1g2 VETERINARY SURGICAL THERAPEUTICS. 
must be well diluted. We prefer giving it in lavements, 100 to 150 
grammes a day and in solution of r in 50. The intravenous injections 
(Poitevin, Poret, Jacobin) must be considered as a last resource ; 
20 or 25 grammes of chloral are injected in the jugular, according to 
patients ; often a temporary relief is obtained; the injection is repeated 
when the contractions return. 
Let us present a curative treatment, according to the data already 
-established. 
Whatever may be the form of tetanus, one must, first of all, look for 
the wound, which has served as means of entrance to the bacilli. 
‘Cleanse it well with hot water, evacuate the recesses of the wound, 
disinfect it with care with strong antiseptic solutions (sublimate in acid 
solution, phenol, tincture of iodine or chloride of zinc), remove all 
foreign bodies, if there are any; in some cases enlarge the wound, 
excise the grangrenous or necrotic parts as as well the fungous granula- 
‘tions. After another antiseptic irrigation, the wound should be dusted 
with iodoform and covered with vaseline or wadding. If there are 
-several wounds all should be treated with the same care. Some fist- 
ulous or anfractuous wounds require the ablation of a wide and thick 
layer of tissues to remove the toxi-infectuous center. 
The antitetanic serum has‘not given the results that were first ex- 
pected. Excellent.to grant immunity, it is ordinarily powerless as soon 
as the poison has reached the nervous system. However, it may avert 
the increase of the manifestations by presenting new quantities of toxine 
reaching those centers. 
The wounded should be put in a place where the temperature will 
be moderate and regular, and protected from exciting causes, noise, or 
strong light; if possible, this place should be isolated, spacious, dark, 
with an abundant bedding of supple and short straw, to permit the 
motions of the animal without his legs being entangled, as they might 
be were the straw long. Cut straw may irritate by pricking the skin of 
the extremities. A box stall is always to be preferred, with the window 
covered with a thick blanket, to make it as dark as possible. To be 
-alone is sometimes a cause of uneasiness to horses; they get impatient 
“and restless. Instead of placing them alone, it is better to have them 
‘standing in their own stalls, giving them quiet neighbors. Contagion 
might not be impossible for these, if they had wounds on them on 
‘which tetanic pus should be accidentally deposited; but direct con- 
‘tagion is an exception, and can be prevented by simple means. 
The opening and closing of doors, surrounding noises, strong light, 
-or touching with the hand, may promote exacerbations ; frequent visits 
should be avoided ; changes, examinations, and explorations are useless ; 
no one except those who care for the patient should approach it. Rest, 
‘quiet, darkness, soothe muscular hyperexcitability ; the attacks occur 
