573 EPITOME OF MODERN TREATMENT 



also puncture with trocar between last rib and angle of ilium on right, or 

 left side (when most distension here), if tympanites is increasing. In colic 

 from overloading the stomach, use the stomach tube ; also arecoline or eserine. 

 With impaction of small intestines or colon, alternate linseed oil and Glau- 

 ber's salts and give strychnine with atropine on tongue thrice daily; empty 

 rectum by hand and use enemata as above; try arecoline, and copious 

 drenches flaxseed tea. Colic due to enteroliths and volvulus cured by sur- 

 gery. In twist of colon eserine or arecoline often relieves. Colic from in- 

 vagination may be treated by elevation of hind quarters, enemata in enor- 

 mous quantity, or laparotomy. Physostigmine may relieve but purgatives 

 generally aggravate intussusception. Colic from new growth or stricture of 

 gut can be alleviated by manual removal of feces twice daily and by enemata. 

 Worm colic is cured by remedies found under Worms. Recurrent colic of 

 influenza is treated with salicylates thrice daily and a physic ball (aloes 3iv 

 with gr.xx of calomel), and pain is relieved as in mild spasmodic colic. 



Coma. 



Apply ice to head; use cold douche or alternate hot and cold douches; 

 mustard paste and bandaging to legs ; venesection, purgatives, aloes, eserine, 

 arecoline, or barium chloride, croton oil, stimulants, if collapsed — ether or am- 

 monia, or strychnine. In diabetic coma, sodium bicarbonate, see Diabetes 

 Mellitus. 



Congestion of Lungs. See Pulmonary Congestion. 



Conjunctivitis. 



In mild form, drop in eye boric acid (2 per cent.) solution, or zinc sul- 

 phate solution (gr.i to gi) ; also alum or cupric sulphate, or silver nitrate 

 may be used. In muco-purulent and purulent forms, wash frequently in 

 boric acid solution (2 per cent.), and drop in the eye argyrol, in 10 per cent, 

 solution thrice daily after boric acid irrigation; in addition, shade both eyes 

 and make constant applications of ice water in severe cases. In purulent 

 •cases, silver nitrate solution (gr.x to gi) may be painted on everted lid (in- 

 stead of argyrol) once daily, in addition to frequent boric acid irrigations. 

 Other remedies include: cocaine, protargol, mercuric oxides, citrine ointment, 

 creolin, lysol, corrosive sublimate, scarification. Apply hydrargyri oxidum 

 flavum in vaseline (gr.i to 3i) at night to lids, to prevent them from adhering. 



Constipation. 



Diet, exercise. 



Dogs. — Two or three compound cathartic pills or castor oil. Injections of 

 §ii sweet oil followed by warm water, combined with massage of belly and 

 removal of feces by finger or blunt curette or obstetric forceps from rectum, 

 in obstinate constipation. Until constipation relieved, give nothing but broth 

 and lean cooked meat with salt. In chronic constipation give some cooked 

 liver and dog biscuit, with mixed diet, and Sharp and Dohme's aromatic 

 fluidextract cascara sagrada, 3ss, once or more daily, or liquid petrolatum, 

 pill laxative compound, or phenolphthalein ; calomel occasionally. 



Horses: — Aloes, linseed oil, calomel, Epsom salt, arecoline, eserine, barium 

 chloride, enemata. 



Cattle: — Epsom salt, calomel, linseed oil, croton oil, gamboge. 



Foals and Calves: — Carron oil, Gregory's powder. 



Puppies: — Suppositories, soap or glycerine; small doses of castor oil 

 (3i-iv), liquid petrolatum, phenolphthalein, or calomel (gr.i). 



Birds: — Fowl, calomel, gr.i on food; castor oil, 3i; cold enemata, tincture 

 rhei, rhubarb (gr.iii-vii), or senna (gr.xv-xx), in pill. Small birds, empty 

 rectum with bulb-tipped probe and oil. Give artificial Carlsbad salts in 

 drinking water (gr.iiss to gi). 



Other agents include the following: Buckthorn, jalap, colocynth, elaterin, 

 podophyllin, arecoline, ox gall, pilocarpine, veratrine, strychnine, glycerin, 

 belladonna, hyoscyamus, sulphur, myrrh, asafetida. 



Convalescence. 



Diet, fresh air, exercise; hydrochloric acid, pepsin, bitters, strychnine, gen- 

 tian, quinine, ^^^^^%f^ffi^^^^)^^^^^l°M°^ "^" ""• 



