374 VETERINARY SURGICAL THERAPEUTICS. 
Antiseptic cleanings insure the cicatrization: it is rare for lymphorrhagy 
to last; when it occurs on the extremities, it is always the most dependent 
abscess which becomes fistulous. Diffuse suppuration and undermining: 
demand counter-openings and ‘drains. It is specially with deep lymphan- 
gitis that sub-aponeurotic purulent collections and extensive gatherings 
are to be looked for. Puncture of the fluctuating points is not always. 
sufficient ; the swelling must be carefully watched; if the presence of a. 
purulent infiltration is suspected, explorating punctures must be made. 
Septic or gangrenous forms of lymphangitis are rare. However, they 
have been observed for many years (Vateland Crepin). A first important 
indication consists in making, in the swelling, punctures with the red iron... 
Frequently repeated antiseptic baths or sprays are to follow. In serious. 
cases (diffused suppuration, septic complications, gangrene) tonics, alcohol,. 
and antiseptics should be given internally. 
Chronic lymphangitis develops in two ways: at times it appears at the- 
onset and by degrees reaches its definite characters; or again, it follows. 
the acute form. In this last case, the swelling of the upper part of the 
leg subsides, it remains ‘more or less marked at the coronet, fetlock or 
cannon, and there the induration gradually organizes itself. The oedema 
spreads in the cellular tissue, irritates it, and also the deep surface of the: 
skin, the exuded fluid becomes fribrinous, the subcutaneous tissues. 
become indurated, the skin is thickened and sclerotic. 
Against these cold swellings of the lower regions of the extremities,. 
therapeutics is rather poor. Blistering has given some success to Leblanc. 
and Mottet, but fails in most cases. The same can be said of the various. 
liniments and tonics recommended. According to Siegmund and Zundel, 
laurel and camphorated ointments, mixed with extract of belladonna, con- 
stitute a true specific to remove the cedematous swelling—an opinion which. 
has not been approved by experimentation. Cauterization has been. 
frequently used; if it has seemed successful with Lardit, Leblanc and. 
many others have seen it fail in their hands. Many cases might be men-. - 
tioned where firing and blistering have aggravated the swelling. Seton at 
the thigh, on the gluteal region, and scarifications have had and have yet. 
many advocates.’ , 
Is it proper to follow an internal treatment? Jacob, already in 1855, 
advised iodine or iodide of potassium, after having obtained some results. 
from them. Here, as in numerous affections with sclerotic tendency, 
iodide may be useful, specially in recent cases. Yet its action must not be- 
too much depended upon. 
Sometimes chronic lymphangitis resists all treatments ; the coronet, fet-: 
Tesults were obtained. At the post-mortem a large abscess was found in the thick-- 
ness of the ischio tibial muscles.—A merican Veterinary Review, vol. 18, page 290. 
