Lymphorrhcea. Lymphorrhagia . 399 



Treatment. Compression, by flannel or elastic bandage, from 

 the foot upward, is the simplest and most promising treatment 

 when the limb is affected. The local application of cold, astrin- 

 gents or iodine may be added. Punctures, ligatures, and cauter- 

 ization have not given encouraging results. lyigature of the nu- 

 trient artery of the part, has succeeded in one or two cases, but 

 has failed in others. Tonics are to be tried more particularly in 

 cases due to specific debilitating diseases. Sometimes a sponta- 

 neous recovery has been noticfed when the surrounding connective 

 tissue has increased and contracted in connection with inflamma- 

 tion. 



LYMPHORRHCEA.. LYMPHORRHAGIA. DISCHARGE 

 OF LYMPH THROUGH WOUNDS OR SORES. 



Result of rapture of lymphatics. Milky, fatty lympli. Treatment, liga- 

 ture, excision, cauterization, of little avail. Compression. Tonics. 



Obstruction of a lymph duct may lead to rupture and the dis- 

 charge of its fluid on the surface or into an internal cavity. Dr. 

 Cayley records a case of fatal peritonitis in man from rupture of 

 the receptaculum chyli, and the formation of lymph fistulae has 

 been attributed to filaria sanguinis hominis. We are aware of no 

 corresponding case in connection with the blood parasites of the 

 horse or dog. In the larger domestic animals the great thickness 

 and resistance of the skin offers a barrier to the rupture of sub- 

 cutaneous lymph vessels, but this no longer applies in case of a 

 suppurating or ulcerous wound. The escaping lymph has often 

 a milky hue from the admixture of fat, just as its escape in the 

 kidneys causes chyluria, and in the bowel fatty stools. The 

 escape is often very profuse and persistent, and results in marked 

 debility. Ligature and excision of the fistulous vessel, also 

 caustics— actual and potential, have been tried with rather poor 

 success. Eitzer succeeded in an obstinate case by the extensive 

 application of nitrate of silver and others by simple compression. 

 As the victims are usually debilitated a course of tonics is 

 usually desirable. 



