Chorea, neglected or improperly treated, or too frequently pursuing its
natural course, degenerates into paralysis agitans. There is a tremulous
or violent motion of almost every limb. The spasms are not relaxed, but
are even increased during sleep, and when the animal awakes, he rises
with agitation and alarm. There is not a limb under the perfect control
of the will; there is not a moment's respite; the constitution soon
sinks, and the animal dies. No person should be induced to undertake the
cure of such a case: the owner should be persuaded to permit a speedy
termination to a life which no skill can render comfortable.
Chorea is oftenest observed in young dogs, and especially after
distemper; and it seems to depend on a certain degree of primary or
sympathetic inflammatory affection of the brain.
Chorea is often very plainly a consequence of debility: either the
distribution of nervous power is irregular, or the muscles have lost
their power of being readily acted upon, or have acquired a state of
morbid irritability. The latter is the most frequent state. Their action
is irregular and spasmodic, and it resembles the struggles of expiring
nature far more than the great and uniform action of health. It is not
the chorea that used to be described, in which there was an irresistible
impulse to excessive action, and which was best combated by complete
muscular exhaustion; but the foundation of this disease is palpable
debility.
[Rickets, bad feeding, cold and damp housing, worms in the alimentary
canal, mange, and other chronic affections, are all forerunners of this
malady.--L.]
In the treatment of chorea there must be no bleeding, no excessive
purgation, but aperients or alteratives, merely sufficient to keep the
fæces in a pultaceous state, so as to carry off any source of irritation
to the intestinal canal, and particularly some species of worms, too
frequent sources of irritation there. To these should be added
nutritious food, gentle exercise, tonic medicines, and general comforts.
Counter-irritants may be applied--such as blisters over the head, and
setons, extending from poll to poll--the application of turpentine, or
the tincture of cantharides; but all of these will frequently be of no
effect, and occasionally a rapid and fearful increase of irritability
will ensue: antispasmodics are in this case of no use, and narcotics are
altogether powerless. As for tonics, iron and gentian have been
serviceable to a certain extent, but they have never cured the
complaint. The nitrate of silver will be the sheet-anchor of the
practitioner, and if early used will seldom deceive him. It should be
combined with ginger, and given morning and night, in doses varying from
one-sixth to one-third of a grain, according to the size of the dog.
Public-domain text, read in full here on John Shaqi.
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