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
The question arises how a disturbing cause operating directly upon the
digestive organs should affect the respiratory, in such a marked and
permanent manner. It cannot be because of the gastric and abdominal
distension since pregnant mares though in a state of much greater
plentitude, are not thereby rendered liable to broken wind, and if they
have previously suffered from this infirmity, the symptoms are usually
less marked when breeding. The explanation first advanced by Dupuy
appears to be the correct one. The lungs, the stomach, and certain other
organs derive innervation from the vagus nerve, and certain disturbances
of the stomach and intestines so impair the function of this nerve that
the lungs are affected, at first functionally and afterwards
structurally. In support of this view is the fact that broken wind is
usually associated quite as much with digestive as respiratory
derangement. The horse though a heavy feeder becomes unthrifty,
hidebound and emaciated; his dung is passed in an undigested state like
so much chopped straw, and flatus is continually passed from the bowels.
Indeed the almost incessant passage of wind and fæces, during the first
mile or two of a journey, is a disgusting evidence of the malady. The
power of doses of shot, fat and other agents to temporarily allay the
symptoms may be held to point in the same direction.
Beside causes operating on the side of the digestive organs others
undoubtedly superinduce the disease, and among these severe exertions
and chronic bronchitis ought to hold prominent positions.
Overexertion induces overdistension and rupture of the air cells by the
forced retention of air within the lungs, by the closure of the glottis,
while the chest is strongly compressed by the respiratory muscles. It is
an essential condition to all severe exertion in man that the breath
should be held, and though the horse appears equal to the same efforts
of draught after the operation of tracheotomy has deprived him of the
power of holding the breath, yet he would seem to be sooner exhausted
(Goubaux, Colin, Bouley), from which it may be inferred that this power
is frequently exercised, and it probably always is in any sudden severe
effort as in starting a heavy load, or jumping a five-bar gate. This
retention of air in the lungs during violent compression of the chest
walls is precisely the condition met with during an access of coughing,
and in both cases alike there is the tendency to overdistension of the
minute tubes and air cells until they have lost their power of
contraction, or they may even give way and allow the air to pass out and
lodge in the lung tissue.
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