RHEUMATISM. 
725 
Gave bromide of potash and syrup of wild cherry, fol¬ 
lowed by salicylate of soda. Recovery followed in three 
weeks. 
4.—A mare six years old with articular rheumatism of the 
near knee and hock joints caused by influenza. She walked 
with great difficulty, joints swollen and very tender ; pulse 
quickened and temperature elevated. 
Gave bromide of potash and valerianate of morphine, fol¬ 
lowed by salicylate of soda, and that by nux vomica com¬ 
bined with hyposulphite of soda, with gentle exercise. She 
is gradually improving, but not well. 
I communicate these cases to you simply to show you my 
line of treatment for rheumatism, with which I have had most 
excellent results. 
DISCUSSION. 
Dr. Thompson inquired of essayist how he distinguished between acute 
rheumatism and osteo porosis? The questioner said he had had many cases 
where he had found it impossible to distinguish between the two, excepting by 
examination of the urine. If this was acid it was rheumatism ; if alkaline, osteo¬ 
porosis. 
Dr. Culbert inquired, had the essayist noticed any cracking of the joints? 
No. Did he not think hot water very beneficial in cases where joint was af¬ 
fected ? Yes, and essayist often used in cases of severe pain in a joint, a lini¬ 
ment of aconite, belladonna and camphor with oil. 
Dr. Feeling believed in the beneficial effect of hot water, as he could speak 
from experience, being a martyr to rheumatism. 
Dr. Macaulay in his treatment always gave a brisk cathartic and followed 
up generally with nitrate of potash and salicylate of soda. Had had two cases 
of osteo-porosis during the year, but had no difficulty in diagnosing ; believed 
that in rheumatic cases the pain and lameness came on suddenly, while in osteo¬ 
porosis the lameness was gradual and constantly increasing and not so inclined 
to shift. 
Dr. Roberts does not believe in large doses of salicylate of soda, but prefers 
to give half drachm doses often, and in combination gives diuretics and aconite. 
1 
Dr. Thompson had never seen a case that occurred where a horse stood 
on aboard floor, and believed the damp earth was frequently the cause of the 
trouble. 
Dr. Rodgers never gave aloes in rheumatism, but preferred sulphate of mag¬ 
nesia, followed by nitrate of potash and colcliicum. 
Dr. Shaffer believed in, good hygenic surroundings while treating. 
