g-water.
The administration of sedatives is also indicated. In this connection
aconite will be found most useful. More especially in the early stages of
the disease, when pain is excessive and the temperature high, will its
good effects be noticed. This also the animal will often take in his
drinking-water. We have been in the habit of so prescribing the B.P.
tincture in 1/2-dram doses three times daily. By its use the temperature is
rapidly lowered, the pulse reduced in number and in fulness, and the pain
in some instances perceptibly diminished. With others hypodermic injections
of morphia and atropine have given equally satisfactory results.
Needless to say, good nursing is a _sine qua non_. During the first
stages of the fever a light and easily digested diet should be
allowed--bran-mashes, roots and grass when obtainable, and a carefully
regulated supply of water. The animal should be warmly clothed and the box
well ventilated, even to the opening of the doors and windows. Only in this
way is pneumonia as a sequel sometimes prevented. The patient's comfort
should be attended to in providing him with a suitable bed. Anything in
the shape of long litter should be avoided. When nothing else is at hand,
litter that has already been broken and shortened by previous use is best.
With this the box floor should be thickly covered, and matting of the
material prevented by constant turning. A good bed for the horse with
laminitis is peat-moss mixed with short straw. This, without being
dragged into irregular heaps, remains springy and elastic with but little
attention. Better than all, however, especially with good weather, is an
open crewyard. Here the animal has an abundance of fresh air, has a bed
that is always soft, and has plenty of room in which to get up and down
with some degree of ease.
Leaving the dietetic and medicinal, we may consider other treatments of
laminitis that come more particularly under the heading of operative.
The first matter that here demands our attention is that of allowing the
exudate to escape at the sole. If after the expiration of three or four
days pain and other symptoms of distress continue, then it may be judged
that the inflammatory exudate has made its appearance. Operative measures
allowing of its escape, though not giving absolute ease, do undoubtedly
relieve the more marked expressions of suffering, and should be at once
determined on. To do this completely it is necessary to
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