THERAPEUTICS.—A CRITICISM. 
693 
Where resolution is tardy I apply a fresh application of the 
counter-irritant, and prescribe the iodide of ammonia in two- 
drachm doses every four hours, either in addition to the other 
treatment or alternated with stimulants and occasionally Fow¬ 
ler’s solution three times daily. I invariably follow up every 
case of pulmonary disease with a tonic. If the case has been a 
mild one, I may prescribe simply Fowler’s solution in 5 ss to 
j vi doses three times daily, according to size of horse, arsenic 
being a most valuable pulmonary tonic. If the case has been 
a severe one and great emaciation and weakness results, I o-i V e 
the following : 
Ac. arsen., 3 SSt 
Quin, sulph., 3 i v . 
Ferri sulph. ex., 
Pulv. nucisvom., aa §jss. 
Pulv. gentian, rad., 
A/r i?- . n ■» T Pulv * potas. nit., aa ? iii. 
form a paste.^ 8 ’ °* Sig ‘ : ° ne P ° wder three times dai h with syrup enough to 
Tetanus. I will not attempt to criticise the treatment of this 
disease for the reason that it is so varied. I will say, however, 
that it is a mistake to pin your faith to simply antispasmodic and 
sedative treatment, as it is certainly a germ disease, and as such 
calls for antiseptic treatment. The difficulty has been to pre¬ 
scribe an antiseptic that will be carried in the blood as such. 
As to the value of the antitoxin treatment, I can say little, on 
account of the various reports being very contradictory regard¬ 
ing its value ; and as to the value of hyposulphite of soda, which 
has been lauded by a few, I have my doubts. As to antitoxin, 
the various reports do not show any greater results than from 
the usual old line treatment. For some time past I have had 
unusual success in this disease with the following treatment : 
First, as to the local treatment, I follow out the usual methods, 
t. e., extirpation of the part in some instances and the use of 
antiseptics. In tetanus following nail wounds (or other wounds, 
for that matter) I do not believe in the use of poultices, even 
when containing antiseptics, as they always should when ap¬ 
plied to a wound ; the poultice with its heat acts as a suitable 
pabulum for the growth of the germs. I apply the antiseptic, 
