338 VETERINARY 5URGICAL THERAPEUTICS. 
The disease once established has no tendency towards resolution: all 
means used against it fail. It is said to be the more serious and obstinate 
the more rapidly it develops. Whatever its mode of development, we have 
almost always found it equally tenacious. 
Ointments made of lard, which irritate the skin and promote the drop- 
ping of the hair, should be avoided. Alteratives, blisters, actual cauteriza- 
tion, not only are of no benefit, but their action is most often injurious; in 
the few cases where we have tried them they have invariably produced an 
increased activity of the hypertrophy. Scarifications are followed by the 
escape of a little quantity of fluid; the sc/evoszs is greater than the cedema. 
Disinfection of the skin and keeping it in perfect cleanliness, slight mas- 
sage and compression constitute the whole treatment. Abuse of baths 
and douches is injurious. Compression is made with flannel bandages or 
elastic rollers: it should be intermittent and tightened to a moderate de- 
gree; if it is too loose it will produce no effect; too tight, it may bring 
on cutaneous gangrene. With some patients, the latter can be produced 
very readily ; we have several times seen sloughs made by a rubber band 
moderately tightened. To resume, one should advise moderate work, 
medium massage and the application, for the night, of a rubber bandage: 
rolled from below upwards round the leg and wrapped in a pad of oakum 
to regulate the pressure: the leg should be kept strictly clean, frequently 
washed with tepid water and dried. Zzgh¢t elastic pressure should ‘not 
continue more than ten or twelve hours. 
Lymphangitic manifestations and abscesses that sometimes occur, de- 
mand other means of treatment. (See Diseases of the Lymphatics and 
Abscesses.) 
Under the name of elephantiasis has been described an affection of 
cattle very different from that of the same name in the horse. It begins 
with dulness, inappetency, febrile symptoms; the skin becomes tumefied 
on the dewlap, under the abdomen and on the legs, then the knee and 
hock. The nose, ears and eyelids are soon cedematous; ulcerations ap- 
pear sometimes in the mouth and in the nose, accompanied with a flow 
of thick and fetid saliva or a more or less abundant nasal discharge. 
Soon fissures appear on the diseased parts, the skin dries up, the hair falls 
off. Some animals die; but generally the wounds heal and the animal 
recovers, but remains thin. The thickened skin is covered with fur- 
furaceous scales ; in some cases the hair does not grow any more. Zundel 
considers this as a special form of contagious catarrh. For Cadéac, it is a 
variety of anasarca. 
Cruzel has fora long time tried numerous pharmaceutical products. 
Arterial bleeding, however, nitrated drinks, but especially frictions with 
spirits of turpentine, repeated several times a day on all tumefied parts of 
