DISEASES IMMEDIATELY CONNECTED WITH PARTURITION. 169 



ly cleansed by injections of warm water, and the wounds 

 dressed with carbolic acid and oliveroil (i to 10,). applied by 

 means of a brush or feather ; or salicylic acid i part, spirits 

 of wine 20 parts, warm water 24 parts. 



" After the interior of the uterus has been cleansed by in- 

 jections of warm water, an injection of carbolic acid solution 

 (1 to 20-50) should be made every clay, and the wounds, if 

 accessible, must be dressed at the same time. 



" Permanganate of potash (i to 50 of water) may be em- 

 ployed to inject into the genital canal, when the disease is 

 less acute. 



" With regard to constitutional treatment, this must be 

 directed towards neutralizing the eiifects of the septic matter 

 by the exhibition of antiseptic remedies, and reducing the 

 high temperature ; as a long continuation of this leads to 

 rapid consumption of the tissues, and is fraught with danger 

 to the system. 



" There is no specific remedy with which to neutralize the 

 action of the septic matters in the blood and tissues. The 

 sulphites of soda and potash have been recommended, as well 

 as sulphurous acid. These appear to have acted favorably 

 in some cases. Carbonate of soda and permanganate of 

 potash have also been well spoken of, as well as large doses 

 of quinine. Carbolic and salicylic acids are now most in re- 

 pute, and are given in small but frequent doses. 



" If there is a tendency to constipation, a purgative may be 

 administered ; indeed, unless special circumstances forbid it, 

 a purgative may prove most serviceable in assisting in the 

 removal of the septic matter through the intestinal canal. 

 Dogs which have been poisoned by this matter often recover 

 after profuse and foetid diarrhoea ; and a purgative generally 

 reduces the temperature. 



" In acute cases, in order to obtain the more prompt action 

 of antiseptics, it had been proposed to introduce them directly 

 into the circulation by intravenous injection. Solutions of 

 carbolic acid and iodine have been employed successfully ; 



