100 VETERINARY SURGICAL THERAPEUTICS, 
ery takes place in a few days, and if an abscess is formed, it always has 
small dimensions. In cases of lymphangitis of the extremities, so com- 
mon among horses where there are wounds of the digital region, this 
treatment renders the greatest service. During the intervals between 
the baths, the diseased part must be covered with antiseptic compresses, 
There are specific inflammations which require a very rapid interfer- 
ence and more energetic means, such as the carbuncular and septicemic 
phlegmasiz, when they are situated superficially and detected early. 
With them, one must resort to the destruction of the inflamed parts, or 
make in them deep scarifications or punctures with the hot cautery, and 
introduce deeply into the tissues bactericide solutions. (See Anthrax 
and Septicemia.) 
In inflammation of the subcutaneous tissues—connective layers, mus- 
cles, tendons, articulations and periarticular structures—when the pain 
is very slight or has been subdued, compression and massage constitute 
an excellent treatment, of which we shall speak later. According to 
the place of the diseased region and the degree of intensity of the in- 
flammatory phenomena, compression should be made with a wadded 
dressing or by the application of bands of flannel or linen, or of the 
elastic bandage. When it is likely to be a little severe, as the case may 
be with the elastic band, it must be used only at intervals, now and then, 
as otherwise cutaneous necrosis by ischemia might take place. Before 
applying a compressive bandage, it is advantageous to submit the en- 
gorged part to methodical massage. The technique of massage is simple: 
The region is covered with vaseline, and rubbing or pressing is made 
upon it with the full hand, or the palmar surface of the thumbs. Z%ese 
pressures, or “ passes” must always be “ centripetal,” made in the direc- 
tion of the venous and lymphatic canals. In some regions, the extremi- 
ties especially, it is necessary, in order not to be hindered by the hair, 
to cover the skin with a smooth tissue or a band of parchment. Mas- 
sage for five or ten minutes is sufficient. Light pressures are made 
first to numb the swollen part, and are gradually increased in force. 
These manipulations help the resolution by a mechanism easily under- 
stood: the clots of blood of the connective lamella are crushed, the 
-exudations spread and are distributed into a wider cellular territory ; 
the resorption of the sero-sanguineous infiltrations is made active, since 
it takes place through more numerous channels. 
Chronic inflammations are also treated by compression, massage and 
alterative applications, exutories or cauterization. The last is the best 
means for obtaining the destruction of indurations following old phleg- 
masia. 
Some chronic inflammations are brought on and kept up by special 
parasites. To this group belong actinomycosis and botryomycosis. Up 
‘to late years extirpation was the only treatment of the new formation 
