208 
A. B. ELLIS. 
down seventeen days, and then got him up and he made a com¬ 
plete recovery in about six months, and w£nt to work. When 
I first started in practice, I had ten or twelve cases before I got 
one down, and I thought my treatment was wonderful; but 
when I got one flat on his side, my treatment failed. I think 
I have had the best success with adrenaline chloride, in dram 
doses, and half an ounce of chloral hydrate diluted in about two 
ounces of water, three times daily. I always use eliminative 
treatment with this. I first give about a half grain of arecoline, 
hypodermatically, and follow it up with an aloetic ball. You will 
notice in most cases that you will find the horse has been over¬ 
fed, and when he first comes down, there is first a chill, and 
later he breaks out in a sweat with colicky pains. This is why 
I think arecoline is indicated before anything else is given. It 
increases salivation and intestinal evacuation and helps to reduce 
plethora. 
Before the aloetic ball has produced an action, I think it is 
a good practice to give another half grain of arecoline, say ten 
or twelve hours after you have given the physic ball; which will 
have a tendency to hasten the action of the purgative. 
I sometimes give chloral hydrate in one ounce doses for the 
first couple of doses, to quiet the patient. I will also mention 
that I have very poor success with the use of slings. I have 
tried to sling them the day after the attack, only to get them 
up and find out they had no control of their hind extremities. 
I wait a few days until they show some sign of rising; in the 
meantime I keep hot fomentations over the crural muscles and 
catheterize once daily. I think sometimes slinging them every 
day only helps to diminish the strength of the already exhausted 
patient. Where you can get the animal to sit up and eat, and 
not lay flat on his side and pound himself all over the stall, the 
prognosis is more favorable. I am not writing this claiming to 
cure all cases of azoturia, for I know no treatment will do that; 
these are only my views; some of them I have picked up by 
reading different journals, others I have picked up in active 
practice. 
