bject
walks stiffly, with a straddling gait, loses appetite, and has a rapid
pulse and high fever. Examination of the wound discloses the partial
closure of the skin wound and the protrusion, from its lips, of the end
of the cord, red, tense, and varying in size from a hazelnut upward. If
there is no material swell and little protrusion, the wound may be
enlarged with the knife and the end of the cord broken loose from any
connection with the skin and pushed up inside. If the swelling is
larger, the mass constitutes a tumor and must be removed. (See below.)

_Swelling of the sheath, penis, and abdomen._--This occurs in certain
unhealthy states of the system, in unhealthful seasons, as the result of
operating without cleansing the sheath and penis, or of keeping the
subject in a filthy, impure building, as the result of infecting the
wound by hands or instruments bearing septic bacteria, or as the result
of premature closure of the wound, and imprisonment of matter.

Pure air and cleanliness of groin and wound are to be obtained.
Antiseptics, like the mercuric-chlorid lotion (1 part to 2,000) are to
be applied to the parts; the wound, if closed, is to be opened anew, any
accumulated matter or blood washed out, and the antiseptic liquid freely
applied. The most tense or dependent parts of the swelling in sheath or
penis, or beneath the belly, should be pricked at intervals of 3 or 4
inches to a depth of half an inch, and antiseptics freely applied to the
surface. Fomentations with warm water may also be used to favor oozing
from the incisions and to encourage the formation of white matter in the
original wounds, which must not be allowed to close again at once. A
free, creamlike discharge implies a healthy action in the sore, and is
the precursor of recovery.

_Phymosis and paraphymosis._--In cases of swelling, as above, the penis
may be imprisoned within the sheath (phymosis) or protruded and swollen
so that it can not be retracted into it (paraphymosis). In these cases
the treatment indicated above, and especially the scarifications, will
prove a useful preliminary resort. The use of astringent lotions is
always desirable, and in case of the protruded penis the application of
an elastic or simple linen bandage, so as to press the blood and
accumulated fluid out, will enable the operator to return it.

_Tumors on the spermatic cord._--These are due to rough handling or
dragging upon the cord in castration, to strangul