PROGRESS OF VETERINARY SCIENCE AND ART. 457 
has published his essay, with a long list of complete histories 
of cases. 
First. The blistering ointment, so useful in thrombus, is of 
no great utility in well-established phlebitis. Rey recom- 
mends it for the reduction of the swelling and engorgement. 
Secondly. Ligature has been recommended and adopted, 
but it is only available in extreme cases, and its abuse should 
be guarded against. On a healthy horse it is unattended 
with danger. In phlebitis, complications render it sometimes 
prejudicial, but, if the inflamed vein were extirpated, success 
would more frequently attend such efforts. It is especially 
dangerous to tie the vein where it is diseased. Before extir- 
pating the jugular, M. Rey has tied the facial vein with suc- 
cess. The happy result of a case operated upon by M. Leblanc 
is attributed by Rey to the recent nature of the injury and 
probable non-existence of ulceration. The numerous acci- 
dents after ligature are attributable to the diseased vein being 
left in contact with vital textures, its presence having excited 
violent inflammatory action and general infection. 
Thirdly. Cauterization is sometimes followed by death, and 
other complications, that have led M. Rey to abandon its use. 
Fourthly. Laying open the fistula and diseased vein ; 
clearing out the clots, except the plug at the upper part, 
which prevents hemorrhage. Leblanc recommends it. Cases 
of death follow this procedure, and principally from the vein 
lying buried amidst sound tissues. M. Rey has used the 
actual cautery to the exposed portions of the former, which 
portions were, consequently, eliminated. Hemorrhages, py- 
aemia, &c., have led M. Rey and others to discard this method 
of treatment, if such it may be called. 
Fifthly. The extirpation of the jugular vein — an operation 
which has been long known and loudly condemned — is spoken 
of in terms of the highest praise by M. Rey, as he declares it 
invariably successful in effecting a cure of the worst cases in 
from a fortnight to three weeks. It has been classed amongst 
the surgical monstrosities of the ancients. Solleysel passes 
over it in silence ; Hurtrel D’Arboval condemns it, not, how- 
ever, so absolutely as Delwart. The latter gentleman speaks 
of it as a difficult, painful, and dangerous operation. 
Rossignol, in 1845, and Yaltat, in 1848, respectively cite a 
most successful case; and, in 1854, Rey wrote on the extir- 
pation of the jugular vein as the most certain and expeditious 
means of cure in phlebitis. 
Rey has adopted two methods, the one of dissection with 
the knife, and complete extraction of a certain length of vein, 
or separation with the fingers of the middle from the external 
xxix. 59 
