816 
W. L. WILLIAMS. 
In a case of acute mammitis of all four quarters in a cow, 
following Schmidt’s treatment for parturient paresis, where 
gangrene and death appeared imminent, the administration of 
pilocarpine and eserine in combination reduced the temperature 
from io6° to 103° F. in 3 hours, the tumefied udder had 
greatly relaxed, milk had returned, rumination had been re¬ 
sumed after several hours cessation, appetite and thirst had re¬ 
turned, the muzzle was again moist and the general appearance 
had changed from dullness and indifference to cheerfulness and 
a lively interest in her calf. We have no doubt but that pilo¬ 
carpine and eserine promptly administered in small and fre¬ 
quently repeated doses will prove of very great benefit in acute 
mammitis. We would suggest as a dose for the cow 1 y 2 to 2 
grains eserine and 1 to 1 y 2 grains pilocarpine subcutaneously, 
repeated hourly until the purpose is attained. Should these 
be unattainable we have little doubt that the intravenous injec¬ 
tion of 2 or 3 pints of saline solution would answer a similar 
purpose. 
Should these lines of treatment fail us, and suppuration or 
gangrene occur or fatal toxaemia threaten, operative treatment 
is warranted or demanded. An extensive abscess in a gland 
means its total ruin or at least practical uselessness ; partial de¬ 
struction generally inviting recurrent mammitis with each 
calving with special danger of infecting neighboring glands. 
As in any other abscess, free opening and dependent drainage 
are indicated, and for this there are two plans: first, a free in¬ 
cision through skin and dartos into the abscess cavity, parallel 
to the long axis of the teat, followed by appropriate treatment 
by disinfection and antiseptic packing; second, amputation of 
the teat at such a point as will afford sufficient drainage. The 
incision into the gland itself would be preferable in most cases, 
because when free it relaxes the dartos and thus relieves the 
pressure upon the inflamed gland. In chronic induration of 
the gland with emaciation of the animal a free incision through 
the dartos and into the centre of the glandular tissue, the incis¬ 
ion extending from the highest point of the affected gland to 
