General Diseases. R19 
almost needless to remark that they are always a dangerous 
sign, being seldom limited to one attack. Sometimes 
they appear as the forerunner of distemper, but more fre- 
quently as an accompaniment, and when the patient is 
low and wasted. 
Immediately symptoms of cerebral disturbance are ob- 
served, a seton should be inserted in the occipital region, 
and action excited as quick as possible. Let the animal 
freely breathe fresh air, and administer brandy and water ; 
and if diarrhoea is still present, suspend the opium, but 
continue the antacids and astringents, and give the brandy 
with beaten egg or other mucilage. During the seizure, 
neat brandy may be rubbed on the gums, and ammonia 
applied to the nostrils. The food should be nutritious, 
and all other means adopted which are calculated to 
impart tone to the system. 
In protracted cases of distemper, when the system, as 
it were, has been taxed to the utmost, and the patient 
reduced almost to the lowest ebb of existence, a cuticular 
eruption makes its appearance. This generally, in the 
first instance, assumes a pustular form, and these pustules 
in the course of a few days break, and leave by their 
exudation a crust or scab. Either the whole or a portion 
of the body only may be involved. I have seen a dog 
literally naked, with the exception of the head, ears, and 
feet. 
This condition is not unfrequently mistaken by the 
would-be “knowing ones” for mange, and treated as 
such.* 
* I well remember a case in point which came under my own 
observation—the subject being a Skye terrier. The case, when first 
brought to me, was one of distemper, associated with pneumonia (the 
animal being thought consumptive); later on dysentery set in- 
Several times the animal was on the verge of death, and it was only 
by my persuasion that he was allowed to continue under treatment- 
Ultimately he took a turn for the better, and almost simultaneously 
the eruption described broke out; the stench emitted after it made 
