Text book of veterinary medicine, Volume 1 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 1 (of 5)
Law, James
Veterinary medicine
Next in importance to pure, cool air is the comfort of the patient. Any
tendency to chill, shivering, staring coat, or coldness of the surface
and extremities is to be counteracted as far as possible. One or more
blankets according to the condition of the patient and the temperature
of the atmosphere are valuable and for the same reason a hood may be put
on. Coldness of the limbs is to be met by active rubbing with the hand
or with wisps of dry hay and then wrapping up loosely in flannel
bandages. Some apply to the limbs ammonia and oil, spirits of
turpentine, and other stimulants and thus by a powerful derivative
action obtain an alleviation of the lung symptoms. For the same reason a
mustard poultice on the chest, or the hot wet rugs recommended for
congested lungs, often prove valuable in the earlier stages. Large
injections of warm water and the supply of warm gruels are not to be
neglected when they can be employed. Measures such as these directed to
check any chill and render the circulation free and uniform in the skin
and extremities, if adopted during the cold stages of the fever, will
sometimes succeed in bringing about a resolution of the pulmonary
congestion and warding off a threatened attack of pneumonia.
The diet should be of a non-stimulating and laxative kind. Bran mashes,
linseed, oatmeal, or other gruels, carrots, turnips, scalded hay, or
green food, if at the proper season, should be given in small quantities
so as not to satiate.
_Antiphlogistic Treatment._ Half a century ago bloodletting was
considered the remedy _par excellence_ for pneumonia and it seemed
justified by the marked relief to breathing and pulse which usually at
once followed a free bleeding. In a short time, however, the fever would
rise anew and the distressing symptoms reappear, which led the school of
Broussais to repeat the bleeding, _coup sur coup_, as often as the
exacerbation appeared. There was no respite for either age or condition,
the debilitated city toiler, the babe at the breast, and man of eighty
tottering into the grave had alike to submit to the lancet, and when the
oppressive symptoms returned, the blood had to flow anew. Broussais
himself, however, recognized his error in his later life, and remarkably
enough, his conversion was effected through veterinary practice. His two
carriage horses were successively attacked by pneumonia: the first was
treated by bleeding _coup sur coup_ and recovered: the second was put
under a more conservative treatment and also got well, but while the
first remained soft, flabby, debilitated and susceptible for a length of
time, the second was on convalescence at once able to go into active
work. The enormous abuse of bleeding, led to its more complete
abandonment than would otherwise have been probable, and the contrast
between the high mortality of cases treated by excessive bleeding, and
the lower fatality in pneumonias treated without phlebotomy on the
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