to understand that canker is not to be
successfully met with any so-called specific--that it makes but little
difference what the application may be so long as it is antiseptic, and is
used by a man thoroughly conversant with the difficulties he has to contend
with, and with his mind firmly set upon surmounting them.
With this point established, we will not devote more of our space to a
consideration of the various dressings that have at different times been
highly advocated in the treatment of the disease. It is interesting,
however, to note that intensely irritating and caustic applications have
been greatly in favour. Nitric acid, sulphuric acid (either alone or its
action reduced by the addition of alcohol, oil, or turpentine), arsenic,
butter of antimony, creasote, chromic acid, carbolic acid, arsenite of
soda, and the actual cautery, have all been used.
Without dwelling further on that, we may say at once that a correct
treatment consists in (1) the removal of all horn overlying infected
portions of the keratogenous membrane, (2) the application of an antiseptic
not too powerfully caustic in its action, (3) frequent changes of the
dressings in order to insure a maintenance of antisepsis, and (4) the
application of an adequate pressure to the exposed soft structures. Thus
combated, canker is curable.
The man who, at the expense of much time and trouble, has demonstrated the
truth of these axioms is Mr. Malcolm, of Birmingham. The determination with
which he clung to his point that canker was, with correct treatment, in
every case curable, was some years ago provocative of much discussion in
veterinary circles. That he was successful in proving his contention is
more to our point here. It is his method of treatment, therefore, that we
shall give, and this we shall do by liberal extracts from Mr. Malcolm's own
writings.
'On the first occasion of operating upon and dressing the cankered foot,
it is usually necessary to cast the horse, and this may have to be done
at intervals for a second or even third time; but in most cases once is
sufficient, subsequent dressing being usually accomplished without much
difficulty, frequently even without the aid of a twitch. After the horse
has been secured, the drawing-knife is first employed; and if the frog
alone is affected, it is unnecessary even to pare the sole, the removal of
all frog horn not intimately adherent to its secreting surface being all
that is required. B
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