192 Influenza of Horses. 



of the lung tissue is progressing, the inhalation of finely- 

 atomized disinfecting fluids is advisable. For this purpose a 

 solution of corrosive sublimate is recommended (1 to 2000-4000). 

 If this treatment is applied sufficiently early the fetid odor 

 frequently disappears; extensive gangrene of the lungs how- 

 ever is not checked by this method of treatment, likewise has 

 it no influence on the development of a general infection as 

 the result of absorption of septic substances. 



Masson & Vazeux recommend for the treatment of pulmonary 

 gangrene, daily intratracheal injections of creosote (20 cc. of a solution 

 of 1 g. of creosote in each 40 g. of alcohol and water), while Gotti 

 recommends formalin (10-20 cc. of a 4% solution). 



The pleurisy should be treated in the beginning with cold 

 applications or cold douches; however after the subsidence of 

 the symptoms of irritation these should be changed to warm, 

 moist compresses. The accumulation of fluid pleural exudate 

 should be relieved by an early aspiration of the thoracic cavity. 

 Eepeated aspirations result sometimes, even in severe cases, 

 in recovery, but in such cases the chances are not very promis- 

 ing, as the pleurisy frequently develops in conjunction with 

 gangrenous processes of the lungs. The absorption of the 

 exudate may also be promoted with diuretics, such as potas- 

 sium acetate (100 to 180 g.), oil of turpentine (10 to 15 g.), 

 juniper berries (15 to 25 cc), etc., as well as by rubbing with 

 irritating liniments (6 to 10% mustard, or chloroform liniment 

 10 to 40), followed by the application of moist,* warm com- 

 presses. 



The aspiration of the fluid should be stopped as soon as the patient manifests 

 uneasiness, accelerated respiration, or coughing spells. The subsequent irrigation of 

 the pleural cavity with a physiological salt solution, or a mild disinfecting solution 

 does not appear to act favorably. Strictly aseptic technique is naturally the most 

 essential requirement for satisfactory results. Boueheriou, after aspiration, recom- 

 mends a subcutaneous, while Almy, an intravenous injection, of 2 to 3 liters of a 

 physiological salt solution. Fairise advises an intrapleural injection of 1.5 to 4 

 liters of a 1 to 1.5% gelatin solution in order to prevent a possible hemorrhage, 

 as well as the rapid re-accumulation of the exudate, the injections to be made 

 immediately after the aspiration of the fluid. 



In the presence of symptoms of a gastro-intestinal catarrh 

 laxative salts should be given daily to the patients, or Karlsbad 

 salts (40 to 60 g.), with bitter remedies (rheum, gentiana, oak- 

 bark, etc.). In consideration of the infectious character of 

 the catarrh, especially in the presence of fetid excrements, in- 

 testinal disinfectants are indicated, such as resorcin (10 to 

 15 g.), creolin or lysol (10 to 20 g.), creosote (5 to 10 g.), 

 naphthalin (10 to 15 g.), etc. If diarrhea exists astringents 

 (oak-bark, bismuth sub-nitrate, etc.), with opiates, as well as 

 enemas containing powdered starch are beneficial. If, however, 

 the diarrhea is profuse, which usually is an indication of a 

 general septic infection, the results from such treatment are 

 not favorable. 



