Western liberal. (Lordsburg, N.M.) 1887-1919, 1917-01-26

administered. The local application OF
cold water to the indamed spot for an
hour at a time three or four times a
day, has often proved very beneficial,
and has Afforded great relief.
Cooling lotions, murlate Of ammonia,
or saltpeter and water; sedatlve
washes, such as tincture Of opium and
%aconite, chloroform liniment, or cam
phorated oil, are also to be frequently
applied. Should this treatment fail to
check the progress Of the trouble, the
formation Of pus should be FASTENED as
rapidly as possible. Hot fomenta-
tons and poultlces are to be constant.
ly used, and as 500 as the presence Of
pus a be detected, the abscess wall
is to be opened ut its lowest point.
AS with any simple abscess, If drainage
can be so provided that the pus will
run off as fast as formed without re-
naming within the interstices of the
tissues, the healing will be rapid and
satisfactory.
Application Of causties.
II the abscess has already opened,
giving vent to a quantity Of purulent
matter, and the pipes and tubes lead
ing from the opening IRE found to be
extensive and surrounded with thick
fungoid membranes, here is consider
able danger that the internal ligaments
OF even some of the bones have be-
come affected, in which case the con-
dition has assumed a serious aspect.
OR, on the other hand, If the abscess
has existed for some time without q
rupture, its contents will frequently
be found to consist of dried purulent
matter, firm and dense, and the walls
surrounding the mass will be found
greatly thickened. In such a case the
application of caustics will cause a
s~loughing Of all of the unhealthy tbs.
sue, and will also stimulate a rapid
increase Of healthy material to replace
that destroyed in the course of the de-
velopment and treatment of the dis
ease. Threads or cords soaked in gum
arabic solution and rolled in powdered
corrosive sublimate may be introduced
into the canal and allowed to remain.
The skin on all parts Of the shoulder
and leg beneath the fistula should be
carefully creased with lard or oil, as
this will prevent the discharge that
comes from the opening after the caus-
tic is introduced from irritating or
bllstering the skin over which 1t flows.
In obstinate cases a piece of caustic
potash (fused) 1 to 2 inches in length
may be introduced into the opening,
md @ha,,II a., ,,.,-,I ,vgAI .,I-,w, -
cotton. The horse should then be Sc
cured so that he cannot reach the part
with his teeth. After the caustic plug
has been in place for "a hours, it may
be removed and hot lamentations ap-
piled. AS soon as the discharge has
become again established the abscess
should be opened from it's lowest ex-
tremity, and the passage thus formed
may be kept open by the introduction
of n seton. If the pipes become estab-
lished in the deep tissues beneath the
shoulder blade or among the spines of
the vertebral column, it will often be
found impossible to provide proper
drainage for the abscess from below,
and treatment must consist of caustiC
solutions carefully injected into all
parts of the ~suppurating sinuses. A
very effective remedy for this purpose
is one ounce of chloride of zinc in half
a pint of water, injected three times
during a week, after which a weak so
luton of the same may be Occosional'
ly injected. Injections of Villate's so
luton or alcoholic solution of corrosive
sublimate, strong carbolic acid, or pos
sibly oil Of turpentine will also prove
beneficial. Pressure should be applied
from below, and endeavOrs made tC
heal the various pipes from the bot
ton.
Majority Of Cases Durable.
Although the successful treatment Of
fstulas requires time and patience, the
majority of cases are durable. Tn,
sinuses must be opened at their Lowest
extremity and kept open. Caustic ap
plicatlons must be thoroughly USED
once or twice, after which mild as
, tringent antiseptic washes should b'
persistently used until Il cure Il
, reached.
1t sometimes happens that the ero
siOns have burrOwed so deeply or IL