284 
JOHN WENDE. 
If the disease is once established, treatment cannot be rec¬ 
ommended too soon; if in the first stages, the patient should 
be laid on its back and held by attendants. The umbilical 
region should be thoroughly washed with some antiseptic solu¬ 
tion, then grasp the navel with one hand, with a sharp scalpel in 
the other make an incision long and deep enough to find the 
affected vein, which then should be thoroughly washed out with 
a 10% solution of creolin, using for the operation a medium¬ 
sized human catheter connected to a rubber bulb syringe. Do 
this several times daily, dust the parts with an equal mixture of 
iodoform and boracic acid, over which apply a pledget of ab¬ 
sorbent cotton, to be kept in place by a bandage around the 
body. If abscesses have formed they should be opened at 
once, unless located in the joints, then should be aspirated and 
the cavity washed out with a saturated solution of boric acid; 
other abscesses to receive the same attention as umbilicus. 
Internal remedies should be such as to counteract the conditions 
present in the case if constipation manifests itself. In summer 
give,small doses of Epsom salts; in cold weather, sweet oil in 
doses from one to two ounces is preferable, until the bowels 
regain their normal condition; if diarrhoea exists, this should 
be overcome with vegetable tonics and astringents; in extreme 
cases, bismuth subnitras may be given in ten to twenty grain 
doses two or three times daily. If the circulation is weak and 
requires stimulation, give spts. camphor one to two drachms, 
diluted in milk; salicylate of soda and quinine can also be 
given in their respective doses, but experience has taught me to 
give the colt as few internal remedies as possible, and at the 
same time to feed the dam a generous diet in which is mixed 
large doses of hyposulphite of soda and powdered gentian 
root. 
If pervious urachus exists, inject the ordinary white lotion, 
or a solution of nitrate of silver, five grains to the ounce of 
water, several times daily. 
