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
_Local Treatment of Inflammation._ In all forms of superficial
inflammation the local treatment occupies an important place. The
persistent application of _cold_ (cold water in a stream, icebags,
freezing mixtures) will sometimes overcome the tendency to inflammation
or arrest it. This is especially sought when a violent inflammation (as
in a wounded joint) threatens to destroy an important organ. If adopted,
it must be persisted in, as if it is suspended too soon the reaction is
likely to make matters worse than ever. _Cold astringent applications_
have a similar tendency. Sugar-of-lead, one-half ounce; laudanum, one
ounce; water, one quart, may be kept applied by means of a linen
bandage. The water may often be advantageously replaced by extract of
witch-hazel. If the inflamed part is superficial the lotion may be made
_antiseptic_ (carbolic acid, one dram; or sulphurous acid solution, five
ounces; water, one quart). _Hot applications_, _fomentations_,
_poultices_ are nearly always appropriate but they should be made
antiseptic to prevent bacterial development. When adopted they should
like _cold_ ones be kept up as continuously as possible. These soothe
alike the superficial and deeper parts, the latter through sympathy,
producing first a relaxation of vessels and tissues, and later a
contraction of the former attended by pallor of the surface. They
greatly favor suppuration when that is already inevitable, though in
other cases they may obviate it by checking at an early stage the acute
inflammatory process on which it depends. Any bland agent that will
retain heat and moisture will make an excellent poultice, though
flaxseed-meal is the type of a soothing demulcent application. Very
slight inflammation may be successfully treated at the outset with a
_stimulating embrocation_ (alcohol or camphorated spirit), yet in the
more violent type of acute inflammation all local excitants tend to
aggravate the disease. In these violent forms the activity of the
disease should be first abated by local soothing and general sedative
measures, and then the part over the inflamed organ may be safely
treated with a stimulating liniment or even a blister. In such cases the
liniment first acts as a derivative of blood and nervous energy from the
inflamed part, and later and still more beneficially by securing in it a
sympathetic healing process, like that set up in the skin. It is further
probable that the absorbed albuminoids, which have been modified in the
congested part often exercise a decided effect on the inflamed tissue.
In raw sores where inflammation has been set up the granulations may
become dropsical or excessive, bulging beyond the adjacent skin as
_proud flesh_. This should be repressed by touching it gently with some
mild caustic (lunar caustic), so as to produce a thin, white film, and
the remote cause of the inflammation (often a local irritant) should be
sought and removed. In some unhealthy sores tending to excessive
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