372 VETERINARY SURGICAL THERAPEUTICS. 
disease and its liability to a relapse justify a conclusion of rheumatism. 
The pain may involve several muscles; there are rarely subcutaneous 
cedemas; most often rheumatismal manifestations are not accompanied 
with local tumefaction, and it is seldom that the disease brings on atrophy. 
In general, pain subsides after a while when the animal is exercised ; they 
stop after sudation. Sternomastoid myositis, which brings on the paresis 
or pseudo-paralysis of the shoulder, is rheumatismal in nature (Moller). 
Sometimes the mastoido-humeral is contracted, well defined and promi- 
nent, and the neck is incurvated (Bassi, Moller). Pulling on the leg and 
on the shoulder backwards produces pain more or less marked. 
The course of this disease is acute, subacute or chronic. The acute 
form may disappear rapidly ; quite often the affection remains in a group 
of muscles, becoming chronic. 
The treatment must be both local and general. Whatever opinion one 
may have of the nature of rheumatism, it must be acknowledged that damp 
cold has a great influence upon its manifestation ; therefore patients must 
not be exposed to it. The horse should be protected by blankets, the 
dog kept in a dry kennel; cold baths should be avoided. A cooling diet 
is prescribed: milk for old eczematous dogs. Upon the diseased muscles, 
dry frictions or those of camphorated alcohol should be made, with 
turpentine or ammonia. The former when pure, and the ammonia lini- 
ment, are peculiarly efficacious in the case of cattle. Warm washings 
and laudanum poultices may do good. If the affection has a tendency 
to become chronic, liniments, blisters and cauterization are useful. Setons 
are advocated by some. Later, muscular atrophy should be treated by 
continued massage and injections of alcoholic solutions of veratrin (.05 
gram to .1o gram of veratrin, alcohol 1 to 2 grams). Walking exer- 
cise should be given during the excitement produced by these in- 
jections. 
The internal treatment is less active. Old authors advise the use of 
emetics, the efficacy of which has not been proved. In later years 
salicylate of soda has been used and abused ; 100 to 200 grams have been 
given to horses, two to eight to dogs. This salt has a remarkable effect 
in articular rheumatism, but it is now well known that it is less efficacious 
in muscular myositis. Sulphate of quinine, notwithstanding the happy re- 
sults claimed by Caroni, is not more active. Friedberger and Fréhner 
have obtained good results with salol (15 to 25 grams for horses, .25 gram 
to 1 gram for dogs). For this animal antipyrine (.50 gram to 1 gram per 
day) is advisable). Some practitioners use the tincture of colchicum 
(ten to fifteen drops). Pilocarpine in subcutaneous injections, spoken 
of by Hiibner, has given no success to Siedamgrotzky or to others who 
have tried it, 
