20 
H. F. JAMES. 
and total suppression of milk. The favorable indications are 
when the temperature is retained normal in body and limbs, and 
when there is the slightest elevation, when it is low, when the 
urine is either spontaneously expelled, or by the index finger 
being introduced into the meatus urinarus. 
It is also a very favorable symptom when the feces are passed. 
A return to consciousness is also a very good omen, and particu¬ 
larly when she takes notice of her calf and makes attempts to 
rise and the milk begins to reappear.. 
In some cases there is a slight recovery and then a relapse 
from various causes, and death takes place. I always think the 
longer the disease continues the more hopes of a favorable ter¬ 
mination of the malady. 
(To be continued.) 
HYDROCHLORATE OF COCAINE IN NEUROTOMY. 
By H. F. James, Y.S., St. Louis, Mo. 
To my old and valued friend, Dr. C. C. McLean, of Meadville, 
Pa., is due the honor of introducing cocaine to the profession in 
connection with the operation of neurotomy. Since his article 
appeared in the Review, I operated on a bay horse ten years old, 
affected with incurable navicular disease, first injecting about 
25 minims of a four per cent, solution of cocaine a little above 
the place of incision. The local anaesthesia was perfect, the ani¬ 
mal lay quietly, and the nerve could be picked up and squeezed 
without the slightest evidences of pain; section produced no 
struggling whatever. I injected each side of the leg before cut¬ 
ting the skin. The wounds healed quickly, and the owner was 
well pleased with the result. 
Neurotomy is acknowledged to be the most painful operation 
we are called upon to perform, and heretofore, owing to our 
reluctance to use chloroform on horses, their sufferings were un¬ 
avoidable. Here we have a drug, cheap in price, easily used, 
which does away with all this needless suffering, and enables us 
to do the requisite cutting neatly and quickly ; therefore I think 
