_Symptoms._—The first symptom of direct nailing is =instant pain= indicated by flinching or a jerking of the limb, showing that the nail has taken a wrong course, and then a more or less profuse hemorrhage. Usually the blood flows from the nail-hole, or the nail when withdrawn may merely show a bloodstain at its point; however, internal bleeding may occur without any external manifestations. The symptoms of indirect nailing are entirely different. In this case _pain does not arise immediately_, but later, sometimes as soon as the horse attempts to bear his weight upon the shod foot. In the latter case, on holding up the opposite foot the animal sways backward and throws his weight upon the holder, or becomes restless. As a rule, the consequences of indirect nailing are first manifested after two or three days, infrequently from the eighth to the fourteenth day, as inflammation within the hoof and lameness, at which time a careful examination will usually reveal increased warmth of the hoof, pain upon pressure with the hoof-testers and on tapping the hoof lightly, some swelling of the entire foot, increased pulsation of the digital arteries, and unwillingness of the animal to place all or perhaps any of its weight upon the foot. _Suspicion of nailing_ should be entertained if the shoeing be recent, the hoof appear too small in relation to the body-weight, the walls have been thinned by rasping or have been broken away, or if the nails have been driven too high or very irregularly. _Causes._—The most common causes are mistakes in shoeing. In the majority of cases the cause is a disregard of the rule that the =nails should penetrate the white line= (see pages 118, 119 and 130, heavy type). 1, using badly-punched shoes; 2, excessive paring and shortening of the hoof; 3, weakening of the lower border of the wall by excessive rasping away of the outside (Fig. 187, _c_); 4, mistakes in fitting the shoe, especially applying shoes that are too narrow, letting the toe-clips too deep into the horn, by which the nail-holes near the toe, instead of falling upon the white line, are carried back upon the edge of the sole, or using shoes in which the nail-holes are too wide or improperly directed; 5, using nails that are split, incomplete, badly formed and bevelled, and too large; 6, starting nails too deep or with the bevel on the outside, or drawing them too tight. As occasional causes may be mentioned: 7, old nail-stubs in the horn; 8, walls that are very thin or broken away; 9, a soft, crumbling wall, which alters the sound and feeling of the nail as it is driven, and makes it difficult to judge of its course; 10, restlessness of the animal while being shod.