The wound should be thoroughly washed and cleansed as soon as possible
after the bite is inflicted: no sucking of the parts, as is advised by
many, for the purpose of extracting the poison, as the presence of a
small abrasion of the lips or interior of the mouth would most assuredly
subject the parts to inoculation. If the wound be ragged, the edges may
be taken off with a pair of sharp scissors; the wound must then be
thoroughly cauterized with nitrate of silver (lunar caustic), being sure
to introduce the caustic into the very depths of the wound, so that it
will reach every particle of poison that may have insinuated itself into
the flesh. If the wound is too small to admit of the stick of caustic,
it may be enlarged by the knife, taking care, however, not to carry the
poison into the fresh cut, which can be avoided by wiping the knife at
each incision. Should the wound be made on any of the limbs, a bandage
may be placed around it during the application of these remedies, the
more effectually to prevent the absorption of the virus. Nitrate of
silver is a most powerful neutralizer of specific poisons, and the
affected parts will soon come away with the slough, no dressings being
necessary, except perhaps olive oil, if there should be much
inflammation of the parts. If the above plan be pursued, the patient
need be under no apprehension as to the result, but make his mind
perfectly easy on the point. This is the course generally pursued by the
veterinary surgeons of Europe, and there are but few of them who have not,
some time in their practice, been bitten and often severely lacerated by
rabid animals; nevertheless, we never hear of their having suffered any
bad effects from such accidents. If caustic be not at hand, the wound
may be seared over with red-hot iron, which will answer as good a
purpose, although much more painful in its operation. Mr. Blaine, in
closing his able and scientific article on this subject, very justly
remarks,
"Would I could instil into such minds the 'uncertainty' of the disease
appearing at all; that is, even when no means have been used; and the
'perfect security' they may feel who have submitted to the preventive
treatment detailed. I have been bitten several times, Mr. Youatt
several also; yet in neither of us was any dread occasioned: our
experience taught us the 'absolute certainty' of the 'preventive'
means; and such I take on me to pronounce they always prove, when
performed with dexterity and judgment." We acknowledge ourselves a
convert to this gentleman's doctrine; and feel satisfied that if the
above course be adopted, there need be no fear whatever of the
development of this frightful affection.--L.]
[Footnote 1: 'La Folie des Animaux', by M. Perquin.]
[Footnote 2: The physician Apollonius, having been bitten by a rabid
dog, induced another dog to lick the wound,
"ut idem medicus esset qui vulneris auctor fuit."]
[Footnote 3: 'Journal Pratique de Méd. Vét.']
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