to
take care of--must be employed to give the nutriment, which is the only
thing that will permanently strengthen the tissues; they must be
strengthened in order to keep the capillaries at their proper caliber.
Laxatives, diaphoretics, and diuretics must be used to stimulate the
emunctories so that they may carry off the large amount of the products
of decomposition which result from the stagnated effusions of anasarca.
Of these the sulphate of soda in small, repeated doses, the nitrate of
potash and bicarbonate of soda in small quantity, or the chlorate of
potash in single large doses will be found useful. Williams cites the
chlorate of potash as an antiputrid. Stimulants and astringents are
directly indicated. Spirits of turpentine serves the double purpose of a
cardiac stimulant and a powerful, warm diuretic, for the kidneys in this
disease will stand a wonderful amount of work. Camphor can be used with
advantage. Coffee and tea are two of the diffusible stimulants which are
too much neglected in veterinary medicine; both are valuable adjuncts in
treatment of anasarca, as they are during convalescence at the end of
any grave disease which has tended to render the patient anemic. Dilute
sulphuric and hydrochloric acids are, perhaps, the best examples of a
combination of stimulant, astringent, and tonic which can be employed.
The simple astringents of mineral origin, sulphates of iron, copper,
etc., are useful as digestive tonics; I doubt whether they have any
constitutional effect. The vegetable astringents, tannic acid, etc.,
have not proved efficacious in my hands. Iodid of potash in small doses
serves the triple purpose of digestive tonic, denutritive for
inflammation, and diuretic. Among the newer forms of treatment are
diluted Lugol's solution injected into the trachea, anti-streptococcus
serum and colloidal silver solution injected into the circulation. No
one but a qualified veterinarian would be competent to apply these
remedies.
_Externally._--Sponging the swollen parts, especially the head, when the
swelling occurs there, is most useful. The bath should be at an extreme
of temperature--either ice cold to constrict the tissues or hot water to
act as an emollient and to favor circulation. Vinegar may be added as an
astringent. When we have excessively denuded surfaces, suppuration, or
open wounds, disinfectants should be added to the wash.
In cases of excessive swelling, especially of the head, mechanica
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