PUNCTURED WOUNDS OF THE FOOT. 
541 
The separated portions of the horn are as a matter of 
course to be removed as in the other cases, but the 
treatment, such as poulticing, etc., will not suffice in 
these cases. The treatment which I have adopted in these 
cases has resulted in a fair share of success. I will endeavor 
to cite as well as I can from memory a case of this kind 
which I treated about four years ago. I was called on a 
Sunday morning to see a very fine road or driving mare 
belonging to Mr. P., of Wilkesbarre, which had on a drive 
the day before from Wilkesbarre to Newport, a distance of 
fifteen miles, gone lame when she had traveled about half the 
distance ; they drove her the remaining half of the journey, 
and when thev arrived at the colliery, which was their desti¬ 
nation, the stableboy pulled a nail out of the foot ; they drove 
her home, though she must have been very lame, but if 1 
remember right they told me that she did not seem so dread¬ 
fully lame after they got her started, which may have been 
more or less tone, as she was quite a spirited mare. Suffice it 
to say that 1 found her very lame, sweating at every pore, 
grunting and manifesting every sign of extreme pain. I can¬ 
not now give the pulse and temperature readings, as I did 
not take notes in the case. My impression is that they cor¬ 
responded with the other features of the case. On examina¬ 
tion I found that though it had been but eighteen hours 
since she had picked up the nail, there was already considera¬ 
ble suppuration or underrunning of the horn in the vicinity of 
the puncture. On opening the foot (and by the way the nail 
had penetrated the foot about half an inch back from the 
point of the frog), I found that I had a discharge of synovial 
fluid: 1 removed all the separated horn, and had a poultice of 
flaxseed meal put on, thinking it well to treat for a time as an 
ordinary case. The following day, however, I had a sponge 
cut to the size and shape of the bottom of the foot, placing 
another crescent-shaped piece around the back of the heel, 
the whole saturated with a solution of zinc chloride, twenty 
grains to the pint, and a light bandage applied to keep sponges 
in place. I might mention that this is a favorite treatment 
of mine for synovitis at any part, the sponge saturated with 
