Montpelier examiner. [volume] (Montpelier, Idaho) 1895-1937, 1917-02-02

administered. The local arT lltatlOn OF
cold water to the infiamed SPOT for an
hour at time three or four times q I
day, has often proved very beneficial !
and has afforded great relief.
Cooling lotions, murIate of ammonia, |
or saltpeter and water; sedatiye |
washes, such as tincture of opium and
aconite, chloroform linlment, or cam.
phorated oil, are also to be frequently
applied. Should this treatment fail tc
check the progress Of the trouble, the
formation OF pus should be FASTENED az
rapidly. as possible. Hot fomenta.
tons and poultices are to be constant
ly used, I'D as soon as the presence of
pus cal be detected, the abscess wall
Is to be opened at 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 caustids.
giving vent to a quantity Of purulent
matter, and the pipes and tubes lead
ing from the opening are found to be
extensive and surrounded with thick
fungoid membranes, there Is consider
able danger that the internal IigamenA
or 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
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 case the
application of caustics will cause
sloughing of all of the unhealthy It's
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
blistering the skin over which II flows.
In obstinate cases a piece OF caustic
potash (fused) l to inches In length
may be introduced into the opening,
and should be covered with oakum or
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, 1t may
be removed and hot lamentations APP
piled. AS soon as the discharge has
become again established the abscess
should be opened from Its 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, 1t will often be
found impossible to provide proper
drainage for the abscess from below,
and treatment must consist Of caustie
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
Il pint of water injected three times
during q week, after which weak So
luton of the same may be occasional
ly injected. Injections of VillatSs So
luton or alcoholic solution of corrosive
subllmate, strong carbolic acid, or pos
sibly oil of turpentine will also prove
beneficial. Pressure should DO applied
from below, and endeavors made to
heal the various pipes from the bot.
tom.
Majority of Cases Durable.