The veterinary surgeon, when operating on the horse, or cattle, or the
dog, frequently has recourse to the actual cautery. I could, perhaps,
excuse this practice, although I would not adopt it, in superficial
wounds; but I do not know the instrument that could be safely used in
deeper ones. If it were sufficiently small to adapt itself to the
tortuous course of little wounds, it would be cooled and inert before it
could have destroyed the lower portions of them. If it were of
sufficient substance long to retain the heat, it would make a large and
fearful chasm, and probably interfere with the future usefulness of the
animal. The result of the cases in which the cautery has been used
proves that in too many instances it is an inefficient protection. The
rabid dog in Park Lane has already been mentioned. He bit several horses
before he could be destroyed. Caustic was applied to one of them, and
the hot iron to the others. The first was saved, almost all the others
were lost. A similar case occurred last spring; the caustic was an
efficacious preventive; the cautery was perfectly useless. What caustic
then should be applied? Certainly not that to which the surgeon usually
has recourse--a liquid one. Certainly not one that speedily deliquesces;
for they are both unmanageable, and, what is a more important
consideration, they may hold in solution, and not decompose the poison,
and thus inoculate the whole of the wound. The application which
promises to be successful, is that of the 'lunar caustic'. It is
perfectly manageable, and, being sharpened to a point, may be applied
with certainty to every recess and sinuosity of the wound.
Potash and nitric acid form a caustic which will destroy the substances
with which they come in contact, but the combination of this caustic and
the animal fibre will be a soft or semi-fluid mass. In this the virus is
suspended, and with this it lies or may be precipitated upon the living
fibre beneath. Then there is danger of re-inoculation; and it would seem
that this fatal process is often accomplished. The eschar formed by the
lunar caustic is dry, hard, and insoluble. If the whole of the wound has
been fairly exposed to its action, an insoluble compound of animal fibre
and the metallic salt is produced, in which the virus is wrapped up, and
from which it cannot be separated. In a short time the dead matter
sloughs away, and the virus is thrown off with it.
Previous to applying the caustic it will sometimes be necessary to
enlarge the wound, in order that every part may be fairly got at; and
the eschar having sloughed off, it will always be prudent to apply the
caustic a second time, but more slightly, in order to destroy any part
that may not have received the full influence of the first operation, or
that, by possibility, might have been inoculated during the operation.
Mr. Smerdon, in the Medical and Physical Journal, March 1820, thus
reasons:
Public-domain text, read in full here on John Shaqi.
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