Treatment. 1103 



At the point of injection painful swellings occur and sometimes 

 necrosis of the skin (Frohner, Author's case). Caffeine also 

 has an excellent effect (caffeine sodium-benzoate or sodium- 

 salicylate 6-8.0 gm. for large animals ; 0.5-1.0 for small animals 

 subcutaneously ) . 



In pulmonary stasis, and also in general, moderate vene- 

 section may prove advantageous. 



In case of distressing palpitation cold compresses upon the 

 region of the heart will be found beneficial, also subcutaneous 

 injections of morphine (0.20-0.50 gm. or 0.01-0.03 gm.). Lienaux 

 treats the annoying cough of coexisting bronchial catarrh suc- 

 cessfully with apomorphine (0.005-0.05 for large, 0.003-0.005 

 gm. for smaller dogs, subcutaneously) . 



In edema of the subcutaneous connective tissue calomel may 

 be tried, since in human medicine a remarkable increase in urine 

 and a rapid diminution of the edemas has repeatedly been 

 observed after its administration (for dogs 0.05-0.10 gm. 3-4 

 times daily alone or with an equal amount of jalap. The other 

 diuretic remedies (acetate of potassium, squills, etc.) may also 

 be employed and at the same time the daily amount of drinking 

 water must be reduced. Very effective is further agurjn (for 

 dogs daily 1-3 gm. dissolved in water), theocin (in like doses), 

 theophyllin (in like doses). Together with the diminution of 

 the subcutaneous edemas the transudations in the body cavities 

 frequently also become less, and these may, moreover, be 

 removed-temporarily by repeated punction. If this is, however, 

 followed immediately by a reaccumulation of serum, it should 

 not be repeated. 



Finally an existing anemia is treated by the systematic 

 administration of iron and by appropriate feeding. 



Literature. Balint, Kozl., 1897. II. 239. — Brunninger, A. f. Tk., 1895. 

 XXI. 39 (Lit. on supposed heart lesions). — Cadiot, Bee, 1892. 568. — Coppel, 

 Ghron. Klappenerkrank. beim Himde, Diss. Leipzig, 1909 (Lit.), -r- Fiebiger, 

 Z. f. Tm., 1902. VI. 54. — Hartl, Z. f. Tm., 1902. VI. 450 — Huynen, Ann., 1908. 

 391. — Koranyi, Orv. H., 1906. 1019. — Kunz-Krause & Eoder, Monh., 1906. XVII. 

 344. _ Lienaux, Ann., 1906. 325. — Lustig, Hann. Jhb., 1884-85. 53. — Malkmus, 

 D. t. W., 1902. 389. — Marek, Z. f. Tm., 1906. X. 448. — Martins, Erg. d. Path., 

 1894. I. 2. Abt. 38. — Oppermann, D. t. W., 1905. 307. — Preisz, D. Z. f. Tm., 

 1898. XXIV. 169. (Lit.). — Regenbogen, Monh., 1904. XV. 418. — Salvisberg, 

 Uber die Wirkung d. Digitalis usw.. Diss. Bern., 1907. — Schiitz, A. f. Tk., 1882, 

 VJII. 189. — Sonnenberg, B. t. W., 1908. 213. — Trasbot, A. d'Alf., 1878. 210. — 

 Wilhelm, S. B., 1881. 77. — Zschokke, Schw. A., 1907. XLIX. 322. 



