Dietetic and Constitutional Diseases. 69 



is shown by the tMrd or fourth day the disease ■will usually 

 last over twelve or fourteen days, and the resulting sores 

 even for months. 



Prevention. Keep in strong, vigorous health, and avoid 

 the various causes (exposure, etc.,) known to precipitate 

 the malady. Drainage of damp localities is not without 

 its influence. Lastly, avoid weakening treatment in dis- 

 eases of the respiratory organs, especially such as are at- 

 tended with a low type of fever like influenza, and, above 

 all, avoid exercising such animals to fatigue, or exposing 

 to inclement weather. 



Treatment. Give a mild laxative (olive oil, linseed oil, 

 aloes,) and follow up by diuretics (sweet spirits of nitre, oU 

 of turpentine, buchu, nitrate of potassa,) carefully gradua- 

 ted in amount to the strength of the patient, and use 

 freely agents calculated to increase the viscidity of the 

 blood (tincture of muriate of iron 1 dr., chlorate of potassa 

 2 to 4 dr., bichromate of potassa J grain,) with bitter 

 tonics (quiaia, cascarilla, camomile,) and, if necessary to 

 moderate suffering, anodynes (belladonna) or iu very pros- 

 trate conditions stimulants (alcohohc Hquors, oil of tur- 

 pentine). Locally, the swellings should be often bathed 

 with tepid lotions of tincture of muriate of iron, carbohc 

 acid, or chloride of zinc diluted so as to be non-irritating. 

 Astringent solutions should be assiduously employed 

 about the head, and, if suffocation is threatened, tubes of 

 gutta-percha may be inserted in the nostrils to keep them 

 open. Tracheotomy is to be avoided if possible, together 

 with scarifying of the swellings, because of the risk of un- 

 healthy sores resulting. 



Modified Forms. The mild forms of this affection have 

 been described as scarlatina, the distinction being based 

 on the punctiforn Tiature of the blood-staining, the sever- 

 ity of the sore-throat and the more moderate exudation. 

 But there is no contagion nor, indeed, anything that seems 

 to warrant the distinction claimed. This form may be es- 

 pecially benefited by poultices and counter-irritants to the 



