 

 ordinary lines. 



Useful antizymotics for this purpose are carbolic acid, 

 Jeyes' fluid, boracic acid, hyposulphite of soda, turpen- 

 tine, lysol, etc. 



Probably the most simple and effective of these is 

 carbolic acid, and it may safely be injected in i to 6 

 or 8 drachm doses, when freely diluted with water. 

 Four drachms to the pint will be found a serviceable 

 solution. When used in stronger solutions, or injected 

 cold, it is likely to set up a somewhat alarming attack of 

 shivering. Even this, however, appears to quickly pass 

 off, and leaves no after ill-effects. In addition to its 

 property of staying fermentation, the carbolic acid acts 



