384 Strangles. 



purpose a tube perforated in several plq,ces at the end, with the aid of which 

 the affected nasal and pharyngeal mucous membrane is irrigated, while Payrou 

 injects the pharynx with a thin urinary catheter 40-42 cm. in length. He injects 

 10-15 g. of a fluid consisting of Guaiacol, Acid, carbol. cryst. aa 15.0, Menthol 40.0, 

 01. oliv. 100.0. Bringard uses a stiff sound 40 cm. in length, to the end of which 

 is tied a wad of cotton dipped in eucalyptus vaseline (1:15), with which the soft 

 palate and the pharyngeal walls are swabbed. This treatment is supposed to shorten 

 the duration of the disease considerably (in 40 horses treated in this manner the 

 time was reduced from 1112 days to 470 days). None of these methods are with- 

 out danger in lively animals, and especially if difficulty in swallowing exists. 



Poschl recommends to open the submaxillary swelling before the appearance 

 of suppuration. According to his observations recovery is more rapid after such a 

 procedure and takes place without abscess formation, and without much destruc- 

 tion of tissues. Szijllos also obtained favorable results in many cases by this treat- 

 ment, but nevertheless abscesses not infrequently developed in distant lymph glands, 

 especially in older horses. 



If the difficulty of respiration has reached a high degree 

 because of much swelling in the throat region, and the threaten- 

 ing danger of asphyxiation cannot be eliminated by artificial 

 evacuation of pus, tracheotomy should be performed, in which 

 case the tube should be allowed to remain in the wound until the 

 conclusion of the suppurating process, or until the complete dis- 

 appearance of the threatening symptoms. 



The affection of the guttural pouches also demands surgical 

 treatment in order to remove the pus which has accumulated 

 therein; further abscesses formed in the superficial lymph 

 glands or in other parts, as well as the lymphangioitis and 

 phlegmons which become sometimes associated, also require 

 surgical interference. 



Internal treatment is only indicated in the presence of ' 

 digestive disturbances. If constipation exists it is advisable to 

 mix tablespoonful doses of artificial Carlsbad salt with the food. 

 Beside the administration of antimony preparations, and of 

 mucilaginous substances which are still given extensively, sali- 

 cylic acid and sodium salicylate (8-10 g. per day) may be given 

 advantageously ( Hardon ) . 



Inhalations of steam vapors may be used as a remedy for 

 the catarrh of the nose, throat and the upper air passages; it 

 being advisable to add to the boiling water salt, carbolic acid, 

 or oil of turpentine. In such cases intralaryngeal or intra- 

 tracheal injections of mild solutions of astringents (subnitrate 

 of bismuth 5%, alum, iron sulphate or tannin 1-2%, Lugol's 

 solution 1:5:100), or according to Levis' suggestion antipyrin 

 (2-4.0 g.) may also be used. 



The fever requires special treatment only when it exceeds 

 41 degrees, and then the usual antipyretics, in doses adapted 

 to the age of the patients, are indicated. In the presence of 

 a weak heart cardiac stimulants should be administered (for 

 instance caffein 5-6 g.). 



Metastases in the internal organs are excluded from direct 

 treatment; in such cases and also when symptoms of severe 

 general infection are present only stimulating treatment comes 

 into consideration. 



