118 PRIVATE PRESCRIPTIONS 
HOW TO KNOW IT. 
The legs, belly and sheath swell and there is indiffer- 
ence to food, weakness and emaciation, with langour and 
palor of the mucous membranes 
WHAT TO DO. 
Get at the cause and remove it Tonics which affect 
the kidneys directly are indicated. 
Rupture. 
We have different kinds of rupture depending upon the 
place in which the breaking away of the parts which con- 
tains the bowels takes place. 
Cause—Umbilical rupture is from a natural defect, while 
all the rest are from blows, kicks, strains, etc. 
HOW TO KNOw IT. 
We find a soft puffy enlargement on a surface which 
should be smooth, and it can be readily pushed back, but 
will remain only so long as pressure is maintained. In 
the scrotum we find scrotal rupture. Inguinal rupture is 
found in the groin or flanks andso on. Rupture is in 
some cases attended by serious results in the way of gut 
strangulation, inflammation of the bowels, mortification 
and death. 
WHAT TO DO. 
Push gut back and make an incision; sew up opening in 
abdominal walls with cat gut sutures, and treat your 
opening through skin and tissues in same manner using 
silk sutures When operation is complete inject hypoder- 
mically in two or three places around incision and about 
an inch from it a strong solution of common salt. ‘This is 
done in order that swelling sufficient may be produced to. 
aid in supporting intestines until the walls of the abdomen 
begin to heal. 
