470 
M. L. TRASBOT. 
In general, these lymphangitises do not endanger life. If they 
do, it is because they are mistaken for glanders. How often this 
must have been the case ! 
It is then very important to vigorously make the diagnosis, as 
from it is the question settled—treatment or destruction of the 
patient. 
Dard, in 1840, in his paper on pemphigoid rhinitis, and M. 
H. Bouley, in 1843, first in his article on herpes phlyctenoides, 
and afterwards in the one on horse pox, have given the differen¬ 
tial characters of the false chancres and gourme lymphangitis from 
the true manifestations of glanders. I have nothing to add to 
those excellent works; I will simply repeat after him that the 
pathognomonic characters of the two affections are specially ob¬ 
tained from the quality of the pus, the aspect of the sores, and 
principally from their progress. 
The pus of gourme is always white, thick, creamy and of 
good nature, while that of acute glanders and farcy, the only 
external forms analogous with it, is thin, yellowish, oily, or stri¬ 
ated with blood, and of muddy urine color. 
The sores of gourme, although hollowed, are always sur¬ 
rounded and lined at their bottom with granulations, slightly 
projecting outwards, somewhat firm and of brilliant color, and 
very different from true chancres, whose borders are prominent, 
soft, pliable, of bluish red color, with their bottom covered with a 
pultaceous mass, greyish or bloody, then assuming a red livid 
color. 
And again, if one waits a little, he sees the sores of gourme 
soon cicatrized, while the true chancres do not. These increase 
in size, and become deeper a long time before the work of re¬ 
paration sets in. 
Still, all this remains yet vague, and requires, to be well ap¬ 
preciated, a certain practical tact and much experience. It is doubt¬ 
ful if it could be affirmed even then that the most expert practi¬ 
tioner would hesitate to give his opinion at once. 
There is an experimental test which, in such circumstances, 
may help him—that is, inoculation. It cannot be practised on the 
horse, for first, one would fear to communicate glanders to a 
