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Title: Special Report on Diseases of the Horse

Author: United States Department of Agriculture
        Leonard Pearson
        Rush Shippen Huidekoper
        Ch.  B. Michener
        W. H. Harbaugh

Release Date: November 7, 2007 [EBook #23403]

Language: English

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U. S. DEPARTMENT OF AGRICULTURE,

BUREAU OF ANIMAL INDUSTRY.

A. D. MELVIN, Chief of Bureau.

SPECIAL REPORT

ON

DISEASES OF THE HORSE.

BY

Drs. PEARSON, MICHENER, LAW, HARBAUGH, TRUMBOWER, LIAUTARD, HOLCOMBE, HUIDEKOPER, MOHLER, EICHHORN, HALL, AND ADAMS.

REVISED EDITION, 1916.

WASHINGTON:
GOVERNMENT PRINTING OFFICE.
1916.

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Transcriber's note: Minor typos have been corrected and footnotes moved to the end of the sections. The images for the plates are thumbnails that take you to a larger version of the image.

Department of Agriculture,

Washington, March 30, 1916.

This edition of the Special Report on Diseases of the Horse has been prepared in compliance with House Concurrent Resolution No. 13, passed February 3, 1916, as follows:

Since the original edition issued by the Department in 1890 several editions have been printed by order of Congress. The work was reprinted in 1896, and revised and reprinted in 1903, 1908, and 1911. In accordance with the foregoing resolution it again has been revised so as to embody the latest practical development of knowledge of the subject.

D. F. Houston,
Secretary.

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CONTENTS.

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ILLUSTRATIONS.

PLATES.

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TEXT FIGURES.

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SPECIAL REPORT ON DISEASES OF THE HORSE.

THE EXAMINATION OF A SICK HORSE.

By Leonard Pearson, B. S., V. M. D.

In the examination of a sick horse it is important to have a method or system. If a definite plan of examination is followed one may feel reasonably sure, when the examination is finished, that no important point has been overlooked and that the examiner is in a position to arrive at an opinion that is as accurate as is possible for him. Of course, an experienced eye can see, and a trained hand can feel, slight alterations or variations from the normal that are not perceptible to the unskilled observer. A thorough knowledge of the conditions that exist in health is of the highest importance, because it is only by a knowledge of what is right that one can surely detect a wrong condition. A knowledge of anatomy, or of the structure of the body, and of physiology, or the functions and activities of the body, lie at the bottom of accuracy of diagnosis. It is important to remember that animals of different races or families deport themselves differently under the influence of the same disease or pathological process. The sensitive and highly organized thoroughbred resists cerebral depression more than does the lymphatic draft horse. Hence a degree of fever that does not produce marked dullness in a thoroughbred may cause the most abject dejection in a coarsely bred, heavy draft horse. This and similar facts are of vast importance in the diagnosis of disease and in the recognition of its significance.

The order of examination, as given hereafter, is one that has proved to be comparatively easy of application and sufficiently thorough for the purpose of the readers of this work, and is recommended by several writers.[Pg 8]

HISTORY.

It is important to know, first of all, something of the origin and development of the disease; therefore the cause should be looked for. The cause of a disease is important, not only in connection with diagnosis, but also in connection with treatment. The character of feed that the horse has had, the use to which he has been put, and the kind of care he has received should all be closely inquired into. It may be found by this investigation that the horse has been fed on damaged feed, such as brewers' grains or moldy silage, and this may be sufficient to explain the profound depression and weakness that are characteristic of forage poisoning. If it is learned that the horse has been kept in the stable without exercise for several days and upon full rations, and that he became suddenly lame in his back and hind legs, and finally fell to the ground from what appeared to be partial paralysis, this knowledge, taken in connection with a few evident symptoms, will be enough to establish a diagnosis of azoturia (excess of nitrogen in the urine). If it is learned that the horse has been recently shipped in the cars or has been through a dealer's stable, we have knowledge of significance in connection with the causation of a possible febrile disease, which is, under these conditions, likely to prove to be influenza, or edematous pneumonia.

It is also important to know whether the particular horse under examination is the only one in the stable, or on the premises, that is similarly afflicted. If it is found that several horses are afflicted much in the same way, we have evidence of a common cause of disease which may prove to be of an infectious nature.

Another item of importance in connection with the history of the case relates to the treatment that the horse may have had before he is examined. It sometimes happens that medicine given in excessive quantities produces symptoms resembling those of disease, so it is important that the examiner be fully informed as to the medication that has been employed.

ATTITUDE AND GENERAL CONDITION.

Before beginning the special examination, attention should be paid to the attitude and general condition of the animal. Sometimes horses assume positions that are characteristic of a certain disease. For example, in tetanus (lockjaw) the muscles of the face, neck, and shoulders are stiff and rigid, as well as the muscles of the jaw. This condition produces a peculiar attitude, that once seen is subsequently recognized as rather characteristic of the disease. A horse with tetanus stands with his muscles tense and his legs in a somewhat bracing position, as though he were gathered to repel a shock. The neck is stiff and hard, the head is slightly extended upon it, and the[Pg 9] face is drawn, and the nostrils are dilated. The tail is usually held up a little, and when pressed down against the thighs it springs back to its previous position. In inflammation of the throat, as in pharyngolaryngitis, the head is extended upon the neck and the angle between the jaw and the lower border of the neck is opened as far as possible to relieve the pressure that otherwise would fall upon the throat. In dumminess, or immobility, the hanging position of the head and the stupid expression are rather characteristic. In pleurisy, peritonitis, and some other painful diseases of the internal organs, the rigid position of the body denotes an effort of the animal to avoid pressure upon and to protect the inflamed sensitive region.

The horse may be down in the stall and unable to rise. This condition may result from paraplegia (paralysis), from azoturia, from forage poisoning, from tetanus, or from painful conditions of the bones or feet, such as osteoporosis or founder. Lying down at unusual times or in unusual positions may indicate disease. The first symptom of colic may be a desire on the part of the horse to lie down at an unusual or inappropriate time or place. Sometimes disinclination to lie down is an indication of disease. When there is difficulty in breathing, the horse knows that he can manage himself better upon his feet than upon his breast or his side. It happens, therefore, that in nearly all serious diseases of the respiratory tract he stands persistently, day and night, until recovery has commenced and breathing is easier, or until the animal falls from sheer exhaustion. If there is stiffness and soreness of the muscles, as in rheumatism, inflammation of the muscles from overwork, or of the bones in osteoporosis, or of the feet in founder, or if the muscles are stiff and beyond control of the animal, as in tetanus, a standing position is maintained, because the horse seems to realize that when he lies down he will be unable to rise.

Abnormal attitudes are assumed in painful diseases of the digestive organs (colic). A horse with colic may sit upon his haunches, like a dog, or may stand upon his hind feet and rest upon his knees in front, or he may endeavor to balance himself upon his back, with all four feet in the air. These positions are assumed because they give relief from pain by lessening pressure or tension upon the sensitive structures.

Under the general condition of the animal it is necessary to observe the condition or state of nutrition, the conformation, so far as it may indicate the constitution, and the temperament. By observing the condition of nutrition one may be able to determine to a certain extent the effect that the disease has already had upon the animal and to estimate the amount of strength that remains and that will be available for the repair of the diseased tissues. A good condition of nutrition is shown by the rotundity of the body, the pliability and[Pg 10] softness of the skin, and the tone of the hair. If the subcutaneous fat has disappeared and the muscles are wasted, allowing the bony prominences to stand out; if the skin is tight and inelastic and the coat dry and harsh, we have evidence of a low state of nutrition. This may have resulted from a severe and long-continued disease or from lack of proper feed and care. When an animal is emaciated—that is, becomes thin—there is first a loss of fat and later the muscles shrink. By observing the amount of shrinkage in the muscles one has some indication as to the duration of the unfavorable conditions under which the animal has lived.

By constitution we understand the innate ability of the animal to withstand disease or unfavorable conditions of life. The constitution depends largely upon the conformation. The type of construction that usually accompanies the best constitution is deep, broad chest, allowing plenty of room for the lungs and heart, indicating that these vital organs are well developed; capacious abdomen, allowing sufficient space for well-developed organs of digestion; the loins should be short—that is, the space should be short between the last rib and the point of the hip; the head and neck should be well molded, without superfluous or useless tissue; this gives a clear-cut throat. The ears, eyes, and face should have an expression of alertness and good breeding. The muscular development should be good; the shoulders, forearms, croup, and thighs must have the appearance of strength. The withers are sharp, which means that they are not loaded with useless, superfluous tissue; the legs are straight and their axes are parallel; the knees and hocks are low, which means that the forearms and thighs are long and the cannons relatively short. The cannons are broad from in front to behind and relatively thin from side to side. This means that the bony and tendinous structures of the legs are well developed and well placed. The hoofs are compact, tense, firm structures, and their soles are concave and frogs large. Such a horse is likely to have a good constitution and to be able to resist hard work, fatigue, and disease to a maximum degree. On the other hand, a poor constitution is indicated by a shallow, narrow chest, small bones, long loins, coarse neck and head, with thick throat, small, bony, and muscular development, short thighs and forearms, small joints, long, round cannons, and hoofs of open texture with flat soles.

The temperament is indicated by the manner in which the horse responds to external stimuli. When the horse is spoken to, or when he sees or feels anything that stimulates or gives alarm, if he responds actively, quickly, and intelligently, he is said to be of lively, or nervous, temperament. On the other hand, if he responds in a slow, sluggish manner, he is said to have a sluggish, or lymphatic,[Pg 11] temperament. The temperament is indicated by the gait, by the expression of the face, and by the carriage of the head and ears. The nature of the temperament should be taken into consideration in an endeavor to ascertain the severity of a given case of illness, because the general expression of an animal in disease as well as in health depends to a large extent on the temperament.

THE SKIN AND THE VISIBLE MUCOUS MEMBRANES.

The condition of the skin is a fair index to the condition of the animal. The effect of disease and emaciation upon the pliability of the skin have been referred to above. There is no part of the body that loses its elasticity and tone as a result of disease sooner than the skin. The practical herdsman or flockmaster can gain a great deal of information as to the condition, of an animal merely by grasping the coat and looking at and feeling the skin. Similarly, the condition of the animal is shown to a certain extent by the appearance of the mucous membranes. For example, when the horse is anemic as a result of disease or of inappropriate feed the mucous membranes become pale. This change in the mucous membranes can be seen most readily in the lining of the eyelids and in the lining of the nostril. For convenience of examination the eyelids can readily be everted. Paleness means weak circulation or poor blood. Increased redness occurs physiologically in painful conditions, excitement, and following severe exertion. Under such conditions the increase of circulation is transitory. In fevers there is an increased redness in the mucous membrane, and this continues so long as the fever lasts. In some diseases red spots or streaks form in the mucous membrane. This usually indicates an infectious disease of considerable severity, and occurs in blood poisoning, purpura hemorrhagica, hemorrhagic septicemia, and in urticaria. When the liver is deranged and does not operate, or when the red-blood corpuscles are broken down, as in serious cases of influenza, there is a yellowish discoloration of the mucous membrane. The mucous membranes become bluish or blue when the blood is imperfectly oxidized and contains an excess of carbon dioxid. This condition exists in any serious disease of the respiratory tract, as pneumonia, and in heart failure.

The temperature of the skin varies with the temperature of the body. If there is fever the temperature of the skin is likely to be increased. Sometimes, however, as a result of poor circulation and irregular distribution of the blood, the body may be warmer than normal, while the extremities (the legs and ears) may be cold. Where the general surface of the body becomes cold it is evident that the small blood vessels in the skin have contracted and are keeping the blood away, as during a chill, or that the heart is weak and is[Pg 12] unable to pump the blood to the surface, and that the animal is on the verge of collapse.

The skin is moist, to a certain degree, at all times in a healthy horse. This moisture is not in the form of a perceptible sweat, but it is enough to keep the skin pliable and to cause the hair to have a soft, healthy feel. In some chronic diseased conditions and in fever, the skin becomes dry. In this case the hair has a harsh feel that is quite different from the condition observed in health, and from the fact of its being so dry the individual hairs do not adhere to one another, they stand apart, and the animal has what is known as "a staring coat." When, during a fever, sweating occurs, it is usually an indication that the crisis is passed. Sometimes sweating is an indication of pain. A horse with tetanus or azoturia sweats profusely. Horses sweat freely when there is a serious impediment to respiration; they sweat under excitement, and, of course, from the well-known physiological causes of heat and work. Local sweating, or sweating of a restricted area of the body, denotes some kind of nerve interference.

Swellings of the skin usually come from wounds or other external causes and have no special connection with the diagnosis of internal diseases. There are, however, a number of conditions in which the swelling of the skin is a symptom of a derangement of some other part of the body. For example, there is the well-known "stocking," or swelling of the legs about the fetlock joints, in influenza. There is the soft swelling of the hind legs that occurs so often in draft horses when standing still and that comes from previous inflammation (lymphangitis) or from insufficient heart power. Dropsy, or edema of the skin, may occur beneath the chest or abdomen from heart insufficiency or from chronic collection of fluid in the chest or abdomen (hydrothorax, ascites, or anemia). In anasarca or purpura hemorrhagica large soft swellings appear on any part of the skin, but usually on the legs, side of the body, and about the head.

Gas collects under the skin in some instances. This comes from a local inoculation with an organism which produces a fermentation beneath the skin and causes the liberation of gas which inflates the skin, or the gas may be air that enters through a wound penetrating some air-containing organ, as the lungs. The condition here described is known as emphysema. Emphysema may follow the fracture of a rib when the end of a bone is forced inward and caused to penetrate the lung, or it may occur when, as a result of an ulcerating process, an organ containing air is perforated. This accident is more common in cattle than it is in horses. Emphysema is recognized by the fact that the swelling that it causes is not hot or sensitive on pressure. It emits a peculiar crackling sound when it is stroked or pressed upon.[Pg 13]

Wounds of the skin may be of importance in the diagnosis of internal disease. Wounds over the bony prominence, as the point of the hip, the point of the shoulder, and the greatest convexity of the ribs, occur when a horse is unable to stand for a long time and, through continually lying upon his side, has shut off the circulation to the portion of the skin that covers parts of the body that carry the greatest weight, and in this way has caused them to mortify. Little, round, soft, doughlike swellings occur on the skin and may be scattered freely over the surface of the body when the horse is afflicted with urticaria. Similar eruptions, but distributed less generally, about the size of a silver dollar, may occur as a symptom of dourine, or colt distemper. Hard lumps, from which radiate welt-like swellings of the lymphatics, occur in glanders, and blisterlike eruptions occur around the mouth and pasterns in horsepox.

THE ORGANS OF CIRCULATION.

The first item in this portion of the examination consists in taking the pulse. The pulse may be counted and its character may be determined at any point where a large artery occupies a situation close to the skin and above a hard tissue, such as a bone, cartilage, or tendon. The most convenient place for taking the pulse of the horse is at the jaw. The external maxillary artery runs from between the jaws, around the lower border of the jawbone, and up on the outside of the jawbone to the face. It is located immediately in front of the heavy muscles of the cheek. Its throb can be felt most distinctly just before it turns around the lower border of the jawbone. The balls of the first and second or of the second and third fingers should be pressed lightly on the skin over this artery when its pulsations are to be studied.

The normal pulse of the healthy horse varies in frequency as follows:

The pulse is accelerated by the digestion of rich food, by hot weather, exercise, excitement, and alarm. It is slightly more rapid in the evening than it is in the morning. Well-bred horses have a slightly more rapid pulse than sluggish, cold-blooded horses. The pulse should be regular; that is, the separate beats should follow each other after intervals of equal length, and the beats should be of equal fullness, or volume.[Pg 14]

In disease, the pulse may become slower or more rapid than in health. Slowing of the pulse may be caused by old age, great exhaustion, or excessive cold. It may be due to depression of the central nervous system, as in dumminess, or be the result of the administration of drugs, such as digitalis or strophantus. A rapid pulse is almost always found in fever, and the more severe the infection and the weaker the heart the more rapid is the pulse. Under these conditions, the beats may rise to 80, 90, or even 120 per minute. When the pulse is above 100 per minute the outlook for recovery is not promising, and especially if this symptom accompanies high temperature or occurs late in an infectious disease. In nearly all of the diseases of the heart and in anemia the pulse becomes rapid.

The pulse is irregular in diseases of the heart, and especially where the valves are affected. The irregularity may consist in varying intervals between the beats or the dropping of one or more beats at regular or irregular intervals. The latter condition sometimes occurs in chronic diseases of the brain. The pulse is said to be weak, or soft, when the beats are indistinct, because little blood is forced through the artery by each contraction of the heart. This condition occurs when there is a constriction of the vessels leading from the heart and it occurs in certain infectious and febrile diseases, and is an indication of heart weakness.

In examining the heart itself it is necessary to recall that it lies in the anterior portion of the chest slightly to the left of the median line and that it extends from the third to the sixth rib. It extends almost to the breastbone, and a little more than half of the distance between the breastbone and the backbone. In contracting, it rotates slightly on its axis, so that the point of the heart, which lies below, is pressed against the left chest wall at a place immediately above the point of the elbow. The heart has in it four chambers—two in the left and two in the right side. The upper chamber of the left side (left auricle) receives the blood as it comes from the lungs, passes it to the lower chamber of the left side (left ventricle), and from here it is sent with great force (for this chamber has very strong, thick walls) through the aorta and its branches (the arteries) to all parts of the body. The blood returns through the veins to the upper chamber of the right side (right auricle), passes then to the lower chamber of the right side (right ventricle), and from this chamber is forced into the lungs to be oxidized. The openings between the chambers of each side and into the aorta are guarded by valves.

If the horse is not too fat, one may feel the impact of the apex of the heart against the chest wall with each contraction of the heart by placing the hand on the left side back of the fifth rib and above the point of the elbow. The thinner and the better bred the horse is the more distinctly this impact is felt. If the animal is excited, or if he[Pg 15] has just been exercised, the impact is stronger than when the horse is at rest. If the horse is weak, the impact is reduced in force.

The examination of the heart with the ear is an important matter in this connection. Certain sounds are produced by each contraction of the normal heart. It is customary to divide these into two, and to call them the first and second sounds. These two sounds are heard during each pulsation, and any deviation of the normal indicates some alteration in the structure or the functions of the heart. In making this examination, one may apply the left ear over the heavy muscles of the shoulder back of the shoulder joint, and just above the point of the elbow, or, if the sounds are not heard distinctly, the left fore leg may be drawn forward by an assistant and the right ear placed against the lower portion of the chest wall that is exposed in this manner.

The first sound of the heart occurs while the heart muscle is contracting and while the blood is being forced from the heart and the valves are rendered taut to prevent the return of the blood from the lower to the upper chambers. The second sound follows quickly after the first and occurs during rebound of blood in the arteries, causing pressure in the aorta and tensions of the valves guarding its opening into the left ventricle. The first sound is of a high pitch and is longer and more distinct than the second. Under the influence of disease these sounds may be altered in various ways. It is not profitable, in a work such as this, to describe the details of these alterations. Those who are interested will find this subject fully discussed in the veterinary textbooks.

TEMPERATURE.

The temperature of the horse is determined roughly by placing the fingers in the mouth or between the thighs or by allowing the horse to exhale against the cheek or back of the hand. In accurate examination, however, these means of determining temperature are not relied upon, but recourse is had to the use of the thermometer. The thermometer used for taking the temperature of a horse is a self-registering clinical thermometer, similar to that used by physicians, but larger, being from 5 to 6 inches long. The temperature of the animal is measured in the rectum.

The normal temperature of the horse varies somewhat under different conditions. It is higher in the young animal than in the old, and is higher in hot weather than in cold. The weather and exercise decidedly influence the temperature physiologically. The normal temperature varies from 99.5° to 101° F. If the temperature rises to 102.5° the horse is said to have a low fever; if the temperature reaches 104° the fever is moderate; if it reaches 106° it is high,[Pg 16] and above this point it is regarded as very high. In some diseases, such as tetanus or sunstroke, the temperature goes as high as 108° or 110°. In the ordinary infectious diseases it does not often exceed 106°. A temperature of 107.5° and above is very dangerous and must be reduced promptly if the horse is to be saved.

THE ORGANS OF RESPIRATION.

In examining this system of organs and their functions it is customary to begin by noting the frequency of the respiratory movements. This point can be determined by observing the motions of the nostrils or of the flanks; on a cold day one can see the condensation of the moisture of the warm air as it comes from the lungs. The normal rate of respiration for a healthy horse at rest is from 8 to 16 per minute. The rate is faster in young animals than in old, and is increased by work, hot weather, overfilling of the stomach, pregnancy, lying upon the side, etc. Acceleration of the respiratory rate where no physiological cause operates is due to a variety of conditions. Among these is fever; restricted area of active lung tissue, from filling of portions of the lungs with inflammatory exudate, as in pneumonia; compression of the lungs or loss of elasticity; pain in the muscles controlling the respiratory movements; excess of carbon dioxid in the blood; and constriction of the air passages leading to the lungs.

Difficult or labored respiration is known as dyspnea. It occurs when it is difficult, for any reason, for the animal to obtain the amount of oxygen that it requires. This may be due to filling of the lungs, as in pneumonia; to painful movements of the chest, as in rheumatism or pleurisy; to tumors of the nose and paralysis of the throat, swellings of the throat, foreign bodies, or weakness of the respiratory passages, fluid in the chest cavity, adhesions between the lungs and chest walls, loss of elasticity of the lungs, etc. Where the difficulty is great the accessory muscles of respiration are brought into play. In great dyspnea the horse stands with his front feet apart, with his neck straight out, and his head extended upon his neck. The nostrils are widely dilated, the face has an anxious expression, the eyeballs protrude, the up-and-down motion of the larynx is aggravated, the amplitude of the movement of the chest walls increased, and the flanks heave.

The expired air is of about the temperature of the body. It contains considerable moisture, and it should come with equal force from each nostril and should not have an unpleasant odor. If the stream of air from one nostril is stronger than from the other, there is an indication of an obstruction in a nasal chamber. If the air possesses a bad odor, it is usually an indication of putrefaction of a tissue or[Pg 17] secretion in some part of the respiratory tract. A bad odor is found where there is necrosis of the bone in the nasal passages or in chronic catarrh. An ulcerating tumor of the nose or throat may cause the breath to have an offensive odor. The most offensive breath occurs where there is necrosis, or gangrene, of the lungs.

In some diseases there is a discharge from the nose. In order to determine the significance of the discharge it should be examined closely. One should ascertain whether it comes from one or both nostrils. If but from one nostril, it probably originates in the head. The color should be noted. A thin, watery discharge may be composed of serum, and it occurs in the earlier stages of coryza, or nasal catarrh. An opalescent, slightly tinted discharge is composed of mucus and indicates a little more severe irritation. If the discharge is sticky and puslike, a deeper difficulty or more advanced irritation is indicated. If the discharge contains flakes and clumps of more or less dried, agglutinated particles, it is probable that it originates within a cavity of the head, as the sinuses or guttural pouches. The discharge of glanders is of a peculiar sticky nature and adheres tenaciously to the wings of the nostrils. The discharge of pneumonia is of a somewhat red or reddish brown color and, on this account has been described as a prune-juice discharge. The discharge may contain blood. If the blood appears as clots or as streaks in the discharge, it probably originates at some point in the upper part of the respiratory tract. If the blood is in the form of a fine froth, it comes from the lungs.

In examining the interior of the nasal passage one should remember that the normal color of the mucous membrane is a rosy pink and that its surface is smooth. If ulcers, nodules, swellings, or tumors are found, these indicate disease. The ulcer that is characteristic of glanders is described fully in connection with the discussion of that disease.

Between the lower jaws there are several clusters of lymphatic glands. These glands are so small and so soft that it is difficult to find them by feeling through the skin, but when a suppurative disease exists in the upper part of the respiratory tract these glands become swollen and easy to feel. They may become soft and break down and discharge as abscesses; this is seen constantly in strangles. On the other hand, they may become indurated and hard from the proliferation of connective tissue and attach themselves to the jawbone, to the tongue, or to the skin. This is seen in chronic glanders. If the glands are swollen and tender to pressure, it indicates that the disease causing the enlargement is acute; if they are hard and insensitive, the disease causing the enlargement is chronic.[Pg 18]

The manner in which the horse coughs is of importance in diagnosis. The cough is a forced expiration, following immediately upon a forcible separation of the vocal cords. The purpose of the cough is to remove some irritant substance from the respiratory passages, and it occurs when irritant gases, such as smoke, ammonia, sulphur vapor, or dust, have been inhaled. It occurs from inhalation of cold air if the respiratory passages are sensitive from disease. In laryngitis, bronchitis, and pneumonia, cough is very easily excited and occurs merely from accumulation of mucus and inflammatory product upon the irritated respiratory mucous membrane. If one wishes to determine the character of the cough, it can easily be excited by pressing upon the larynx with the thumb and finger. The larynx should be pressed from side to side and the pressure removed the moment the horse commences to cough. A painful cough occurs in pleurisy, also in laryngitis, bronchitis, and bronchial pneumonia. Pain is shown by the effort the animal exerts to repress the cough. The cough is not painful, as a rule, in the chronic diseases of the respiratory tract. The force of the cough is considerable when it is not especially painful and when the lungs are not seriously involved. When the lungs are so diseased that they can not be filled with a large volume of air, and in heaves, the cough is weak, as it is also in weak, debilitated animals. If mucus or pus is coughed out, or if the cough is accompanied by a gurgling sound, it is said to be moist; it is dry when these characteristics are not present—that is, when the air in passing out passes over surface not loaded with secretion.

In the examination of the chest we resort to percussion and auscultation. When a cask or other structure containing air is tapped upon, or percussed, a hollow sound is given forth. If the cask contains fluid, the sound is of a dull and of quite a different character. Similarly, the amount of air contained in the lungs can be estimated by tapping upon, or percussing, the walls of the chest. Percussion is practiced with the fingers alone or with the aid of a special percussion hammer and an object to strike upon known as a pleximeter. If the fingers are used, the middle finger of the left hand should be pressed firmly against the side of the horse and should be struck with the ends of the fingers of the right hand bent at a right angle so as to form a hammer. The percussion hammer sold by instrument makers is made of rubber or has a rubber tip, so that when the pleximeter, which is placed against the side, is struck the impact will not be accompanied by a noise. After experience in this method of examination one can determine with a considerable degree of accuracy whether the lung contains a normal amount of air or not. If, as in pneumonia, air has been displaced by inflammatory product occupying the air space, or if fluid collects in the lower part of the chest, the percussion sound becomes dull. If, as in emphysema, or in pneumothorax,[Pg 19] there is an excess of air in the chest cavity, the percussion sound becomes abnormally loud and clear.

Auscultation consists in the examination of the lungs with the ear applied closely to the chest wall. As the air goes in and out of the lungs a certain soft sound is made which can be heard distinctly, especially upon inspiration. This sound is intensified by anything that accelerates the rate of respiration, such as exercise. This soft, rustling sound is known as vesicular murmur, and wherever it is heard it signifies that the lung contains air and is functionally active. The vesicular murmur is weakened when there is an inflammatory infiltration of the lung tissue or when the lungs are compressed by fluid in the chest cavity. The vesicular murmur disappears when air is excluded by the accumulation, of inflammatory product, as in pneumonia, and when the lungs are compressed by fluid in the chest cavity. The vesicular murmur becomes rough and harsh in the early stages of inflammation of the lungs, and this is often the first sign of the beginning of pneumonia.

By applying the ear over the lower part of the windpipe in front of the breastbone a somewhat harsh, blowing sound may be heard. This is known as the bronchial murmur and is heard in normal conditions near the lower part of the trachea and to a limited extent in the anterior portions of the lungs after sharp exercise. When the bronchial murmur is heard over other portions of the lungs, it may signify that the lungs are more or less solidified by disease and the blowing bronchial murmur is transmitted through this solid lung to the ear from a distant part of the chest. The bronchial murmur in an abnormal place signifies that there exists pneumonia or that the lungs are compressed by fluid in the chest cavity.

Additional sounds are heard in the lungs in some diseased conditions. For example, when fluid collects in the air passages and the air is forced through it or is caused to pass through tubes containing secretions or pus. Such sounds are of a gurgling or bubbling nature and are known as mucous râles. Mucous râles are spoken of as being large or small as they are distinct or indistinct, depending upon the quantity of fluid that is present and the size of the tube in which this sound is produced. Mucous râles occur in pneumonia after the solidified parts begin to break down at the end of the disease. They occur in bronchitis and in tuberculosis, where there is an excess of secretion.

Sometimes a shrill sound is heard, like the note of a whistle, fife, or flute. This is due to a dry constriction of the bronchial tubes and it is heard in chronic bronchitis and in tuberculosis.

A friction sound is heard in pleurisy. This is due to the rubbing together of roughened surfaces, and the sound produced is similar to a dry rubbing sound that is caused by rubbing the hands together or by rubbing upon each other two dry, rough pieces of leather.[Pg 20]

THE EXAMINATION OF THE DIGESTIVE TRACT.

The first point in connection with the examination of the organs of digestion is the appetite and the manner of taking food and drink. A healthy animal has a good appetite. Loss of appetite does not point to a special diseased condition, but comes from a variety of causes. Some of these causes, indeed, may be looked upon as being physiological. Excitement, strange surroundings, fatigue, and hot weather may all cause loss of appetite. Where there is cerebral depression, fever, profound weakness, disorder of the stomach, or mechanical difficulty in chewing or swallowing, the appetite is diminished or destroyed. Sometimes there is an appetite or desire to eat abnormal things, such as dirty bedding, roots of grass, soil, etc. This desire usually comes from a chronic disturbance of nutrition.

Thirst is diminished in a good many mild diseases unaccompanied by distinct fever. It is seen where there is great exhaustion or depression or profound brain disturbance. Thirst is increased after profuse sweating, in diabetes, diarrhea, in fever, at the crises of infectious diseases, and when the mouth is dry and hot.

Some diseases of the mouth or throat make it difficult for the horse to chew or swallow his feed. Where difficulty in this respect is experienced, the following named conditions should be borne in mind and carefully looked for: Diseases of the teeth, consisting in decay, fracture, abscess formation, or overgrowth; inflammatory conditions, or wounds or tumors of the tongue, cheeks, or lips; paralysis of the muscles of chewing or swallowing; foreign bodies in upper part of the mouth between the molar teeth; inflammation of throat. Difficulty in swallowing is sometimes shown by the symptom known as "quidding." Quidding consists in dropping from the mouth well-chewed and insalivated boluses of feed. A mouthful of hay, for example, after being ground and masticated, is carried to the back part of the mouth. The horse then finds that from tenderness of the throat, or from some other cause, swallowing is difficult or painful, and the bolus is then dropped from the mouth. Another quantity of hay is similarly prepared, only to be dropped in turn. Sometimes quidding is due to a painful tooth, the bolus being dropped from the mouth when the tooth is struck and during the pang that follows. Quidding may be practiced so persistently that a considerable pile of boluses of feed accumulate in the manger or on the floor of the stall. In pharyngitis one of the symptoms is a return through the nose of fluid that the horse attempts to swallow.

In some brain diseases, and particularly in chronic internal hydrocephalus, the horse has a most peculiar manner of swallowing and of taking feed. A similar condition is seen in hyperemia of the brain. In eating the horse will sink his muzzle into the grain in[Pg 21] the feed box and eat for a while without raising the head. Long pauses are made while the feed is in the mouth. Sometimes the horse will eat very rapidly for a little while and then slowly; the jaws may be brought together so forcibly that the teeth gnash. In eating hay the horse will stop at times with hay protruding from the mouth and stand stupidly, as though he has forgotten what he was about.

In examining the mouth one should first look for swellings or for evidence of abnormal conditions upon the exterior; that is, the front and sides of the face, the jaws, and about the muzzle. By this means wounds, fractures, tumors, abscesses, and disease accompanied by eruptions about the muzzle may be detected. The interior of the mouth is examined by holding the head up and inserting the fingers through the interdental space in such a way as to cause the mouth to open. The mucous membrane should be clean and of a light-pink color, excepting on the back of the tongue, where the color is a yellowish gray. As abnormalities of this region, the chief are diffuse inflammation, characterized by redness and catarrhal discharge; local inflammation, as from eruptions, ulcers, or wounds; necrosis of the lower jawbone in front of the first back tooth; and swellings. Foreign bodies are sometimes found embedded in the mucous membrane lining of the mouth or lodged between the teeth.

The examination of the pharynx and of the esophagus is made chiefly by pressing upon the skin covering these organs in the region of the throat and along the left side of the neck in the jugular gutter. Sometimes, when a more careful examination is necessary, an esophageal tube or probang is passed through the nose or mouth down the esophagus to the stomach.

Vomiting is an act consisting in the expulsion of all or part of the contents of the stomach through the mouth or nose. This act is more difficult for the horse than for most of the other domestic animals, because the stomach of the horse is small and does not lie on the floor of the abdominal cavity, so that the abdominal walls in contracting do not bring pressure to bear upon it so directly and forcibly, as is the case in many other animals. Beside this, there is a loose fold of mucous membrane at the point where the esophagus enters the stomach, and this forms a sort of valve which does not interfere with the passage of food into the stomach, but does interfere with the exit of food through the esophageal opening. Still, vomiting is a symptom that is occasionally seen in the horse. It occurs when the stomach is very much distended with food or with gas. Distention stretches the mucous membrane and eradicates the valvular fold referred to, and also makes it possible for more pressure to be exerted upon the stomach through the contraction of the abdominal muscles. Since the[Pg 22] distention to permit vomiting must be extreme, it not infrequently happens that it leads to rupture of the stomach walls. This has caused the impression in the minds of some that vomiting can not occur in the horse without rupture of the stomach, but this is incorrect, since many horses vomit and afterwards become entirely sound. After rupture of the stomach has occurred vomiting is impossible.

In examination of the abdomen one should remember that its size depends largely upon the breed, sex, and conformation of the animal, and also upon the manner in which the animal has been fed and the use to which it has been put. A pendulous abdomen may be the result of an abdominal tumor or of an accumulation of fluid in the abdominal cavity; or, on the other hand, it may merely be an indication of pregnancy, or of the fact that the horse has been fed for a long time on bulky and innutritious food. Pendulous abdomen occurring in a work horse kept on a concentrated diet is an abnormal condition. The abdomen may increase suddenly in volume from accumulation of gas in tympanic colic. The abdomen becomes small and the horse is said to be "tucked up" from long-continued poor appetite, as in diseases of the digestive tract and in fever. This condition also occurs in tetanus from the contraction of the abdominal walls and in diarrhea from emptiness.

In applying the ear to the flank, on either the right or left side, certain bubbling sounds may be heard that are known as peristaltic sounds, because they are produced by peristalsis, or wormlike contraction of the intestines. These sounds are a little louder on the right side than on the left on account of the fact that the large intestines lie in the right flank. Absence of peristaltic sounds is always an indication of disease, and suggests exhaustion or paralysis of the intestines. This may occur in certain kinds of colic and is an unfavorable symptom. Increased sounds are heard where the intestines are contracted more violently than in health, as in spasmodic colic, and also where there is an excess of fluid or gas in the intestinal canal.

The feces show, to a certain extent, the thoroughness of digestion. They should show that the feed has been well ground, and should, in the horse, be free from offensive odor or coatings of mucus. A coating of mucus shows intestinal catarrh. Blood on the feces indicates severe inflammation. Very light color and bad odor may come from inactive liver. Parasites are sometimes in the dung.

Rectal examination consists in examination of the organs of the pelvic cavity and posterior portion of the abdominal cavity by the hand inserted into the rectum. This examination should be attempted by a veterinarian only, and is useless except to one who has a good knowledge of the anatomy of the parts concerned.[Pg 23]

THE EXAMINATION OF THE NERVOUS SYSTEM.

The great brain, or cerebrum, is the seat of intelligence, and it contains the centers that control motion in many parts of the body. The front portion of the brain is believed to be the region that is most important in governing the intelligence. The central and posterior portions of the cerebrum contain the centers for the voluntary motions of the face and of the front and hind legs. The growth of a tumor or an inflammatory change in the region of a center governing the motion of a certain part of the body has the effect of disturbing motion in that part by causing excessive contraction known as cramps, or inability of the muscles to contract, constituting the condition known as paralysis. The nerve paths from the cerebrum, and hence from these centers to the spinal cord and thence to the muscles, pass beneath the small brain, or the cerebellum, and through the medulla oblongata to the spinal cord. Interference with these paths has the effect of disturbing motion of the parts reached by them. If all of the paths on one side are interfered with, the result is paralysis of one side of the body.

The small brain, or cerebellum, governs the regularity, or coordination, of movements. Disturbances of the cerebellum cause a tottering, uncertain gait. In the medulla oblongata, which lies between the spinal cord and the cerebellum, are the centers governing the circulation and breathing.

The spinal cord carries sensory messages to the brain and motor impressions from the brain. The anterior portions of the cord contain the motor paths, and the posterior portions of the cord contain the sensory paths.

Paralysis of a single member or a single group of muscles is known as monoplegia and results from injury to the motor center or to a nerve trunk leading to the part that is involved. Paralysis of one-half of the body is known as hemiplegia and results from destruction or severe disturbances of the cerebral hemisphere of the opposite side of the body or from interference with nerve paths between the cerebellum, or small brain, and the spinal cord. Paralysis of the posterior half of the body is known as paraplegia and results from derangement of the spinal cord. If the cord is pressed upon, cut, or injured, messages can not be transmitted beyond that point, and so the posterior part becomes paralyzed. This is seen when the back is fractured.

Abnormal mental excitement may be due to congestion of the brain or to inflammation. The animal so afflicted becomes vicious, pays no attention to commands, cries, runs about in a circle, stamps with the feet, strikes, kicks, etc. This condition is usually followed by a dull, stupid state, in which the animal stands with his head down, dull and[Pg 24] irresponsive to external stimuli. Cerebral depression also occurs in the severe febrile infectious diseases, in chronic hydrocephalus, in chronic diseases of the liver, in poisoning with a narcotic substance, and with chronic catarrh of the stomach and intestines.

Fainting is a symptom that is not often seen in horses. When it occurs it is shown by unsteadiness of gait, tottering, and, finally, inability to stand. The cause usually lies in a defect of the small brain, or cerebellum. This defect may be merely in respect of the blood supply, to congestion, or to anemia, and in this case it is likely to pass away and may never return, or it may be due to some permanent cause, as a tumor or an abscess, or it may result from a hemorrhage, from a defect of the valves of the heart, or from poisoning.

Loss of consciousness is known as coma. It is caused by hemorrhage in the brain, by profound exhaustion, or may result from a saturation of the system with the poison of some disease. Coma may follow upon cerebral depression, which occurs as a secondary state of inflammation of the brain.

Where the sensibility of a part is increased the condition is known as hyperesthesia, and where it is lost—that is, where there is no feeling or knowledge of pain—the condition is known as anesthesia. The former usually accompanies some chronic disease of the spinal cord or the earlier stages of irritation of a nerve trunk. Hyperesthesia is difficult to detect in a nervous, irritable animal, and sometimes even in a horse of less sensitive temperament. An irritable, sensitive spot may be found surrounded by skin that is not sensitive to pressure. This is sometimes a symptom of beginning of inflammation of the brain. Anesthesia occurs in connection with cerebral and spinal paralysis, section of a nerve trunk leading to a part, in severe mental depression, and in narcotic poisoning.

URINARY AND SEXUAL ORGANS.

In considering the examination of the urinary and sexual organs we may consider, at the beginning, a false impression that prevails to an astonishing extent. Many horsemen are in the habit of pressings upon the back of a horse over the loins or of sliding the ends of the fingers along on either side of the median line of this region. If the horse depresses his back it is at once said "his kidneys are weak." Nothing could be more absurd or further from the truth. Any healthy horse—any horse with normal sensation and with a normally flexible back—will cause it to sink when manipulated in this way. If the kidneys are inflamed and sensitive, the back is held more rigidly and is not depressed under this pressure.

To examine the kidneys by pressure the pressure should be brought to bear over these organs. The kidneys lie beneath the ends of the[Pg 25] transverse processes of the vertebræ of the loins and beneath the hind-most ribs. If the kidneys are actually inflamed and especially sensitive, pressure or light blows applied here may cause the horse to shrink.

The physical examination of the sexual and generative organs is made in large part through the rectum, and this portion of the examination should be carried out by a veterinarian only. By this means it is possible to discover or locate cysts of the kidneys, urinary calculi in the ureters, bladder, or upper urethra, malformations, and acute inflammations accompanied by pain. The external genital organs are swollen, discolored, or show a discharge as a result of local disease or from disease higher in the tract.

The manner of urinating is sometimes of considerable diagnostic importance. Painful urination is shown by frequent attempts, during which but a small quantity of urine is passed; by groaning, by constrained attitude, etc. This condition comes from inflammation of the bladder or urethra, urinary calculi (stones of the bladder or urethra), hemorrhage, tumors, bruises, etc. The urine is retained from spasms of the muscle at the neck of the bladder, from calculi, inflammatory growths, tumors, and paralysis of the bladder.

The urine dribbles without control when the neck of the bladder is weakened or paralyzed. This condition is seen after the bladder is weakened from long-continued retention and where there is a partial paralysis of the hind quarters.

Horses usually void urine five to seven times a day, and pass from 4 to 7 quarts. Disease may be shown by increase in the number of voidings or of the quantity. Frequent urination indicates an irritable or painful condition of the bladder or urethra or that the quantity is excessive. In one form of chronic inflammation of the kidneys (interstitial nephritis) and in polyuria the quantity may be increased to 20 or 30 quarts daily. Diminution in the quantity of urine comes from profuse sweating, diarrhea, high fever, weak heart, diseased and nonsecreting kidneys, or an obstruction to the flow.

The urine of the healthy horse is a pale or at times a slightly reddish yellow. The color is less intense when the quantity is large, and is more intense when the quantity is diminished. Dark-brown urine is seen in azoturia and in severe acute muscular rheumatism. A brownish-green color is seen in jaundice. Red color indicates admixture of blood from a bleeding point at some part of the urinary tract, usually in the kidneys.

The urine of the healthy horse is not clear and transparent. It contains mucus, which causes it to be slightly thick and stringy, and a certain amount of undissolved carbonates, causing it to be cloudy. A sediment collects when the urine is allowed to stand. The urine of the horse is normally alkaline. If it becomes acid the bodies in suspension[Pg 26] are dissolved and the urine is made clear. The urine may be unusually cloudy from the addition of abnormal constituents, but to determine their character a chemical or microscopic examination is necessary. Red or reddish flakes or clumps in the urine are always abnormal, and denote a hemorrhage or suppuration in the urinary tract.

The normal specific gravity of the urine of the horse is about 1.040. It is increased when the urine is scanty and decreased when the quantity is excessive.

Acid reaction of the urine occurs in chronic intestinal catarrh, in high fever, and during starvation. Chemical and microscopic tests and examinations are often of great importance in diagnosis, but require special apparatus and skill.

Other points in the examination of a sick horse require more discussion than can be afforded in this connection, and require special training on the part of the examiner. Among such points may be mentioned the examination of the organs of special sense, the examination of the blood, the microscopic examination of the secretions and excretions, bacteriological examinations of the secretions, excretions, and tissues, specific reaction tests, and diagnostic inoculation.

[Pg 27]

FUNDAMENTAL PRINCIPLES OF DISEASE.

By Rush Shippen Huidekoper, M. D., Vet.

[Revised by Leonard Pearson, B. S., V. M. D.]

ANIMAL TISSUES.

The nonprofessional reader may regard the animal tissues, which are subject to inflammation, as excessively simple structures, as similar, simple, and fixed in their organization as the joists and boards which frame a house, the bricks and iron coils of pipe which build a furnace, or the stones and mortar which make the support of a great railroad bridge. Yet while the principles of structure are thus simple, for the general understanding by the student who begins their study the complete appreciation of the shades of variation, which differentiate one tissue from another, which define a sound tendon or a ligament from a fibrous band—the result of disease filling in an old lesion and tying one organ with another—is as complicated as the nicest jointing of Chinese woodwork, the building of a furnace for the most difficult chemical analysis, or the construction of a bridge which will stand for ages and resist any force or weight.

All tissues are composed of certain fundamental and similar elements which are governed by the same rules of life, though at first glance they may appear to be widely different. These are (a) amorphous substances, (b) fibers, and (c) cells.

(a) Amorphous substances may be in liquid form, as in the fluid of the blood, which holds a vast amount of salts and nutritive matter in solution; or they may be in a semiliquid condition, as the plasma which infiltrates the loose meshes of connective tissue and lubricates the surface of some membranes; or they may be in the form of a glue or cement, fastening one structure to another, as a tendon or muscle end to a bone; or, again, they hold similar elements firmly together, as in bone, where they form a stiff matrix which becomes impregnated with lime salts. Amorphous substances, again, form the protoplasm or nutritive element of cells or the elements of life.

(b) Fibers are formed of elements of organic matter which have only a passive function. They can be assimilated to little strings, or cords, tangled one with another like a mass of waste yarn, woven regularly like a cloth, or bound together like a rope. They are of two[Pg 28] kinds—white connective tissue fibers, only slightly extensible, pliable, and very strong, and yellow elastic fibers, elastic, curly, ramified, and very dense. These fibers once created require the constant presence of fluids around them in order to retain their functional condition, as a piece of harness leather demands continual oiling to keep its strength, but they undergo no change or alteration in their form until destroyed by death.

(c) Cells, which may even be regarded as low forms of life, are masses of protoplasm or amorphous living matter, with a nucleus and frequently a nucleolus, which are capable of assimilating nutriment or food, propagating themselves either into others of the same form or into fixed cells of another outward appearance and different function but of the same constitution. It is simply in the mode of the grouping of these elements that we have the variation in tissues, as (1) loose connective tissue, (2) aponeurosis and tendons, (3) muscles, (4) cartilage, (5) bones, (6) epithelia and endothelia, (7) nerves.

(1) Loose connective tissue forms the great framework, or scaffolding, of the body, and is found under the skin, between the muscles surrounding the bones and blood vessels, and entering into the structures of almost all the organs. In this the fibers are loosely meshed together like a sponge, leaving spaces in which the nutrient fluid and cells are irregularly distributed. This tissue we find in the skin, in the spaces between the organs of the body where fat accumulates, and as the framework of all glands.

(2) Aponeurosis and tendons are structures which serve for the termination of muscles and for their contention, and for the attachment of bones together. In these the fibers are more frequent and dense, and are arranged with regularity, either crossing each other or lying parallel, and here the cells are found in minimum quantity.

(3) In the muscles the cells lie end to end, forming long fibers which have the power of contraction, and the connective tissue is in small quantity, serving the passive purpose of a band around the contractile elements.

(4) In cartilage a mass of firm amorphous substance, with no vascularity and little vitality, forms the bed for the chondroplasts, or cells of this tissue.

(5) Bone differs from the above in having the amorphous matter impregnated with lime salts, which gives it its rigidity and firmness.

(6) Epithelia and endothelia, or the membranes which cover the body and line all its cavities and glands, are made up of single or stratified and multiple layers of cells bound together by a glue of amorphous substance and resting on a layer composed of fibers.[Pg 29] When the membrane serves for secreting or excreting purposes, as in the salivary glands or the kidneys, it is usually simple; when it serves the mechanical purpose of protecting a part, as over the tongue or skin, it is invariably multiple and stratified, the surface wearing away while new cells replace it from beneath.

(7) In nerves, stellate cells are connected by their rays to each other, or to fibers which conduct the nerve impressions, or they act as receptacles, storehouses, and transmitters for them, as the switch-board of a telephone system serves to connect the various wires.

All these tissues are supplied with blood in greater or less quantity. The vascularity depends upon the function which the tissue is called upon to perform. If this is great, as in the tongue, the lungs, or the sensitive part of the hoof, a large quantity of blood is required; if the labor is a passive one, as in cartilage, the membrane over the withers, or the tendons of the legs, the vessels only reach the periphery, and nutrition is furnished by imbibition of the fluids brought to their surface by the blood vessels.

Blood is brought to the tissues by arterioles, or the small terminations of the arteries, and is carried off from them by the veinlets, or the commencement of the veins. Between these two systems are small, delicate networks of vessels called capillaries, which subdivide into a veritable lacework so as to reach the neighborhood of every element.

In health the blood passes through these capillaries with a regular current, the red cells or corpuscles floating rapidly in the fluid in the center of the channel, while the white or ameboid cells are attracted to the walls of the vessels and move very slowly. The supply of blood is regulated by the condition of repose or activity of the tissue, and under normal conditions the outflow exactly compensates the supply. The caliber of the blood vessels, and consequently the quantity of blood which they carry, is governed by nerves of the sympathetic system in a healthy body with unerring regularity, but in a diseased organ the flow may cease or be greatly augmented. In health a tissue or organ receives its proper quantity of blood; the nutritive elements are extracted for the support of the tissue and for the product, which the function of the organ forms. The force required in the achievement of this is furnished by combustion of the hydrocarbons and oxygen brought by the arterial blood, then by the veins this same fluid passes off, less its oxygen, loaded with the waste products, which are the result of the worn-out and disintegrated tissues, and of those which have undergone combustion. The foregoing brief outline indicates the process of nutrition of the tissues.

Hypernutrition, or excessive nutrition of a tissue, may be normal or morbid. If the latter, the tissue becomes congested or inflamed.[Pg 30]

CONGESTION.

Congestion is an unnatural accumulation of blood in a part. Excessive accumulation of blood may be normal, as in blushing or in the red face which temporarily follows a violent muscular effort, or, as in the stomach or liver during digestion, or in the lungs after severe work, from which, in the latter case, it is shortly relieved by a little rapid breathing. The term congestion, however, usually indicates a morbid condition, with more or less lasting effects. Congestion is active or passive. The former is produced by an increased supply of blood to the part, the latter by an obstacle preventing the escape of blood from the tissue. In either case there is an increased supply of blood, and as a result increased combustion and augmented nutrition.

ACTIVE CONGESTION.

Active congestion is caused by—

(1) Functional activity.—Any organ which is constantly or excessively used is habituated to hold an unusual quantity of blood; the vessels become dilated; if overstrained the walls become weakened, lose their elasticity, and any sudden additional quantity of blood engorges the tissues so that they can not contract, and congestion results. Example: The lungs of a race horse, after an unusual burst of speed or severe work, in damp weather.

(2) Irritants.—Heat and cold, chemical or mechanical. Any of these, by threatening the vitality of a tissue, induce immediately an augmented flow of blood to the part to furnish the means of repair—a hot iron, frostbites, acids, or a blow.

(3) Nerve influence.—This may produce congestion either by acting on the part reflexly or as the result of some central nerve disturbance affecting the branch which supplies a given organ.

(4) Plethora and sanguinary temperament.—Full-blooded animals are much more predisposed to congestive diseases than those of a lymphatic character or those in an anemic condition. The circulation in them is forced to all parts with much greater force and in large quantities. A well-bred, full-blooded horse is much more subject to congestive diseases than a common, coarse, or old, worn-out animal.

(5) Fevers.—In fever the heart works more actively and forces the current of blood more rapidly; the tissues are weakened, and it requires but a slight local cause at any part to congest the structures already overloaded with blood. Again, in certain fevers, we find alteration of the blood itself, rendering it less or more fluid, which interferes with its free passage through the vessels and induces a local predisposition to congestion.[Pg 31]

(6) Warm climate and summer heat.—Warmth of the atmosphere relaxes the tissues; it demands of the animals less blood to keep up their own body temperature, and the extra quantity accumulates in the blood-vessel system. It causes sluggishness in the performance of the organic functions, and in this way it induces congestion, especially of the internal organs. So we find founders, congestive colics, and staggers more frequent in summer than in winter.

(7) Previous congestion.—Whether the previous congestion of any organ has been a continuous normal one—that is, a repeated functional activity—or has been a morbid temporary overloading, it always leaves the walls of the vessels weakened and more predisposed to recurrent attacks from accidental causes than are perfectly healthy tissues. Thus a horse which has had a congestion of the lungs from a severe drive is liable to have another attack from even a lesser cause.

The alterations of congestion are distention of the blood vessels, accumulation of the cellular elements of the blood in them, and effusion of a portion of the liquid of the blood into the fibrous tissues which surround the vessels. When the changes produced by congestion are visible, as in the eye, the nostril, the mouth, the genital organs, and on the surface of the body in white or unpigmented animals, the part appears red from the increase of blood; it becomes swollen from the effusion of liquid into the spongelike connective tissues; it is at times more or less hot from the increased combustion; the part is frequently painful to the animal from pressure of the effusion on the nerves, and the function of the tissue is interfered with. The secretion or excretion of glands may be augmented or diminished. Muscles may be affected with spasms or may be unable to contract. The eyes and ears may be affected with imaginary sights and sounds.

PASSIVE CONGESTION.

Passive congestion is caused by interference with the return of the current of blood from a part.

Old age and debility weaken the tissues and the force of the circulation, especially in the veins, and retard the movement of the blood. We then see horses of this class with stocked legs, swelling of the sheath of the penis or of the milk glands, and of the under surface of the belly. We find them also with effusions of the liquid parts of the blood into the lymph spaces of the posterior extremities and organs of the pelvic cavity.

Tumors or other mechanical obstructions, by pressing on the veins, retard the flow of blood and cause it to back up in distal parts of the body causing passive congestion.

The alterations of passive congestion, as in active congestion, consist of an increased quantity of blood in the vessels and an exudation[Pg 32] of its fluid into the tissues surrounding them, but in passive congestion we have a dark, thick blood which has lost its oxygen, instead of the rich, combustible blood rich in oxygen which is found in active congestion.

The termination of congestion is by resolution or inflammation. In the first case, the choked-up blood vessels find an outlet for the excessive quantity of blood and are relieved; the transuded serum or fluid of the blood is reabsorbed, and the part returns almost to its normal condition, with, however, a tendency to weakness predisposing to future trouble of the same kind. In the other case further alterations take place, and we have inflammation.

INFLAMMATION.

(Plates I and II.)

Inflammation is a hypernutrition of a tissue. It is described by Dr. Agnew, the surgeon, as "a double-edged sword, cutting either way for good or for evil." The increased nutrition may be moderate and cause a growth of new tissue, a simple increase of quantity at first; or it may produce a new growth differing in quality; or it may be so great that, like luxuriant, overgrown weeds, the elements die from their very haste of growth, and we have immediate destruction of the part. According to the rapidity and intensity of the process of structural changes which takes place in an inflamed tissue, inflammation is described as acute or chronic, with a vast number of intermediate forms. When the phenomena are marked it is termed sthenic; when less distinct, as the result of a broken-down and feeble constitution in the animal, it is called asthenic. Certain inflammations are specific, as in strangles, the horsepox, glanders, etc., where a characteristic or specific cause or condition is added to the origin, character of phenomena, or alterations which result from an ordinary inflammation. An inflammation may be circumscribed or limited, as in the abscess on the neck caused by the pressure of a collar, in pneumonia, in glanders, in the small tumors of a splint or a jack; or it may be diffuse, as in severe fistulas of the withers, in an extensive lung fever, in the legs in a case of grease, or in the spavins which affect horses with poorly nourished bones. The causes of inflammation are practically the same as those of congestion, which is the initial step of all inflammation.

The temperament of a horse predisposes the animal to inflammation of certain organs. A full-blooded animal, whose veins show on the surface of the body, and which has a strong, bounding heart pumping large quantities of blood into the vascular organs like the lungs, the intestines, and the laminæ of the feet, is more liable to have pneumonia, congestive colics, and founder, than lymphatic, cold-blooded animals which have pleurisies, inflammation of the bones, spavins, ringbones, inflammation of the glands of the less vascular skin of the extremities, greasy heels, thrush, etc.

PLATE I.
INFLAMMATION.

PLATE II.
INFLAMMATION.

[Pg 33]Young horses have inflammation of the membranes lining the air passages and digestive tract, while older animals are more subject to troubles in the closed serous sacs and in the bones.

The work to which a horse is put (saddle or harness, speed or draft) will influence the predisposition of an animal to inflammatory diseases. As in congestion, the functional activity of a part is an important factor in localizing this form of disease. Given a group of horses exposed to the same draft of cold air or other exciting cause of inflammation, the one which has just been eating will be attacked with an inflammation of the bowels; the one that has just been working so as to increase its respiration will have an inflammation of the throat, bronchi, or lungs; the one that has just been using its feet excessively will have a founder or inflammation of the laminæ of the feet.

The direct cause of inflammation is usually an irritant of some form. This may be a pathogenic organism—a disease germ—or it may be mechanical or chemical, external or internal. Cuts, bruises, injuries of any kind, parasites, acids, blisters, heat, cold, secretions, such as an excess of tears over the cheek or urine on the legs, all cause inflammation by direct injury to the part. Strains or wrenches of joints, ligaments, and tendons cause trouble by laceration of the tissue.

Inflammations of the internal organs are caused by irritants as above, and by sudden cooling of the surface of the animal, which drives the blood to that organ which at the moment is most actively supplied with blood. This is called repercussion. A horse which has been worked at speed and is breathing rapidly is liable to have pneumonia if suddenly chilled, while an animal which has just been fed is more liable to have a congestive colic if exposed to the same influence, the blood in this case being driven from the exterior to the intestines, while in the former it was driven to the lungs.

Symptoms.—The symptoms of inflammation are, as in congestion, change of color, due to an increased supply of blood; swelling, from the same cause, with the addition of an effusion into the surrounding tissues; heat, owing to the increased combustion in the part; pain, due to pressure on the nerves, and altered function. This latter may be augmented or diminished, or first one and then the other. In addition to the local symptoms, inflammation always produces more or less constitutional disturbance or fever. A splint or small spavin will cause so little fever that it is not appreciable, while a severe spavin, an inflamed joint, or a pneumonia may give rise to a marked fever.[Pg 34]

The alterations in an inflamed tissue are first those of congestion, distention of the blood vessels, and exudation of the fluid of the blood into the surrounding fibers, with, however, a more nearly complete stagnation of the blood; fibrin, or lymph, a plastic substance, is thrown out as well, and the cells, which we have seen to be living organisms in themselves, no longer carried in the current of the blood, migrate from the vessels and, finding proper nutriment, proliferate or multiply with greater or lesser rapidity. The cells which lie dormant in the meshes of the surrounding fibers are awakened into activity by the nutritious lymph which surrounds them, and they also multiply.

Whether the cell in an inflamed part is the white ameboid cell of the blood or the fixed connective tissue embedded in the fibers, it multiplies in the same way. The nucleus in the center is divided into two, and then each again into two, ad infinitum. If the process is slow, each new cell may assimilate nourishment and become, like its ancestor, an aid in the formation of new tissues; if, however, the changing takes place rapidly, the brood of young cells have not time to grow or use up the surrounding nourishment, and, but half developed, they die, and we then have destruction of tissue, and pus or matter is formed, a material made up of the imperfect dead elements and the broken-down tissue. Between the two there is an intermediate form, where we have imperfectly formed tissues, as in "proud flesh," large, soft splints; fungous growths, greasy heels, and thrush.

Whether the inflamed tissue is one like the skin, lungs, or intestines, very loose in their texture, or a tendon or bone, dense in structure, and comparatively poor in blood vessels, the principle of the process is the same. The effects, however, and the appearance may be widely different. After a cut on the face or an exudation into the lungs, the loose tissues and multiple vessels allow the proliferating cells to obtain rich nourishment; absorption can take place readily, and the part regains its normal condition entirely, while a bruise at the heel or at the withers finds a dense, inextensible tissue where the multiplying elements and exuded fluids choke up all communication, and the parts die (necrose) from want of blood and cause a serious quittor, or fistula.

This effect of structure of a part on the same process shows the importance of a perfect knowledge in the study of a local trouble, and the indispensable part which such knowledge plays in judging of the gravity of an inflammatory disease, and in formulating a prognosis or opinion of the final termination of it. It is this which allows the veterinarian, through his knowledge of the intimate structure of a part and the relations of its elements, to judge of the severity of a disease, and to prescribe different modes of treatment in two animals for troubles[Pg 35] which, to the less experienced observer, appear to be absolutely identical.

Termination of inflammation.—Like congestion, inflammation may terminate by resolution. In this case the exuded lymph undergoes chemical change, and the products are absorbed and carried off by the blood vessels and lymphatics, to be thrown out of the body by the kidneys, liver, the glands of the skin, and the other excretory organs. The cells, which have wandered into the neighboring tissues from the blood vessels, gradually disappear or become transformed into fixed cells. Those which are the result of the tissue cells, wakened into active life, follow the same course. The vessels themselves contract, and, having resumed their normal caliber, the part apparently reassumes its normal condition; but it is always weakened, and a new inflammation is more liable to reappear in a previously inflamed part than in a sound one. The alternate termination is necrosis, or mortification. If the necrosis, or death of a part, is gradual, by small stages, each cell losing its vitality after the other in more or less rapid succession, it takes the name of ulceration. If it occurs in a considerable part at once, it is called gangrene. If this death of the tissues occurs deep in the organism, and the destroyed elements and proliferated and dead cells are inclosed in a cavity, the result of the process is called an abscess. When it occurs on a surface, it is an ulcer, and an abscess by breaking on the exterior becomes then also an ulcer. Proliferating and dying cells, and the fluid which exudes from an ulcerating surface and the débris of broken-down tissue is known as pus, and the process by which this is formed is known as suppuration. A mass of dead tissue in a soft part is termed a slough, while the same in bone is called a sequestrum. Such changes are especially liable to occur when the part becomes infected with microorganisms that have the property of destroying tissue and thus causing the production of pus. These are known as pyogenic microorganisms. There are also bacilli that are capable of multiplying in tissues and so irritating them as to cause them to die (necrose) without forming pus.

Treatment of inflammation.—The study of the causes and pathological alterations of inflammation has shown the process to be one of hypernutrition, attended by excessive blood supply, so this study will indicate the primary factor to be employed in the treatment of it. Any agent which will reduce the blood supply and prevent the excessive nutrition of the elements of the part will serve as a remedy. The means employed may be used locally to the part, or they may be constitutional remedies, which act indirectly.

Local treatment.—Removal of the cause will frequently allow the part to heal at once. Among causes of inflammation may be mentioned a stone in the frog, causing a traumatic thrush; a badly fitting[Pg 36] harness or saddle, causing ulcers of the skin; decomposing manure and urine in a stable, which, by their vapors, irritate the air tubes and lungs and cause a cough.

Motion stimulates the action of the blood, and thus feeds an inflamed tissue. This is alike applicable to a diseased point irritated by movement to an inflamed pair of lungs surcharged with blood by the use demanded of them in a working animal, or to an inflamed eye exposed to light, or an inflamed stomach and intestines still further fatigued by feed. Rest, absolute quiet, a dark stable, and small quantities of easily digested feed will often cure serious inflammatory troubles without further treatment.

The application of ice bags or cold water by bandages, douching with a hose, or irrigation with dripping water, contracts the blood vessels, acts as a sedative to the nerves, and lessens the vitality of a part; it consequently prevents the tissue change which inflammation produces.

Either dry or moist heat acts as a derivative. It quickens the circulation and renders the chemical changes more active in the surrounding parts; it softens the tissues and attracts the current of blood from the inflamed organ; it also promotes the absorption of the effusion and hastens the elimination of the waste products in the part. Heat may be applied by hand rubbing or active friction and the application of warm coverings (bandages) or by cloths wrung out of warm water; or steaming with warm, moist vapor, medicated or not, will answer the same purpose. The latter is especially applicable to inflammatory troubles in the air passages.

Local bleeding frequently affords immediate relief by carrying off the excessive blood and draining the effusion which has already occurred. It affords direct mechanical relief, and, by a stimulation of the part, promotes the chemical changes necessary for bringing the diseased tissues to a healthy condition. Local blood-letting can be done by scarifying, or making small punctures into the inflamed part, as in the eyelid of an inflamed eye, or into the sheath of the penis, or into the skin of the latter organ when congested, or the leg when acutely swelled.

Counterirritants are used for deep inflammations. They act by bringing the blood to the surface and consequently lessening the blood pressure within. The derivation of the blood to the exterior diminishes the amount in the internal organs and is often very rapid in its action in relieving a congested lung or liver. The most common counterirritant is mustard flour. It is applied as a soft paste mixed with warm water to the under surface of the belly and to the sides, where the skin is comparatively soft and vascular. Colds in the throat or inflammations at any point demand the treatment applied in the same manner to the belly and sides and not to the throat[Pg 37] or on the legs, as so often used. Blisters, iodin, and many other irritants are used in a similar way.

Constitutional treatment in inflammation is designed to reduce the current of blood, which is the fuel for the inflammation in the diseased part, to quiet the patient, and to combat the fever or general effects of the trouble in the system, and to favor the neutralization or elimination of the products of the inflammation.

Reduction of blood is obtained in various ways. The diminution of the quantity of the blood lessens the amount of pressure on the vessels, and, as a sequel, the volume of it which is carried to the point of inflammation; it diminishes the body temperature or fever; it numbs the nervous system, which plays an important part as a conductor of irritation in diseases.

Blood-letting is the most rapid means, and frequently acts like a charm in relieving a commencing inflammatory trouble. One must remember, however, that the strength of the body and repair depend on the blood; hence blood-letting should be practiced only in full-blooded, well-nourished animals and in the early stages of the disease.

Cathartics act by drawing off a large quantity of fluid from the blood through the intestines, and have the advantage over the last remedy of removing only the watery and not the formed elements from the circulation. The blood cells remain, leaving the blood as rich as it was before. Again, the glands of the intestines are stimulated to excrete much waste matter and other deleterious material which may be acting as a poison in the blood.

Diuretics operate through the kidneys in the same way.

Diaphoretics aid depletion of the blood by pouring water in the form of sweat from the surface of the skin and stimulating the discharge of waste material out of its glands, which has the same effect on the blood pressure.

Antipyretics are remedies to reduce the temperature. This may be accomplished by depressing the center in the brain that controls heat production. Some coal-tar products are very effective in this way, but they have the disadvantage of depressing the heart, which should always be kept as strong as possible. If they are used it must be with knowledge of this fact, and it is well to give heart tonics or stimulants with them. The temperature of the body may be lowered by cold packs or by showering with cold water. This is a most useful procedure in many diseases.

Depressants are drugs which act on the heart. They slow or weaken the action of this organ and reduce the quantity and force of the current of the blood which is carried to the point of local disease; they lessen the vitality of the animal, and for this reason are now used much less than formerly.[Pg 38]

Anodynes quiet the nervous system. Pain in the horse, as in the man, is one of the important factors in the production of fever, and the dulling of the former often prevents, or at least reduces, the latter. Anodynes produce sleep, so as to rest the patient and allow recuperation for the succeeding struggle of the vitality of the animal against the exhausting drain of the disease.

The diet of an animal suffering from acute inflammation is a factor of the greatest importance. An overloaded circulation can be starved to a reduced quantity and to a less rich quality of blood by reducing the quantity of feed given to the patient. Feeds of easy digestion do not tire the already fatigued organs of an animal with a torpid digestive system. Nourishment will be taken by a suffering brute in the form of slops and cooling drinks when it would be totally refused if offered in its ordinary form, as hard oats or dry hay, requiring the labor of grinding between the teeth and swallowing by the weakened muscles of the jaws and throat.

Tonics and stimulants are remedies which are used to meet special indications, as in the case of a feeble heart, and which enter into the after treatment of inflammatory troubles as well as into the acute stages of them. They brace up weakened and torpid glands; they stimulate the secretion of the necessary fluids of the body, and hasten the excretion of the waste material produced by the inflammatory process; they regulate the action of a weakened heart; they promote healthy vitality of diseased parts, and aid the chemical changes needed for returning the altered tissues to their normal condition.

FEVERS.

Fever is a general condition of the animal body in which there is an elevation of the animal body temperature, which may be only a degree or two or may be 10° F. The elevation of the body temperature, which represents tissue change or combustion, is accompanied with an acceleration of the heart's action, a quickening of the respiration, and an aberration in the functional activity of the various organs of the body. These organs may be stimulated to the performance of excessive work, or they may be incapacitated from carrying out their allotted tasks, or, in the course of a fever, the two conditions may both exist, the one succeeding the other. Fever as a disease is usually preceded by chills as an essential symptom.

Fevers are divided into essential fevers and symptomatic fevers. In symptomatic fever some local disease, usually of an inflammatory character, develops first, and the constitutional febrile phenomena are the result of the primary point of combustion irritating the whole body, either through the nervous system or directly by means of the waste material which is carried into the circulation and through the[Pg 39] blood vessels, and is distributed to distal parts. Essential fevers are those in which there is from the outset a general disturbance of the whole economy. This may consist of an elementary alteration in the blood or a general change in the constitution of the tissues. Fevers of the latter class are usually due to some infecting agent and belong, therefore, to the class of infectious diseases.

Essential fevers are subdivided into ephemeral fevers, which last but a short time and terminate by critical phenomena; intermittent fevers, in which there are alterations of exacerbations of the febrile symptoms and remissions, in which the body returns to its normal condition or sometimes to a depressed condition, in which the functions of life are but badly performed; and continued fevers, which include contagious diseases, such as glanders, influenza, etc., the septic diseases, such as pyemia, septicemia, etc., and the eruptive fevers, such as variola, etc.

Whether the cause of the fever has been an injury to the tissues, such as a severe bruise, a broken bone, an inflamed lung, or excessive work, which has surcharged the blood with the waste products of the combustion of the tissues, which were destroyed to produce force, or the toxins of influenza in the blood, or the presence of irritating material, either in the form of living organisms or of their products, as in glanders or tuberculosis—the general train of symptoms are much the same, varying as the amount of the irritant differs in quantity, or when some special quality in them has a specific action on one or another tissue.

There is in fever at first a relaxation of the small blood vessels, which may have been preceded by a contraction of the same if there was a chill, and as a consequence there is an acceleration of the current of the blood. There is, then, an elevation of the peripheral temperature, followed by a lowering of tension in the arteries and an acceleration in the movement of the heart. These conditions may be produced by a primary irritation of the nerve centers of the brain from the effects of heat, as is seen in thermic fever, or sunstroke, or by the entrance into the blood stream of disease-producing organisms or their chemical products, as in anthrax, rinderpest, influenza, etc.

There are times when it is difficult to distinguish between the existence of fever as a disease and a temporary feverish condition which is the result of excessive work. Like the condition of congestion of the lungs, which is normal up to a certain degree in the lungs of a race horse after a severe race, and morbid when it produces more than temporary phenomena or when it causes distinct lesions, the temperature may rise from physiological causes as much as four degrees, so fever, or, as it is better termed, a feverish condition, may follow any work or other employment of energy in which excessive tissue[Pg 40] change has taken place; but if the consequences are ephemeral, and no recognizable lesion is apparent, it is not considered morbid. This condition, however, may predispose to severe organic disturbance and local inflammations which will cause disease, as an animal in this condition is liable to take cold and develop lung fever or a severe enteritis, if chilled or otherwise exposed.

Fever in all animals is characterized by the same general phenomena, but we find the intensity of the symptoms modified by the species of animals affected, by the races which subdivide the species, by the families which form groups of the races, and by certain conditions in individuals themselves. For example, a pricked foot in a Thoroughbred may cause intense fever, while the same injury in the foot of a Clydesdale may scarcely cause a visible general symptom. In the horse, fever produces the following symptoms:

The normal body temperature, which varies from 99° to 100° F., is elevated from 1° to 9°. A temperature of 102° or 103° F. is moderate fever, 104° to 105° F. is high, and 106° F. and over is excessive. The temperature is accurately measured by means of a clinical thermometer inserted in the rectum.

This elevation of temperature can readily be felt by the hand placed in the mouth of the animal, or in the rectum, and in the cleft between the hind legs. It is usually appreciable at any point over the surface of the body and in the expired air emitted from the nostrils. The ears and cannons are often as hot as the rest of the body, but are sometimes cold, which denotes a debility in the circulation and irregular distribution of the blood. The pulse, which in a healthy horse is felt beating about 42 to 48 times in the minute, is increased to 60, 70, 90, or even 100. The respirations are increased from 14 or 16 to 24, 30, 36, or even more. With the commencement of a fever the horse usually has diminished appetite, or it may have total loss of appetite if the fever is excessive. There is, however, a vast difference among horses in this regard. With the same degree of elevation of temperature one horse may lose its appetite entirely, while another, usually of the more common sort, will eat at hay throughout the course of the fever, and will even continue to eat oats or other grains. Thirst is usually increased, but the animal desires only a small quantity of water at a time, and in most cases of fever a bucket of water should be kept standing before the patient, which may be allowed to drink ad libitum. The skin becomes dry and the hairs stand on end. Sweating is almost unknown in the early stage of fevers, but frequently occurs later in their course, when an outbreak of warm sweat is often a most favorable symptom. The mucous membranes, which are most easily examined in the conjunctivæ of the eyes and inside of the mouth, change color if the fever is an[Pg 41] acute one; without alteration of blood the mucous membranes become of a rosy or deep-red color at the outset; if the fever is attended with distinct alteration of the blood, as in influenza, and at the end of two or three days in severe cases of pneumonia or other extensive inflammatory troubles the mucous membranes are tinged with yellow, which may even become a deep ocher in color, the result of the decomposition of the blood corpuscles and the freeing of their coloring matter, which acts as a stain. At the outset of a fever the various glands are checked in their secretions, the salivary glands fail to secrete the saliva, and we find the surface of the tongue and inside of the cheeks dry and covered with a brownish, bad-smelling deposit. The excretion from the liver and intestinal glands is diminished and produces an inactivity of the digestive organs which causes a constipation. If this is not remedied at an early period, the undigested material acts as an irritant, and later we may have it followed by an inflammatory process, producing a severe diarrhea.

The excretion from the kidneys is sometimes at first entirely suppressed. It is always considerably diminished, and what urine is passed is dark in color, undergoes ammoniacal change rapidly, and deposits quantities of salts. At a later period the diminished excretion may be replaced by an excessive excretion, which aids in carrying off waste products and usually indicates an amelioration of the fever.

While the ears, cannons, and hoofs of a horse suffering from fever are usually found hot, they may frequently alternate from hot to cold, or be much cooler than they normally are. This latter condition usually indicates great weakness on the part of the circulatory system.

It is of the greatest importance, as an aid in diagnosing the gravity of an attack of fever and as an indication in the selection of its mode of treatment, to recognize the exact cause of a febrile condition in the horse. In certain cases, in very nervous animals, in which fever is the result of nerve influence, a simple anodyne, or even only quiet with continued care and nursing, will sometimes be sufficient to diminish it. When fever is the result of local injury, the cure of the cause produces a cessation in the constitutional symptoms. When it is the result of a pneumonia or other severe parenchymatous inflammation, it usually lasts for a definite time, and subsides with the first improvement of the local trouble, but in these cases we constantly have exacerbations of fever due to secondary inflammatory processes, such as the formation of small abscesses, the development of secondary bronchitis, or the death of a limited quantity of tissue (gangrene).

In specific cases, such as influenza, strangles, and septicemia, there is a definite poison in the blood-vessel system and carried to the heart and to the nervous system, which produces a peculiar irritation, usually lasting for a specific period, during which the temperature can be but slightly diminished by any remedy.[Pg 42]

In cases attended with complications, the diagnosis at times becomes still more difficult, as at the end of a case of influenza which becomes complicated with pneumonia. The high temperature of the simple inflammatory disease may be grafted on that of the specific trouble, and the determination of the cause of the fever, as between the two, is therefore frequently a difficult matter but an important one, as upon it depends the mode of treatment.

Any animal suffering from fever, whatever the cause, is much more susceptible to attacks of local inflammation, which become complications of the original disease, than are animals in sound health. In fever we have the tissues and the walls of the blood vessels weakened, we have an increased current of more or less altered blood flowing through the vessels and stagnating in the capillaries, which need but an exciting cause to transform the passive congestion of fever into an active congestion and acute inflammation. These conditions become still more distinct when the fever is accompanied with a decided deterioration in the blood itself, as is seen in influenza, septicemia, and at the termination of severe pneumonias.

Fever, with its symptoms of increased temperature, acceleration of the pulse, acceleration of respiration, dry skin, diminished secretions, etc., must be considered as an indication of organic disturbance. This organic disturbance may be the result of local inflammation or other irritants acting through the nerves on nerve centers, alterations of the blood, in which a poison is carried to the nerve centers, or direct irritants to the nerve centers themselves, as in cases of heat stroke, injury to the brain, etc.

The treatment of fever depends upon its cause. One of the important factors in treatment is absolute quiet. This may be obtained by placing a sick horse in a box stall, away from other animals and extraneous noises and sheltered from excessive light and drafts of air. Anodynes, belladonna, hyoscyamus, and opium act as antipyretics simply by quieting the nervous system. As an irritant exists in the blood in most cases of fever, any remedy which will favor the excretion of foreign elements from it will diminish this cause. We therefore use diaphoretics to stimulate the sweat and excretions from the skin; diuretics to favor the elimination of matter by the kidneys; cholagogues and laxatives to increase the action of the liver and intestines, and to drain from these important organs all the waste material which is aiding to choke up and congest their rich plexuses of blood vessels. The heart becomes stimulated to increased action at the outset of a fever, but this does not indicate increased strength; on the contrary, it indicates the action of an irritant to the heart that will soon weaken it. It is, therefore, irrational further to depress the heart by the use of such drugs as aconite. It is better to strengthen it and to favor the elimination of the substance that is[Pg 43] irritating it. The increased blood pressure throughout the body may be diminished by lessening the quantity of blood. This is obtained in some cases with advantage when the disease is but starting and the animal is plethoric by direct abstraction of blood, as in bleeding from the jugular or other veins; or by derivatives, such as mustard, turpentine, or blisters applied to the skin; or by setons, which draw to the surface the fluid of the blood, thereby lessening its volume without having the disadvantage of impoverishing the elements of the blood found in bleeding. In many cases antipyretics given by the mouth and cold applied to the skin are most useful.

When the irritation which is the cause of fever is a specific one, either in the form of bacteria (living organisms), as in glanders, tuberculosis, influenza, septicemia, etc., or in the form of a foreign element, as in rheumatism, gout, hemaglobinuria, and other so-called diseases of nutrition, we employ remedies which have been found to have a direct specific action on them. Among the specific remedies for various diseases are counted quinin, carbolic acid, salicylic acid, antipyrene, mercury, iodin, the empyreumatic oils, tars, resins, aromatics, sulphur, and a host of other drugs, some of which are of known effect and others of which are theoretical in action. Certain remedies, like simple aromatic teas, vegetable acids, such as vinegar, lemon juice, etc., alkalines in the form of salts, sweet spirits of niter, etc., which are household remedies, are always useful, because they act on the excreting organs and ameliorate the effects of fever. Other remedies, which are to be used to influence the cause of fever, must be selected with judgment and from a thorough knowledge of the nature of the disease.

[Pg 44]

METHODS OF ADMINISTERING MEDICINES.

By Ch. B. Michener, V. S.

[Revised by Leonard Pearson, B. S., V. M. D.]

Medicine may enter the body through any of the following designated channels: First, by the mouth; second, by the air passages; third, by the skin; fourth, by the tissue beneath the skin (hypodermic methods); fifth, by the rectum; sixth, by the genito-urinary passages; and, seventh, by the blood (intravenous injections).

By the mouth.—Medicines can be given by the mouth in the form of solids, as powders or pills; liquids, and pastes, or electuaries.

Powders.—Solids administered as powders should be as finely pulverized as possible, in order to obtain rapid solution and absorption. Their action is in this way facilitated and intensified. Powders must be free from any irritant or caustic action upon the mouth. Those that are without any disagreeable taste or smell are readily eaten with the feed or taken in the drinking water. When placed with the feed they should first be dissolved or suspended in water and thus sprinkled on the feed. If mixed dry the horse will often leave the medicine in the bottom of his manger. Nonirritant powders may be given in capsules, as balls are given.

Pills, or "balls" when properly made, are cylindrical in shape, 2 inches in length and about three-fourths of an inch in diameter. They should be fresh, but if necessary to keep them some time they should be made up with glycerin, or some such agent, to prevent their becoming too hard. Very old, hard balls are sometimes passed whole with the manure without being acted upon at all. Paper is sometimes wrapped around balls when given, if they are so sticky as to adhere to the fingers or the balling gun. Paper used for this purpose should be thin but firm, as the tougher tissue papers. Balls are preferred to drenches when the medicine is extremely disagreeable or nauseating; when the dose is not too large; when the horse is difficult to drench; or when the medicine is intended to act slowly. Certain medicines can not or should not be made into balls, as medicines requiring to be given in large doses, oils, caustic substances, unless in small dose and diluted and thoroughly mixed with the vehicle, deliquescent, or efflorescent salts. Substances suitable for balls can be made up by the addition of honey, sirup, soap, etc., when required for immediate use. Gelatin capsules of different sizes are now obtainable and are a convenient means of giving medicines in ball form.[Pg 45]

When balls are to be given we should observe the following directions: In shape they should be cylindrical, of the size above mentioned, and soft enough to be easily compressed by the fingers. If made round or egg-shaped, if too long or too hard, they are liable to become fixed in the gullet and cause choking. Balls may be given with the "balling gun" (obtainable at any veterinary instrument maker's) or by the hand. If given by the hand a mouth speculum or gag may be used to prevent the animal from biting the hand or crushing the ball. Always loosen the horse before attempting to give a ball; if tied he may break his halter and injure himself or the one giving the ball. With a little practice it is much easier to give a ball without the mouth gag, as the horse always fights more or less against having his mouth forced open. The tongue must be firmly grasped with the left hand and gently pulled forward; the ball, slightly moistened, is then to be placed with the tips of the fingers of the right hand as far back into the mouth as possible; as the tongue is loosened it is drawn back into the mouth and carries the ball backward with it. The mouth should be kept closed for a minute or two. We should always have a pail of water at hand to offer the horse after balling. This precaution will often prevent him from coughing out the ball or its becoming lodged in the gullet.

Pastes or electuaries are medicines mixed with licorice-root powder, ground flaxseed, molasses, or sirup to the consistency of honey, or a "soft solid." They are intended, chiefly, to act locally upon the mouth and throat. They are given by being spread upon the tongue, gums, or teeth with a wooden paddle or strong, long-handled spoon.

Liquids.—It is, very often, impossible to get balls properly made, or to induce owners or attendants to attempt to give them, and for these reasons medicines by the mouth are mostly given in the form of liquids. Liquids may be given as drenches when the dose is large, or they may, when but a small quantity is administered, be injected into the mouth with a hard-rubber syringe or be poured upon the tongue from a small vial.

When medicine is to be given as a drench we must be careful to use water or oil enough to dissolve or dilute it thoroughly; more than this Wakes the drench bulky and is unnecessary. Insoluble medicines, if not irritant or corrosive, may be given simply suspended in water, the bottle to be well shaken immediately before giving the drench. The bottle used for drenching purposes should be clean, strong, and smooth about its neck; it should be without shoulders, tapering, and of a size to suit the amount to be given. A horn or tin bottle may be better, because it is not so easily broken by the teeth. If the dose is a small one the horse's head may be held up by the left hand, while the medicine is poured into the mouth by the right. The left thumb is to be placed in the angle of the lower jaw, and the fingers spread[Pg 46] out in such manner as to support the lower lip. Should the dose be large, the horse ugly, or the attendant unable to support the head as directed above, the head is then to be held up by running the tines of a long-handled wooden fork under the noseband of the halter or the halter strap or a rope may be fastened to the noseband and thrown over a limb, beam, or through a pulley suspended from the ceiling. Another way of supporting the head is to place a loop in the end of a rope, and introduce this loop into the mouth just behind the upper front teeth or tusks of the upper jaw, the free end to be run through a pulley, as before described, and held by an assistant. It is never to be fastened, as the horse might in that case do himself serious injury. The head is to be elevated just enough to prevent the horse from throwing the liquid out of his mouth. The line of the face should be horizontal, or only the least bit higher. If the head is drawn too high the animal can not swallow with ease or even with safety. (If this is doubted, just fill your mouth with water, throw-back the head as far as possible, and then try to swallow.) The person giving the drench should stand on some object in order to reach the horse's mouth—on a level, or a little above it. The bottle or horn is then to be introduced at the side of the mouth, in front of the molar teeth, in an upward direction. This will cause the horse to open his mouth, when the base of the bottle is to be elevated, and about 4 ounces of the liquid allowed to escape on the tongue as far back as possible, care being taken not to get the neck of the bottle between the back teeth. The bottle is to be immediately removed, and if the horse does not swallow this can be encouraged by rubbing the fingers or neck of the bottle against the roof of the mouth, occasionally removing them. As soon as this is swallowed repeat the operation until he has taken all the drench. If coughing occurs, or if, by any mishap, the bottle should be crushed in the mouth, lower the head immediately.

Do not rub, pinch, or pound the throat nor draw out the tongue when giving a drench. These processes in no way aid the horse to swallow and oftener do harm than good. In drenching, swallowing may be hastened by pouring into the nose of the horse, while the head is high, a few teaspoonfuls of clean water, but drenches must never be given through the nose. Large quantities of medicine given by pouring into the nose are liable to strangle the animal, or, if the medicine is irritating, it sets up an inflammation of the nose, fauces, windpipe, and sometimes the lungs.

By the air passages.—Medicines are administered to the lungs and upper air passages by insufflation, inhalation, injection, and nasal douche.

Insufflation consists in blowing an impalpable powder directly into the nose. It is but rarely resorted to.[Pg 47]

Inhalation.—Gaseous and volatile medicines are given by inhalation, as is also medicated steam or vapor. Of the gases used there may be mentioned, as the chief ones, sulphurous acid gas and, occasionally, chlorin. The animal or animals are to be placed in a tight room, where these gases are generated until the atmosphere is sufficiently impregnated with them. Volatile medicines—as the anesthetics (ether, chloroform, etc.)—are to be given by the attending surgeon only. Medicated vapors are to be inhaled by placing a bucket containing hot water, vinegar and water, scalded hay or bran, to which carbolic acid, iodin, compound tincture of benzoin, or other medicines have been added, in the bottom of a long grain bag. The horse's nose is to be inserted into the top of the bag, and he thus inhales the "medicated steam." Care must be taken not to have it hot enough to scald the animal. The vapor from scalding bran or hay is often thus inhaled to favor discharges in sore throat or "distemper."

Injections are made into the trachea by means of a hypodermic syringe. This method of medication is used for the purpose of treating local diseases of the trachea and upper bronchial tubes. It has also been used as a mode of administering remedies for their constitutional effect, but is now rarely used for this purpose.

The nasal douche is employed by the veterinarian in treating some local diseases of the nasal chambers. Special appliances and professional knowledge are necessary when using liquid medicines by this method. It is not often resorted to, even by veterinary surgeons, since, as a rule, the horse objects very strongly to this mode of medication.

By the skin.—Medicines are often administered to our hair-covered animals by the skin, yet care must be taken in applying some medicines—as tobacco water, carbolic-acid solutions, strong creolin solutions, mercurial ointment, etc.—over the entire body, as poisoning and death follow in some instances from absorption through the skin. For the same reasons care must also be exercised and poisonous medicines not applied over very large raw or abraded surfaces. With domestic animals medicines are only to be applied by the skin to allay local pain or cure local disease.

By the tissue beneath the skin (hypodermatic method).—Medicines are frequently given by the hypodermic syringe under the skin. It is not safe for any but medical or veterinary practitioners to use this form of medication, since the medicines thus given are powerful poisons. There are many precautions to be observed, and a knowledge of anatomy is indispensable. One of the chief precautions has to do with the sterilization of the syringe. If it is not sterile an abscess may be produced.

By the rectum.—Medicines may be given by the rectum when they can not be given by the mouth, or when they are not retained in[Pg 48] the stomach; when we want a local action on the last gut; when it is desired to destroy the small worms infesting the large bowels or to stimulate the peristaltic motion of the intestines and cause evacuation. Medicines are in such cases given in the form of suppositories or as liquid injections (enemas.) Foods may also be given in this way.

Suppositories are conical bodies made up of oil of theobroma and opium (or whatever medicine is indicated in special cases), and are introduced into the rectum or vagina to allay irritation and pain of these parts. They are not much used in treating horses.

Enemas, when given for absorption, should be small in quantity, neutral or slightly acid in reaction, and of a temperature of from 90° to 100° F. These, like feeds given by the rectum, should be introduced only after the last bowel has been emptied by the hand or by copious injections of tepid water. Enemas, or clysters, if to aid the action of physics, should be in quantities sufficient to distend the bowel and cause the animal to eject them. Simple water, salt and water, or soap and water, in quantities of a gallon or more, may be given every half hour. It is best that the horse retain them for some little time, as the liquid serves to moisten the dung and favors a passage. Stimulating enemas, as glycerin, should be administered after those already mentioned have emptied the last bowel, with the purpose of still further increasing the natural motion of the intestines and aiding the purging medicine.

Liquids may be thrown into the rectum by the means of a large syringe or a pump. A very good "irrigator" can be bought of any tinsmith at a trifling cost, and should be constantly at hand on every stock farm. It consists of a funnel about 6 inches deep and 7 inches in diameter, which is to be furnished with a prolongation to which a piece of rubber hose, such as small garden hose, 4 feet long may be attached. The hose, well oiled, is to be inserted gently into the rectum about 2 feet. The liquid to be injected may then be poured in the funnel and the pressure of the atmosphere will force it into the bowels. This appliance is better than the more complicated and expensive ones.

Ordinary cold water or even ice-cold water is highly recommended by many as a rectal injection for horses overcome by the excessive heat of summer, and may be given by this simple pipe.

By the genito-urinary passages.—This method of medication is especially useful in treating local diseases of the genito-urinary organs. It finds its chief application in the injection and cleansing of the uterus and vagina. For this purpose a large syringe or the irrigator described above may be used.

By the blood.—Injections directly into veins are to be practiced by medical or veterinary practitioners only, as are probably some other means of giving medicines—intratracheal injections, etc.

PLATE III.
DIGESTIVE APPARATUS.

[Pg 49]

DISEASES OF THE DIGESTIVE ORGANS.

By Ch. B. Michener, V. S.

[Revised by John R. Mohler, V. M. D.]

It is not an easy task to write "a plain account of the common diseases, with directions for preventive measures, hygienic care, and the simpler forms of medical treatment," of the digestive organs of the horse. Being limited as to space, the endeavor has been made to give simply an outline—to state the most important facts—leaving many gaps, and continually checking the disposition to write anything like a full description as to cause, prevention, and modes of treatment of diseases.

WATER.

It is generally held, at least in practice, that any water that stock can be induced to drink is sufficiently pure for their use. This practice occasions losses that would startle us if statistics were at hand. Water that is impure from the presence of decomposing organic matter, such as is found in wells and ponds in close proximity to manure heaps and cesspools, is frequently the cause of diarrhea, dysentery, and many other diseases of stock, while water that is impregnated with different poisons and contaminated in very many instances with specific media of contagion produces death.

Considering first the quantity of water required by the horse, it may be stated that when our animals have access to water continually they never drink to excess. Were the horse subjected to ship voyages or any other circumstances where he must depend upon his attendant for the supply of water, it may be roughly stated that he requires a daily average of about 8 gallons of water. This varies somewhat upon the character of his feed; if upon green feed, less water will be needed than when fed upon dry hay and grain.

The time of giving water should be carefully studied. At rest, the horse should receive it at least three times a day; when at work, more frequently. The rule should be to give it in small quantities and often. There is a popular fallacy that if a horse is warm he should not be allowed to drink, many asserting that the first swallow of water "founders" the animal or produces colic. This is erroneous. No matter how warm a horse may be, it is always entirely safe to allow him from six to ten swallows of water. If this is given on[Pg 50] going into the stable, he should have at once a pound or two of hay and allowed to rest about an hour before feeding. If water is now offered him it will in many cases be refused, or at least he will drink but sparingly. The danger, then, is not in the "first swallow" of water, but is due to the excessive quantity that the animal will take when warm if he is not restrained.

Ice-cold water should never be given to horses. It may not be necessary to add hot water, but we should be careful in placing water troughs about our barns to have them in such position that the sun may shine upon the water during the winter mornings. Water, even though it is thus cold, seldom produces serious trouble if the horse has not been deprived for a too great length of time.

In reference to the purity of water, Smith, in his "Veterinary Hygiene," classes spring water, deep-well water, and upland surface water as wholesome; stored rain water and surface water from cultivated land as suspicious; river water to which sewage gains access and shallow-well water as dangerous. The water that is used so largely for drinking purposes for stock throughout some States can not but be impure. I refer to those sections where there is an impervious clay subsoil. It is the custom to scoop, or hollow out, a large basin in the pastures. During rains these basins become filled with water. The clay subsoil, being almost impervious, acts as a jug, and there is no escape for the water except by evaporation. Such water is stagnant, but would be kept comparatively fresh by subsequent rains were it not for the fact that much organic matter is carried into it by surface drainage during each succeeding storm. This organic matter soon undergoes decomposition, and, as the result, we find diseases of different kinds much more prevalent where this water is drunk than where the water supply is wholesome. Again, it must not be lost sight of that stagnant surface water is much more certainly contaminated than is running water by one diseased animal of the herd, thus endangering the remainder.

The chief impurities of water may be classified as organic and inorganic. The organic impurities are either animal or vegetable substances. The salts of the metals are the inorganic impurities. Lime causes hardness of water, and occasion will be taken to speak of this when describing intestinal concretions. Salts of lead, iron, and copper are also frequently found in water; they also will be referred to.

About the only examination of water that can be made by the average stock raiser is to observe its taste, color, smell, and clearness. Pure water is clear and is without taste or smell.

Chemical and microscopic examination will frequently be necessary in order to detect the presence of certain poisons, bacteria, etc., and can, of course, be conducted by experts only.[Pg 51]

FEEDS AND FEEDING.

In this place one can not attempt anything like a comprehensive discussion of the subject of feeds and feeding, and I must content myself with merely giving a few facts as to the different kinds of feed, preparation, digestibility, proper time of feeding, quality, and quantity. Improper feeding and watering will doubtless account for more than one-half the digestive disorders met with in the horse, and hence the reader can not fail to see how very important it is to have some proper ideas concerning these subjects.

KINDS OF FEED.

In this country horses are fed chiefly upon hay, grass, corn fodder, roots, oats, corn, wheat, and rye. Many think that they could be fed on nothing else. Stewart, in "The Stable Book," gives the following extract from Loudon's Encyclopedia of Agriculture, which is of interest at this point:

We can not, however, leave aside entirely here a consideration of the digestibility of feeds; and by this we mean the readiness with which they undergo those changes in the digestive canal that fit them for absorption and deposition as integral parts of the animal economy.

The age and health of the animal will, of course, modify the digestibility of feeds, as will also the manner and time of harvesting, preserving, and preparing.

In the horse digestion takes place principally in the intestines, and here, as in all other animals and with all feeds, it is found that a certain part only of the provender is digested; another portion is undigested. This proportion of digested and undigested feed must claim passing notice at least, for if the horse receives too much feed, or bulky feed containing much indigestible waste, a large portion of it must pass out unused, entailing not only the loss of this unused feed, but also calling for an unnecessary expenditure of vital force on[Pg 52] the part of the digestive organs of the horse. It is thus that, in fact, too much feed may make an animal poor.

In selecting feed for the horse we should remember the anatomical arrangement of the digestive organs, as well as the physiological functions performed by each one of them. Feeds must be wholesome, clean, and sweet, the hours of feeding regular, the mode of preparation found by practical experience to be the best must be adhered to, and cleanliness in preparation and administration must be observed.

The length of time occupied by stomach digestion in the horse varies with the different feeds. Hay and straw pass out of the stomach more rapidly than oats. It would seem to follow, then, that oats should be given after hay, for if reversed the hay would cause the oats to be sent onward into the intestines before being fully acted upon by the stomach, and as a result produce indigestion. Experience confirms this. There is another good reason why hay should be given first, particularly if the horse is very hungry or if exhausted from overwork, namely, it requires more time in mastication (insuring proper admixture of saliva) and can not be bolted, as are the grains. In either instance water must not be given soon after feeding, as it washes or sluices the feed from the stomach before it is fitted for intestinal digestion.

The stomach begins to empty itself very soon after the commencement of feeding, and continues rapidly while eating. Afterwards the passage is slower, and several hours are required before the stomach is entirely empty. The nature of the work required of the horse must guide us in the selection of his feed. Rapid or severe labor can not be performed on a full stomach. For such labor feed must be given in small quantity and about two hours before going to work. Even horses intended for slow work must never be engorged with bulky, innutritious feed immediately before going to labor. The small stomach of the horse would seem to lead us to the conclusion that he should be fed in small quantities and often, which, in reality, should be done. The disproportion between the size of the stomach and the quantity of water drunk tells us plainly that the horse should always be watered before feeding. One of the common errors of feeding, and the one that produces more digestive disorders than any other, is to feed too soon after a hard day's work. This must never be done. If a horse is completely jaded, it will be found beneficial to give him an alcoholic stimulant on going into the stable. A small quantity of hay may then be given, but his grain should be withheld for one or two hours. These same remarks will apply with equal force to the horse that for any reason has been fasting for a long time. After a fast, feed less than the horse would eat, for if allowed too much the stomach becomes engorged, its walls paralyzed, and "colic" is almost sure to follow. The horse should be fed[Pg 53] three or four times a day. It will not do to feed him entirely upon concentrated feed. Bulky feed must be given to detain the grains in their passage through the intestinal tract; bulk also favors distention, and thus mechanically aids absorption. For horses that do slow work the greater part of the time, chopped or cut hay fed with crushed oats, ground corn, etc., is the best manner of feeding, as it gives the required bulk, saves time, and half the labor of feeding.

Sudden changes of diet are always dangerous. When desirous of changing, do so very gradually. If a horse is accustomed to oats, a sudden change to a full meal of corn will almost always sicken him. If we merely intend to increase the quantity of the usual feed, this also must be done gradually. The quantity of feed given must always be in proportion to the amount of labor to be performed. If a horse is to do a small amount of work, or rest entirely from work for a few days, he should receive a proportionate quantity of feed. If this should be observed even on Saturday night and Sunday, there would be fewer cases of "Monday morning sickness," such as colics and lymphangitis.

Feeds should also be of a more laxative nature when the horse is to stand for several days.

Musty or moldy feeds.—Above all things, avoid feeding musty or moldy feeds. They are very frequent causes of disease of different kinds. Lung trouble, such as bronchitis and "heaves," often follows their use. The digestive organs always suffer from moldy or musty feeds. Musty hay is generally considered to produce disorder of the kidneys, and all know of the danger from feeding pregnant animals upon ergotized grasses or grains. It has often been said to produce that peculiar disease known variously as cerebrospinal meningitis, putrid sore throat, or choking distemper.

Hay.—The best hay for horses is timothy. It should be about one year old, of a greenish color, crisp, clean, fresh, and possessing a sweet, pleasant aroma. Even this good hay, if kept too long, loses part of its nourishment, and, while it may not be positively injurious, it is hard, dry, and indigestible. New hay is difficult to digest, produces much salivation (slobbering), and occasional purging and irritation of the skin. If fed at all it should be mixed with old hay.

Second crop, or aftermath.—This is not considered good hay for horses, but it is prized by some farmers as good for milch cows, the claim being made that it increases the flow of milk. The value of hay depends upon the time of cutting, as well as care in the curing. Hay should be cut when in full flower, but before the seeds fall; if left longer it becomes dry, woody, and lacks in nutrition.[Pg 54] An essential point in making hay is that when the crop is cut it should remain in the field as short a time as possible. If left too long in the sun it loses color, flavor, and dries or wastes. Smith asserts that one hour more than is necessary in the sun causes a loss of 15 to 20 per cent in the feeding value of hay. It is impossible to state any fixed time that hay must have to cure, this depending, of course, upon the weather, thickness of the crop, and many other circumstances; but it is well known that in order to preserve the color and aroma of hay it should be turned or tedded frequently and cured as quickly as possible. On the other hand, hay spoils in the mow if harvested too green or when not sufficiently dried. Mow-burnt hay produces disorder of the kidneys and bowels and causes the horse to fall off in condition.

The average horse on grain should be allowed from 10 to 12 pounds of good hay a day. It is a mistake of many to think that horses at light work can be kept entirely on hay. Such horses soon become potbellied, fall off in flesh, and do not thrive. The same is true of colts; unless the latter are fed with some grain they grow up to be long, lean, gawky creatures, and never make so good horses as those accustomed to grain with, or in addition to, their hay.

Straw.—The straws are not extensively fed in this country, and when used at all they should be cut and mixed with hay and ground or crushed grain. Wheat, rye, and oat straw are the ones most used; of these, oat straw is most easily digested and contains the most nourishment. Pea and bean straw are occasionally fed to horses, the pea being preferable, according to most writers.

Chaff.—Wheat and rye chaff should never be used as a feed for horses. The beards frequently become lodged in the mouth or throat and are productive of more or less serious trouble. In the stomach and intestines they often serve as the nucleus of the "soft concretions," which are to be described when treating of obstructions of the digestive tract.

Oat chaff, if fed in small quantities and mixed with cut hay or corn fodder, is very much relished by horses. It is not to be given in large quantities, as I have repeatedly witnessed a troublesome and sometimes fatal diarrhea following the practice of allowing horses or cattle free access to a pile of oat chaff.

Grains.—Oats take precedence of all grains as a feed for horses, as the ingredients necessary for the complete nutrition of the body exist in them in the best proportions. Oats are, besides, more easily digested and a larger proportion absorbed and converted into the various tissues of the body. Care must be taken in selecting oats. According to Stewart, the best oats are one year old, plump, short, hard, clean, bright, and sweet. New oats are indigestible. Kiln-dried[Pg 55] oats are to be refused, as a rule, for even though originally good this drying process injures them. Oats that have sprouted or fermented are injurious and should never be fed. Oats are to be given either whole or crushed—whole in the majority of instances; crushed to old horses and those having defective teeth. Horses that bolt their feed are also best fed upon crushed oats and out of a manger large enough to permit of spreading the grain in a thin layer.

In addition to the allowance of hay above mentioned, the average horse requires about 12 quarts of good oats daily. The best oats are those cut about one week before they are fully ripe. Not only is the grain richer in nutritive materials at this time, but there is also less waste from "scattering" than if left to become dead ripe. Moldy oats, like hay and straw, not only produce serious digestive disorders but have been the undoubted cause of outbreaks of that dread disease in horses, already referred to, characterized by inability to eat or drink, sudden paralysis, and death.

Wheat and rye.—These grains are not to be used for horses except in small quantities, bruised or crushed, and fed mixed with other grains or hay. If fed alone, in any considerable quantities, they are almost certain to produce digestive disorders, laminitis (founder), and similar troubles. They should never constitute more than one-fourth the grain allowance, and should always be ground or crushed.

Bran.—The bran of wheat is the one most used, and its value as a feeding stuff is variously estimated. It is not to be depended upon if given alone, but may be fed with other grains. It serves to keep the bowels open. Sour bran is not to be given, for it disorders the stomach and intestines and may even produce serious results.

Maize (corn).—This grain is not suitable as an exclusive feed for young horses, as it is deficient in salts. It is fed whole or ground. Corn on the cob is commonly used for horses affected with "lampas." If the corn is old and is to be fed in this manner it should be soaked in pure, clean water for 10 or 12 hours. Corn is better given ground, and fed in quantities of from 1 to 2 quarts at a meal, mixed with crushed oats or wheat bran. Great care should be taken in giving corn to a horse that is not accustomed to its use. It must be commenced in small quantities and very gradually increased. I know of no grain more liable to produce what is called acute indigestion than corn if these directions are not observed.

Linseed.—Ground linseed is occasionally fed with other feeds to keep the bowels open and to improve the condition of the skin. It is of particular service during convalescence, when the bowels are sluggish in their action. Linseed tea is very often given in irritable or inflamed conditions of the digestive organs.[Pg 56]

Potatoes.—These are used as an article of feed for the horse in many sections. If fed raw and in large quantities they often produce indigestion. Their digestibility is increased by steaming or boiling. They possess, in common with other roots, slight laxative properties.

Beets.—These are not much used as feed for horses.

Carrots.—These make a most excellent feed, particularly during sickness. They improve the appetite and slightly increase the action of the bowels and kidneys. They possess also certain alterative properties, making the coat smooth and glossy. Some veterinary writers assert that chronic cough is cured by giving carrots for some time. The roots may be considered, then, as an adjunct to the regular regimen, and if fed in small quantities are highly beneficial.

Grasses.—Grass is the natural food of horses. It is composed of a great variety of plants, differing widely as to the amount of nourishment contained, some being almost entirely without value and only eaten when nothing else is obtainable, while others are positively injurious, or even poisonous. None of the grasses are sufficient to keep the horse in condition for work. Horses thus fed are "soft," sweat easily, purge, and soon tire on the road or when at hard work. Grass is indispensable to growing stock, and there is little or no doubt that it acts as an alterative when given to horses accustomed to grain and hay. It must be given to such horses in small quantities at first. The stomach and intestines undergo rest, and recuperate if the horse is turned to grass for a time each year. It is also certain that during febrile diseases grass acts almost as a medicine, lessening the fever and favoring recovery. Wounds heal more rapidly than when the horse is on grain, and some chronic disorders (chronic cough, for instance) disappear entirely when at grass. In my experience, grass does more good when the horse crops it himself. This may be due to the sense of freedom he enjoys at pasture, to the rest to his feet and limbs, and for many other similar reasons. When cut for him it should be fed fresh or when but slightly wilted.

Silage.—Regarding silage as a feed for horses, Rommel in Farmers' Bulletin 578 writes as follows:

PREPARATION OF FEEDS.

Feed is prepared for any of the following reasons: To render it more easily eaten; to make it more digestible; to economize in amount; to give it some new property; and to preserve it. We have already spoken of the preparation of drying, and need not revert to this again, as it only serves to preserve the different feeds. Drying does, however, change some of the properties of feed, i. e., removes the laxative tendency of most of them.

The different grains are more easily eaten when ground, crushed, or even boiled. Rye or wheat should never be given whole, and even of corn it is found that there is less waste when ground, and, in common with all other grains, it is more easily digested than when fed whole.

Hay and fodder are economized when cut in short pieces. Not only will the horse eat the necessary quantity in a shorter time, but it will be found that there is less waste, and the mastication of the grains (whole or crushed) fed with them is insured.

Reference has already been made to those horses that bolt their feed, and we need only remark here that the consequences of such ravenous eating may be prevented if the grains are fed with cut hay, straw, or fodder. Long or uncut hay should also be fed, even though a certain quantity of hay or straw is cut and fed mixed with grain.

One objection to feeding cut hay mixed with ground or crushed grains, and wetted, must not be overlooked during the hot months. Such feed is liable to undergo fermentation if not fed directly after it is mixed; even the mixing trough, unless frequently scalded and cleaned, becomes sour and enough of its scrapings are given with the feed to produce flatulent (wind) colic. A small quantity of salt should always be mixed with such feed. Bad hay should never be cut simply because it insures a greater consumption of it; bad feeds are dear at any price, and should never be fed.

The advantage of boiling roots has been mentioned. Not only does this render them less liable to produce digestive disorders, but it also makes them clean. Boiling or steaming grains is to be recommended when the teeth are poor, or when the digestive organs are weak.[Pg 58]

DISEASES OF THE TEETH.

Dentition.—This covers the period during which the young horse is cutting his teeth—from birth to the age of 5 years. With the horse more difficulty is experienced in cutting the second or permanent teeth than with the first or milk teeth. There is a tendency among farmers and many veterinarians to pay too little attention to the teeth of young horses. Percivall relates an instance illustrative of this that is best told in his own words:

The mouths of young horses should be examined from time to time to see whether one or more of the milk teeth are not remaining too long, causing the second teeth to grow in crooked, in which case the first teeth should be removed with the forceps.

Irregularities of teeth.—There is a fashion of late years, especially in large cities, to have horses' teeth regularly "floated," or "rasped," by "veterinary dentists." In some instances this is very beneficial, while in most cases it is entirely unnecessary. From the character of the feed, the rubbing, or grinding, surface of the horse's teeth should be rough. Still, we must remember that the upper jaw is somewhat wider than the lower, and that, from the fact of the teeth not being perfectly apposed, a sharp ridge is left unworn on the inside of the lower molars and on the outside of the upper, which may excoriate the tongue or cheeks to a considerable extent. This condition may readily be felt by the hand, and these sharp ridges when found should be rasped down by a guarded rasp. In some instances the first or last molar tooth is unnaturally long, owing to the fact that its fellow in the opposite jaw has been lost or does not close perfectly against it. Should it be the last molar that is thus elongated, it will require the aid of the veterinary surgeon, who has the necessary forceps or chisel for cutting it. The front molar may be rasped down, if much patience is taken. In decay of the teeth it is quite common to find the tooth corresponding to the decayed one on the opposite jaw very much elongated, sometimes to such an extent that the mouth can not be perfectly closed. Such teeth must also be shortened by the tooth forceps, chisel, tooth saw, or rasp. In all instances in which horses "quid" their feed, if they are slobbering, or evince pain in mastication, shown by holding the head to one side while chewing, the teeth should be carefully examined. Horses whose teeth have unduly sharp edges are liable to drive badly; they pull to one side, do not bear on the bit, or bear on too hard and "big," toss the head, and start suddenly when a tender spot is touched. If, as is mostly the case, all the symptoms are referable to sharp corners or projections, these must be removed by the rasp. If decayed teeth ere found, or other serious difficulty detected, or if the cause of the annoying symptoms is not discovered, an expert should be called.

PLATE IV.
Age of Horses as Indicated by Teeth.

Longitudinal section of left central lower incisor and cross sections of same tooth showing table surfaces as they appear at the ages of 3, 5, 7, 9, 15, 20 and 25 years. C, Cement; D, Dentine; E, Enamel; I, Infundibulum; K, Cup; P, Pulp Cavity; S, Star.

[Pg59]Toothache.—This is rare in the horse and is mostly witnessed when there is decay of a tooth or inflammation about its root. Toothache is to be discovered in the horse by the pain expressed by him while feeding or drinking cold water. I have seen horses, affected with toothache, that would suddenly stop chewing, throw the head to one side, and slightly open the mouth. They behave as though some sharp body had punctured the mouth. If upon examination, no foreign body is found, we must then carefully examine each tooth. If this can not be done with the hand in the mouth, we can, in most instances, discover the aching tooth by pressing each tooth from without. By tapping the teeth in succession with a hard object, such as a small hammer, the one that is tender may be identified. The horse will flinch when the sore tooth is pressed or tapped upon. In most cases there is nothing to be done but extract the decayed tooth, and this, of course, is to be attempted by the veterinarian only.

Deformity.—There is a deformity, known as parrot-mouth, that interferes with prehension, mastication, and, indirectly, with digestion. The upper incisors project in front of and beyond the lower ones. The teeth of both jaws become unusually long, as they are not worn down by friction. Such horses experience much difficulty in grazing. Little can be done except to examine the teeth occasionally, and if those of the lower jaw become so long that they bruise the "bars" of the upper jaw, they must be shortened by the rasp or saw. Horses with this deformity should never be left entirely at pasture.

The method of determining the age of a horse by the teeth is illustrated in Plate IV.[Pg 60]

DISEASES OF THE MOUTH.

LAMPAS.

Lampas is the name given to a swelling of the mucous membrane covering the hard palate and projecting in a more or less prominent ridge immediately behind the upper incisors. The hard palate is composed of spongy tissue that fills with blood when the horse is feeding, which causes the ridges to become prominent, and they then help to keep feed from dropping from the mouth. This swelling is entirely natural and occurs in every healthy horse. Where there is some irritation in the mouth, as in stomatitis or during teething, the prominence of the hard palate may persist, owing to the increased blood supply. In such cases the cause of the irritation should be nought for and removed. By way of direct treatment, slight scarification is the most that will be required. Burning the lampas is barbarous and injurious, and it should never be tolerated.

It is a quite common opinion among owners of horses and stablemen that lampas is a disease that very frequently exists. In fact whenever a horse fails to eat, and if he does not exhibit very marked symptoms of a severe illness, they say at once "he has the lampas." It is almost impossible to convince them to the contrary; yet it is not the case. It may be put down, then, as an affliction of the stable-man's imagination rather than of the horse's mouth.

STOMATITIS.

Stomatitis is an inflammation of the mucous membrane lining the mouth and is produced by irritating medicines, feeds, or other substances. The symptoms are swelling of the mouth, which is also hot and painful to the touch; there is a copious discharge of saliva; the mucous membrane is reddened, and in some cases vesicles or ulcers in the mouth are observed. The treatment is simple, soft feed alone often being all that is necessary. A bucket of fresh, cold water should be kept constantly in the manger so that the horse may drink or rinse his mouth at will. In some instances, it may be advisable to use a wash of chlorate of potash, borax, or alum, about one-half ounce to a pint of water. Hay, straw, or oats should not be fed unless steamed or boiled. A form of contagious stomatitis, characterized by the formation within the mouth of small vesicles, or blisters, sometimes occurs. In this disease the horse should be isolated from other horses, and his stall, especially the feed box, and his bit should be disinfected.

GLOSSITIS (INFLAMMATION OF THE TONGUE).

Glossitis, or inflammation of the tongue, is very similar to stomatitis, and mostly exists with it and is due to the same causes. Injuries to the tongue may produce this simple inflammation of its covering[Pg 61] membrane, or, if severe, may produce lesions much more extensive, such as lacerations, abscesses, etc. These latter would require surgical treatment, but for the simpler forms of inflammation of the tongue the treatment recommended for stomatitis should be followed.

SALIVATION (PTYALISM).

Ptyalism, or salivation, consists in an abnormal and excessive secretion of saliva. This is often seen as a symptom of irregular teeth; inflammation of the mouth or tongue, or of the use of such medicines as lobelia, mercury, and many others. Some feeds, such as clover, and particularly second crop, produce it; foreign bodies, such as nails, wheat chaff, and corncobs becoming lodged in the mouth, also are causes. If the cause is removed no further attention is necessary, as a rule. Astringent washes may be applied to the mouth as a gargle or by means of a sponge.

PHARYNGITIS.

Pharyngitis is an inflammation of the mucous membrane lining of the pharynx or throat. It rarely exists unless accompanied with stomatitis or laryngitis, especially the latter. In those rare instances in which the inflammation is mostly confined to the pharynx are noticed febrile symptoms—difficulty of swallowing either liquids or solids; there is but little cough except when trying to swallow; there is no soreness on pressure over larynx (head of the windpipe). Increased flow of saliva, difficulty of swallowing liquids in particular, and cough only when attempting to swallow, are the symptoms best marked in pharyngitis. In some cases the throat becomes gangrenous and the disease ends in death. For treatment a wet sheet should be wrapped around the throat and covered with rubber sheeting and a warm blanket. This should be changed three times daily; or the region of the throat may be rubbed with mercurial ointment twice daily until the skin becomes irritated, but no longer; chlorate of potash may be given in 2-dram doses four times daily, mixed with flaxseed meal or licorice-root powder and honey, as an electuary. Soft feeds should be given, and fresh water should be constantly before the horse.

PARALYSIS OF THE PHARYNX.

Paralysis of the pharynx, or, as it is commonly called, "paralysis of the throat," is a rare but very serious disease. The symptoms are as follows: The horse will constantly try to eat or drink, but will be unable to do so; if water is offered him from a pail he will apparently drink with avidity, but the quantity of water in the pail will remain about the same; he will continue by the hour to try to drink; if he can get any fluid into the back part of the mouth it will come out at once through the nose. Feeds also return through the[Pg 62] nose, or are dropped from the mouth, quidded. An examination of the mouth by inserting the hand fails to find any obstruction or any abnormal condition. These cases go on from bad to worse; the horse constantly and rapidly loses in condition, becomes very much emaciated, the eyes are hollow and lusterless, and death occurs from inanition.

Treatment is very unsatisfactory. A severe blister should be applied behind and under the jaw; the mouth is to be frequently swabbed out with alum or chlorate of potash, 1 ounce to a pint of water, by means of a sponge fastened to the end of a stick. Strychnia may be given in 1-grain doses two or three times a day.

This disease may be mistaken at times for foreign bodies in the mouth or for the so-called cerebrospinal meningitis. It is to be distinguished from the former, upon a careful examination of the mouth, by the absence of any offending body and by the flabby feel of the mouth, and from the latter by the animal appearing in perfect health in every particular except this inability to eat or drink.

ABSCESSES.

Abscesses sometimes form back of the pharynx and give rise to symptoms resembling those of laryngitis or distemper. Interference with breathing that is of recent origin and progression, without any observable swelling or soreness about the throat, will make one suspect the formation of an abscess in this location. But little can be done in the way of treatment, save to hurry the ripening of the abscess and its discharge by steaming with hops, hay, or similar substances and by poulticing the throat. The operation for opening an abscess in this region necessitates an intimate knowledge of the complex anatomy of the throat region.

DISEASES OF THE ESOPHAGUS OR GULLET.

It is rare to find diseases of this organ, except as a result of the introduction of foreign bodies too large to pass or to the administering of irritating medicines. In the administration of irritant or caustic medicines great care should be taken that they be thoroughly diluted. If this is not done, erosions and ulcerations of the throat ensue, and this again is prone to be followed by constriction (narrowing) of the gullet.

CHOKING.

The mechanical trouble of choking is quite common. It may occur when the animal is suddenly startled while eating apples or roots, and we should be careful never to approach suddenly or put a dog after horses or cows that are feeding upon such substances. If left alone these animals very rarely attempt to swallow the object until it is sufficiently masticated.[Pg 63]

Choking also arises from feeding oats in a deep, narrow manger to such horses as eat very greedily or bolt their feed. Wheat chaff is also a frequent cause of choke. This accident may result from the attempts to force eggs down without breaking or from giving balls that are too large or not of the proper shape.

Whatever object causes the choking, it may lodge in the upper part of the esophagus, at its middle portion, or close to the stomach, giving rise to the designations of pharyngeal, cervical, and thoracic choke. In some cases where the original obstruction is low we find all that part of the gullet above it to be distended with feed.

Symptoms.—The symptoms vary somewhat according to the position of the body causing choke. In pharyngeal choke the object is lodged in the upper portion of the esophagus. The horse will present symptoms of great distress, hurried breathing, frequent cough, excessive flow of saliva, sweating, trembling, or stamping with the fore feet. The abdomen rapidly distends with gas. The diagnosis is completed by manipulating the upper part of the throat from without and by the introduction of the hand into the back part of the mouth, finding the body lodged here. In cervical choke (where the obstruction is situated at any point between the throatlatch and the shoulder) the protrusion caused by the object can be seen and the object can be felt. The symptoms here are not so severe; the horse will be seen occasionally to draw himself up, arch his neck, and make retching movements as though he wished to vomit. The abdomen may be tympanitic. Should there be any question as to the trouble, a conclusion may be reached by pouring water into the throat from a bottle. If the obstruction is complete, by standing on the left side of the horse and watching the course of the esophagus, you can see the gullet, just above the windpipe, become distended with each bottle of water. This is not always a sure test, as the obstruction may be an angular body, in which case liquids would pass it. Solids taken would show in these cases; solids should not, however, be given, as they serve to increase the trouble by rendering the removal of the body more difficult.

In thoracic choke the symptoms are less severe. Feed or water may be ejected through the nose or mouth after the animal has taken a few swallows. There will be some symptoms of distress, fullness of the abdomen, cough, and occasionally retching movements. Sometimes a choking horse is heard to emit groans. The facial expression always denotes great anxiety and the eyes are bloodshot. The diagnosis is complete if, upon passing the probang (a flexible tube made for this purpose), an obstruction is encountered.

Treatment.—If the choke is at the beginning of the gullet (pharyngeal) an effort must be made to remove the obstacle through the mouth. A mouthgag, or speculum, is to be introduced into the[Pg 64] mouth to protect the hand and arm of the operator. Then, while an assistant, with his hands grasped tightly behind the object, presses it upward and forward with all his force, the operator must pass his hand into the mouth until he can seize the obstruction and draw it outward. This mode of procedure must not be abandoned with the first failure, as by continued efforts we may get the obstacle farther toward the mouth. If we fail with the hand, forceps may be introduced through the mouth and the object seized when it is just beyond the reach of the fingers. Should our efforts entirely fail, we must then endeavor to force the obstruction downward by means of the probang. This instrument, which is of such signal service in removing choke in cattle, is decidedly more dangerous to use for the horse, and I can not pass this point without a word of caution to those who have been known to introduce into the horse's throat such objects as whipstalks, shovel handles, etc. These are always dangerous, and more than one horse has been killed by such barbarous treatment.

In cervical as well as in thoracic choke we must first of all endeavor to soften or lubricate the obstruction by pouring oil or mucilaginous drinks down the gullet. After this has been done endeavor to move the object by gentle manipulations with the hands. If choked with oats or chaff (and these are the objects that most frequently produce choke in the horse), begin by gently squeezing the lower portion of the impacted mass and endeavor to work it loose a little at a time. This is greatly favored at times if we apply hot fomentations immediately about the obstruction. Persist in these efforts for at least an hour before deciding to resort to other and more dangerous modes of treatment. If unsuccessful, however, the probang may be used. In the absence of the regular instrument, a piece of inch hose 6 feet long or a piece of new three-quarter-inch manila rope well wrapped at the end with cotton twine and thoroughly greased with tallow should be used. The mouth is to be kept open by a gag of wood or iron and the head slightly raised and extended. The probang is then to be carefully guided by the hand into the upper part of the gullet and gently forced downward until the obstruction is reached. Pressure must then be gradual and firm. At first too much force should not be used, or the esophagus will be ruptured. Firm, gentle pressure should be kept up until the object is felt to move, after which it should be followed rapidly to the stomach. If this mode of treatment is unsuccessful, a veterinarian or a physician should be called, who can remove the object by cutting down upon it. This should scarcely be attempted by a novice, as a knowledge of the anatomy of the parts is essential to avoid cutting the large artery, vein, and nerve that are closely related to the esophagus in its cervical portion.[Pg 65]

Thoracic choke can be treated only by means of the introduction of oils and mucilaginous drinks and the careful use of the probang.

STRICTURE OF THE ESOPHAGUS.

This is due to corrosive medicines, previous choking (accompanied with lacerations, which, in healing, narrow the passage), or pressure on the gullet by tumors. In the majority of cases of stricture, dilatation of the gullet in front of the constricted portion soon occurs. This dilatation is the result of the frequent accumulation of solid feed above the constriction. Little can be done in either of these instances except to give sloppy or liquid feed.

SACULAR DILATATION OF THE ESOPHAGUS.

This follows choking, and is due to stretching or rupture of the muscular coat of the gullet, allowing the internal, or mucous, coat to protrude through the lacerated muscular walls. Such a dilatation, or pouch, may gradually enlarge from the frequent imprisonment of feed. When liquids are taken, the solid materials are partially washed out of the pouch.

The symptoms are as follows: The horse is able to swallow a few mouthfuls without apparent difficulty; then he will stop feeding, paw, contract the muscles of his neck, and eject a portion of the feed through his nose or mouth, or it will gradually work down to the stomach. As the dilatation thus empties itself the symptoms gradually subside, only to reappear when he has again taken solid feed. Liquids pass without any, or but little, inconvenience. Should this dilatation exist in the cervical region, surgical interference may sometimes prove effectual; if in the thoracic portion, nothing can be done, and the patient rapidly passes from hand to hand by "swapping," until, at no distant date, the contents of the sac become too firm to be dislodged as heretofore, and the animal succumbs.

DISEASES OF THE STOMACH AND INTESTINES.

As a rule it is most difficult to distinguish between diseases of the stomach and of the intestines of the horse. The reason for this is that the stomach is relatively small. It lies away from the abdominal wall, and so pressure from without can not be brought to bear upon it to reveal sensitiveness or pain. Nor does enlargement, or distention, of the stomach produce visible alteration in the form of the abdomen of the horse. Moreover, it is a rule to which there are few exceptions, that an irritant or cause of disease of the stomach acts likewise upon the intestines, so that it is customary to find them similarly deranged. For these reasons it is logical to discuss together[Pg 66] the diseases of the stomach and intestines and to point out such localizations in one organ or another as are of importance in recognizing and treating the diseases of the digestive organs of the horse.

It should be understood that gastritis signifies an inflammation of the stomach and enteritis an inflammation of the intestines. The two terms may be used together to signify a disease of the stomach and intestines, as gastro-enteritis.

COLIC.

The disease of the horse that is most frequently met with is what is termed "colic," and many are the remedies that are reputed to be "sure cures" for this disease. Let us discover, then, what the word "colic" means. This term is applied loosely to almost all diseases of the organs of the abdomen that are accompanied with pain. If the horse evinces abdominal pain, he probably will be considered as suffering with colic, no matter whether the difficulty is a cramp of the bowel, an internal hernia, overloading of the stomach, or a painful disease of the bladder or liver. Since these conditions differ so much in their causation and their nature, it is manifestly absurd to treat them alike and to expect the same drugs or procedures to relieve them all. Therefore, it is important that, so far as possible, the various diseased states that are so roughly classed together as colic shall be separated and individualized in order that appropriate treatments may be prescribed. With this object in view, colics will be considered under the following headings: (1) Engorgement colic, (2) obstruction colic, (3) flatulent or tympanitic colic, (4) spasmodic colic. Worm colic is discussed under the heading "Gastrointestinal parasites," page 90.

The general symptoms of abdominal pain, and therefore of colic, are restlessness, cessation of whatever the horse is about, lying down, looking around toward the flank, kicking with the hind feet upward and forward toward the belly, jerky switching of the tail, stretching as though to urinate, frequent change of position, and groaning. In the more intense forms the horse plunges about, throws himself, rolls, assumes unnatural positions, as sitting on the haunches, and grunts loudly. Usually the pain is not constant, and during the intermissions the horse may eat and appear normal. During the period of pain sweat is poured out freely. Sometimes the horse moves constantly in a circle. The respirations are accelerated, and usually there is no fever.

Engorgement colic.—This form of colic consists in an overloading of the stomach with feed. The horse may have been overfed or the feed may have collected in the stomach through failure of this organ to digest it and pass it backward into the intestines. Even a normal quantity of feed that the horse is unaccustomed to may cause[Pg 67] disease. Hence a sudden change of feed may produce engorgement colic. Continued full rations while the horse is resting for a day or two or working too soon after feeding may serve as a cause. New oats, corn, or hay, damaged feed, or that which is difficult of digestion, such as barley or beans, may incite engorgement colic. This disease may result from having fed the horse twice by error or from its having escaped and taken an unrestricted meal from the grain bin. Ground feeds that pack together, making a sort of dough, may cause engorgement colic if they are not mixed with cut hay. Greedy eaters are predisposed to this disease.

Symptoms.—The horse shows the general signs of abdominal pain, which may be long continued or of short duration. Retching or vomiting movements are made; these are shown by labored breathing, upturned upper lip, contraction of the flank, active motion at the throat, and drawing in of the nose toward the breast, causing high arching of the neck. The horse may assume a sitting position like a dog. At times the pain is very great and the horse makes the most violent movements, as though mad. At other times there is profound mental depression, the horse standing in a sleepy, or dazed, way, with the head down, the eyes closed, and leaning his head against the manger or wall. There is, during the struggles, profuse perspiration. Following retching, gas may escape from the mouth, and this may be followed by a sour froth and some stomach contents. The horse can not vomit except when the stomach is violently stretched, and, if the accumulation of feed or gas is great enough to stretch the stomach so that vomiting is possible, it may be great enough to rupture that organ. So it happens not infrequently that a horse dies from ruptured stomach after vomiting. After the stomach ruptures, however, vomiting is impossible. The death rate in this form of colic is high.

Treatment.—The bowels should be stimulated to contraction by the use of clysters of large quantities of water and of glycerin. Veterinarians use hypodermic injections of eserin or arecolin or intravenous injections of barium chlorid, but they must be employed with great caution. It is not profitable to give remedies by the stomach, for they can not be absorbed. But small doses of morphin (5 grains) or of the fluid extract of Indian hemp (2 drams) may be placed in the mouth and are absorbed in part, at least, without passing to the stomach. These drugs lessen pain and thus help to overcome the violent movements that are dangerous, because they may be the means of causing rupture of the diaphragm or stomach. If facilities are available, relief may be afforded by passing an esophageal tube through which some of the gaseous and liquid contents of the stomach may escape.[Pg 68]

Rupture of the stomach.—This mostly occurs as a result of engorged or tympanitic stomach (engorgement colic) and from the horse violently throwing himself when so affected. It may result from disease of the coats of the stomach, gastritis, stones (calculi), tumors, or anything that closes the opening of the stomach into the intestines, and very violent pulling or jumping immediately after the animal has eaten heartily of bulky feed. These or similar causes may lead this accident.

The symptoms of rupture of the stomach are not constant or always reliable. Always make inquiry as to what and how much the horse has been fed at the last meal. Vomiting may precede rupture of this organ, as stated above. This accident appears to be most liable to occur in heavy draft horses. A prominent symptom observed (though it may also occur in diaphragmatic hernia) is when the horse, if possible, gets the front feet on higher ground than the hind ones or sits on his haunches, like a dog. This position affords relief to some extent, and it will be maintained for several minutes; it is also quickly regained when the horse has changed it for some other. Colicky symptoms, of course, are present, which vary much and present no diagnostic value. As the case progresses the horse will often stretch forward the fore legs, lean backward and downward until the belly nearly touches the ground, and then rise up again with a groan, after which the fluid from his nostrils is issued in increased quantity. The pulse is fast and weak, breathing hurried, body bathed in a clammy sweat, limbs tremble violently, the horse reels or staggers from side to side, and death quickly ends the scene.

In the absence of any pathognomonic symptom we must consider the history of the case; the symptoms of colic that cease suddenly and are succeeded by cold sweats and tremors; the pulse quick and small and thready, growing weak and more frequent, and at length running down and becoming altogether imperceptible; looking back at the flank and groaning; sometimes crouching with the hind quarters; with or without eructation and vomiting.

There is no treatment that can be of any use whatever. Could we be sure of our diagnosis it would be better to destroy the animal at once. Since, however, there is always the possibility of a mistake in diagnosis, we may give powdered opium in 1-dram doses every two or three hours, with the object of keeping the stomach as quiet as possible.

Obstruction colic.—The stomach or bowels may be obstructed by accumulations of partly digested feed (fecal matter), by foreign bodies, by displacements, by paralysis, or by abnormal growths.

Impaction of the large intestines.—This is a very common bowel trouble and one which, if not promptly recognized and properly[Pg 69] treated, results in death. It is caused by overfeeding, especially of bulky feed containing an excess of indigestible residue; old, dry, hard hay, or stalks when largely fed; deficiency of secretions of the intestinal tracts; lack of water; want of exercise, medicines, etc.

Impaction of the large bowels is to be diagnosed by a slight abdominal pain, which may disappear for a day or two to reappear with more violence. The feces are passed somewhat more frequently, but in smaller quantities and drier; the abdomen is full, but not distended with gas; the horse at first is noticed to paw and soon begins to look back at his sides. Probably one of the most characteristic symptoms is the position assumed when down. He lies flat on his side, head and legs extended, occasionally raising his head to look toward his flank; he remains on his side for from five to fifteen minutes at a time. Evidently this position is the one giving the most freedom from pain. He rises at times, walks about the stall, paws, looks at his sides, backs up against the stall, which he presses with his tail, and soon lies down again, assuming his favored position. The intestinal sounds, as heard by applying the ear to the flank, are diminished, or there is no sound, indicating absence of motion of the bowels. The bowels may cease entirely to move. The pressure of the distended intestine upon the bladder may cause the horse to make frequent attempts to urinate. The pulse is but little changed at first, being full and sluggish; later, if this condition is not overcome, it becomes rapid and feeble. Horses may suffer from impaction of the bowels for a week, yet eventually recover, and cases extending two or even three weeks have ended favorably. As a rule, however, they seldom last more than four or five days, many, in fact, dying sooner than this.

The treatment consists of efforts to produce movement of the bowels and to prevent inflammation of the same from arising. A large cathartic is to be given as early as possible. Either of the following is recommended: Powdered Barbados aloes 1 ounce, calomel 2 drams, and powdered nux vomica 1 dram; or linseed oil 1 pint and croton oil 15 drops; or from 1 pint to 1 quart of castor oil may be given. Some favor the administration of Epsom or Glauber's salt, 1 pound, with one-quarter pound of common salt, claiming that this causes the horse to drink largely of water, thus mechanically softening the impacted mass and favoring its expulsion. Whichever physic is selected, it is essential that a full dose be given. This is much better than small and repeated doses. It must be borne in mind that horses require about twenty-four hours in which to respond to a physic, and under no circumstances is it to be repeated sooner. If aloes has been given and has failed to operate at the proper time, oil or some different cathartic should then be administered. Allow[Pg 70] the horse all the water he will drink. Calomel may be administered in half-dram doses, the powder being placed on the tongue, one dose every two hours until four doses are given.

Enemas of glycerin, 2 to 4 ounces, are often beneficial. Rubbing or kneading of the abdominal walls and the application of stimulating liniments or strong mustard water also, at times, favor the expulsion of this mass. Walking exercise must occasionally be given. If this treatment is faithfully carried out from the start the majority of cases will terminate favorably. When relief is not obtained inflammation of the bowels may ensue and cause death.

Constipation, or costiveness.—This is often witnessed in the horse, and particularly in the foal. Many colts die every year from failure on the part of the attendant to note the condition of the bowels soon after birth. Whenever the foal fails to pass any feces, and in particular if it presents any signs of colicky pains—straining, etc.—immediate attention must be given it. As a rule, it will be necessary only to give a few injections of soapy water in the rectum and to introduce the finger through the anus to break down any hardened mass of dung found there. If this is not effective a purgative must be given. Oils are the best for these young animals, and preferably castor oil, giving from 2 to 4 ounces. The foal should always get the first of the mother's milk, which, for a few days, possesses decidedly laxative properties. If a mare, while suckling, is taking laudanum, morphin, atropia, or similar medicines, the foal during this time should be fed by hand and the mare milked upon the ground. Constipation in adult horses is often the result of long feeding on dry, innutritious feed, deficiency of intestinal secretions, scanty water supply, or lack of exercise. If the case is not complicated with colicky symptoms a change to light, sloppy diet, linseed gruel or tea, with plenty of exercise, is all that is required. If colic exists a cathartic is needed. In very many instances the constipated condition of the bowels is due to lack of intestinal secretions, and when so caused may be treated by giving fluid extract of belladonna in 2-dram doses three times a day and handful doses of Epsom salt daily in the feed. It is always best, when possible, to overcome this trouble by a change of diet rather than by the use of medicines. For the relief of constipation such succulent feeds as roots, grass, or green forage are recommended. Silage, however, should be fed sparingly, and not at all unless it is in the very best condition. Moldy silage may cause fatal disease.

Foreign bodies (calculi, stones) in the stomach.—There are probably but few symptoms exhibited by the horse that will lead one to suspect the presence of gastric calculi, and possibly none by which we can unmistakably assert their presence. They have been found most frequently in millers' horses fed sweepings from the mills. A depraved[Pg 71] and capricious appetite is common in horses that have a stone forming in the stomachs. There is a disposition to eat the woodwork of the stable, earth, and, in fact, almost any substance within their reach. This symptom must not, however, be considered as pathognomonic, since it is observed when calculi are not present. Occasional colics may result from these "stomach stones," and when the latter lodge at the outlet of the stomach they may give rise to symptoms of engorged stomach, already described. There is, of course, no treatment that will prove effective. Remedies to move the bowels, to relieve pain, and to combat inflammation should be given.

Intestinal concretions (calculi or stones in the intestines).—These concretions are usually found in the large bowels, though they are occasionally seen in the small intestines. They are of various sizes, weighing from 1 ounce to 25 pounds; they may be single or multiple, and differ in composition and appearance, some being soft (composed mostly of animal or vegetable matter), while others are porous, or honeycombed (consisting of animal and mineral matter), and others are entirely hard and stonelike. The hair balls, so common to the stomach and intestines of cattle, are very rare in horses. Intestinal calculi form around some foreign body, as a rule—a nail or piece of wood—whose shape they may assume to a certain extent. Layers are arranged concentrically around such nucleus until the sizes above spoken of are attained. These stones are also often found in millers' horses, as well also as in horses in limestone districts, where the water is hard. When the calculi attain a sufficient size and become lodged or blocked in some part of the intestines, they cause obstruction, inflammation of the bowels, colicky symptoms, and death. There are no certain signs or symptoms that reveal them. Recurring colics of the type of impaction colic, but more severe, may lead one to suspect the existence of this condition. Examination through the rectum may reveal the calculus.

The symptoms will be those of obstruction of the bowels. Upon post-mortem examinations these stones will be discovered mostly in the large bowels; the intestines will be inflamed or gangrenous about the point of obstruction. Sometimes calculi have been expelled by the action of a physic, or they may be removed by the hand when found to occupy the rectum.

As in concretions of the stomach, but little can be done in the way of treatment more than to overcome spasm (if any exists), and to give physics with the hope of dislodging the stone or stones and carrying them on and outward.

Intussusception, or invagination.—This is the slipping of a portion of the intestine into another portion immediately adjoining, like a partially turned glove finger. This may occur at any part of the bowels, but is most frequent in the small guts. The invaginated portion[Pg 72] may be slight—2 or 3 inches only—or extensive, measuring as many feet. In intussusception, the inturned bowel is in the direction of the anus. There are adhesions of the intestines at this point, congestion, inflammation, or even gangrene. This accident is most liable to occur in horses that are suffering from spasm of the bowel, or in those in which a small portion of the gut is paralyzed. The natural wormlike or ringlike contraction of the gut favors the passage of the contracted or paralyzed portion into that immediately behind it. It may occur during the existence of almost any abdominal trouble, as diarrhea, inflammation of the bowels, or from injuries, exposure to cold, etc. A fall or leaping may give the initial maldirection. Foals are most likely to be thus afflicted.

Unless the invaginated portion of the gut becomes strangulated, probably no symptoms except constipation will be appreciable. Strangulation of the bowel may take place suddenly, and the horse die within 24 hours, or it may occur after several days—a week even—and death then follow. There are no symptoms positively diagnostic. Colicky pains, more or less severe and continuous, are observed, and at first there may be diarrhea, followed by constipation. Severe straining occurs in some instances of intussusception, and when this occurs it should receive due credit. As death approaches, the horse sweats profusely, sighs, presents an anxious countenance, the legs and ears become cold, and there is often freedom from pain immediately before death. In some rare instances he recovers, even though the invaginated portion of the gut has become strangulated. In this case the imprisoned portion sloughs away so gradually that a union has taken place between the intestines at the point where one portion has slipped into that behind it. The piece sloughing off is found passed with the manure. Such cases are exceedingly rare. Nonirritating laxatives, such as castor oil, sweet oil, or calomel in small doses, should be given. Soft feed and mucilaginous and nourishing drinks should be given during these attacks. E. Mayhew Michener has operated successfully on a foal with intussusception by opening the abdomen and releasing the imprisoned gut.

Volvulus, gut tie, or twisting of the bowels.—These are the terms applied to the bowels when twisted or knotted. This accident is rather a common one, and frequently results from the violent manner in which a horse throws himself about when attacked by spasmodic colic. The symptoms are the same as those of intussusception and obstructions of the bowels; the same directions as to treatment are therefore to be observed.

Paralysis of the intestine.—This occurs in old, debilitated animals that have been fed on coarse, innutritious fodder. This produces a condition of dilatation so pronounced as to make it impossible for the intestine to advance its contents, and so obstruction results. The[Pg 73] symptoms are as in other forms of obstruction colic. The history of the case is of much service in diagnosing the trouble. The treatment consists in the administration of laxatives. One may give 1 quart of raw linseed oil and follow it the next day with 1 pound of Glauber's salt dissolved in a quart of warm water. Strychnia may be given in doses of 1 grain two or three times daily. If the stagnant mass of feces is in the rectum, it must be removed with the hand.

Abnormal growths, such as tumors or fibrous tissue, producing contraction or stricture, may be causes of obstruction. The colic caused by these conditions is chronic. The attacks occur at gradually shortening intervals and become progressively more severe. Relief is afforded by the use of purgatives that render the feces soft and thin and thus enable them to pass the obstruction, but in time the contracted place is liable to close so far that passage is impossible and the horse will die.

Flatulent colic (tympanitic colic, wind colic, or bloat).—Among the most frequent causes of this form of colic are to be mentioned sudden changes of feed, too long fasting and feed then given while the animal is exhausted, new hay or grain, large quantities of feed that is green or that has lain in the manger for some time and become sour, indigestible feed, irregular teeth, crib biting, and, in fact, anything that produces indigestion may produce flatulent colic.

Symptoms.—The symptoms of wind colic are not so suddenly developed nor so severe as those of cramp colic. At first the horse is noticed to be dull, paws slightly, and may or may not lie down. The pains from the start are continuous. The belly enlarges, and by striking it in front of the haunches a drumlike sound results. If not soon relieved the above symptoms are aggravated, and in addition difficult breathing, bloodshot eyes, and red mucous membranes, loud tumultuous heart beat, profuse perspiration, trembling of front legs, sighing respiration, staggering from side to side are noticed, and, finally, plunging forward dead. The diagnostic symptom of flatulent colic is the distention of the bowels with gas, detected by the bloated appearance and resonance on percussion.

Treatment.—The treatment for wind colic differs very greatly from that of cramp colic. Absorbents are of some service, and charcoal may be given in any quantity. Relaxants and antispasmodics are also beneficial in this form of colic. Chloral hydrate not only possesses these qualities, but it also is an antiferment and a pain reliever. It is, then, particularly well adapted to the treatment of wind colic, and should be given in the same-sized doses and in the manner directed for spasmodic colic. Diluted alcohol or whisky may be given, or aromatic spirits of ammonia in 1-ounce doses at short intervals.[Pg 74]

A physic should always be given as early as possible in flatulent colic, the best being Barbados aloes in the dose already mentioned. Injections, per rectum, of turpentine 1 to 2 ounces, linseed oil 8 ounces, may be given frequently to stimulate the peristaltic motion of the bowels and to favor the escape of wind. Blankets wrung out of hot water do much to afford relief; they should be renewed every 5 or 10 minutes and covered with a dry woolen blanket. This form of colic is much more fatal than cramp colic, and requires prompt and persistent treatment. It is entirely unsafe to predict the result, some apparently mild attacks going on to speedy death, while others that at the onset appear to be very severe yielding rapidly to treatment. No efforts should be spared until the animal is known to be dead. In these severe cases puncturing of the bowels in the most prominent (distended) part by means of a small trocar and cannula or with a needle of a hypodermic syringe, thus allowing the escape of gas, has often saved life, and such punctures, if made with a clean, sharp instrument that is not allowed to remain in the horse too long, are accompanied with little danger and do more to relieve the patient quickly than any other treatment.

Spasmodic or cramp colic.—This is the name given to that form of colic produced by contraction, or spasm, of a portion of the small intestines. It is produced by indigestible feed; large drinks of cold water when the animal is warm; driving a heated horse through deep streams; cold rains; drafts of cold air, etc. Unequal distribution of or interference with the nervous supply here produces cramp of the bowels, the same as external cramps are produced. Spasmodic colic is much more frequently met with in high-bred, nervous horses than in coarse, lymphatic ones.

Symptoms.—These should be carefully studied in order to diagnose this from other forms of colic requiring quite different treatment. Spasmodic colic always begins suddenly. If feeding, the horse is seen to stop abruptly, stamp impatiently, and probably look back. He soon evinces more acute pain, shown by pawing, suddenly lying down, rolling, and getting up. During the period of pain the intestinal sounds, as heard by applying the ear over the flank, are louder than in health. There is then an interval of ease; he will resume feeding and appear to be entirely well. In a little while, however, the pains return and are increased in severity, only to pass off again for a time. As the attack progresses these intervals of ease become shorter and shorter, and pain may be continuous, though even then there are exacerbations of pain. Animals suffering from this form of colic evince the most intense pain; they throw themselves, roll over and over, jump up, whirl about, drop down again, paw, or strike rather, with the front feet, steam and sweat, and make frequent attempts to pass their urine. Only a small quantity of water[Pg 75] is passed at a time; this is due to the bladder being so frequently emptied. These attempts to urinate are often regarded by horsemen as symptoms of trouble of the kidneys or bladder. In reality they are only one of the many ways in which the horse expresses the presence of pain. As a matter of fact, diseases of the bladder or kidneys of the horse are exceedingly rare.

To recapitulate the symptoms of spasmodic colic: The history of the case, the type of horse, the suddenness of the attack, the increased intestinal sounds, the intervals of ease (which become of shorter duration as the case progresses), the violent pain, the normal temperature and pulse during the intervals of ease, the frequent attempts to urinate, etc., should be kept in mind, and there is then but little danger of confounding this with other forms of colic.

Treatment.—Since the pain is due to spasm or cramp of the bowels, medicines that overcome spasms—antispasmodics—are the ones indicated. Chloral hydrate may be used. This is to be given in a dose of 1 ounce in a pint of water as a drench. As this drug is irritant to the throat and stomach, it has to be well diluted. A common and good remedy is sulphuric ether and laudanum, of each 2 ounces, in a half pint of linseed oil. Another drench may be composed of 2 ounces each of sulphuric ether and alcohol in 8 ounces of water. If nothing else is at hand give whisky, one-half pint in hot water. Jamaica ginger is useful. If relief is not obtained in one hour from any of the above doses, they may then be repeated. The body should be warmly clothed and perspiration induced. Blankets dipped in very hot water to which a small quantity of turpentine has been added should be placed around the belly and covered with dry blankets or the abdomen may be rubbed with stimulating liniments or mustard water. The difficulty, however, of applying hot blankets and keeping them in place forces us in most instances to dispense with them. If the cramp is due to irritants in the bowels, a cure is not complete until a cathartic of 1 ounce of aloes or 1 pint of linseed oil is given. Injections of warm, soapy water or salt and water into the rectum aid the cure.

Rectal injections, clysters, or enemas as a rule should be lukewarm, and from 3 to 6 quarts are to be given at a time. They may be repeated every half hour if necessary. Great care is to be taken not to injure the rectum in giving such injections. A large syringe or a piece of rubber hose 4 or 5 feet long, with a funnel attached at one end, affords the best means by which to give them. The pipe of the syringe or the hose introduced into the rectum must be blunt, rounded, and smooth; it is to be thoroughly oiled and then carefully pushed through the anus in a slightly upward direction. Much force must be avoided, for the rectum may be lacerated and serious complications or even death result. Exercise will aid the action of the bowels in this and similar colicky troubles, but severe galloping or trotting is to be[Pg 76] avoided. If the horse can have a loose box or paddock, it is the best, as he will then take what exercise he wants. If the patient is extremely violent, it is often wise to restrain him by leading him with a halter, since rupture of the stomach or displacement of the bowels may result and complicate the trouble.

INDIGESTION OR GASTROINTESTINAL CATARRH.

From the facts that they merge insensibly into each other and usually occur simultaneously, there is ample reason for considering these conditions together. This condition may be acute—that is, of sudden onset—or it may be chronic. The changes of structure produced by this disease occur in the mucous membrane lining of the stomach and intestines. This membrane becomes red from increased blood supply or from hemorrhage into it, is swollen, and is covered by a coating of slimy mucus. In some especially severe cases the membrane is destroyed in spots, causing the appearance of ulcers or of erosions.

The causes of indigestion are numerous, but nearly all are the result of errors in feeding.

Some horses are naturally endowed with weak digestive organs, and such are predisposed to this condition. Anything that irritates the stomach or intestines may cause this disease. Feeds that the animal is unaccustomed to, sudden changes of diet, imperfectly cured, unripe, or damaged feeds are all fruitful causes, and so are worms. In suckling foals this condition may come from some disease of the dam that renders her milk indigestible, or from overexertion or overheating of the mare. Another prolific cause is bad teeth, making mastication imperfect, and thus causing the horse to swallow his feed in a condition unfit for the action of the digestive juices. Working a horse too soon or too hard after feeding may cause either colic or indigestion. Any condition that reduces the vitality, such as disease, overwork, poor feed, or lack of care, may directly bring on indigestion by weakening the digestive organs.

Symptoms.—Indigestion is characterized by irregular appetite; refusing all feed at times, and at others eating ravenously; the appetite is not only irregular, but is often depraved; there is a disposition on the part of the horse to eat unusual substances, such as wood, soiled bedding, or even his own feces; the bowels are irregular to-day, loose and bad smelling, to-morrow bound; whole grain is often passed in the feces, and the hay passed in balls or impacted masses, undergoing but little change; the horse frequently passes considerable quantities of sour-smelling wind. The animal loses flesh, the skin presents a hard, dry appearance and seems very tight (hidebound). If the stomach is very seriously involved, the horse may yawn by[Pg 77] stretching the head forward and upward and by turning the upper lip outward. There may be more or less colicky pain. In the chronic cases there is mental depression; the horse is sluggish and dull. The abdomen gradually becomes small, giving a "tucked up" appearance, or, on the other hand, it becomes flaccid and pendulous.

Treatment.—One should commence with the feed—its quality, quantity, and time of feeding; examine the water supply, and see, besides, that it is given before feeding; then carefully observe the condition of the mouth and teeth; and, continuing the observations as best we may, endeavor to find the seat of the trouble. If the teeth are sharp or irregular they must be rasped down; if any are decayed they must be extracted; if indigestion is due to ravenous eating or bolting, the feed must then be given from a large manger where the grain can be spread and the horse thus compelled to eat slowly.

Any irritation, such as worms, undigested feed, etc., that is operating as a cause is to be removed by appropriate treatment, as advised elsewhere. If there is a tendency to distention of the stomach and bowels, with gas, during indigestion, the following may be used: Baking soda, powdered ginger, and powdered gentian, equal parts. These are to be thoroughly mixed and given in heaping tablespoonful doses, twice a day, before feeding. This powder is best given by dissolving the above-named quantity in a half pint of water and given as a drench.

As a digestive tonic the following is good: Glauber's salt, 2 pounds; common salt, 1 pound; baking soda, one-half pound. Of this a heaping tablespoonful may be given in each feed. If diarrhea exists, the treatment advised below may be used.

DIARRHEA.

Diarrhea is due to indigestion or intestinal catarrh or to irritation of the bowels from eating moldy or musty feed, drinking stagnant water, diseased condition of the teeth, eating irritating substances, to being kept on low, marshy pastures, and to exposure during cold nights, or in low, damp stables. Some horses are predisposed to scour and are called "washy" by horsemen; they are those with long bodies, long legs, and narrow, flat sides. Horses of this build are almost sure to scour if fed or watered immediately before being put to work. Fast or road work, of course, aggravates this trouble. Diarrhea may exist as a complication of other diseases, as pneumonia and influenza, for instance, and again during the diseases of the liver.

The symptoms are the frequent evacuations of liquid stools, with or without pronounced abdominal pain, loss of appetite, emaciation, etc.

Treatment is at times very simple, but requires the utmost care and judgment. If due to faulty feed or water it is sufficient to change these. If it results from some irritant in the intestines this is best[Pg 78] gotten rid of by the administration of an oleaginous purge, for which nothing is better than castor oil, although raw linseed oil may be used if the case is not severe. The diarrhea often disappears with the cessation of the operation of the medicine. If, however, purging continues it may be checked by giving wheat flour in water, starch water, white-oak bark tea, chalk, opium, or half-dram doses of sulphuric acid in one-half pint of water twice or thrice daily. Good results follow the use of powdered opium 2 drams and subnitrate of bismuth 1 ounce, repeated three times a day. In all cases it should be remembered to look to the water and feed the horse is receiving. If either of these is at fault it is at once to be discontinued. We should feed sparingly of good, easily digested feeds. With that peculiar build of nervous horses that scour on the road but little can be done as a rule. They should be watered and fed as long as possible before going on a drive. If there is much flatulency accompanying diarrhea baking soda or other alkaline medicines may effect a cure, while if the discharges have a very disagreeable odor it may be corrected by 1 ounce of sulphite of soda or dram doses of creolin in water, repeated twice a day. Be slow to resort to either the vegetable or mineral astringents, since the majority of cases will yield to change of feed and water or the administration of oils. Afterwards feed upon wheat-flour gruel or other light feeds. The body should be warmly clothed.

Superpurgation.—This is the designation of that diarrhea, or flux from the bowels, that, at times, is induced by and follows the action of a physic. It is accompanied with much irritation or even inflammation of the bowels and is always of a serious character. Although in rare instances it follows from a usual dose of physic and where every precaution has been taken, it is most likely to result under the following circumstances: Too large a dose of physic; giving physics to horses suffering from pneumonia, influenza, or other debilitating diseases; riding or driving a horse when purging; exposure or drafts of cold air; or giving large quantities of cold water while the physic is operating. There is always danger of superpurgation if a physic is given to a horse suffering from diseases of the respiratory organs. Small and often-repeated physics are also to be avoided, as they produce debility and great depression of the system and predispose to this disorder. When a physic is to be given one should rest the horse and give him sloppy feed until the medicine begins to operate; clothe the body with a warm blanket; keep out of drafts; give only warm water in small quantities. After a horse has purged from twelve to twenty-four hours it can mostly be stopped, or "set," as horsemen say, by feeding on dry oats and hay. Should the purging continue, however, it is best treated by giving demulcent drinks—linseed tea and oatmeal or wheat-flour[Pg 79] gruel. After this the astringents spoken of for diarrhea may be given. Besides this the horse is to receive brandy in doses of from 2 to 4 ounces, with milk and eggs, four or five times a day.

Laminitis ("founder") is a frequent sequel of superpurgation and is to be guarded against by removing the shoes and standing the horse on moist sawdust or some similar bedding.

DYSENTERY.

This disease, sometimes called "bloody flux," is an intestinal disease attended with fever, occasional abdominal pains, and fluid discharges mingled with blood. Discharges in dysentery are coffee colored or bloody, liquid, and very offensive in odor, and passed with much straining. It is rare in the horse, but is sometimes quite prevalent among foals.

Causes.—Probably the most common cause is keeping young horses in particular for a long time on low, wet, marshy pastures, without other feed (a diarrhea of long standing sometimes terminates in dysentery); exposure during cold, wet weather; decomposed feeds; stagnant water that contains large quantities of decomposing vegetable matter; low, damp, and dark stables, particularly if crowded; the existence of some disease, as tuberculosis of the abdominal form. In suckling foals it may come from feeding the dam on irritant feeds or from disease of the udder. In other foals it may be produced by exposure to cold and damp, to irritant feed, or to worms.

Symptoms.—The initial symptom is a chill, which probably escapes notice in the majority of instances. The discharges are offensive and for the most part liquid, although it is common to find lumps of solid fecal matter floating in this liquid portion; shreds of mucous membrane and blood may be passed or the evacuations may be mucopurulent; there is much straining, and, rarely, symptoms of abdominal pain; the subject lies down a great deal; the pulse is quickened and the temperature elevated. Thirst is a prominent symptom. In the adult, death rarely follows under two to three weeks, but in foals the disease may end in death after a few days.

Treatment.—This is most unsatisfactory, and I am inclined to place more dependence upon the care and feed than any medication that may be adopted. First of all the horse must be placed in a dry, warm, yet well-ventilated stable; the skin is to receive attention by frequent rubbings of the surface of the body, with blankets, and bandages to the legs. The water must be pure and given in small quantities; the feed, that which is light and easily digested. Medicinally, give at first a light dose of castor oil, about one-half pint, to which has been added 2 ounces of laudanum. The vegetable or mineral astringents are also to be given. Starch injections containing laudanum often afford great relief. The strength must be kept up[Pg 80] by milk punches, eggs, beef tea, oatmeal gruel, etc. In spite of the best care and treatment, however, dysentery is likely to prove fatal. In the case of nurslings, the dam should be placed in a healthy condition or, failing in this, milk should be had from another mare or from a cow.

GASTROENTERITIS.

This condition consists in an inflammation of the stomach and intestines. Instead of being confined to the mucous, or lining, membrane, as in gastrointestinal catarrh, the inflammatory process extends deeper and may even involve the entire thickness of the wall of the organ.

This disease may be caused by irritant feed, hot drinks, sudden chilling, moldy or decayed feeds, foul water, parasites, or by chemical poisons. It may also complicate some general diseases, especially infectious diseases, as anthrax, influenza, rabies, or petechial fever. Long-continued obstruction of the bowels or displacement resulting in death are preceded by enteritis.

Symptoms.—The symptoms differ somewhat with the cause and depend also, to some extent, upon the chief location of the inflammation. In general the animal stops eating or eats but little; it shows colicky pain; fever develops; the pulse and respiration become rapid; the mucous membrane becomes red; the mouth is hot and dry. Pressure upon the abdomen may cause pain. Intestinal sounds can not be heard at the flank. There is constipation in the earlier stages that is, followed later by diarrhea. The extremities become cold. Sometimes the feces are coated with or contain shreds of fibrin, looking like scraps of dead membrane, and they have an evil, putrid odor. If the disease is caused by moldy or damaged feed there may be great muscular weakness, with partial paralysis of the throat, as shown by inability to swallow. If chemical poisons are the cause, this fact may be shown by the sudden onset of the disease, the history of the administration of a poison or the entire absence of known cause, the rapid development of threatening symptoms, the involvement of a series of animals in the absence of a contagious disease, and the special symptoms and alterations known to be produced by certain poisons. To make this chain of evidence complete, the poison may be discovered in the organs of the horse by chemical analysis. In nearly all cases of gastro-enteritis there is nervous depression.

The poisons that are most irritant to the digestive tract are arsenic, corrosive sublimate, sugar of lead, sulphate of copper, sulphate or chlorid of zinc, lye, or other strong alkalies, mineral acids, and, among the vegetable poisons, tobacco, lobelia, and water hemlock.

Treatment.—The treatment will depend upon the cause, but if this can not be detected, certain general indications may be observed. In all cases feed should be given in small amounts and should be of the[Pg 81] most soothing description, as oatmeal gruel, flaxseed tea, hay tea, fresh grass, or rice water. The skin should be well rubbed with alcohol and wisps of straw, to equalize the distribution of the blood; the legs, after being rubbed until warm, should be bandaged in raw cotton or with woolen bandages. The horse should be warmly blanketed. It is well to apply to the abdomen blankets wrung out of hot water and frequently changed; or mustard paste may be rubbed on the skin of the belly. Internally, opium is of service to allay pain, check secretion, and soothe the inflamed membrane. The dose is from 1 to 2 drams, given every three of four hours. If there is constipation, the opium should be mixed with 30 grains of calomel. Subnitrate of bismuth may be given with the opium or separately in 2-dram doses. Stimulants, such as alcohol, aromatic spirits of ammonia, or camphor may be given in 2-ounce doses, mixed with warm water to make a drench.

If putrid feed has been consumed, creolin may be administered in doses of 2 drams, mixed with 1 pint of warm water or milk. If there is obstinate constipation and if a laxative must be employed, it should be sweet or castor oil, from 1 pint to 1 quart.

Antidotes for poisons.—For the various poisons the remedies are as follows:

Arsenic: Oxyhydrate of iron solution, 1 pint to 1 quart; or calcined magnesia, one-half ounce in 1 pint of water.

Corrosive sublimate (bichlorid of mercury): The whites of a dozen eggs, or 2 ounces of flowers of sulphur.

Sugar of lead: Glauber's salt, 1 pound in 1 quart of warm water; to be followed with iodid of potash, 3 drams at a dose, in water, three times daily for five days.

Sulphate of copper: Milk, the whites of eggs, or reduced iron.

Sulphate or chlorid of zinc: Milk, the whites of eggs, or calcined magnesia.

Lye or alkalies, as caustic potash or soda: Vinegar, dilute sulphuric acid, and linseed tea, with opium, 3 drams.

Mineral acids: Chalk, or calcined magnesia, or baking soda; later give linseed tea and opium.

HEMORRHOIDS, OR PILES.

These are rare, comparatively, in horses. They are diagnosed by the appearance of bright-red irregular tumors after defecation, which may remain visible at all times or be seen only when the horse is down or after passing his manure. They are mostly due to constipation, irritation, or injuries, or follow from the severe straining during dysentery. I have observed them to follow from severe labor pains in the mare.[Pg 82]

Treatment.—Attention must be paid to the condition of the bowels; they should be soft, but purging is to be avoided. The tumors should be washed in warm water and thoroughly cleansed, after which scarify them and gently but firmly squeeze out the liquid that will be seen to follow the shallow incisions. After thus squeezing these tumors and before replacing through the anus, bathe the parts with some anodyn wash. For this purpose the glycerite of tannin and laudanum in equal parts is good. Mucilaginous injections into the rectum may be of service for a few days.

HERNIA, OR RUPTURE.

There are several kinds or hernias that require notice, not all of which, however, produce serious symptoms or results. Abdominal hernias, or ruptures, are divided into reducible, irreducible, and strangulated, according to condition; and into inguinal, scrotal, ventral, umbilical, and diaphragmatic, according to their situation. A hernia is reducible when the displaced organ can be returned to its natural location. It consists of a soft swelling, without heat, pain, or any uneasiness, generally larger on full feed, and decreases in size as the bowels become empty. An irreducible hernia is one that can not be returned into the abdomen, and yet does not cause any pain or uneasiness. Strangulated hernia is one in which the contents of the sac are greatly distended, or when from pressure upon the blood vessels of the imprisoned portion the venous circulation is checked or stopped, thereby causing congestion, swelling, inflammation, and, if not relieved, gangrene of the part and death of the animal. According to the time or mode of origin, hernias may be congenital or acquired.

Congenital scrotal hernia.—Not a few foals are noticed from birth to have an enlarged scrotum, which gradually increases in size until about the sixth month, sometimes longer. Sometimes the scrotum of a six-months-old colt is as large as that of an adult stallion, and operative treatment is considered. This is unnecessary in the great majority of cases, as the enlargement often disappears by the time the colt has reached his second year. Any interference, medicinal or surgical, is worse than useless. If the intestine contained within the scrotum should at any time become strangulated, it must then be treated the same as in an adult horse.

Scrotal hernia is caused by dilatation of the sheath of the testicle, combined with relaxation of the fibrous tissues surrounding the inguinal ring, thus allowing the intestine to descend to the scrotum. At first this is intermittent, appearing during work and returning when the horse is at rest. For a long time this form of hernia may[Pg 83] not cause the least uneasiness or distress. In course of time, however, the imprisoned gut becomes filled with feces, its return into the abdominal cavity is prevented, and it becomes strangulated. While the gut is thus filling the horse often appears dull, is disinclined to move, appetite is impaired, and there is rumbling and obstruction of the bowels. Colicky symptoms now supervene. Strangulation and its consequent train of symptoms do not always follow in scrotal hernia, for often horses have this condition for years without suffering inconvenience.

Inguinal hernia is but an incomplete scrotal hernia, and, like the latter, may exist and cause no signs of distress, or, again, it may become strangulated and cause death. Inguinal hernia is seen mostly in stallions, next in geldings, and very rarely in the mare. Bearing in mind that scrotal hernia is seen only in entire horses, we may proceed to detail the symptoms of strangulated, inguinal, and scrotal hernia at the same time. When, during the existence of colicky symptoms, we find a horse kicking with his hind feet while standing or lying upon his back, we should look to the inguinal region and scrotum. If scrotal hernia exists, the scrotum will be enlarged and lobulated; by pressure we may force a portion of the contents of the gut back into the abdomen, eliciting a gurgling sound. If we take a gentle but firm hold upon the enlarged scrotum and then have an assistant cause the horse to cough, the swelling will be felt to expand and as quickly contract again.

The history of these cases will materially aid us, as the owner can often assure us of preceding attacks of "colic," more or less severe, that have been instantaneously relieved in some (to him) unaccountable manner. The colicky symptoms of these hernias are not diagnostic, but, probably, more closely resemble those of enteritis than any other bowel diseases. In many cases the diagnosis can be made only by a veterinarian, when he has recourse to a rectal examination; the bowels can here be felt entering the internal abdominal ring.

Treatment of inguinal hernia.—If the reader is sure of the existence of hernia, he should secure the horse upon its back, and, with a hand in the rectum, endeavor to catch hold of the wandering bowel and pull it gently back into the cavity of the abdomen. Pressure should be made upon the scrotum during this time. If this fails, a veterinarian must be called to reduce the hernia by means of incising the inguinal ring, replacing the intestines, and to castrate, using clamps and performing the "covered operation."

Ventral hernia.—In this form of hernia the protrusion is through some accidental opening or rupture of the abdominal wall. It may occur at any part of the belly except at the umbilicus, and is caused by kicks, blows, hooks, severe jumping or pulling, etc. Ventral[Pg 84] hernia is most common in pregnant mares, and is here due to the weight of the fetus or to some degenerative changes taking place in the abdominal coats. It is recognized by the appearance of a swelling, at the base of which can be felt the opening or rent in the abdominal tunics, and from the fact that the swelling containing the intestines can be made to disappear when the animal is placed in a favorable position.

Treatment of ventral hernia.—In many instances there is no occasion for treatment, and again, where the hernial sac is extensive, treatment is of no avail. If the hernia is small, a cure may be attempted by the methods to be described in treating of umbilical hernia. If one is fortunate enough to be present when the hernia occurs, and particularly if it is not too large, he may, by the proper application of a pad and broad bandage, effect a perfect cure.

Umbilical hernia is the passing of any portion of the bowel or omentum ("caul") through the navel, forming a "tumor" at this point. This is often congenital in our animals, and is due to the imperfect closure of the umbilicus and to the position of the body. Many cases of umbilical hernia, like inguinal and scrotal of the congenital kind, disappear entirely by the time the animal reaches its second or third year. Advancing age favors cure in these cases from the fact that the omentum (swinging support of the bowels) is proportionally shorter in adults than in foals, thus lifting the intestines out of the hernial sac and allowing the opening in the walls to close. Probably one of the most frequent causes of umbilical hernia in foals is the practice of keeping them too long from their dams, causing them to fret and worry, and to neigh, or cry, by the hour. The contraction of the abdominal muscles and pressure of the intestines during neighing seem to open the umbilicus and induce hernia. Accidents may cause umbilical hernia in adults in the same manner as ventral hernia is produced, though this is very rare.

Treatment of umbilical hernia.—In the treatment of umbilical hernia it should be remembered that congenital hernias are often removed with age, but probably congenital umbilical hernias less frequently than others. Among the many plans of treatment are to be mentioned the application of a pad over the tumor, the pad being held in place by a broad, tight bandage placed around the animal's body. The chief objection to this is the difficulty in keeping the pad in its place. Blisters are often applied over the swelling, and, as the skin hardens and contracts by the formation of scabs, an artificial bandage or pressure is produced that at times is successful. Another treatment that has gained considerable repute of late years consists in first clipping off the hair over the swelling. Nitric acid is then applied with a small brush, using only enough to moisten the skin.[Pg 85] This sets up a deep-seated, adhesive inflammation, which, in very many cases, closes the opening in the navel. Still another plan is to inject a solution of common salt by means of the hypodermic syringe at three or four points about the base of the swelling. This acts in the same manner as the preceding, but may cause serious injury if the syringe or solution is not sterile.

Others, again, after keeping the animal fasting for a few hours, cast and secure it upon its back; the bowel is then carefully returned into the abdomen. The skin over the opening is pinched up and one or two skewers are run through the skin from side to side as close as possible to the umbilical opening. These skewers are kept in place by passing a cord around the skin between them and the abdomen and securely tying it. Great care must be taken not to draw these cords too tight, as this would cause a speedy slough of the skin, the intestines would extrude, and death result. If properly applied, an adhesion is established between the skin and the umbilicus, which effectually closes the orifice. Special clamps are provided for taking up the fold of the skin covering the hernial sac and holding it until the adhesion is formed.

Diaphragmatic hernia.—This consists of the passage of any of the abdominal viscera through a rent in the diaphragm (midriff) into the cavity of the thorax. It is a rather rare accident, and one often impossible to diagnose during life. Colicky symptoms, accompanied with great difficulty in breathing, and the peculiar position so often assumed (that of sitting upon the haunches), are somewhat characteristic of this trouble, though these symptoms, as we have already seen, may be present during diseases of the stomach or anterior portion of the bowels. Even could we diagnose with certainty this form of hernia, there is little or nothing that can be done. Leading the horse up a very steep gangway or causing him to rear up may possibly cause the hernial portion to return to its natural position. This is not enough, however; it must be kept there.

PERITONITIS.

Peritonitis is an inflammation of the serous membrane lining the cavity of and covering the viscera contained within the abdomen. It is very rare to see a case of primary peritonitis. It is, however, somewhat common as a secondary disease from extension of the inflammatory action involving organs covered by the peritoneum. Peritonitis is often caused by injuries, as punctured wounds of the abdomen, severe blows or kicks, or, as is still more common, following the operation of castration. It follows strangulated hernia, invagination, or rupture of the stomach, intestines, liver, or womb.[Pg 86]

Symptoms.—Peritonitis is mostly preceded by a chill; the horse is not disposed to move, and, if compelled to do so, moves with a stiff or sore gait; he paws with the front feet and may strike at his belly with the hind ones; lies down very carefully; as the pain is increased while down, he maintains the standing position during most of the time; he walks uneasily about the stall. Constipation is usually present. Pressure on the belly causes acute pain, and the horse will bite, strike, or kick if so disturbed; the abdomen is tucked up; the extremities are fine and cold. The temperature is higher than normal, reaching from 102° to 104° F. The pulse in peritonitis is rather characteristic; it is quickened, beating from 70 to 90 beats a minute, and is hard and wiry. This peculiarity of the pulse occurs in inflammation of the serous membrane, and if accompanied with colicky symptoms, and, in particular, if following any injuries, accidental or surgical, of the peritoneum, there is reason to think that peritonitis is present. Peritonitis in the horse is mostly fatal when it is at all extensive. If death does not occur in a short time, the inflammation assumes a chronic form, in which there is an extensive effusion of water in the cavity of the belly, constituting what is known as ascites, and which, as a rule, results in death.

Treatment.—The treatment of peritonitis is somewhat like that of enteritis. Opium in powder, 1 to 2 drams, with calomel, one-half dram, is to be given every two, three, or four hours, and constitutes the main dependence in this disease. Extensive counterirritants over the belly, consisting of mustard plasters, applications of mercurial ointment, turpentine stupes, or even mild blisters, are recommended. Purgatives must never be given during this complaint. Should we desire to move the bowels, it can be done by gentle enemas, though it is seldom necessary to resort even to this.

ASCITES, OR DROPSY OF THE ABDOMEN.

This is seen as a result of subacute or chronic peritonitis, but may be due to diseases of the liver, kidneys, heart, or lungs. There will be found, on opening the cavity of the belly, a large collection of yellowish or reddish liquid; from a few quarts to several gallons may be present. It may be clear in color, though generally it is yellowish or of a red tint, and contains numerous loose flakes of coagulable lymph.

Symptoms.—There is slight tenderness on pressure; awkward gait of the hind legs; the horse is dull, and may have occasional very slight colicky pains, shown by looking back and striking at the belly with the hind feet. Oftener, however, these colicky symptoms are absent. Diarrhea often precedes death, but during the progress of[Pg 87] the disease the bowels are alternately constipated and loose. On percussing the abdominal walls we find that dullness exists to the same height on both sides of the belly; by suddenly pushing or striking the abdomen we can hear the rushing or flooding of water. If the case is an advanced one, the horse is potbellied in the extreme, and dropsical swellings are seen under the belly and upon the legs.

Treatment is, as a rule, unsatisfactory. Saline cathartics, as Epsom or Glauber's salt, and diuretics, ounce doses of saltpeter, may be given. If a veterinarian is at hand he will withdraw the accumulation of water by tapping and then endeavor to prevent its recurrence (though this is almost sure to follow) by giving three times a day saltpeter 1 ounce and iodid of potash 1 dram, and by the application of mustard or blisters over the abdominal walls. Tonics, mineral and vegetable, are also indicated. Probably the best tonic is one consisting of powdered sulphate of iron, gentian, and ginger in equal parts; a heaping tablespoonful of the mixture is given as a drench or mixed with the feed, twice a day. Good nutritious feeds and gentle exercise complete the treatment.

DISEASES OF THE LIVER.

In the United States the liver of the horse is but rarely the seat of disease, and when we consider how frequently the liver of man is affected this can not but appear strange. The absence of the gall bladder may account to a certain extent for his freedom from liver diseases, as overdistention of this and the presence in it of calculi (stones) in man is a frequent source of trouble. In domestic animals, as in man, hot climates tend to produce diseases of the liver, just as in cold climates lung diseases prevail. Not only are diseases of the liver rare in horses in temperate climates, but they are also very obscure, and in many cases pass totally unobserved until after death. There are some symptoms, however, which, when present, should make us examine the liver as carefully as possible. These are jaundice (yellowness of the mucous membranes of the mouth, nose, and eyes) and the condition of the dung, it being light in color and pasty in appearance.

HEPATITIS, OR INFLAMMATION OF THE LIVER.

This disease may be general or local, and may assume an acute or chronic form.

Symptoms.—The symptoms of acute hepatitis are: Dullness; the horse is suffering from some internal pain, but not of a severe type; constipated and clay-colored dung balls; scanty and high-colored urine; and general febrile symptoms. If lying down, he is mostly[Pg 88] found on the left side; looks occasionally toward the right side, which, upon close inspection, may be found to be slightly enlarged over the posterior ribs, where pain upon pressure is also evinced. Obscure lameness in front, of the right leg mostly, may be a symptom of hepatitis. The horse, toward the last, reels or staggers in his gait and falls backward in a fainting fit, during one of which he finally succumbs. Death is sometimes due to rupture of the enveloping coat of the liver or of some of its blood vessels.

Causes.—Among the causes that lead to this disease we must mention first the stimulating effect of overfeeding, particularly during hot weather. Horses that are well fed and receive but little exercise are the best subjects for diseases of this organ. We must add to these causes the more mechanical ones, as injuries on the right side over the liver, worms in the liver, gallstones in the biliary ducts, foreign bodies—as needles or nails that have been swallowed and in their wanderings have entered the liver—and, lastly, in some instances, the extension of inflammation from neighboring parts, thus involving this organ. Acute hepatitis may terminate in chronic inflammation, abscesses, rupture of the liver, or may disappear, leaving behind no trace of disease whatever.

Treatment.—This should consist, at first, of the administration of 1 ounce of Barbados aloes or other physic. General blood-letting, if had recourse to early, must prove of much benefit in acute inflammation of the liver. The vein in the neck (jugular) must be opened, and from 4 to 6 quarts of blood may be drawn. Saline medicines, as Glauber's salt or the artificial Carlsbad salt, are indicated. These may be given with the feed in tablespoonful doses. The horse is to be fed sparingly on soft feed, bran mashes chiefly. If treatment proves successful and recovery takes place, see to it that the horse afterwards gets regular exercise and that his feed is not of a too highly nutritious character and not excessive.

JAUNDICE, ICTERUS, OR THE YELLOWS.

This is a condition caused by the retention and absorption of bile into the blood. It was formerly considered to be a disease of itself, but is now regarded as a symptom of disorder of the liver. "The yellows" is observed by looking at the eyes, nose, and mouth, when it will be seen that these parts are yellowish instead of the pale-pink color of health. In white or light-colored horses the skin even may show this yellow tint. The urine is saffron colored, the dung is of a dirty-gray color, and constipation is usually present. Jaundice may be present as a symptom of almost any inflammatory disease. We know that when an animal has fever the secretions are checked, the bile may be retained and absorbed throughout the system, and[Pg 89] yellowness of the mucous membranes follows. Jaundice may also exist during the presence of simple constipation, hepatitis, biliary calculi, abscesses, hardening of the liver, etc.

Treatment.—When jaundice exists we must endeavor to rid the system of the excess of bile, and this is best accomplished by giving purgatives that act upon the liver. Calomel, 2 drams, with aloes, 7 drams, should be given. Glauber's salt in handful doses once or twice a day for a week is also effective. May apple, rhubarb, castor oil, and other cathartics that act upon the first or small bowels may be selected. We must be careful to see that the bowels are kept open by avoiding hard, dry, bulky feeds.

RUPTURE OF THE LIVER.

This is known to occur at times in the horse, most frequently in old, fat horses and those that get but little exercise. Horses that have suffered from chronic liver disease for years eventually present symptoms of colic and die quite suddenly. Upon post-mortem examination we discover that the liver has ruptured. The cicatrices, or scars, that are often found upon the liver indicate that this organ may suffer small rupture and yet the horse may recover from it. This can not be the result, however, if the rent or tear is extensive, since in such cases death must quickly follow from hemorrhage, or, later, from peritonitis. Enlarged liver is particularly liable to rupture.

The immediate causes of rupture appear to be excessive muscular exertion, as leaping a fence, a fall, a blow from a collision, a kick from a horse, or sudden distention of the abdomen with gas.

The symptoms of rupture of the liver will depend upon the extent of the laceration. If slight, there will be simply the symptoms of abdominal pain, looking back to the sides, lying down, etc.; if extensive, the horse is dull and dejected, has no appetite, breathing becomes short and catching, he sighs or sobs, visible mucous membranes are pale, extremities cold, pulse fast, small, and weak or running down. Countenance now shows much distress, he sweats profusely, totters in his gait, props his legs wide apart, reels, staggers, and falls. He may get up again, but soon falls dead. The rapid running-down pulse, paleness of the eyes, nose, and mouth, sighing, stertorous breathing, tottering gait, etc., are symptoms by which we know that the animal is dying from internal hemorrhage.

Treatment.—But little can be done in the way of treatment. Opium in powder, in doses of 2 drams every two or three hours, may be given, with the idea of preventing as much as possible all movements of internal organs. If there is reason to suspect internal bleeding,[Pg 90] we should give large and frequent doses of white-oak bark tea, dram doses of tannic or gallic acid, or the same quantity of sugar of lead, every half hour or hour. Fluid extract of ergot or tincture of the chlorid of iron, in ounce doses, may be selected. Cold water dashed upon the right side or injected into the rectum is highly spoken of as a means of checking the hemorrhage.

BILIARY CALCULI, OR GALLSTONES.

These are rarely found in the horse, but may occupy the hepatic ducts, giving rise to jaundice and to colicky pains. There are no absolutely diagnostic symptoms, but should one find a horse that suffers from repeated attacks of colic, accompanied with symptoms of violent pain, and that during or following these attacks the animal is jaundiced, it is possible that gallstones are present. There is little or nothing to be done except to give medicines to overcome pain, trusting that these concretions may pass on to the bowels, where, from their small size, they will not occasion any inconvenience.

DISEASES OF THE PANCREAS AND SPLEEN.

Diseases of the pancreas and spleen are so rare, or their symptoms so little understood, that it is impossible to write anything concerning either of these organs and their simple diseases that will convey to the reader information of practical value.

GASTROINTESTINAL PARASITES.

[By Maurice C. Hall, Ph. D., D. V. M.]

Horses are subject to infestation by a number of species of worms, these worms being especially numerous at certain points in the alimentary canal.

The tapeworms of the horse are relatively unimportant and not very common. There are three species, the smallest about two inches long and the largest about eight inches long. These two occur in the small intestine; a form intermediate in size may also be found in the cecum and colon. These are flat, segmented worms with the head at the smaller end.

Flukes occur in horses elsewhere, but have apparently never been reported in the United States.

Roundworms, or nematodes, constitute the most important group of parasitic worms in the horse. The more important of these are as follows:

Roundworm (Ascaris equorum).—This is the common large, yellowish roundworm (Pl. V, fig. 5), about the size of a lead pencil or larger, which may be found in horses almost anywhere in the[Pg 91] United States. It occurs in the intestine and probably occasions little damage as a rule, except when present in large numbers, in which case it will probably be found in the droppings. The symptoms occasioned by it are rather obscure and are such as might arise from a number of other causes, namely, colicky pains, depraved appetite, diarrhea or constipation, and general unthriftiness. In a general way, the presence of parasites may be suspected when an animal shows no fever but is unthrifty, debilitated, and shows disordered bowel movements in cases where there is no evident explanation in the way of feed, care, and surroundings.

Treatment for the removal of this worm consists in the use of anthelmintics such as tartar emetic, turpentine, and carbon bisulphid, but as these remedies are essentially poisons intended to kill the worm, and as their use by persons unused to determining conditions unfavorable for their use is dangerous and likely to result in the death of the animal or in permanent injury to the kidneys or other organs, it is advisable to call in a veterinarian in such cases.

Pinworm (Oxyuris equi).—This is a rather large worm (Pl. V, fig. 1), somewhat smaller than the foregoing and readily distinguishable from it by the presence of a long, slender tail. It also occurs generally throughout the United States, and except when present in large numbers probably does very little damage. It inhabits the large intestine and hence is difficult to reach with medicines administered by the mouth. The use of a half ounce of gentian on the feed night and morning for a week has been recommended, but the use of rectal enemas will give more prompt and perhaps more certain results. These enemas may be made up with one or two tablespoonfuls of salt to the pint, or infusions of quassia chips, a half pound to the gallon of water, and injected into the rectum once or twice a day.

Stomach worms of the horse (Habronema spp.).—These worms (Pl. V, fig. 4) occur in nodules in the mucous lining of the horse's stomach and are credited with doing more or less damage. Their presence is not likely to be diagnosed in the present state of our knowledge, but in case their presence is determined or suspected in connection with the summer sores noted later, tartar emetic is recommended. At least one of these worms has an intermediate stage in the ordinary housefly, the fly becoming infested while it is a larva developing in horse manure. Obviously, therefore, any measures looking toward the eradication of the fly or the proper disposal of manure will aid in the control and eradication of this worm. The United States Bureau of Entomology has shown that fly maggots travel downward through a manure pile as it comes time for the maggot to enter the ground and pupate, and an excellent maggot[Pg 92] trap, consisting of an exposed manure platform raised on posts which are set in a concrete basin extending under the platform and filled with three or four inches of water, has been devised. As maggots work down they come to the platform and escape through the spaces between the boards, left open for the purpose, to the water in the concrete basin, where they are drowned. In this way the exposed manure pile serves to attract flies with a deceptive proffer of a breeding place.

Apparently it is the young forms of these stomach worms which develop at times on the skin, causing a cutaneous habronemiasis known as summer sores. This is discussed under diseases of the skin.

Strongyles (Strongylus spp. and Cylicostomum spp.).—These worms (Pl. V, figs. 2 and 3) live in the large intestines of the horse as adult worms and are often present in enormous numbers. Many of them are very small, and the largest are less than two inches long. The adult worms do considerable damage, but the immature or larval worms do even more.

The larva of Strongylus vulgaris enters the blood vessels of the intestinal wall and finally attaches in the great mesenteric artery, where it causes aneurisms; here it transforms to an adult without sexual organs, which passes to the walls of the cecum and encysts, giving rise to small cysts or abscesses; these cysts finally discharge to the interior of the cecum, setting the worms, now mature, at liberty in the lumen of the intestines.

The larvæ of Strongylus equinus are found principally in the liver, lungs, and pancreas.

The larvæ of Strongylus edentatus may be met with almost anywhere, especially under the serous membranes, the pleura and peritoneum.

The embryos and larvæ of species of Cylicostomum are found in the mucosa of the large intestine.

Aneurisms impede the circulation of the blood, and may give rise to intermittent lameness. The aneurism may rupture, since it constitutes a weak place in the wall of the blood vessel, and the horse die of the resulting hemorrhage. Particles of blood clots in the aneurisms may break off and plug a blood vessel at the point where they lodge, thereby causing the death of the part from which the blood is shut off and occasioning a type of colic which often terminates fatally. The larvæ of Cylicostomum form cysts in the walls of the large intestine, and when these open they give rise to small sores; when they are numerous they cause a thickening and hardening which impair the proper functioning of the intestine. Abscesses sometimes perforate, causing death. The adult worm attacks the intestinal wall, causing bleeding which results in anemia. The numerous small sores thus caused allow bacteria to get into the circulation, sometimes resulting in localized abscesses or in septic arthritis or joint disease.

PLATE V.
INTESTINAL WORMS.

PLATE VI.
BOTS

1. Bots in the stomach.
2. Bots in the duodenum.

[Pg 93]The disease due to these worms is quite common. The worms enter the body as immature forms in the spring, when the animal is turned out on pasture. The first symptoms show in November or December, the disease being in a latent stage during the development of the worms. The first symptoms are diarrhea, loss of appetite, and emaciation. The animal becomes anemic. Secondary symptoms are edema and such complications as joint infection, colic due to embolism, and accidents from falls, hemorrhage from ruptured aneurisms, or perforation at the site of abscess. The animal may die, recover, or become a chronic sufferer, the internal injuries failing to make a satisfactory recovery even with the removal of the worms in chronic cases.

Treatment calls for the expulsion of the adult worms from the intestine, the development of the body resistance to repair the damage wrought by the developing worms, and the combating of complications. For the expulsion of the worms the use of carbon bisulphid in gelatin capsules, 2 to 5 grams, according to the size of the patient, for five days, followed by magnesium sulphate the sixth day, has been recommended. Owing to the difficulty and danger in the administration of carbon bisulphid in capsule, it is advisable to call in a veterinarian. Tonic treatment consists in the subcutaneous administration of artificial serum and caffein. The various complications of bacterial infection, colic, heart depression, etc., call for the attention of a veterinarian. Preventive measures consist in avoiding reinfection with worms so far as possible by using dry upland pasture in preference to low, wet land, and by rotating pastures or rotation of the stock on a given pasture. Horses may be alternated with cattle, sheep, or hogs to advantage, so far as parasites are concerned. Another feature, always of importance, is the provision of a pure, potable drinking water.

Bots (Gastrophilus spp.).—Bots (Pl. VI) are quite common in the stomach and upper part of the small intestine of the horse anywhere in the United States, one kind being occasionally found in the rectum. They attach to that portion of the mucous lining of the stomach nearest the esophagus or sometimes around the pyloric opening to the intestine or even in the upper intestine, and undoubtedly interfere with the proper functioning of the stomach and the health of the animal to a certain extent. The symptoms are rather vague as a rule, but the general result is a condition of unthriftiness.

A treatment which has been found effective consists in feeding lightly on the day preceding treatment, withholding food in the evening and giving an ounce of Barbados aloes or a pint of linseed[Pg 94] oil. The next day give 3 drams of carbon bisulphid in a gelatin capsule at 6 o'clock, repeat the dose at 7 o'clock, and again at 8 o'clock, making a total of 9 drams altogether for an adult horse; half that amount will be sufficient for a yearling colt. As previously noted, there is some little difficulty and danger of accident in the administration of treatments of this character and it is advisable to call in a veterinarian.

Unless destroyed by treatment, the bots in the stomach of the horse pass out in the manure in the spring and burrow down into the soil an inch or two. Here they undergo a certain amount of development and finally emerge as adult flies. These bot flies mate and during the summer the eggs are deposited by the female on the forelegs and shoulders or around the chin, mouth and nostrils of the horse, the location and appearance of the eggs varying somewhat with different species of bot flies. These eggs or the young maggots escaping from them are ingested by the horse in licking the portions irritated by the movement of the escaping maggots, and when swallowed develop to form bots in the stomach. Careful currying, especially around the forequarters, is an aid in keeping down bot infestation, but this is not commonly feasible with horses on pasture, the ones most liable to become infested.

[Pg 95]

DISEASES OF THE RESPIRATORY ORGANS.

By W. S. Harbaugh, V. S.

[Revised by Leonard Pearson, B. S., V. M. D.]

The organs pertaining to the respiratory function may be enumerated in natural order as follows: The nasal openings, or nostrils; the nasal chambers, through which the air passes in the head; the sinuses in the head, communicating with the nasal chambers; the pharynx, common to the functions of breathing and swallowing; the larynx, at the top of the windpipe; the trachea, or windpipe; the bronchi (into which the windpipe divides), two tubes leading from the windpipe to the right and left lungs, respectively; the bronchial tubes, which penetrate and convey air to all parts of the lungs; the lungs.

The pleura is a thin membrane that envelops the lung and lines the walls of the thoracic cavity. The diaphragm is a muscular structure, completely separating the contents of the thoracic cavity from those of the abdominal cavity. It is essentially a muscle of inspiration, and the principal one. Other muscles aid in the mechanism of respiration, but the diseases or injuries of them have nothing to do with the diseases under consideration.

Just within the nasal openings the skin becomes gradually but perceptibly finer, until it is succeeded by the mucous membrane. Near the junction of the skin and membrane is a small hole, presenting the appearance of having been made with a punch; this is the opening of the lachrymal duct, a canal that conveys the tears from the eyes. Within and above the nasal openings are the cavities, or fissures, called the false nostrils. The nasal chambers are completely separated, the right from the left, by a cartilaginous partition, the nasal septum. Each nasal chamber is divided into three continuous compartments by two thin, scroll-like turbinated bones.

The mucous membrane lining the nasal chambers, and, in fact, the entire respiratory tract, is much more delicate and more frequently diseased that the mucous membrane of any other part of the body. The sinuses of the head are compartments which communicate with the nasal chambers and are lined with a continuation of the same membrane that lines the nasal chambers; their presence increases the volume and modifies the form of the head without increasing its weight.

The horse, in a normal condition, breathes exclusively through the nostrils. The organs of respiration are quite liable to become diseased,[Pg 96] and, as many of the causes which lead to these attacks can be avoided, it is both important and profitable to know and study the causes.

CAUSES OF DISEASES OF RESPIRATORY ORGANS.

The causes of many of the diseases of these organs may be given under a common head, because even a simple cold, if neglected or badly treated, may run into the most complicated lung disease and terminate fatally. In the spring and fall, when the animals are changing their coats, there is a marked predisposition to contract disease, and consequently at those periods care should be taken to prevent other exciting causes.

Badly ventilated stables are a frequent source of disease. It is a mistake to think that country stables necessarily have purer air than city stables. Stables on some farms are so faultily constructed that it is almost impossible for the foul air to gain an exit. All stables should have a sufficient supply of pure air, and be so arranged that strong drafts can not blow directly on the animals. In ventilating a stable, it is best to arrange to remove air from near the floor and admit it through numerous small openings near the ceiling. The reason for this is that the coldest and most impure air in the stable is near the floor, while that which is warmest and purest, and therefore can least be spared, is near the top of the room. In summer, top exits and cross currents should be provided to remove excessive heat. Hot stables are almost always poorly ventilated, and the hot stable is a cause of disease on account of the extreme change of temperature that a horse is liable to when taken out, and extreme changes of temperature are to be avoided as certain causes of disease.

A cold, close stable is invariably damp, and is to be avoided as much as the hot, close, and foul one. Horses changed from a cold to a warm stable are more liable to contract cold than when changed from a warm to a cold one. Pure air is more essential than warmth, and this fact should be especially remembered when the stable is made close and foul to gain the warmth. It is more economical to keep the horse warm with blankets than to prevent the ingress of pure air in order to make the stable warm.

Stables should be well drained and kept clean. Some farmers allow large quantities of manure to accumulate in the stable. This is a pernicious practice, as the decomposing organic matter evolves gases that are predisposing or exciting causes of disease. When a horse is overheated, it is not safe to allow him to dry by evaporation; rubbing him dry and gradually cooling him out is the wisest treatment. When a horse is hot—covered with sweat—it is dangerous to allow him to stand in a draft; it is the best plan to walk him until his[Pg 97] temperature moderates. In such cases a light blanket thrown over the animal may prevent a cold. Overwork or overexertion often causes the greater number of fatal cases of congestion of the lungs. Avoid prolonged or fast work when the horse is out of condition or unaccustomed to it. Animals that have been working in cold rains should be dried and cooled out and not left to dry by evaporation. When the temperature of the weather is at the extreme, either of heat or cold, diseases of the organs of respiration are most frequent.

It is not to be supposed that farmers can give their horses the particular attention given to valuable racing and pleasure horses, but they can most assuredly give them common-sense care, and this may often save the life of a valuable animal. If the owner properly considers his interests, he will study the welfare of his horses so that he may be able to instruct the servant in details of stable management.

WOUNDS ABOUT THE NOSTRILS.

Wounds in this neighborhood are common, and are generally caused by snagging on a nail or splinter or by the bite of another horse; or by getting "run into," or by running against something. Occasionally the nostril is so badly torn and lacerated that it is impossible to effect a cure without leaving the animal blemished for life, but in the majority of instances the blemish, or scar, is the result of want of conservative treatment. As soon as possible after the accident the parts should be brought together and held there by stitches. If too much time is allowed to elapse, the swelling of the parts will considerably interfere. Never cut away any skin that may be loose and hanging, or else a scar will certainly remain. Bring the parts in direct apposition and place the stitches from a quarter to a half-inch apart, as circumstances may demand. It is not necessary to have special surgeons' silk and needles for this operation; good linen thread or ordinary silk thread will answer. The wound afterwards only requires to be kept clean. For this purpose it should be cleansed and discharges washed away daily with a solution made of carbolic acid 1 part in 40 parts of water. If on account of the irritability the horse is inclined to rub the wound against some object, his head should be tied by means of two halter ropes attached to the opposite sides of the stall to prevent him from opening the wound. Except when at work or eating, the head should be so tied about 10 days.

TUMORS WITHIN THE NOSTRILS.

A small, globular tumor is sometimes found within the false nostril, under that part of the skin that is seen to puff or rise and fall when a horse is exerted and breathing hard. These tumors contain matter of a cheesy consistency.[Pg 98]

Treatment.—If the tumor is well opened and the matter squeezed out, nature will perform a cure. If the opening is made from the outside through the skin, it should be at the most dependent part, but much the best way to open the tumor is from the inside. Quiet the animal, gently insert your finger up in the direction of the tumor, and you will soon discover that it is much larger inside than it appears to be on the outside. If necessary put a twitch on the ear of the horse to quiet him; run the index finger of your left hand against the tumor; now, with the right hand, carefully insert the knife by running the back of the blade along the index finger of the left hand until the tumor is reached; with the left index finger guide the point of the blade quickly and surely into the tumor; make the opening large. A little blood may flow for a while, but it is of no consequence. Squeeze out the matter and keep the part clean.

COLD IN THE HEAD, OR NASAL CATARRH.

Catarrh is an inflammation of a mucous membrane. It is accompanied with excessive secretion. In nasal catarrh the inflammation may extend from the membrane lining the nose to the throat, the inside of the sinuses, and to the eyes. The causes are the general causes of respiratory disease enumerated above. It is especially common in young horses and in horses not acclimated.

Symptoms.—The membrane at the beginning of the attack is dry, congested, and irritable; it is of a deeper hue than natural, pinkish red or red. Soon a watery discharge from the nostrils makes its appearance; the eyes may also be more or less affected and tears flow over the cheeks. The animal has some fever, which may be easily detected by means of a clinical thermometer inserted in the rectum or, roughly, by placing the finger in the mouth, as the feeling of heat conveyed to the finger will be greater than natural.

To become somewhat expert in ascertaining the changes of temperature in the horse it is only necessary to place the finger often in the mouths of horses known to be healthy. After you have become accustomed to the warmth of the mouth of the healthy animal you will have no difficulty in detecting a marked increase of the temperature. The animal may be dull; he sneezes or snorts, but does not cough unless the throat is affected; he expels the air forcibly through his nostrils, very often in a manner that may be aptly called "blowing his nose." A few days after the attack begins the discharge from the nostrils changes from a watery to that of a thick, mucilaginous state, of a yellowish-white color, and may be more or less profuse. Often the appetite is lost and the animal becomes debilitated.

Treatment.—This disease is not serious, but inasmuch as neglect or bad treatment may cause it to lead to something worse or become chronic it should receive proper attention. The animal should not[Pg 99] be worked for a time. A few days of rest, with pure air and good feed, will be of greater benefit than most medication. The value of pure air can not be overestimated, but drafts must be avoided. The benefit derived from the inhalation of steam is considerable. This is effected by holding the horse's head over a bucketful of boiling water, so that the animal will be compelled to inhale steam with every inhalation of air. Stirring the hot water with a wisp of hay causes the steam to arise in greater abundance. One may cause the horse to put his nose in a bag containing cut hay upon which hot water has been poured, the bottom of the bag being stood in a bucket, but the bag must be of loose texture, as gunny sack, or, if of canvas, holes must be cut in the side to admit fresh air.

The horse may be made to inhale steam four or five times a day, about 15 or 20 minutes each time.

Particular attention should be paid to the diet. Give bran mashes, scalded oats, linseed gruel, and grass, if in season. If the horse evinces no desire for this soft diet, it is better to allow any kind of feed he will eat, such as hay, oats, corn, etc., than to keep him on short rations.

If the animal is constipated, relieve this symptom by injections (enemas) of warm water into the rectum three or four times a day, but do not administer purgative medicines, except of a mild character.

For simple cases the foregoing is all that is required, but if the appetite is lost and the animal appears debilitated and dull, give 3 ounces of the solution of acetate of ammonia and 2 drams of powdered chlorate of potassium diluted with a pint of water three times a day as a drench. Be careful when giving the drench; do not pound the horse on the gullet to make him swallow; be patient, and take time, and do it right.

If the weather is cold, blanket the animal and keep him in a comfortable stall. If the throat is sore, treat as advised for that ailment, to be described hereafter.

If, after 10 days or 2 weeks, the discharge from the nostrils continues, give one-half dram of reduced iron three times a day. This may be mixed with damp feed. Common cold should be thoroughly understood and intelligently treated in order to prevent more dangerous diseases.

CHRONIC CATARRH (OR NASAL GLEET, OR COLLECTION IN THE SINUSES).

This is a subacute or chronic inflammation of some part of the membrane affected in common cold, the disease just described. It is manifested by a persistent discharge of a thick white or yellowish-white matter from one or both nostrils. The commonest cause is a neglected or badly treated cold, and it usually follows those cases[Pg 100] where the horse has suffered exposure, been overworked, or has not received proper feed, and, as a consequence, has become debilitated. It may occur as a sequel to influenza.

Other but less frequent causes for this affection are: Fractures of the bones that involve the membrane of the sinuses, and even blows on the head over the sinuses. Diseased teeth often involve a sinus and cause a fetid discharge from the nostril. Violent coughing is said to have forced particles of feed into the sinus, which acted as a cause of the disease. Tumors growing in the sinuses are known to have caused it. It is also attributed to disease of the turbinated bones. Absorption of the bones forming the walls of the sinuses has been caused by the pressure of pus collecting in them and by tumors filling up the cavity.

Symptoms.—Great caution must be exercised when examining these cases, for the horse may have glanders, while, on the other hand, horses have been condemned as glandered when really there was nothing ailing them but nasal gleet. This is not contagious, but may stubbornly resist treatment and last for a long time. In most cases the discharge is from one nostril only, which may signify that the sinuses on that side of the head are affected. The discharge may be intermittent; that is, quantities may be discharged at times and again little or none for a day or so. Such an intermittent discharge usually signifies disease of the sinuses. The glands under and between the bones of the lower jaw may be enlarged. The peculiar ragged-edged ulcer of glanders is not to be found on the membrane within the nostrils, but occasionally sores are to be seen there. If there is any doubt about it, the symptoms of glanders should be well studied in order that one may be competent to form a safe opinion.

The eye on the side of the discharging nostril may have a peculiar appearance and look smaller than its fellow. There may be an enlargement, having the appearance of a bulging out of the bone over the part affected, between or below the eyes. The breath may be offensive, which indicates decomposition of the matter or bones or disease of the teeth. A diseased tooth is further indicated by the horse holding his head to one side when eating, or by dropping the feed from the mouth after partly chewing it. When the bones between the eyes, below the eyes, and above the back teeth of the upper jaw are tapped on, a hollow, drumlike sound is emitted, but if the sinus is filled with pus or contains a large tumor the sound emitted will be the same as if a solid substance were struck; by this means the sinus affected may be located in some instances. The hair may be rough over the affected part, or even the bone may be soft to the touch and the part give somewhat to pressure or leave an impression where it is pressed upon with the finger.[Pg 101]

Treatment.—The cause of the trouble must be ascertained before treatment is commenced. In the many cases in which the animal is in poor condition (in fact, in all cases) he should have the most nutritive feed and regular exercise. The feed, or box containing it, should be placed on the ground, as the dependent position of the head favors the discharge.

The cases that do not require a surgical operation must, as a rule, have persistent medical treatment. Mineral tonics and local medication are of the most value. For eight days give the following mixture: Reduced iron, 3 ounces; powdered nux vomica, 1 ounce. Mix and make into 16 powders; one powder should be mixed with the feed twice a day. Arsenious acid (white arsenic) in doses of from 3 to 6 grains three times daily is a good tonic for such cases. Sulphur burnt in the stable while the animal is there to inhale its fumes is also a valuable adjunct. Care should be taken that the fumes of the burning sulphur are sufficiently diluted with air so as not to suffocate the horse. Chlorid of lime sprinkled around the stall is good. Also keep a quantity of it under the hay in the manger so that the gases will be inhaled as the horse holds his head over the hay while eating. Keep the nostrils washed and the discharge cleaned away from the manger and stall. The horse may be caused to inhale the vapor of compound tincture of benzoin by pouring 2 ounces of this drug into hot water and fumigating in the usual way.

If the nasal gleet is the result of a diseased tooth, the latter must be removed. Trephining is the best possible way to remove it in such cases, as the operation immediately opens the cavity, which can be attended to direct. In all those cases of nasal gleet in which sinuses contain either tumors or collections of pus the only relief is by the trephine; and, no matter how thoroughly described, this is an operation that will be seldom attempted by the nonprofessional. It would therefore be a waste of time to give the modus operandi.

An abscess involving the turbinated bones is similar to the collection of pus in the sinuses and must be relieved by trephining.

THICKENING OF THE NASAL MEMBRANE.

This is sometimes denoted by a chronic discharge, a snuffling in the breathing, and a contraction of the nostril. It is a result of common cold and requires the same treatment as prescribed for nasal gleet, namely, the sulphate of iron, sulphate of copper, iodid of potassium, etc. The membranes of both sides may be affected, but one side only is the rule; the affected side may be easily detected by holding the hand tightly over one nostril at a time. When the healthy side is closed in this manner the breathing through the affected side will demonstrate a decreased caliber or an obstruction.[Pg 102]

NASAL POLYPUS.

Tumors with narrow bases (somewhat pear-shaped) are occasionally found attached to the membrane of the nasal chambers, and are obstructions to breathing through the side in which they are located. They vary much in size; some are so small that their presence is not manifested, while others almost completely fill the chamber, thereby causing a serious obstruction to the passage of air. The stem, or base, of the tumor is generally attached high in the chamber, and usually the tumor can not be seen, but occasionally it increases in size until it can be observed within the nostril. Sometimes, instead of hanging down toward the nasal opening, it falls back into the pharynx. It causes a discharge from the nostril, a more or less noisy snuffling sound in breathing, according to its size, a discharge of blood (if it is injured), and sneezing. The side that it occupies can be detected in the same way as described for the detection of the affected side when the breathing is obstructed by a thickened membrane.

The only relief is removal of the polypus, which, like all other operations, should be done by an expert when it is possible to obtain one. The operation is performed by grasping the base of the tumor with suitable forceps and twisting it round and round until it is torn from its attachment, or by cutting it off with a noose of wire. The resulting hemorrhage is checked by the use of an astringent lotion, such as a solution of the tincture of iron, or by packing the nostrils with surgeon's gauze.

PHARYNGEAL POLYPUS.

This is exactly the same kind of tumor described as nasal polypus, the only difference being in the situation. Indeed, the stem of the tumor may be attached to the membrane of the nasal chamber, as before explained, or it may be attached in the fauces (opening of the back part of the mouth), and the body of the tumor then falls into the pharynx. In this situation it may seriously interfere with breathing. Sometimes it drops into the larynx, causing the most alarming symptoms. The animal coughs, or tries to cough, saliva flows from the mouth, the breathing is performed with the greatest difficulty and accompanied with a loud noise; the animal appears as if strangled and often falls exhausted. When the tumor is coughed out of the larynx the animal regains quickly and soon appears as if nothing were ailing. These sudden attacks and quick recoveries point to the nature of the trouble. The examination must be made by holding the animal's mouth open with a balling iron or speculum and running the hand back into the mouth. If the tumor is within reach, it must be removed in the same manner as though it were in the nose.[Pg 103]

BLEEDING FROM THE NOSE.

This often occurs during the course of certain diseases, namely, influenza, bronchitis, purpura hemorrhagica, glanders, etc. But it also occurs independently of other affections and, as before mentioned, is a symptom of polypus, or tumor, in the nose.

Injuries to the head, exertion, violent sneezing—causing a rupture of a small blood vessel—also induce it. The bleeding is almost invariably from one nostril only, and is never very serious. The blood escapes in drops (seldom in a stream) and is not frothy, as when the hemorrhage is from the lungs. (See Bleeding from the lungs, p. 127.) In most cases bathing the head and washing out the nostril with cold water are all that is necessary. If the cause is known, you will be guided according to circumstances. If the bleeding continues, pour ice-cold water over the face, between the eyes and down over the nasal chambers. A bag containing ice in small pieces applied to the head is often efficient. If in spite of these measures the hemorrhage continues, plugging the nostrils with cotton, tow, or oakum, should be tried. A string should be tied around the plug before it is pushed up into the nostril, so that it can be safely withdrawn after 4 or 5 hours. If both nostrils are bleeding, only one nostril at a time should be plugged. If the hemorrhage is profuse and persistent, a drench composed of 1 dram of acetate of lead dissolved in 1 pint of water, or ergot, 1 ounce, should be given.

INFLAMMATION OF THE PHARYNX.

As already stated, the pharynx is common to the functions of both respiration and alimentation. From this organ the air passes into the larynx and thence onward to the lungs. In the posterior part of the pharynx is the superior extremity of the gullet, the canal through which the feed and water pass to the stomach. Inflammation of the pharynx is a complication of other diseases—namely, influenza, strangles, etc.—and is probably always more or less complicated with inflammation of the larynx. That it may exist as an independent affection there is no reason to doubt, and it is discussed as such with the diseases of the digestive tract.

SORE THROAT, OR LARYNGITIS.

The larynx is situated in the space between the lower jawbones just back of the root of the tongue. It may be considered as a box (somewhat depressed on each side), composed principally of cartilages and small muscles, and lined on the inside with a continuation of the respiratory mucous membrane. Posteriorly it opens into and is continuous with the windpipe. It is the organ of the voice, the vocal cords being situated within it; but in the horse this function is of[Pg 104] little consequence. It dilates and contracts to a certain extent, thus regulating the volume of air passing through it. The mucous membrane lining it internally is so highly sensitive that if the smallest particle of feed happens to drop into it from the pharynx violent coughing ensues instantly and is continued until the source of irritation is ejected. This is a provision of nature to prevent foreign substances gaining access to the lungs. That projection called Adam's apple in the neck of man is the prominent part of one of the cartilages forming the larynx.

Inflammation of the larynx is a serious and sometimes fatal disease, and, as before stated, is usually complicated with inflammation of the pharynx, constituting what is popularly known as "sore throat." The chief causes are chilling and exposure.

Symptoms.—About the first symptom noticed is cough, followed by difficulty in swallowing, which may be due to soreness of the membrane of the pharynx, over which the feed or water must pass, or from the pain caused by the contraction of the muscles necessary to impel the feed or water onward to the gullet; or this same contraction of the muscles may cause a pressure on the larynx and produce pain. In many instances the difficulty in swallowing is so great that water, and in some cases feed, is returned through the nose. This, however, does not occur in laryngitis alone, but only when the pharynx is involved in the inflammation. The glands between the lower jawbones and below the ears may be swollen. Pressure on the larynx induces coughing. The head is more or less "poked out," and has the appearance of being stiffly carried. The membrane in the nose becomes red. A discharge from the nostrils soon appears. As the disease advances, the breathing may assume a more or less noisy character; sometimes a harsh, rasping snore is emitted with every respiration, the breathing becomes hurried, and occasionally the animal seems threatened with suffocation.

Treatment.—In all cases steam the nostrils, as has been advised for cold in the head. In bad cases cause the steam to be inhaled continuously for hours—until relief is afforded. Have a bucketful of fresh boiling water every fifteen or twenty minutes. In each bucketful of water put a tablespoonful of oil of turpentine, or compound tincture of benzoin, the vapor of which will be carried along with the steam to the affected parts and have a beneficial effect. In mild cases steaming the nostrils five, six, or seven times a day will suffice.

The animal should be placed in a comfortable, dry stall (a box stall preferred), and should have pure air to breathe. The body should be blanketed, and bandages applied to the legs. The diet should consist of soft feed—bran mashes, scalded oats, linseed gruel, and, best of all, fresh grass, if in season. The manger, or trough, should neither be too high nor too low, but a temporary one should be constructed[Pg 105] at about the height he carries his head. Having to reach too high or too low may cause so much pain that the animal would rather forego satisfying what little appetite he may have than inflict pain by craning his head for feed or water. A supply of fresh water should be before him all the time; he will not drink too much, nor will the cold water hurt him. Constipation (if present) must be relieved by enemas of warm water, administered three or four times during the twenty-four hours.

A liniment composed of 2 ounces of olive oil and 1 each of solution of ammonia and tincture of cantharides, well shaken together, may be thoroughly rubbed in about the throat from ear to ear, and about 6 inches down over the windpipe, and in the space between the lower jaws. This liniment should be applied once a day for two or three days.

If the animal is breathing with great difficulty, persevere in steaming the nostrils, and dissolve 2 drams of chlorate of potassium in every gallon of water he will drink; even if he can not swallow much of it, and even if it is returned through the nostrils, it will be of some benefit to the pharynx as a gargle.

An electuary of acetate of potash, 2 drams, honey, and licorice powder may be spread on the teeth with a paddle every few hours. If the pain of coughing is great, 2 or 3 grains of morphin may be added to the electuary.

When the breathing begins to be loud, relief is afforded in some cases by giving a drench composed of 2 drams of fluid extract of jaborandi in half a pint of water. If benefit is derived, this drench may be repeated four or five hours after the first dose is given. It will cause a free flow of saliva from the mouth.

In urgent cases, when suffocation seems inevitable, the operation of tracheotomy must be performed. To describe this operation in words that would make it comprehensible to the general reader is a more difficult task than performing the operation, which, in the hands of the expert, is simple and attended with little danger.

The operator should be provided with a tracheotomy tube (to be purchased from any veterinary instrument maker) and a sharp knife, a sponge, and a bucket of clean cold water. The place to be selected for opening the windpipe is that part which is found, upon examination, to be least covered with muscles, about 5 or 6 inches below the throat. Right here, then, is the place to cut through. Have an assistant hold the animal's head still. Grasp your knife firmly in the right hand, select the spot and make the cut from above to below directly on the median line on the anterior surface of the windpipe. Make the cut about 2 inches long in the windpipe; this necessitates cutting three or four rings. One bold stroke is usually sufficient, but if it is necessary to make several other cuts to finish the operation, do[Pg 106] not hesitate. Your purpose is to make a hole in the windpipe sufficiently large to admit the tracheotomy tube. It is quickly manifested when the windpipe is severed; the hot air rushes out, and when air is taken in it is sucked in with a noise. A slight hemorrhage may result (it never amounts to much), which is easily controlled by washing the wound with a sponge and cold water, but use care not to get any water in the windpipe. Do not neglect to instruct your assistant to hold the head down immediately after the operation, so that the neck will be in a horizontal line. This will prevent the blood from getting into the windpipe and will allow it to drop directly on the ground. If you have the self-adjustable tube, it retains its place in the wound without further trouble after it is inserted. The other kind requires to be secured in position by means of two tapes or strings tied around the neck. After the hemorrhage is somewhat abated, sponge the blood away and see that the tube is thoroughly clean, then insert it, directing the tube downward toward the lungs.

The immediate relief this operation affords is gratifying to behold. The animal, a few minutes before on the verge of death from suffocation, emitting a loud wheezing sound with every breath, with haggard countenance, body swaying, pawing, gasping, fighting for breath, now breathes tranquilly, and may be in search of something to eat.

The tube should be removed once a day and cleaned with carbolic-acid solution (1 to 20), and the discharge washed away from the wound with a solution of carbolic acid, 1 part to 40 parts water. Several times a day the hand should be held over the opening in the tube to test the animal's ability to breathe through the nostrils, and as soon as it is demonstrated that breathing can be performed in the natural way the tube should be removed, the wound thoroughly cleansed with carbolic-acid solution (1 to 40), and closed by inserting four or five stitches through the skin and muscle. Do not include the cartilages of the windpipe in the stitches. Apply the solution to the wound three or four times a day until healed. When the tube is removed to clean it the lips of the wound may be pressed together to ascertain whether or not the horse can breathe through the larynx. The use of the tube should be discontinued as soon as possible.

It is true that tracheotomy tubes are seldom to be found on farms, and especially when most urgently required. In such instances there is nothing left to be done but, with a strong needle, pass a waxed end or other strong string through each side of the wound, including the cartilage of the windpipe, and keep the wound open by tying the strings over the neck.

During the time the tube is used the other treatment advised must not be neglected. After a few days the discharge from the nostrils[Pg 107] becomes thicker and more profuse. This is a good symptom and signifies that the acute stage has passed. At any time during the attack, if the horse becomes weak, give whisky or aromatic spirits of ammonia, 2 ounces in water. Do not be in a hurry to put the animal back to work, but give plenty of time for a complete recovery. Gentle and gradually increasing exercise may be given as soon as the horse is able to stand it. The feed should be carefully selected and of good quality. Tonics, as iron or arsenic, may be employed.

If abscesses form in connection with the disease they must be opened to allow the escape of pus, but do not rashly plunge a knife into swollen glands; wait until you are certain the swelling contains pus. The formation of pus may be encouraged by the constant application of poultices for hours at a time. The best poultice for the purpose is made of linseed meal, with sufficient hot water to make a thick paste. If the glands remain swollen for some time after the attack, rub well over them an application of the following: Biniodid of mercury, 1 dram; lard, 1 ounce; mix well. This may be applied once every day until the part is blistered.

Sore throat is also a symptom of other diseases, such as influenza, strangles, purpura hemorrhagica, etc., which diseases may be consulted under their proper headings.

After a severe attack of inflammation of the larynx the mucous membrane may be left in a thickened condition, or an ulceration of the part may ensue, either of which is liable to produce a chronic cough. For the ulceration it is useless to prescribe, because it can neither be diagnosed nor topically treated by the nonprofessional.

If a chronic cough remains after all the other symptoms have disappeared, it is advisable to give 1 dram of iodid of potassium dissolved in a bucketful of drinking water, one hour before feeding, three times a day for a month if necessary. Also rub in well the preparation of iodid of mercury (as advised for the swollen glands) about the throat, from ear to ear, and in the space between the lower jawbones. The application may be repeated every third day until the part is blistered.

SPASM OF THE LARYNX.

The symptoms are as follows: Sudden seizure by a violent fit of coughing; the horse may reel and fall, and after a few minutes recover and be as well as ever. The treatment recommended is this: Three drams of bromid of potassium three times a day, dissolved in the drinking water, or give as a drench in about a half pint of water for a week. Then give 1 dram of powdered nux vomica (either on the food or shaken with water as a drench) once a day for a few weeks.[Pg 108]

CROUP AND DIPHTHERIA.

Neither of these diseases affects the horse, but these names are sometimes wrongly applied to severe laryngitis or pharyngitis, or to forage poisoning, in which the throat is paralyzed and becomes excessively inflamed and gangrenous.

THICK WIND AND ROARING.

Horses that are affected with chronic disease that causes a loud, unnatural noise in breathing are said to have thick wind, or to be roarers. This class does not include those affected with severe sore throat, as in these cases the breathing is noisy only during the attack of the acute disease.

Thick wind is caused by an obstruction to the free passage of the air in some part of the respiratory tract. Nasal polypi, thickening of the membrane, pharyngeal polypi, deformed bones, paralysis of the wing of the nostril, etc., are occasional causes. The noisy breathing of horses after having been idle and put to sudden exertion is not due to any disease and is only temporary. Very often a nervous, excitable horse will make a noise for a short time when started off, generally caused by the cramped position in which the head and neck are forced in order to hold him back.

Many other causes may occasion temporary, intermittent, or permanent noisy respiration, but chronic roaring is caused by paralysis of the muscles of the larynx; and almost invariably it is the muscles of the left side of the larynx that are affected.

In chronic roaring the noise is made when the air is drawn into the lungs; only when the disease is far advanced is a sound produced when the air is expelled, and even then it is not nearly so loud as during inspiration.

In a normal condition the muscles dilate the aperture of the larynx by moving the cartilage and vocal cord outward, allowing a sufficient volume of air to rush through. But when the muscles are paralyzed the cartilage and vocal cord that are normally controlled by the affected muscles lean into the tube of the larynx, so that when the air rushes in it meets this obstruction and the noise is produced. When the air is expelled from the lungs its very force pushes the cartilage and vocal cords out, and consequently noise is not produced in the expiratory act.

The paralysis of the muscles is due to derangement of the nerve that supplies them with energy. The muscles of both sides are not supplied by the same nerve; there is a right and a left nerve, each supplying its respective side. The reason why the muscles on the left side are the ones usually paralyzed is owing to the difference in the anatomical arrangement of the nerves. The left nerve is much longer and more exposed to interference than the right nerve.[Pg 109]

In chronic roaring there is no evidence of any disease of the larynx other than the wasted condition of the muscles in question. The disease of the nerve is generally far from the larynx. Disease of parts contiguous to the nerve along any part of its course may interfere with its proper function. Enlargement of lymphatic glands within the chest through which the nerve passes on its way back to the larynx is the most frequent interruption of nervous supply, and consequently roaring. When roaring becomes confirmed, medical treatment is entirely useless, as it is impossible to restore the wasted muscle and at the same time remove the cause of the interruption of the nervous supply. Before roaring becomes permanent the condition may be benefited by a course of iodid of potassium, if caused by disease of the lymphatic glands. Electricity has been used with indifferent success. Blistering or firing over the larynx is, of course, not worthy of trial if the disease is due to interference of the nerve supply. The administration of strychnia (nux vomica) on the ground that it is a nerve tonic with the view of stimulating the affected muscles is treating only the result of the disease without considering the cause, and is therefore useless. The operation of extirpating the collapsed cartilage and vocal cord is believed to be the only relief, and, as this operation is critical and can be performed only by the skillful veterinarian, it will not be described here.

From the foregoing description of the disease it will be seen that the name "roaring," by which the disease is generally known, is only a symptom and not the disease. Chronic roaring is also in many cases accompanied with a cough. The best way to test whether a horse is a "roarer" is either to make him pull a load rapidly up a hill or over a sandy road or soft ground; or, if he is a saddle horse, gallop him up a hill or over soft ground. The object is to make him exert himself. Some horses require a great deal more exertion than others before the characteristic sound is emitted. The greater the distance he is forced, the more he will appear exhausted if he is a roarer; in bad cases the animal becomes utterly exhausted, the breathing is rapid and difficult, the nostrils dilate to the fullest extent, and the animal appears as if suffocation was imminent.

An animal that is a roarer should not be used for breeding purposes. The taint is transmissible in many instances.

Grunting.—A common test used by veterinarians when examining "the wind" of a horse is to see if he is a "grunter." This is a sound emitted during expiration when the animal is suddenly moved, or startled, or struck at. If he grunts he is further tested for roaring. Grunters are not always roarers, but, as it is a common thing for a roarer to grunt, such an animal must be looked upon with suspicion until he is thoroughly tried by pulling a load or galloped up a hill. The test should be a severe one. Horses suffering with pleurisy,[Pg 110] pleurodynia, or rheumatism, and other affections accompanied with much pain, will grunt when moved, or when the pain is aggravated, but grunting under these circumstances does not justify the term of "grunter" being applied to the horse, as the grunting ceases when the animal recovers from the disease that causes the pain.

High blowing.—This term is applied to a noisy breathing made by some horses. It is distinctly a nasal sound, and must not be confounded with "roaring." The sound is produced by the action of the nostrils. It is a habit and not an unsoundness. Contrary to roaring, when the animal is put to severe exertion the sound ceases. An animal that emits this sound is called a "high blower." Some horses have naturally very narrow nasal openings, and they may emit sounds louder than usual in their breathing when exercised.

Whistling is only one of the variations of the sound emitted by a horse called a "roarer," and therefore needs no further notice, except to remind the reader that a whistling sound may be produced during an attack of severe sore throat or inflammation of the larynx, which passes away with the disease that causes it.

CHRONIC BRONCHITIS.

This may be due to the same causes as acute bronchitis or it may follow the latter disease. An attack of the chronic form is liable to be converted into acute bronchitis by a very slight cause. This chronic affection in most instances is associated with thickening of the walls of the tubes. Its course is slower, it is less severe, and is not accompanied with so much fever as the acute form. If the animal is exerted, the breathing becomes quickened and he soon shows signs of exhaustion. In many instances the animal keeps up strength and appearances moderately well, but in other cases the appetite is lost, flesh gradually disappears, and he becomes emaciated and debilitated. It is accompanied with a persistent cough, which in some cases is husky, smothered, or muffled, while in others it is hard and clear. A whitish matter, which may be curdled, is discharged from the nose. If the ear is placed against the chest behind the shoulder blade, the rattle of the air passing through the mucus can be heard within.

Treatment.—Rest is necessary, as even under the most favorable circumstances a cure is difficult to effect. The animal can not stand exertion and should not be compelled to undergo it. It should have much the same general care and medical treatment prescribed for the acute form. Arsenious acid in tonic doses (3 to 7 grains) three times daily may be given. As arsenic is irritant, it must be mixed with a considerable bulk of moist feed and never given alone. Arsenic may be given in the form of Fowler's solution, 1 ounce three times daily in the drinking water. An application of mustard applied[Pg 111] to the breast is a beneficial adjunct. The diet should be the most nourishing. Bulky feed should not be given. Linseed mashes, scalded oats, and, if in season, grass and green-blade fodder are the best diet.

THE LUNGS.

The lungs (see Pl. VII) are the essential organs of respiration. They consist of two (right and left) spongy masses, commonly called the "lights," situated entirely within the thoracic cavity. On account of the space taken up by the heart, the left lung is the smaller. Externally, they are completely covered by the pleura. The structure of the lung consists of a light, soft, but very strong and remarkably elastic tissue, which can be torn only with difficulty. Each lung is divided into a certain number of lobes, which are subdivided into numberless lobules (little lobes). A little bronchial tube terminates in every one of these lobules. The little tube then divides into minute branches which open into the air cells (pulmonary vesicles) of the lungs. The air cells are little sacs having a diameter varying from one-seventieth to one two-hundredth of an inch; they have but one opening, the communication with the branches of the little bronchial tubes. Small blood vessels ramify in the walls of the air cells. The air cells are the consummation of the intricate structures forming the respiratory apparatus. They are of prime importance, all the rest being complementary. It is here that the exchange of gases takes place. As before stated, the walls of the cells are very thin; so, also, are the walls of the blood vessels. Through these walls escapes from the blood the carbonic acid gas that has been absorbed by the blood in its circulation through the different parts of the body; through these walls also the oxygen gas, which is the life-giving element of the atmosphere, is absorbed by the blood from the air in the air cells.

CONGESTION OF THE LUNGS.

Congestion is essentially an excess of blood in the vessels of the parts affected. Congestion of the lungs in the horse, when it exists as an independent affection, is generally caused by overexertion when the animal is not in a fit condition to undergo more than moderate exercise. Very often what is recognized as congestion of the lungs is but a symptom of exhaustion or dilatation of the heart.

The methods practiced by the trainers of running and trotting horses will give an idea of what is termed "putting a horse in condition" to stand severe exertion. The animal at first gets walking exercises, then after some time he is made to go faster and farther each day; the amount of work is daily increased until he is said to be "in condition." An animal so prepared runs no risk of being[Pg 112] affected with congestion of the lungs, if he is otherwise healthy. On the other hand, if the horse is kept in the stable for the purpose of laying on fat or for want of something to do, the muscular system becomes soft, and the horse is not in condition to stand the severe exertion of going fast or far, no matter how healthy he may be in other respects. If such a horse be given a hard ride or drive, he may start off in high spirits, but soon becomes exhausted, and if he is pushed he will slacken his pace, show a desire to stop, and may stagger or even fall. Examination will show the nostrils dilated, the flanks heaving, the countenance haggard, and the appearance of suffocation. The heart and muscles were not accustomed to the sudden and severe strain put upon them; the heart became unable to perform its work; the blood accumulated in the vessels of the lungs, which eventually became engorged with the stagnated blood, constituting congestion of the lungs.

The animal, after having undergone severe exertion, may not exhibit alarming symptoms until returned to the stable; then he will be noticed standing with his head down, legs spread out, the eyes wildly staring or dull and sunken. The breathing is very rapid and almost gasping; in most cases the body is covered with perspiration, which, however, may soon evaporate, leaving the surface of the body and the legs and ears cold; the breathing is both abdominal and thoracic; the chest rises and falls and the flanks are powerfully brought into action. If the pulse can be felt at all it will be found beating very frequently, one hundred or so to a minute. The heart may be felt tumultuously thumping if the hand is placed against the chest behind the left elbow, or it may be scarcely perceptible. The animal may tremble all over. If the ear is placed against the side of the chest a loud murmur will be heard and perhaps a fine, crackling sound.

One can scarcely fail to recognize a case of congestion of the lungs when brought on by overexertion, as the history of the case indicates the nature of the ailment. In all cases of suffocation the lungs are congested. It is also seen in connection with other diseases.

Treatment.—If the animal is attacked by the disease while on the road, stop him immediately. Do not attempt to return to the stables. If he is in the stable, make arrangements at once to insure an unlimited supply of pure air. If the weather is warm, out in the open air is the best place, but if too cold let him stand with head to the door. Let him stand still; he has all he can do, if he obtains sufficient pure air to sustain life. If he is encumbered with harness or saddle, remove it at once and rub the body with cloths or wisps of hay or straw. This stimulates the circulation in the skin, and thus aids in relieving the lungs of the extra quantity of blood that is stagnated there. If you have three or four assistants, let them rub the body and legs well until the skin feels natural; rub the legs until they are warm, if possible. When the circulation is reestablished, put bandages on the legs from the hoofs up as far as possible. Throw a blanket over the body and let the rubbing be done under the blanket. Diffusible stimulants are the medicines indicated—brandy, whisky (or even ale or beer if nothing else is at hand), ether, and aromatic spirits of ammonia. A drench of 2 ounces each of spirits of nitrous ether and alcohol, diluted with a pint of water, every hour until relief is afforded, is among the best remedies. Or, give a quarter of a pint of whisky in a pint of water every hour, or the same quantity of brandy as often, or a quart of ale every hour, or 1 ounce of tincture of arnica in a pint of water every hour until five or six doses have been given. If none of these remedies are at hand, 2 ounces of oil of turpentine, shaken with a half pint of milk, may be given once, but not repeated. The animal may be bled from the jugular vein. Do not take more than 5 or 6 quarts from the vein, and do not repeat the bleeding. The blood thus drawn will have a tarry appearance.

PLATE VII.
POSITION OF THE LEFT LUNG.

[Pg 113]When the alarming symptoms have subsided active measures may be stopped, but care must be used in the general treatment of the animal for several days, for it must be remembered that congestion may be followed by pneumonia. The animal should have a comfortable stall, where he will not be subjected to drafts or sudden changes of temperature; he should be blanketed and the legs kept bandaged. The air should be pure, a plentiful supply of fresh, cold water always in the stall; and a diet composed principally of bran mashes, scalded oats, and, if in season, grass. When ready for use again the horse should at first receive only moderate exercise, which may be daily increased until he may safely be put to regular work.

PNEUMONIA, OR LUNG FEVER.

Pneumonia is inflammation of the lungs. The chief varieties of pneumonia are catarrhal—later discussed in connection with bronchitis, under the name of broncho-pneumonia—and the fibrinous or croupous variety. The latter form receives its names from the fact that the air spaces are choked with coagulated fibrin thrown out from the blood. This causes the diseased portions of the lungs to become as firm as liver, in which condition they are said to be hepatized. As air is excluded by the inflammatory product, the diseased lung will not float in water.

The inflammation usually begins in the lower part of the lung and extends upward. The first stage of the disease consists of congestion, or engorgement, of the blood vessels, followed by leakage of serum containing fibrin from the blood vessels into the air passages.[Pg 114] The fluids thus escaping into the air cells and in the minute branches of the little bronchial tubes become coagulated.

The pleura covering the affected parts may be more or less inflamed. A continuance of the foregoing phenomena is marked by a further escape of the constituents of the blood, and a change in the membrane of the cells, which becomes swollen. The exudate that fills the air cells and minute bronchial branches undergoes disintegration and softening when healing commences.

The favorable termination of pneumonia is in resolution that is, a restoration to health. This is gradually brought about by the exuded material contained in the air cells and lung tissues being broken down and softened and absorbed or expectorated through the nostrils. The blood vessels return to their natural state, and the blood circulates in them as before. In the cases that do not terminate so happily the lung may become gangrenous (or mortified), an abscess may form, or the disease may be merged into the chronic variety.

Pneumonia may be directly induced by any of the influences named as general causes for diseases of the organs of respiration, but in many instances it is from neglect. A common cold or sore throat may be followed by pneumonia if neglected or improperly treated. An animal may be debilitated by a cold, and when in this weakened state may be compelled to undergo exertion beyond his strength; or he may be kept in a badly ventilated stable, where the foul gases are shut in and the pure air is shut out; or the stable may be so open that parts of the body are exposed to drafts of cold air. An animal is predisposed to pneumonia when debilitated by any constitutional disease, and especially during convalescence if exposed to any of the exciting causes. Foreign bodies, such as feed accidentally getting into the lungs by way of the windpipe, as well as the inhalation of irritating gases and smoke, ofttimes produce fatal attacks of inflammation of the lung and bronchial tubes. Pneumonia is frequently seen in connection with other diseases, such as influenza, purpura hemorrhagica, strangles, glanders, etc. Pneumonia and pleurisy are most common during cold, damp weather, and especially during the prevalence of the cold north or northeasterly winds. Wounds puncturing the thoracic cavity may cause pneumonia.

Symptoms.—Pneumonia, when a primary disease, is ushered in by a chill, more or less prolonged, which in many cases is seen neither by the owner nor the attendant, but is overlooked. The breathing becomes accelerated, and the animal hangs its head and has a very dull appearance. The mouth is hot and has a sticky feeling to the touch; the heat conveyed to the finger in the mouth demonstrates a fever; if the thermometer is placed in the rectum the temperature will be found to have risen to 103° F. or higher. The pulse is frequent,[Pg 115] beating from fifty or sixty to eighty or more a minute. There is usually a dry cough from the beginning, which, however, changes in character as the disease advances; for instance, it may become moist, or if pleurisy sets in, the cough will be peculiar to the latter affection; that is, cut short in the endeavor to suppress it. In some cases the discharge from the nostrils is tinged with blood, while in other cases it has the appearance of muco-pus. The appetite is lost to a greater or less extent, but the desire for water is increased, particularly during the onset of the fever. The membrane within the nostrils is red and at first dry, but sooner or later becomes moist. The legs are cold. The bowels are more or less constipated, and what dung is passed is usually covered with a slimy mucus. The urine is passed in smaller quantities than usual and is of a darker color.

The animal prefers to have the head where the freshest air can be obtained. When affected with pneumonia a horse does not lie down, but persists in standing from the beginning of the attack. If pneumonia is complicated with pleurisy, however, the horse may appear restless and lie down for a few moments to gain relief from the pleuritic pains, but he soon rises. In pneumonia the breathing is rapid and difficult, but when the pneumonia is complicated with pleurisy the ribs are kept as still as possible and the breathing is abdominal; that is, the abdominal muscles are now made to do as much of the work as they can perform. If pleurisy is not present there is little pain. To the ordinary observer the animal may not appear dangerously ill, as he does not show the seriousness of the ailment by violence, as in colic, but a careful observer will discover at a glance that the trouble is something more serious than a cold. By percussion it will be shown that some portions of the chest are less resonant than in health, indicating exclusion of air. If the air is wholly excluded the percussion is quite dull, like that elicited by percussion over the thigh.

By auscultation important information may be gained. When the ear is placed against the chest of a healthy horse, the respiratory murmur is heard more or less distinctly, according to the part of the chest that is beneath the ear. In the very first stage of pneumonia this murmur is louder and hoarser; also, there is a fine, crackling sound something similar to that produced when salt is thrown in a fire. After the affected part becomes solid there is an absence of sound over that particular part. After absorption begins one may again hear sounds that are of a more or less moist character and resemble bubbling or gurgling, which gradually change until the natural sound is heard announcing return to health.

When a fatal termination is approaching all the symptoms become intensified. The breathing becomes still more rapid and difficult; the flanks heave; the animal stares wildly about as if seeking[Pg 116] aid to drive off the feeling of suffocation; the body is bathed with sweat; the horse staggers, but quickly recovers his balance; he may now, for the first time during the attack, lie down; he does so, however, in the hope of relief, which he fails to find, and with difficulty struggles to his feet; he pants; the nostrils flap; he staggers and sways from side to side and backward and forward, but still tries to retain the standing position, even by propping himself against the stall. It is no use, as after an exhausting fight for breath he goes down; the limbs stretch out and become rigid. In fatal cases death usually occurs in from 10 to 20 days after the beginning of the attack. On the other hand, when the disease is terminating favorably the signs are obvious. The fever abates and the animal gradually improves in appetite; he takes more notice of things around him; his spirits improve; he has a general appearance of returning health, and he lies down and rests. In the majority of cases pneumonia, if properly treated, terminates in recovery.

Treatment.—The comfort and surroundings of the patient must be attended to first. The quarters should be the best that can be provided. Pure air is essential. Avoid placing the animal in a stall where he may be exposed to drafts of cold air and sudden changes of temperature. It is much better for the animal if the air is cold and pure than if it is warm and foul. It is better to make the animal comfortable with warm clothing than to make the stable warm by shutting off the ventilation. From the start the animal should have an unlimited supply of fresh, cold drinking water. Blanket the body. Rub the legs until they are warm and then put bandages on them from the hoofs up to the knees and hocks. If warmth can not be reestablished in the legs by hand rubbing alone, apply dry, ground mustard and rub well in. The bandages should be removed once or twice every day, the legs well rubbed, and the bandages replaced. Much harm is often done by clipping off hair and rubbing in powerful blistering compounds. They do positive injury and retard recovery, and should not be allowed. Much benefit may be derived from hot application to the sides of the chest if the facilities are at hand to apply them. If the weather is not too cold, and if the animal is in a comfortable stable, the following method may be tried: Have a tub of hot water handy to the stable door; soak a woolen blanket in the water, then quickly wring as much water as possible out of it and wrap it around the chest. See that it fits closely to the skin; do not allow it to sag so that air may get between it and the skin. Now wrap a dry blanket over the wet hot one and hold in place with three girths. The hot blanket should be renewed every half hour, and while it is off being wetted and wrung the dry one should remain over the wet part of the chest to prevent reaction. The hot applications should be kept up for three or four hours, and when stopped the skin should be[Pg 117] quickly rubbed as dry as possible, an application of alcohol rubbed over the wet part, and a dry blanket snugly fitted over the animal. If the hot applications appear to benefit, they may be tried on three or four consecutive days. Unless every facility and circumstance favors the application of heat in the foregoing manner, it should not be attempted. If the weather is very cold or any of the details are omitted, more harm than good may result. Mustard may be applied by making a paste with a pound of freshly ground mustard mixed with warm water. This is to be spread evenly over the sides back of the shoulder blades and down to the median line below the chest. Care should be taken to avoid rubbing the mustard upon the thin skin immediately back of the elbow. The mustard-covered area should be covered with a paper and this with a blanket passed up from below and fastened over the back. The blanket and paper should be removed in from one to two hours. When pneumonia follows another disease, the system is always more of less debilitated and requires the careful use of stimulants from the beginning. To weaken the animal still further by bleeding him is one of the most effectual methods of retarding recovery, even if it does not hasten a fatal termination.

Another and oftentimes fatal mistake made by the nonprofessional is the indiscriminate and reckless use of aconite. This drug is one of the most active poisons, and should not be handled by anyone who does not thoroughly understand its action and uses. It is only less active than prussic acid in its poisonous effects. It is a common opinion, often expressed by nonprofessionals, that aconite is a stimulant. Nothing could be more erroneous; in fact, it is just the reverse. It is one of the most powerful sedatives used in the practice of medicine. In fatal doses it kills by paralyzing the very muscles used in breathing; it weakens the action of the heart, and should not be used. Do not give purgative medicines. If constipation exists, overcome it by an allowance of laxative diet, such as scalded oats, bran, and linseed mashes; also, grass, if in season. If the costiveness is not relieved by the laxative diet, give an enema of about a quart of warm water three or four times a day.

A diet consisting principally of bran mashes, scalded oats, and, when in season, grass or corn fodder is preferable if the animal retains an appetite; but if no desire is evinced for feed of this particular description, then the animal must be allowed to eat anything that will be taken spontaneously. Hay tea, made by pouring boiling water over good hay in a large bucket and allowing it to stand until cool, then straining off the liquid, will sometimes create a desire for feed. The animal may be allowed to drink as much of it as he desires. Corn on the cob is often eaten when everything else is refused. Bread may be tried; also apples or carrots. If the animal[Pg 118] can be persuaded to drink milk, it may be supported by it for days. Three or four gallons of sweet milk may be given during the day, in which may be stirred three or four fresh eggs to each gallon. Some horses will drink milk, while others will refuse to touch it. It should be borne in mind that all feed must be taken by the horse as he desires it; none should be forced down him. If he will not eat, you will only have to wait until a desire is shown for feed. All kinds may be offered, first one thing and then another, but feed should not be allowed to remain long in trough or manger; the very fact of its constantly being before him will cause him to loathe it. When the animal has no appetite for anything the stomach is not in a proper state to digest food, and if it is poured or drenched into him it will only cause indigestion and aggravate the case. It is a good practice to do nothing when there is nothing to be done that will benefit. This refers to medicine as well as feed. Nothing is well done that is overdone.

There are many valuable medicines used for the different stages and different types of pneumonia, but in the opinion of the writer it is useless to refer to them here, as this work is intended for the use of those who are not sufficiently acquainted with the disease to recognize its various types and stages; therefore they would only confuse. If you can administer a ball or capsule, or have anyone at hand who is capable of doing it, a dram of sulphate of quinin in a capsule, or made into a ball, with sufficient linseed meal and molasses, given every three hours during the height of the fever, will do good in many cases. The ball of carbonate of ammonia, as advised in the treatment of bronchitis, may be tried if the animal is hard to drench. The heart should be kept strong by administering digitalis in doses of 2 drams of the tincture every three hours, or strychnia 1 grain, made into a pill with licorice powder, three times daily.

If the horse becomes very much debilitated, stimulants of a more pronounced character are required. The following drench is useful: Rectified spirits, 3 ounces; spirits of nitrous ether, 2 ounces; water, 1 pint. This may be repeated every four or five hours if it seems to benefit; or 6 ounces of good whisky diluted with a pint of water may be given as often, instead of the foregoing.

During the period of convalescence good nutritive feed should be allowed in a moderate quantity. Tonic medicines should be substituted for those used during the fever. The same medicines advised for the convalescing period of bronchitis are equally efficient in this case, especially the iodid of potash; likewise, the same general instructions apply here.

The chief causes of death in pneumonia are heart failure from exhaustion, suffocation, or blood poisoning from death (gangrene) of lung tissue. The greater the area of lung tissue diseased the greater[Pg 119] the danger; hence double pneumonia is more fatal than pneumonia of one lung.

THE WINDPIPE.

The windpipe, or trachea as it is technically called, is the flexible tube that extends from, the larynx, which it succeeds at the throat, to above the base of the heart in the chest, where it terminates by dividing into the right and left bronchi—the tubes going to the right and left lung, respectively. The windpipe is composed of about fifty incomplete rings of cartilage united by ligaments. A muscular layer is situated on the superior surface of the rings. Internally the tube is lined with a continuation of the mucous membrane that lines the entire respiratory tract, which here has very little sensibility in contrast to that lining the larynx, which is endowed with exquisite sensitiveness.

The windpipe is not subject to any special disease, but is more or less affected during laryngitis (sore throat), influenza, bronchitis, etc., and requires no special treatment. The membrane may be left in a thickened condition after these attacks. One or more of the rings may be accidentally fractured, or the tube may be distorted or malformed as the result of violent injury. After the operation of tracheotomy it is not uncommon to find a tumor or malformation as a result, or sequel, of the operation. In passing over this section attention is merely called to these defects, as they require no particular attention in the way of treatment. It may be stated, however, that any one of the before-mentioned conditions may constitute one of the causes of noisy respiration described as "thick wind."

GUTTURAL POUCHES.

These two sacs are situated above the throat, and communicate with the pharynx, as well as with the cavity of the tympanum of the ear. They are peculiar to solipeds. Normally, they contain air. Their function is unknown.

One or both guttural pouches may contain pus. The symptoms are as follows: Swelling on the side below the ear and an intermittent discharge of matter from one or both nostrils, especially when the head is depressed.

The swelling is soft, and, if pressed upon, matter will escape from the nose if the head is depressed. As before mentioned, these pouches communicate with the pharynx, and through this small opening matter may escape. A recovery is probable if the animal is turned out to graze, or if he is fed from the ground, as the dependent position of the head favors the escape of matter from the pouches. In addition to this, give the tonics recommended for nasal gleet. If this treatment fails, an operation must be performed, which should not be attempted by any one unacquainted with the anatomy of the part.[Pg 120]

BRONCHITIS AND BRONCHO-PNEUMONIA.

Bronchitis is an inflammation of the bronchial tubes. When this inflammation extends to the air sacs at the termini of the smallest branches of the bronchial tubes, the disease is broncho-pneumonia. Bronchitis affecting the larger tubes is less serious than when the smaller are involved. The disease may be either acute or chronic. The causes are generally much the same as for other diseases of the respiratory organs, noticed in the beginning of this article. The special causes are these: The inhalation of irritating gases and smoke and fluids or solids gaining access to the parts. Bronchitis is occasionally associated with influenza and other specific fevers. It also supervenes on common cold or sore throat.

Symptoms.—The animal appears dull; the appetite is partially or wholly lost; the head hangs; the breathing is quickened; the cough, at first dry, and having somewhat the character of a "barking cough," is succeeded in a few days by a moist, rattling cough; the mouth is hot; the visible membranes in the nose are red; the pulse is frequent, and during the first stage is hard and quick, but as the disease advances becomes smaller and more frequent. There is a discharge from the nostrils that is at first whitish, but later becomes creamy or frothy, still later it is sometimes tinged with blood, and occasionally it may be of a brownish or rusty color. By auscultation, or placing the ear to the sides of the chest, unnatural sounds can now be heard. The air passing through the diseased tubes causes a wheezing sound when the small tubes are affected, and a hoarse, cooing, or snoring sound when the larger tubes are involved. After one or two days the dry stage of the disease is succeeded by a moist state of the membrane. The ear now detects a different sounds caused by the bursting of the bubbles as the air passes through the fluid, which is the exudate of inflammation and the augmented mucous secretions of the membrane. The mucus may be secreted in great abundance, which, by blocking up the tubes, may cause a collapse of a large extent of breathing surface. Usually the mucus is expectorated; that is, discharged through the nose. The matter is coughed up, and when it reaches the larynx much of it may be swallowed, and some is discharged from the nostrils. The horse can not spit, like the human being, nor does the matter coughed up gain access to the mouth. If in serious cases all the symptoms become aggravated, the breathing is labored, short, and quick, it usually indicates that the inflammation has reached the breathing cells and that catarrhal pneumonia is established. In this case the ribs rise and fall much more than natural. This fact alone is enough to exclude the idea that the animal may be affected with pleurisy, because in that disease the ribs are as nearly fixed as it is in the power of the[Pg 121] animal to do so, and the breathing is accomplished to a great extent by aid of the abdominal muscles. The horse persists in standing throughout the attack. He prefers to stand with head to a door or window to gain all the fresh air possible, but if not tied may occasionally wander listlessly about the stall. The bowels most likely are constipated; the dung is covered with slimy mucus. The urine is decreased in quantity and darker in color than usual. The animal shows more or less thirst; in some cases the mouth is full of saliva. The discharge from the nose increases in quantity as the disease advances and inflammation subsides. This is rather a good symptom, as it shows that one stage has passed. The discharge then gradually decreases, the cough becomes less rasping, but of more frequent occurrence, until it gradually disappears with the return of health.

Bronchitis, affecting the smaller tubes, is one of the most fatal diseases, while that of the larger tubes is never very serious. It must be stated, however, that it is an exceedingly difficult matter for a nonexpert to discriminate between the two forms, and, further, it may as well be said here that he will have difficulty in discriminating between bronchitis and pneumonia.

Treatment.—The matter of first importance is to insure pure air to breathe, and next to make the patient's quarters as comfortable as possible. A well-ventilated box stall serves best for all purposes. Cover the body with a blanket, light or heavy, as the season of the year demands. Hand-rub the legs until they are warm, then wrap them in cotton and apply flannel or Derby bandages from the hoofs to the knees and hocks. If the legs can not be made warm with hand rubbing alone, apply dry mustard. Rub in thoroughly and then put the bandages on; also rub mustard paste well over the side of the chest, covering the space beginning immediately behind the shoulder blade and running back about eighteen inches, and from the median line beneath the breast to within ten inches of the ridge of the backbone. Repeat the application to the side of the chest about three days after the first one is applied.

Compel the animal to inhale steam from a bucketful of boiling water containing a tablespoonful of oil of turpentine and spirits of camphor, as advised for cold in the head. In serious cases the steam should be inhaled every hour, and in any case the oftener it is done the greater will be the beneficial results. Three times a day administer an electuary containing acetate of potash (2 drams), with licorice and molasses or honey. It is well to keep a bucketful of cold water before the animal all the time. If the horse is prostrated and has no appetite, give the following drench: Spirits of nitrous ether,[Pg 122] 2 ounces; rectified spirits, 3 ounces; water, 1 pint. Repeat the dose every four or five hours if it appears to benefit. When the horse is hard to drench, give the following: Pulverized carbonate of ammonia, 3 drams; linseed meal and molasses sufficient to make the whole into a stiff mass; wrap it with a small piece of tissue paper and give as a ball. This ball may be repeated every four or five hours. When giving the ball care should be taken to prevent its breaking in the mouth, as in case of such accident it will make the mouth sore and prevent the animal from eating. If the bowels are constipated, give enemas of warm water. Do not give purgative medicines. Do not bleed the animal.

If the animal retains an appetite, a soft diet is preferable, such as scalded oats, bran mashes, and grass, if in season. If he refuses cooked feed, allow in small quantities anything he will eat. Hay, cob corn, oats, bread, apples, and carrots may be tried in turn. Some horses will drink sweet milk when they refuse all other kinds of feed, and especially is this the case if the drinking water is withheld for a while. One or 2 gallons at a time, four or five times a day, will support life. Bear in mind that when the disease is established recovery can not occur in less than two or three weeks, and more time may be necessary. Good nursing and patience are required.

When the symptoms have abated and nothing remains of the disease except the cough and a white discharge from the nostrils, all other medicines should be discontinued and a course of tonic treatment pursued. Give the following mixture: Reduced iron, 3 ounces; powdered gentian, 8 ounces; mix well together and divide into sixteen powders. Give a powder every night and morning mixed with bran and oats, if the animal will eat it, or shaken with about a pint of flaxseed tea and administered as a drench.

If the cough remains after the horse is apparently well, give 1 dram of iodid of potassium dissolved in a bucketful of drinking water one hour before each meal for two or three weeks if necessary. Do not put the animal to work too soon after recovery. Allow ample time to regain strength. This disease is prone to become chronic and may run into an incurable case of thick wind.

PLEURISY.

The thoracic cavity is divided into two lateral compartments, each containing one lung and a part of the heart. Each lung has its separate pleural membrane, or covering. The pleura is the thin, glistening membrane that covers the lung and also completely covers the internal walls of the chest. It is very thin, and to the ordinary observer appears to be part of the lung, which, in fact, it is for all[Pg 123] practical purposes. The smooth, shiny surface of the lung, as well as the smooth, shiny surface so familiar on the rib, is the pleura. In health this surface is always moist. A fluid is thrown off by the pleura, which causes the surface to be constantly moist. This is to prevent the effects of friction between the lungs and the walls of the chest and other contiguous parts which come in contact. It must be remembered that the lungs are dilating each time a breath is taken in, and contracting each time a breath of air is expelled. It may be readily seen that if it were not for the moistened state of the surface of the pleura the continual dilatation and contraction and the consequent rubbing of the parts against each other would cause serious friction.

Inflammation of this membrane is called pleurisy. Being so closely united with the lung, it can not always escape participation in the disease when the latter is inflamed. Pleurisy may be due to the same predisposing and exciting causes as mentioned in the beginning of this work as general causes for diseases of the organs of respiration, such as exposure to sudden changes of temperature, confinement in damp stables, etc. It may be caused also by wounds that penetrate the chest, for it must be remembered that such wounds must necessarily pierce the pleura. A fractured rib may involve the pleura. The inflammation following such wounds may be circumscribed; that is, confined to a small area surrounding the wound, or it may spread from the wound and involve a large portion of the pleura. The pleura may be involved secondarily when the heart or its membrane is the primary seat of the disease. It may occur in conjunction with bronchitis, influenza, and other diseases. Diseased growths that interfere with the pleura may induce pleurisy. The most frequent cause of pleurisy is an extension of inflammation from adjacent diseased lung. It is a common complication of pneumonia. Pleurisy will be described here as an independent affection, although it should be remembered that it is very often associated with the foregoing diseases.

The first lesion of pleurisy is overfilling of the blood vessels that ramify in this membrane and dryness of the surface. This is followed by the formation of a coating of coagulated fibrin on the diseased pleura and the transudation of serum which collects in the chest. This serum may contain flakes of fibrin and it may be straw colored or red from an admixture of blood. The quantity of this accumulation may amount to several gallons.

Symptoms.—When the disease exists as an independent affection it is ushered in by a chill, but this is usually overlooked. About the first thing noticed is the disinclination of the animal to move or turn around. When made to do so he grunts or groans with pain. He stands stiff; the ribs are fixed—that is, they move very little in the[Pg 124] act of breathing—but the abdomen works more than natural; both the fore feet and elbows may be turned out; during the onset of the attack the animal may be restless and act as if he had a slight colic; he may even lie down, but does not remain long down, for when he finds no relief he soon gets up. After effusion begins these signs of restlessness disappear. Every movement of the chest causes pain; therefore the cough is peculiar; it is short and suppressed and comes as near being no cough as the animal can make it in his desire to suppress it. The breathing is hurried, the mouth is hot, the temperature being elevated from 102° or 103° to 105° F. Symptoms that usually accompany fever are present, such as costiveness, scanty, dark-colored urine, etc. The pulse is frequent, perhaps 70 or more a minute, and is hard and wiry. The legs and ears are cold.

Percussion is of valuable service in this affection. After effusion occurs the sound produced by percussing over the lower part of the chest is dull. By striking different parts one may come to a spot of greater or less extent where the blows cause much pain to be evinced. The animal may grunt or groan every time it is struck. Another method of detecting the affected part is to press the fingers between the ribs, each space in succession, beginning behind the elbow, until a place where the pressure causes more flinching than at any other part is reached. Auscultation is also useful. In the first stage, when the surfaces are dry and rough, one may hear, immediately under the ear, a distinct sound very much like that produced by rubbing two pieces of coarse paper together. No such friction sound occurs when the membrane is healthy, as the natural moisture, heretofore mentioned, prevents the friction. In many cases this friction is so pronounced that it may be felt by placing the hand over the affected part. When the dry stage is succeeded by the exudation of fluid this friction sound disappears. After the effusion into the cavity takes place sometimes there is heard a tinkling or metallic sound, due to dropping of the exudate from above into the collected fluid in the bottom of the cavity, as the collected fluid more of less separates the lung from the chest walls.

Within two or three days the urgent symptoms may abate owing to the exudation of the fluid, and the subsidence of the pain. The fluid may now undergo absorption, and the case may terminate favorably within a week or 10 days.

If the quantity of the effusion is large its own volume retards the process of absorption to a great extent, and consequently convalescence is delayed. In severe cases the pulse becomes more frequent, the breathing more hurried and labored, the flanks work like bellows, the nostrils flap, the eyes stare wildly, the countenance expresses much anxiety, and general signs of dissolution are plain. After a[Pg 125] time swellings appear under the chest and abdomen and down the legs. The accumulation in the chest is called hydrothorax, or dropsy of the chest. When this fluid contains pus the case usually proves fatal. The condition of pus within the cavity is called empyema.

Pleurisy may affect only a small area of one side or it may affect both sides. It is oftener confined to the right side.

Treatment.—The instructions in regard to the general management of bronchitis and pneumonia must be adhered to in the treatment of pleurisy. Comfortable quarters, pure air, warm clothing to the body and bandages to the legs, a plentiful supply of pure cold water, the laxative feed, etc., in this case are equally necessary and efficacious. The hot applications applied to the chest, as directed in the treatment of pneumonia, are very beneficial in pleurisy, and should be kept up while the symptoms show the animal to be in pain.

During the first few days, when pain is manifested by restlessness, apply hot packs to the sides diligently. After four or five days, when the symptoms show that the acute stage has somewhat subsided, mustard may be applied as recommended for pneumonia. From the beginning the following drench may be given every six hours, if the horse takes it kindly: Solution of the acetate of ammonia, 3 ounces; spirits of nitrous ether, 1 ounce; bicarbonate of potassium, 3 drams; water, 1 pint.

If the patient becomes debilitated, the stimulants as prescribed for pneumonia should be used according to the same directions. The same attention should be given to the diet. If the animal will partake of the bran mashes, scalded oats, and grass, it is the best; but if he refuses the laxative diet, then he should be tried with different kinds of feed and allowed whichever kind he desires.

In the beginning of the attack, if the pain is severe, causing the animal to lie down or paw, morphin may be given by the mouth in 5-grain doses, or the fluid extract of Cannabis indica may be used in doses of 2 to 4 drams.

If the case is not progressing favorable in ten or twelve days after the beginning of the attack, convalescence is delayed by the fluid in the chest failing to be absorbed. The animal becomes dull and weak and evinces little or no desire for feed. The breathing becomes still more rapid and difficult. An effort must now be made to excite the absorption of the effusion. An application of liniment or mild blister should be rubbed over the lower part of both sides and the bottom of the chest. The following drench may be given three times a day, for seven or eight days, if it is necessary and appears to benefit: Tincture of the perchlorid of iron, 1 ounce; tincture of gentian, 2 ounces; water, 1 pint. Also give 1 dram of iodid of potassium, dissolved in the drinking water, an hour before feeding every night and morning for a week or two.[Pg 126]

Hydrothorax is sometimes difficult to overcome by means of the use of medicines alone, when the operation of tapping the chest is performed to allow an escape for the accumulated fluid. The operation is performed with a combined instrument called the trocar and cannula. The puncture is made in the lower part of the chest, in the space between the eighth and ninth ribs. Wounding of the intercostal artery is avoided by inserting the instrument as near as possible to the anterior edge of the rib. If the operation is of benefit, it is only so when performed before the strength is lowered beyond recovery. The operation merely receives a passing notice here, as it is not presumed that the nonprofessional will attempt it, although in the hands of the expert it is attended with little danger or difficulty.

We have described here bronchitis, pneumonia, and pleurisy mainly as they occur as independent diseases, but it should be remembered that they merge into each other and may occur together at one time. While it is true that much more might have been said in regard to the different stages and types of the affections, and also in regard to the treatment of each stage and each particular type, the plan adopted of advising plain, conservative treatment is considered the wisest on account of simplifying as much as possible a subject of which the reader is supposed to know very little.

PLEUROPNEUMONIA.

This is the state in which an animal is affected with pleurisy and pneumonia combined, which is not infrequently the case. At the beginning of the attack only one of the affections may be present, but the other soon follows. It has already been stated that the pleura is closely adherent to the lung. The pleura on this account is frequently more or less affected by the spreading of the inflammation from the lung tissue. There is a combination of the symptoms of both diseases, but to the ordinary observer the symptoms of pleurisy are the most obvious. The course of treatment to be pursued differs in no manner from that given for the affections when they occur independently. The symptoms will be the guide as to the advisability of giving oil and laudanum for the pain if the pleurisy is very severe. It should not be resorted to unless it is necessary to allay the pain.

BRONCHO-PLEUROPNEUMONIA.

This is the term or terms applied when bronchitis, pleurisy, and pneumonia all exist at once. It is impossible for one who is not an expert to diagnose the state with certainty. The apparent symptoms are the same as when the animal is affected with pleuropneumonia.[Pg 127]

SUPPURATION AND ABSCESS IN THE LUNG.

There are instances, and especially when the surroundings of the patient have been bad or the disease is of an especially severe type, when pneumonia terminates in an abscess in the lung. Sometimes, when the inflammation has been extreme, suppuration in a large portion of the lung takes place. Impure air, the result of improper ventilation, is among the most frequent causes of this termination. The symptoms of suppuration in the lung are chronic pneumonia, a solidified area of lung tissue, continued low fever, and, in some cases, offensive smell of the breath, and the discharge of the matter from the nostrils.

MORTIFICATION.

Gangrene, or mortification, means the death of the part affected. Occasionally, owing to the intensity of the inflammation or bad treatment, pneumonia and pleuropneumonia terminate in mortification, which is soon followed by the death of the animal. Perhaps the most common cause of this complication is the presence of a foreign body in the lung, as food particles or medicine. Rough drenching or drenching through the nostrils may cause this serious condition.

HEMOPTYSIS, OR BLEEDING FROM THE LUNGS.

Bleeding from the lungs may occur during the course of congestion of the lungs, bronchitis, pneumonia, influenza, purpura hemorrhagica, or glanders. An accident or exertion may cause a rupture of a vessel. Plethora and hypertrophy of the heart predispose to it. Following the rupture of a vessel the blood may escape into the lung tissue and cause a serious attack of pneumonia, or it may fill up the bronchial tubes and prove fatal by suffocating the animal. When the hemorrhage is from the lung it is accompanied with coughing; the blood is frothy, of a bright red color, and comes from both nostrils; whereas when the bleeding is merely from a rupture of a vessel in some part of the head (heretofore described as bleeding from the nose) the blood is most likely to issue from one nostril only, and the discharge is not accompanied with coughing. The ear may be placed against the windpipe along its course, and if the blood is from the lungs a gurgling or rattling sound will be heard. When it occurs in connection with another disease it seldom requires special treatment. When caused by accident or overexertion the animal should be kept quiet. If the hemorrhage is profuse and continues for several hours, 1 dram of the acetate of lead dissolved in a pint of water may be given as a drench, or 1 ounce of the tincture of the perchlorid of iron, diluted with a pint of water, may be given instead of the lead. It is rare[Pg 128] that the hemorrhage is so profuse as to require internal remedies. But hemorrhage into the lung may occur and cause death by suffocation without the least manifestation of it by the discharge of blood from the nose.

TUBERCULOSIS OF THE LUNGS.

Pulmonary consumption or tuberculosis has been recognized in the horse in a number of instances. The symptoms are as of chronic pneumonia or pleurisy. There is no treatment for the disease.

HEAVES, BROKEN WIND, OR ASTHMA.

Much confusion exists in the popular mind in regard to the nature of heaves. Many horsemen loosely apply the term to all ailments where the breathing is difficult or noisy. Scientific veterinarians are well acquainted with the phenomena and locality of the affection, but there is a great diversity of opinion as regards the exact cause. Asthma is generally thought to be caused by spasm of the small circular muscles that surround the bronchial tubes. The continued existence of this affection of the muscles leads to a paralysis of them, and the forced breathing to emphysema, which always accompanies heaves.

Heaves is usually associated with disorder of the function of digestion or to an error in the choice of feed. Feeding on clover hay or damaged hay or straw, too bulky and innutritious feed, and keeping the horse in a dusty atmosphere or a badly ventilated stable produce or predispose to heaves. Horses brought from a high to a low level are predisposed.

In itself broken wind is not a fatal disease, but death is generally caused by an affection closely connected with it. After death, if the organs are examined, the lesions found depend much upon the length of time broken wind has affected the animal. In recent cases very few changes are noticeable, but in animals that have been broken-winded for a long time the changes are well-marked. The lungs are paler than natural, and of much less weight in proportion to the volume, as evidenced by floating them in water. The walls of the small bronchial tubes and the membrane of the larger tubes are thickened. The right side of the heart is enlarged and its cavities dilated. The stomach is enlarged and its walls stretched. The important change found in the lungs is a condition technically called pulmonary emphysema. This is of two varieties: First, what is termed "vesicular emphysema," which consists of an enlargement of the capacity of the air cells (air vesicles) by dilation of their walls. The second form is called interlobular, or interstitial, emphysema, and follows the[Pg 129] first. In this variety the air finds its way into the lung tissue between the air cells or the tissue between the small lobules.

Symptoms.—Almost every experienced horseman is able to detect heaves. The peculiar movement of the flanks and abdomen point out the ailment at once. In recent cases, however, the affected animal does not always exhibit the characteristic breathing unless exerted to a certain extent. The cough which accompanies this disease is peculiar to it. It is difficult to describe, but the sound is short and something like a grunt. When air is inspired—that is, taken in—it appears to be done in the same manner as in health; it may possibly be done a little quicker than natural, but not enough to attract any notice. It is when the act of expiration (or expelling the air from the lungs) is performed that the great change in the breathing is perceptible. It must be remembered that the lungs have lost much of their elasticity, and in consequence of their power of contracting on account of the degeneration of the walls of the air cells, and also on account of the paralysis of muscular tissue before mentioned. The air passes into them freely, but the power to expel it is lost to a great extent by the lungs; therefore the abdominal muscles are brought into play. These muscles, especially in the region of the flank, are seen to contract, then pause for a moment, then complete the act of contracting, thus making a double bellowslike movement at each expiration, a sort of jerky motion with every breath. The double expiratory movement may also be detected by allowing the that the expiratory current is not continuous, but is broken into two jets. When the animal is exerted a wheezing noise accompanies the breathing. This noise may be heard to a less extent when the animal is at rest if the ear is applied to the chest.

As before remarked, indigestion is often present in these cases. The animal may have a depraved appetite, as shown by a desire to eat dirt and soiled bedding, which he often devours in preference to the clean feed in the trough or manger. The stomach is liable to be overloaded with indigestible feed. The abdomen may assume that form called "potbellied." The animal frequently passes wind of a very offensive odor. When first put to work dung is passed frequently; the bowels are often loose. The animal can not stand much work, as the muscular system is soft. Round-chested horses are said to be predisposed to the disease, and it is certain that in cases of long standing the chest usually becomes rounder than natural.

Certain individuals become very expert in managing a horse affected with heaves in suppressing the symptoms for a short time. They take advantage of the fact that the breathing is much easier when the stomach and intestines are empty. They also resort to the[Pg 130] use of medicines that have a depressing effect. When the veterinarian is examining a horse for soundness, and he suspects that the animal has been "fixed," he usually gives the horse as much water as he will drink and then has him ridden or driven rapidly up a hill or on a heavy road. This will bring out the characteristic breathing of heaves if the horse is so afflicted, but will not cause the symptoms of heaves in a healthy horse. All broken-winded horses have the cough peculiar to the affection, but it is not regular. A considerable time may elapse before it is heard and then it may come on in paroxysms, especially when first brought out of the stable into the cold air, or when excited by work, or after a drink of cold water. The cough is usually the first symptom of the disease.

Treatment.—When the disease is established there is no cure for it. Proper attention paid to the diet will relieve the distressing symptoms to a certain extent, but they will undoubtedly reappear in their intensity the first time the animal overloads the stomach or is allowed food of bad quality. Clover hay or bulky feed which contains but little nutriment have much to do with the cause of the disease, and therefore should be entirely omitted when the animal is affected, as well as before. It has been asserted that the disease is unknown where clover hay is never used. The diet should be confined to feed of the best quality and in the smallest quantity. The bad effect of moldy or dusty hay, fodder, or feed of any kind can not be overestimated. A small quantity of the best hay once a day is sufficient. This should be cut and dampened. The animal should invariably be watered before feeding; never directly after a meal. The animal should not be worked immediately after a meal. Exertion, when the stomach is full, invariably aggravates the symptoms. Turning on pasture gives relief. Carrots, potatoes, or turnips chopped and mixed with oats or corn are a good diet. Half a pint to a pint of thick, dark molasses with each feed is useful.

Arsenic is efficacious in palliating the symptoms. It is best administered in the form of a solution of arsenic, as Fowler's solution or as the white powdered arsenious acid. Of the former the dose is 1 ounce to the drinking water three times daily; of the latter one may give 3 grains in each feed. These quantities may be cautiously increased as the animal becomes accustomed to the drug. If the bowels do not act regularly, a pint of raw linseed oil may be given once or twice a month, or a handful of Glauber's salt may be given in the feed twice daily, so long as necessary. It must, however, be borne in mind that all medicinal treatment is of secondary consideration; careful attention paid to the diet is of greatest importance. Broken-winded animals should not be used for breeding purposes. A predisposition to the disease may be inherited.[Pg 131]

CHRONIC COUGH.

A chronic cough may succeed the acute disease of the respiratory organs, such as pneumonia, bronchitis, laryngitis, etc. It accompanies chronic roaring, chronic bronchitis, broken wind; it may succeed influenza. As previously stated, cough is but a symptom and not a disease in itself. Chronic cough is occasionally associated with diseases other than those of the organs of respiration. It may be a symptom of chronic indigestion or of worms. In such cases it is caused by a reflex nervous irritation. The proper treatment in all cases of chronic cough is to ascertain the nature of the disease of which it is a symptom, and then cure the disease if possible and the cough will cease.

The treatment of the affections will be found under their appropriate heads, to which the reader is referred.

PLEURODYNIA.

This is a form of rheumatism that affects the intercostal muscles; that is, the muscles between the ribs. The apparent symptoms are very similar to those of pleurisy. The animal is stiff and not inclined to turn round; the ribs are kept in a fixed state as much as possible. If the head is pulled round suddenly, or the affected side struck with the hand, or if the spaces between the ribs are pressed with the fingers, the animal will flinch and perhaps emit a grunt or groan expressive of much pain. It is distinguished from pleurisy by the absence of fever, cough, the friction sound, the effusion into the chest, and by the existence of rheumatism in other parts. The treatment for this affection is the same as for rheumatism affecting other parts.

WOUNDS PENETRATING THE WALLS OF THE CHEST.

A wound penetrating the wall of the chest admits air into the thoracic cavity outside the lung. This condition is known as pneumothorax and may result in collapse of the lung. The wound may be so made that when the walls of the chest are dilating a little air is sucked in, but during the contraction of the wall the contained air presses against the torn part in such manner as entirely to close the wound; thus a small quantity of air gains access with each inspiration, while none is allowed to escape until the lung is pressed into a very small compass and forced into the anterior part of the chest. The same thing may occur from a broken rib inflicting a wound in the lung. In this form the air gains access from the lung, and there may not be even an opening in the walls of the chest. In such cases the air may be absorbed, when a spontaneous cure is the result, but[Pg 132] when the symptoms are urgent it is recommended that the air be removed by a trocar and cannula or by an aspirator.

It is evident that the treatment of wounds that penetrate the thoracic cavity should be prompt. It should be quickly ascertained whether or not a foreign body remains in the wound; then it should be thoroughly cleaned with a solution of carbolic acid, 1 part in 40 parts of water. The wound should then be closed immediately. If it is an incised wound, it should be closed with sutures or with adhesive plasters; if torn or lacerated, adhesive plaster may be used or a bandage around the chest over the dressing. At all events, air must be prevented from getting into the chest as soon and as effectually as possible. The after treatment of the wound should consist principally in keeping the parts clean with a solution of carbolic acid, and applying fresh dressing as often as required to keep the wound in a healthy condition. Care should be taken that the discharges from the wound have an outlet in the most dependent part. (See Wounds and their treatment, p. 484.) If pleurisy supervenes, it should be treated as advised under that head.

THUMPS, OR SPASM OF THE DIAPHRAGM.

"Thumps" is generally thought by the inexperienced to be a palpitation of the heart. While it is true that palpitation of the heart is sometimes called "thumps," it must not be confounded with the affection under consideration.

In the beginning of this article on the diseases of the organs of respiration, the diaphragm was briefly referred to as the principal and essential muscle of respiration. Spasmodic or irregular contractions of it in man are manifested by what is familiarly known as hiccoughs. Thumps in the horse is similar to hiccoughs in man although in all cases the peculiar noise is not made in the throat of the horse.

There should be no difficulty in distinguishing this affection from palpitation of the heart. The jerky motion affects the whole body, and is not confined to the region of the heart. If one hand is placed on the body at about the middle of the last rib, while the other hand is placed over the heart behind the left elbow, it will be easily demonstrated that there is no connection between the thumping or jerking of the diaphragm and the beating of the heart. In fact, when the animal is affected with spasms of the diaphragm the beating of the heart is usually much weaker and less perceptible than natural. Thumps is produced by causes similar to those that produce congestion of the lungs and dilatation or palpitation of the heart, and may occur in connection with these conditions. If not relieved, death usually results from congestion or edema of the lungs, as[Pg 133] the breathing is interfered with by the inordinate action of this important muscle of inspiration so much that proper aeration of the blood can not take place. The treatment should be as prescribed for congestion of the lungs, and, in addition, antispasmodics, such as 1 ounce of sulphuric ether in warm water or 3 drams of asafetida.

RUPTURE OF THE DIAPHRAGM.

Post-mortem examinations after colic or severe accident sometimes reveal rupture of the diaphragm. This may take place after death, from the generation of gases in the decomposing carcass, which distend the intestines so that the diaphragm is ruptured by the great pressure against it. The symptoms are intensely difficult respiration and great depression. There is no treatment.

[Pg 134]

DISEASES OF THE URINARY ORGANS.

By James Law, F. R. C. V. S.,

Formerly Professor of Veterinary Science, etc., in Cornell University.

USES OF THE URINARY ORGANS.

The urinary organs constitute the main channel through which are excreted the nitrogenous or albuminoid principles, whether derived directly from the feed or from the muscular and other nitrogenized tissues of the body. They constitute, besides, the channel through which are thrown out most of the poisons, whether taken in by the mouth or skin or developed in connection with faulty or natural digestion, blood-forming, nutrition, or tissue destruction; or, finally, poisons that are developed within the body, as the result of normal cell life or of the life of bacterial or other germs that have entered the body from without. Bacteria themselves largely escape from the body through the kidneys. To a large extent, therefore, these organs are the sanitary scavengers and purifiers of the system, and when their functions are impaired or arrested the retained poisons quickly show their presence in resulting disorders of the skin and connective tissue beneath it, of the nervous system, or other organs. Nor is this influence one-sided. Scarcely an important organ of the body can suffer derangement without entailing a corresponding disorder of the urinary system. Nothing can be more striking than the mutual balance maintained between the liquid secretions of the skin and kidneys during hot and cold weather. In summer, when so much liquid exhales through the skin as sweat, comparatively little urine is passed, whereas in winter, when the skin is inactive, the urine is correspondingly increased. This vicarious action of skin and kidneys is usually kept within the limits of health, but at times the draining off of the water by the skin leaves too little to keep the solids of the urine safely in solution, and these are liable to crystallize out and form stone and gravel. Similarly the passage, in the sweat, of some of the solids that normally leave the body, dissolved in the urine, serves to irritate the skin and produce troublesome eruptions.

PROMINENT CAUSES OF URINARY DISORDERS.

A disordered liver contributes to the production under different circumstances of an excess of biliary coloring matter which stains the urine; of an excess of hippuric acid and allied products which, being less soluble than urea (the normal product of tissue change),[Pg 135] favor the formation of stone, of taurocholic acid, and other bodies that tend when in excess to destroy the blood globules and to cause irritation of the kidneys by the resulting hemoglobin excreted in the urine, and of glycogen too abundant to be burned up in the system, which induces saccharine urine (diabetes). Any disorder leading to impaired functional activity of the lungs is causative of an excess of hippuric acid and allied bodies, of oxalic acid, of sugar, etc., in the urine, which irritate the kidneys, even if they do not produce solid deposits in the urinary passages. Diseases of the nervous system, and notably of the base of the brain and of the spinal cord, induce various urinary disorders, prominent among which are diabetes, chylous urine, and albuminuria. Certain affections, with imperfect nutrition or destructive waste of the bony tissues, tend to charge the urine with phosphates of lime and magnesia and endanger the formation of stone and gravel. In all extensive inflammations and acute fevers the liquids of the urine are diminished, while the solids (waste products), which should form the urinary secretion, are increased, and the surcharged urine proves irritant to the urinary organs or the retained waste products poison the system at large.

Diseases of the heart and lungs, by interfering with the free, onward flow of the blood from the right side of the heart, tend to throw that liquid back on the veins, and this backward pressure of venous blood strongly tends to disorders of the kidneys. Certain poisons taken with the feed and water, notably that found in magnesian limestone and those found in irritant, diuretic plants, are especially injurious to the kidneys, as are also various cryptogams, whether in musty hay or oats. The kidneys may be irritated by feeding green vegetables covered with hoar frost or by furnishing an excess of feed rich in phosphates (wheat bran, beans, peas, vetches, lentils, rape cake, cottonseed cake) or by a privation of water, which entails a concentrated condition and high density of the urine. Exposure in cold rain or snow storms, cold drafts of air, and damp beds are liable to further disorder an already overworked or irritable kidney. Finally, sprains of the back and loins may cause bleeding from the kidneys or inflammation.

The right kidney, weighing 23-1/2 ounces, is shaped like a French bean, and extends from the loins forward to beneath the heads of the last two ribs. The left kidney (Pl. VIII) resembles a heart of cards, and extends from the loins forward beneath the head of the last rib only. Each consists of three distinct parts—(a) the external (cortical), or vascular part, in which the blood vessels form elaborate capillary networks within the dilated globular sacs which form the beginnings of the secreting (uriniferous) tubes and on the surface of the sinuous, secreting tubes leading from the sacs inward toward the second, or medullary, part of the organ; (b) the internal[Pg 136] (medullary) part, made up in the main of blood vessels, lymphatics, and nerves extending between the notch on the inner border of the kidney to and from the outer vascular portion, in which the secretion of urine is almost exclusively carried on; and (d) a large, saccular reservoir in the center of the kidney, into which all uriniferous tubes pour their secretions and from which the urine is carried away through a tube g (ureter), which passes out of the notch at the inner border of the kidney and which opens by a valve-closed orifice into the roof of the bladder just in front of its neck. The bladder is a dilatable reservoir for the retention of the urine until the discomfort of its presence causes its voluntary discharge. It is kept closed by circular, muscular fibers surrounding its neck or orifice, and is emptied by looped, muscular fibers extending in all directions forward from the neck around the blind anterior end of the sac. From the bladder the urine escapes through a dilatable tube (urethra) which extends from the neck of the bladder backward on the floor of the pelvis, and in the male through the penis to its free end, where it opens through a pink, conical papilla. In the mare the urethra is not more than an inch in length, and is surrounded by the circular, muscular fibers closing the neck of the bladder. Its opening may be found directly in the median line of the floor of the vulva, about 4-1/2 inches from its external opening.

GENERAL SYMPTOMS OF DISEASE.

These apply especially to acute inflammations and the irritation caused by stone. The animal moves stiffly on the hind limbs, straddles, and makes frequent attempts to pass urine, which may be in excess, deficient in amount, liable to sudden arrest in spite of the straining, passed in driblets, or entirely suppressed. Again, it may be modified in density or constituents. Difficulty in making a sharp turn, or in lying down and rising with or without groaning, dropping the back when mounted or when pinched on the loins is suggestive of kidney disease, and so to a less extent are swelled legs, dropsy, and diseases of the skin and nervous system. The oiled hand introduced through the rectum may feel the bladder beneath and detect any overdistention, swelling, tenderness, or stone. In ponies the kidneys even may be reached.

EXAMINATION OF THE URINE.

In some cases the changes in the urine are the sole sign of disease. In health the horse's urine is of a deep amber color and has a strong odor. On a feed of grain and hay it may show a uniform transparency, while on a green ration there in an abundant white deposit of carbonate of lime. Of its morbid changes the following are to be looked for: (1) Color: White from deposited salts of lime; brown or red from blood clots or coloring matter; yellow or orange from bile or blood pigment; pale from excess of water; or variously colored from vegetable ingredients (santonin makes it red; rhubarb or senna, brown; tar or carbolic acid, green). (2) Density: The horse's urine may be 1.030 or 1.050, but it may greatly exceed this in diabetes and may sink to 1.007 in diuresis. (3) Chemical reaction, as ascertained by blue litmus or red test papers. The horse on vegetable diet has alkaline urine turning red test papers blue, while in the sucking colt and the horse fed on flesh or on his own tissue (in starvation or abstinence during disease) it is acid, turning blue litmus red. (4) Organic constituents, as when glairy from albumen coagulable by strong nitric acid and boiling, when charged with microscopic casts of the uriniferous tubes, with the eggs or bodies of worms, with sugar, blood, or bile. (5) In its salts, which may crystallize out spontaneously, or on boiling, or on the addition of chemical reagents.

PLATE VIII.
LONGITUDINAL SECTION THROUGH KIDNEY.

PLATE IX.
MICROSCOPIC ANATOMY OF KIDNEY.

PLATE X.
MICROSCOPIC ANATOMY OF KIDNEY.

[Pg 137]Albuminous urine in the horse is usually glairy, so that it may be drawn out in threads, but its presence can always be tested as follows: If the liquid is opaque, it may be first passed through filter paper; if very dense and already precipitating its salts, it may be diluted with distilled water; add to the suspected liquid acetic acid drop by drop until it reddens the blue litmus paper; then boil gently in a test tube; if a precipitate is thrown down, set the tube aside to cool and then add strong nitric acid. If the precipitate is not dissolved, it is albumen; if dissolved it is probably urate or hippurate of ammonia. Albumen is normally present in advanced gestation; abnormally it is seen in diseases in which there occurs destruction of blood globules (anthrax, low fevers, watery states of the blood, dropsies), in diseases of the heart and liver which prevent the free escape of blood from the veins and throw back venous pressure on the kidneys, in inflammation of the lungs and pleuræ, and even tympany (bloating), doubtless from the same cause, and in all congestive or inflammatory diseases of the kidneys, acute or chronic.

Casts of the uriniferous tubes can be seen only by placing the suspected urine under the microscope. They are usually very elastic and mobile, waving about in the liquid when the cover glass is touched, and showing a uniform, clear transparency (waxy) or entangled circular epithelial cells or opaque granules or flattened, red-blood globules or clear, refrangent oil globules. They may be even densely opaque from crystals of earthy salts.

Pus cells may be found in the urine associated with albumen, and are recognized by clearing up, when treated with acetic acid, so that each cell shows two or three nuclei.[Pg 138]

DIURESIS (POLYURIA, DIABETES INSIPIDUS, OR EXCESSIVE SECRETION OF URINE).

This consists in an excessive secretion of a clear, watery urine of a low specific gravity (1.007) with a correspondingly ardent thirst, a rapidly advancing emaciation, and great loss of strength and spirit.

Causes.—Its causes may be any agent—medicinal, alimentary, or poisonous—which unduly stimulates the kidneys; the reckless administration of diuretics, which form such a common constituent of quack horse powders; acrid diuretic plants in grass or hay; new oats still imperfectly cured; an excess of roots or other very watery feed; a full allowance of salt to animals that have become inordinately fond of it; but, above all, feeding on hay, grain, or bran which has not been properly dried and has become musty and permeated by fungi. Thus hay, straw, or oats obtained in wet seasons and heating in the rick or stack is especially injurious. Hence this malady, like coma somnolentum (sleepy staggers), is widespread in wet seasons, and especially in rainy districts.

Symptoms.—The horse drinks deep at every opportunity and passes urine on every occasion when stopped, the discharge being pale, watery, of a low density, and inodorous; in short, it contains a great excess of water and a deficiency of the solid excretions. So great is the quantity passed, however, that the small amount of solids in any given specimen amounts in 24 hours to far more than the normal—a fact in keeping with the rapid wasting of the tissues and extreme emaciation. The flanks become tucked up, the fat disappears, the bones and muscles stand out prominently, the skin becomes tense and hidebound, and the hair erect, scurfy, and deficient in luster. The eye becomes dull and sunken, the spirits are depressed, the animal is weak and sluggish, sweats on the slightest exertion, and can endure little. The subject may survive for months, or may die early of exhaustion. In the slighter cases, or when the cause ceases to operate, a somewhat tardy recovery may be made.

Treatment consists in stopping the ingestion of the faulty drugs, poisons, or feed, and supplying sound hay and grain free from all taint of heating or mustiness. A liberal supply of boiled flaxseed in the drinking water at once serves to eliminate the poison and to sheathe and protect the irritated kidneys. Tonics like sulphate or phosphate of iron (2 drams morning and evening) and powdered gentian or Peruvian bark (4 drams) help greatly by bracing the system and hastening repair. To these may be added agents calculated to destroy the fungus and eliminate its poisonous products. In that form which depends on musty food nothing acts better than large doses of iodid of potassium (2 drams), while in other cases creosote, carbolic acid (1 dram), or oil of turpentine (4 drams), properly diluted, may be resorted to.[Pg 139]

SACCHARINE DIABETES (DIABETES MELLITUS, GLYCOSURIA, OR INOSURIA).

This is primarily a disease of the nervous system or liver rather than of the kidneys, yet, as the most prominent symptom is the sweet urine, it may be treated here.

Causes.—Its causes are varied, but resolve themselves largely into disorder of the liver or disorder of the brain. One of the most prominent functions of the liver is the formation of glycogen, a principle allied to grape sugar, and passing into it by further oxidation in the blood. This is a constant function of the liver, but in health the resulting sugar is burned up in the circulation and does not appear in the urine. On the contrary, when the supply of oxygen is defective, as in certain diseases of the lungs, the whole of the sugar does not undergo combustion and the excess is excreted by the kidneys. Also in certain forms of enlarged liver the quantity of sugar produced is more than can be disposed of in the natural way, and it appears in the urine. A temporary sweetness of the urine often occurs after a hearty meal on starchy feed, but this is due altogether to the super-abundant supply of the sugar-forming feed, lasts for a few hours only, and has no pathological significance. In many cases of fatal glycosuria the liver is found to be enlarged, or at least congested, and it is found that the disorder can be produced experimentally by agencies which produce an increased circulation through the liver. Thus Bernard produced glycosuria by pricking the oblong medulla at the base of the brain close to the roots of the pneumogastric nerve, which happens to be also the nerve center (vasomotor) which presides over the contractions of the minute blood vessels. The pricking and irritation of this center leads to congestion of the liver and the excessive production of sugar. Irritation carried to this point through the pneumogastric nerve causes saccharine urine, and, in keeping with this, disease of the pancreas has been found in this malady. The complete removal of the pancreas, however, determines glycosuria, the organ having in health an inhibitive action on sugar production by the liver. The same result follows the reflection of irritation from other sources, as from different ganglia (corpora striata, optic thalami, pons, cerebellum, cerebrum) of the brain. Similarly it is induced by interruption of the nervous control along the vasomotor tracts, as in destruction of the upper or lower cervical sympathetic ganglion, by cutting the nervous branch connecting these two, in injury to the spinal marrow in the interval between the brain and the second or fourth dorsal vertebra, or in disease of the celiac plexus, which directly presides over the liver. Certain chemical poisons also cause saccharine urine, notably woorara, strychnia, morphia, phosphoric acid, alcohol, ether, quinia, chloroform, ammonia, arsenic, and phlorizin.[Pg 140]

Symptoms.—The symptoms are ardent thirst and profuse secretion of a pale urine of a high density (1.060 and upward), rapid loss of condition, scurfy, unthrifty skin, costiveness or irregularity of the bowels, indigestion, and the presence, in the urine, of a sweet principle—grape sugar or inosite, or both. This may be most promptly detected by touching the tip of the tongue with a drop. Sugar may be detected simply by adding a teaspoonful of liquid yeast to 4 ounces of the urine and keeping it lightly stopped at a temperature of 70° to 80° F. for 12 hours, when the sugar will be found to have been changed into alcohol and carbon dioxid. The loss of density will give indication of the quantity of sugar transformed; thus a density of 1.035 in a urine which was formerly 1.060 would indicate about 15 grains of sugar to the fluid ounce.

Inosite, or muscle sugar, frequently present in the horse's urine, and even replacing the glucose, is not fermentable. Its presence may be indicated by its sweetness and the absence of fermentation or by Gallois's test. Evaporate the suspected urine at a gentle heat almost to dryness, then add a drop of a solution of mercuric nitrate and evaporate carefully to dryness, when a yellowish residue is left that is changed on further cautious heating to a deep rose color, which disappears on cooling and reappears on heating.

In advanced diabetes, dropsies in the limbs and under the chest and belly, puffy, swollen eyelids, cataracts, catarrhal inflammation of the lungs, weak, uncertain gait, and drowsiness may be noted.

Treatment is most satisfactory in cases dependent on some curable disease of liver, pancreas, lungs, or brain. Thus, in liver diseases, a run at pasture in warm weather, or in winter a warm, sunny, well-aired stable, with sufficient clothing and laxatives (sulphate of soda, 1 ounce daily) and alkalies (carbonate of potassium, one-fourth ounce) may benefit. To this may be added mild blistering, cupping, or even leeching over the last ribs. Diseases of the brain or pancreas may be treated according to their indications. The diet should be mainly albuminous, such as wheat bran or middlings, peas, beans, vetches, and milk. Indeed, an exclusive milk diet is one of the very best remedial agencies. It may be given as skimmed milk or butter-milk, and in the last case combines an antidiabetic remedy in the lactic acid. Under such an exclusive diet recent and mild cases are often entirely restored, though at the expense of an attack of rheumatism. Codeia, one of the alkaloids of opium, is strongly recommended by Tyson. The dose for the horse would be 10 to 15 grains thrice daily. In cases in which there is manifest irritation of the brain, bromid of potassium, 4 drams, or ergot one-half ounce, may be resorted to. Salicylic acid and salicylate of sodium have proved useful in certain cases; also phosphate of sodium. Bitter tonics (especially nux vomica one-half dram) are useful in improving the digestion and general health.[Pg 141]

HEMATURIA (BLOODY URINE).

Cause.—As seen in the horse, bloody urine is usually the direct result of mechanical injuries, as sprains and fractures of the loins, lacerations of the sublumbar muscles (psoas), irritation caused by stone in the kidney, ureter, bladder, or urethra. It may, however, occur with acute congestion of the kidney, with tumors in its substance, or with papilloma or other diseased growth in the bladder. Acrid diuretic plants present in the feed may also lead to the escape of blood from the kidney. The predisposition to this affection is, however, incomparably less than in the case of the ox or the sheep, the difference being attributed to the greater plasticity of the horse's blood in connection with the larger quantity of fibrin.

The blood may be present in small clots or in more or less intimate admixture with the urine. Its condition may furnish some indication as to its source; thus, if from the kidneys it is more liable to be uniformly diffused through the urine, while as furnished by the bladder or passages clots are more liable to be present. Again, in bleeding from the kidney, minute, cylindrical clots inclosing blood globules and formed in the uriniferous tubes can be detected under the microscope. Precision also may be approximated by observing whether there is coexisting fracture, sprain of the loins, or stone or tumor in the bladder or urethra.

Treatment.—The disease being mainly due to direct injury, treatment will consist, first, in removing such cause whenever possible, and then in applying general and local styptics. Irritants in feed must be avoided, sprains appropriately treated, and stone in bladder or urethra removed. Then give mucilaginous drinks (slippery elm, linseed tea) freely, and styptics (tincture of chlorid of iron 3 drams, acetate of lead one-half dram, tannic acid one-half dram, or oil of turpentine 1 ounce). If the discharge is abundant, apply cold water to the loins and keep the animal perfectly still.

HEMOGLOBINURIA (AZOTURIA, AZOTEMIA, POISONING BY ALBUMINOIDS).

Like diabetes, this is rather a disease of the liver and blood-forming functions than of the kidney, but as prominent symptoms are loss of control over the hind limbs and the passage of ropy and dark-colored urine, the vulgar idea is that it is a disorder of the urinary organs. It is a complex affection directly connected with a plethora in the blood of nitrogenized constituents, with extreme nervous and muscular disorder and the excretion of a dense reddish or brownish urine. It is directly connected with high feeding, especially on highly nitrogenized feed (oats, beans, peas, vetches, cottonseed meal), and with a period of idleness in the stall under full rations. The disease is never seen at pasture, rarely under constant daily work,[Pg 142] even though the feeding is high, and the attack is usually precipitated by taking the horse from the stable and subjecting it to exercise or work. The poisoning is not present when taken from the stable, as the horse is likely to be noticeably lively and spirited, but he will usually succumb under the first hundred yards or half mile of exercise. It seems as if the aspiratory power of the chest under the sudden exertion and accelerated breathing speedily drew from the gorged liver and abdominal veins (portal) the accumulated store of nitrogenous matter in an imperfectly oxidized or elaborated condition, and as if the blood, surcharged with these materials, were unable to maintain the healthy functions of the nerve centers and muscles. It has been noticed rather more frequently in mares than horses, attributable, perhaps, to the nervous excitement attendant on heat, and to the fact that the unmutilated mare is naturally more excitable than the docile gelding.

Lignières has found in hemoglobinuria a streptococcus which produced nephritis, bloody urine, and paraplegia in experimental animals, including horses.

Symptoms.—In the milder forms this affection may appear as a lameness in one limb, from indefinite cause, succeeding to some sudden exertion and attended by a dusky-brown color of the membranes of the eye and nose and some wincing when the last ribs are struck. The severe forms come on after one or two days of rest on a full ration, when the animal has been taken out and driven one hundred paces or more: The fire and life with which he had left the stable suddenly give place to dullness and oppression, as shown in heaving flanks, dilated nostrils, pinched face, perspiring skin, and trembling body. The muscles of the loins or haunch become swelled and rigid, the subject moves stiffly or unsteadily, crouches behind, the limbs being carried semiflexed, and he soon drops, unable to support himself. When down, the body and limbs are moved convulsively, but there is no power of coordination of movement in the muscles. The pulse and breathing are accelerated, the eyes red with a tinge of brown, and the urine, if passed, is seen to be highly colored, dark brown, red, or black, but it contains neither blood clots nor globules. The color is mainly due to hemoglobin and other imperfectly elaborated constituents of the blood.

It may end fatally in a few hours or days, or a recovery may ensue, which is usually more speedy and perfect if it has set in at an early stage. In the late and tardy recoveries a partial paralysis of the hind limbs may last for months. A frequent sequel of these tardy cases is an extensive wasting of the muscles leading up from the front of the stifle (those supplied by the crural nerve) and a complete inability to stand.[Pg 143]

Prevention.—The prevention of this serious affection lies in restricting the diet and giving daily exercise when the animal is not at work. A horse that has had one attack should never be left idle for a single day in the stall or barnyard. When a horse has been condemned to absolute repose on good feeding he may have a laxative (one-half to 1 pound Glauber's salt), and have graduated exercise, beginning with a short walk and increasing day by day.

Treatment.—The treatment of the mild cases may consist in a laxative, graduated daily exercise, and a daily dose of saltpeter (1 ounce). Sudden attacks will sometimes promptly subside if taken on the instant and the subject kept still and calmed by a dose of bromid of potassium (4 drams) and sweet spirits of niter (1 ounce). The latter has the advantage of increasing the secretion of the kidneys. Iodid of potassium in one-half ounce doses every four hours has succeeded well in some hands. In severe cases, as a rule, it is desirable to begin treatment by a dose of aloes (4 to 6 drams) with the above-named dose of bromid of potassium, and this latter may be continued at intervals of four or six hours, as may be requisite to calm the nervous excitement. Fomentations with warm water over the loins are always useful in calming the excitable conditions of the spinal cord, muscles, liver, and kidneys, and also in favoring secretion from the two latter. On the second day diuretics may be resorted to, such as saltpeter one-half ounce, and powdered colchicum, one-half dram, to be repeated twice daily. A laxative may be repeated in three or four days should the bowels seem to demand it, and as the nervous excitement disappears any remaining muscular weakness or paralysis may be treated by one-half dram doses of nux vomica twice a day and a stimulating liniment (aqua ammonia and sweet oil in equal proportions) rubbed on the torpid muscles.

During the course of the disease friction to the limbs is useful, and in the advanced paralytic stage the application of electricity along the line of the affected muscles. When the patient can not stand he must have a thick, soft bed, and should be turned from side to side at least every twelve hours. As soon as he can be made to stand he may be helped up and even supported in a sling.

ACUTE INFLAMMATION OF THE KIDNEYS, OR ACUTE NEPHRITIS.

Inflammations of the kidneys have been differentiated widely, according as they were acute or chronic, parenchymatous or tubal, suppurative or not, with increased or shrunken kidney, etc. In a work like the present, however, utility will be consulted by classing all under acute or chronic inflammation.

Causes.—The causes of inflammation of the kidneys are extremely varied. Congestion occurs from the altered and irritant products passed through these organs during recovery from inflammations of[Pg 144] other organs and during fevers. This may last only during the existence of its cause, or may persist and become aggravated. Heart disease, throwing the blood pressure back on the veins and kidneys, is another cause. Disease of the ureter or bladder, preventing the escape of urine from the kidney and causing increased fullness and tension in its pelvis and tubes, will determine inflammation. Decomposition of the detained urine in such cases and the production of ammonia and other irritants must also be named. In elimination of bacteria through the kidney, the latter is liable to infection with consequent inflammation. The advance of bacteria upward from the bladder to the kidneys is another cause. The consumption in hay or other fodder of acrid or irritant plants, including fungi, the absorption of cantharidine from a surface blistered by Spanish flies, the reckless administration of diuretics, the presence of stones in the kidney, exposure of the surface to cold and wet, and the infliction of blows or sprains on the loins, may contribute to its production. Liver disorders which throw on the kidneys the work of excreting irritant products, diseases of the lungs and heart from which clots are carried, to be arrested in the small blood vessels of the kidney, and injuries and paralysis of the spinal cord, are additional causes.

Symptoms.—The symptoms are more or less fever, manifest stiffness of the back and straddling gait with the hind limbs, difficulty in lying down and rising, or in walking in a circle, the animal sometimes groaning under the effort, arching of the loins and tucking up of the flank, looking back at the abdomen as if from colicky pain, and tenderness of the loins to pinching, especially just beneath the bony processes 6 inches to one side of the median line. Urine is passed frequently, a small quantity at a time, of a high color, and sometimes mixed with blood or even pus. Under the microscope it shows the microscopic casts referred to under general symptoms. If treated by acetic acid, boiling and subsequent addition of strong nitric acid, the resulting and persistent precipitate indicates the amount of albumen. The legs tend to swell from the foot up, also the dependent parts beneath the belly and chest, and effusions of liquid may occur within the chest or abdomen. In the male the alternate drawing up and relaxation of the testicles in the scrotum are suggestive, and in small horses the oiled hand introduced into the rectum may reach the kidney and ascertain its sensitiveness.

Treatment demands, first, the removal of any recognized cause. Then, if the suffering and fever are high, 2 to 4 quarts of blood may be abstracted from the jugular vein; in weak subjects or unless in high fever this should be omitted. Next relieve the kidneys so far as possible by throwing their work on the bowels and skin. A pint of castor oil is less likely than either aloes or salts to act on the kidneys. To affect the skin a warm stall and heavy clothing may be[Pg 145] supplemented by dram doses of Dover's powder. Pain may be soothed by dram doses of bromid of potassium. Boiled flaxseed may be added to the drinking water, also thrown into the rectum as an injection, and blankets saturated with hot water should be persistently applied to the loins. This may be followed by a very thin pulp of the best ground mustard made with tepid water, rubbed in against the direction of the hair and covered with paper and a blanket. This may be kept on for an hour, or until the skin thickens and the hair stands erect. It may then be rubbed or sponged off and the blanket reapplied. When the action of the bowels has been started it may be kept up by a daily dose of 2 or 3 ounces of Glauber's salt.

During recovery a course of bitter tonics (nux vomica 1 scruple, ground gentian root 4 drams) should be given. The patient should also be guarded against cold, wet, and any active exertion for some time after all active symptoms have subsided.

CHRONIC INFLAMMATION OF THE KIDNEYS.

Causes.—Chronic inflammation of the kidneys is more commonly associated with albumen and casts in the urine than the acute form, find in some instances these conditions of the urine may be the only prominent symptoms of the disease. Though it may supervene on blow, injuries, and exposures, it is much more commonly connected with faulty conditions of the system—as indigestion, heart disease, lung or liver disease, imperfect blood formation, or assimilation; in short, it is rather the attendant on a constitutional infirmity than on a simple local injury.

It may be associated with various forms of diseased kidneys, as shrinkage (atrophy), increase (hypertrophy), softening, red congestion, white enlargement, etc., so that it forms a group of diseases rather than a disease by itself.

Symptoms.—The symptoms may include stiffness, weakness, and increased sensibility of the loins, and modified secretion of urine (increase or suppression), or the flow may be natural. Usually it contains albumen, the quantity furnishing a fair criterion of the gravity of the affection, and microscopic casts, also most abundant in bad cases. Dropsy, manifested in swelled legs, is a significant symptom, and if the effusion takes place along the lower line of the body or in chest or abdomen, the significance is increased. A scurfy, unthrifty skin, lack-luster hair, inability to sustain severe or continued exertion, poor or irregular appetite, loss of fat and flesh, softness of the muscles, and pallor of the eyes and nose are equally suggestive. So are skin eruptions of various kinds. Any one or more of these symptoms would warrant an examination of the urine for albumen and casts, the finding of which signifies renal inflammation.[Pg 146]

Treatment of these cases is not always satisfactory, as the cause is liable to be maintained in the disorders of important organs elsewhere. If any such coincident disease of another organ or function can be detected, that should be treated first or simultaneously with this affection of the kidneys. In all cases the building up of the general health is important. Hence a course of tonics may be given (phosphate of iron 2 drams, nux vomica 20 grains, powdered gentian root 4 drams, daily) or 60 drops of sulphuric acid or nitrohydrochloric acid may be given daily in the drinking water. If there is any elevated temperature of the body and tenderness of the loins, fomentations may be applied, followed by a mustard pulp, as for acute inflammation, and even in the absence of these indications the mustard may be resorted to with advantage at intervals of a few days. In suppression of urine, fomentations with warm water or with infusion of digitalis leaves is a safer resort than diuretics, and cupping over the loins may also benefit. To apply a cup, shave the skin and oil it; then take a narrow-mouthed glass, rarify the air within it by introducing a taper in full flame for a second, withdraw the taper and instantly apply the mouth of the glass to the skin and hold it closely applied till the cooling tends to form a vacuum in the glass and to draw up the skin, like a sucker.

As in the acute inflammation, every attention must be given to secure warm clothing, a warm stall, and pure air.

TUMORS OF THE KIDNEYS.

Tumors, whether malignant or simple, would give rise to symptoms resembling some form of inflammation, and are not liable to be recognized during life.

PARASITES.

To parasites of the kidney belong the echinococcus, the larval, or bladder worm, stage of the small echinococcus tapeworm of the dog. Dioctophyme renale, the largest of roundworms, has been found in the kidney of the horse. Its presence can be certified only by the passage of its microscopic eggs or of the entire worm. Immature stages of roundworms, either Strongylus equinus or a related species, may be found in the renal artery or in the kidney itself.

SPASM OF THE NECK OF THE BLADDER.

This affection consists in spasmodic closure of the outlet from the bladder by tonic contraction of the circular muscular fibers. It may be accompanied with a painful contraction of the muscles on the body of the bladder; or, if the organ is already unduly distended, these will be affected with temporary paralysis. It is most frequent in the horse, but by no means unknown in the mare.[Pg 147]

Causes.—The causes are usually hard and continuous driving without opportunity for passing urine, cold rainstorms, drafts of cold air when perspiring and fatigued, the administration of Spanish fly or the application of extensive blisters of the same, abuse of diuretics, the presence of acrid, diuretic plants in the fodder, and the presence of stone in the bladder. As most mares refuse to urinate while in harness, they should be unhitched at suitable times for urination. Spasms of the bowels are always attended by spasm of the bladder, hence the free passage of water is usually a symptom of relief.

Symptoms.—The symptoms are frequent stretching and straining to urinate, with no result or a slight dribbling only. These vain efforts are attended by pain and groaning. On resuming his natural position the animal is not freed from the pain, but moves uneasily, paws, shakes the tail, kicks at the abdomen with his hind feet, looks back to the flank, lies down and rises, arches the back, and attempts to urinate as before. If the oiled hand is introduced into the rectum the greatly distended bladder may be felt beneath, and the patient will often shrink when it is handled.

It is important to notice that irritation of the urinary organs is often present in impaction of the colon with solid matters, because the impacted intestine under the straining of the patient is forced backward into the pelvis and presses upon and irritates the bladder. In such cases the horse stands with his fore limbs advanced and the hind ones stretched back beyond the natural posture and makes frequent efforts to urinate, with varying success. Unpracticed observers naturally conclude that the secondary urinary trouble is the main and only one, and the intestinal impaction and obstruction is too often neglected until it is irremediable. In cases in which the irritation has caused spasm of the neck of the bladder and overdistention of that organ, the mistake is still more easily made; hence it is important in all cases to examine for the impacted bowel, forming a bend or loop at the entrance of the pelvis and usually toward the left side. The impacted intestine feels soft and doughy and is easily indented with the knuckles, forming a marked contrast with the tense, elastic, resilient, overdistended bladder.

It remains to be noted that similar symptoms may be determined by a stone or sebaceous mass, or stricture obstructing the urethra, or in the newborn by thickened mucus in that duct and by the pressure of hardened, impacted feces in the rectum. In obstruction, the hard, impacted body can usually be felt by tracing the urethra along the lower and posterior surface of the penis and forward to the median line of the floor of the pelvis to the neck of the bladder. That part of the urethra between the seat of obstruction and the[Pg 148] bladder is usually distended with urine and feels enlarged, elastic, and fluctuating.

Treatment.—Treatment may be begun by taking the animal out of harness. This failing, spread clean litter beneath the belly or turn the patient out on the dung heap. Some seek to establish sympathetic action by pouring water from one vessel into another with dribbling noise. Others soothe and distract the attention by slow whistling. Friction of the abdomen with wisps of straw may succeed, or it may be rubbed with ammonia and oil. These failing, an injection of 2 ounces of laudanum or of an infusion of 1 ounce of tobacco in water may be tried. In the mare the neck of the bladder is easily dilated by inserting two oiled fingers and slightly parting them. In the horse the oiled hand introduced into the rectum may press from before backward on the anterior or blind end of the bladder. Finally, a well-oiled gum-elastic catheter may be entered into the urethra through the papilla at the end of the penis and pushed on carefully until it has entered the bladder. To effect this the penis must first be withdrawn from its sheath, and when the advancing end of the catheter has reached the bend of the urethra beneath the anus it must be guided forward by pressure with the hand, which guidance must be continued onward into the bladder, the oiled hand being introduced into the rectum for this purpose. The horse catheter, 3-1/2 feet long and one-third inch in diameter, may be bought of a surgical-instrument maker.

PARALYSIS OF THE BLADDER.

Paralysis of the body of the bladder with spasm of the neck has been described under the last heading, and may occur in the same way from overdistention in tetanus, acute rheumatism, paraplegia, and hemiplegia, in which the animal can not stretch himself to urinate, and in cystitis, affecting the body of the bladder but not the neck. In all these cases the urine is suppressed. It also occurs as a result of disease of the posterior end of the spinal marrow and with broken back, and is then associated with palsy of the tail, and, it may be, of the hind limbs.

Symptoms.—The symptoms are a constant dribbling of urine when the neck is involved, the liquid running down the inside of the thighs and irritating the skin. When the neck is unaffected the urine is retained until the bladder is greatly overdistended, when it may be expelled in a gush by the active contraction of the muscular walls of the abdomen; this never empties the bladder, however, and the oiled hand introduced through the rectum may feel the soft, flabby organ still half full of urine. This retained urine is liable to decompose and give off ammonia, which dissolves the epithelial cells, exposing the raw, mucous membrane and causing the worst type of cystitis.[Pg 149] Suppression and incontinence of urine are common also to obstruction of the urethra by stone or otherwise; hence this source of fallacy should be excluded by manual examination along the whole course of that duct.

Treatment.—Treatment is only applicable in cases in which the determining cause can be abated. In remedial sprains of the back or disease of the spinal cord these must have appropriate treatment, and the urine must be drawn off frequently with a catheter to prevent overdistention and injury to the bladder. If the paralysis persists after recovery of the spinal cord, or if it continues after relief of spasm of the neck of the bladder, apply a pulp of mustard and water over the back part of the belly in front of the udder, and cover with a rug until the hair stands erect. In the male the mustard may be applied between the thighs from near the anus downward. Daily doses of 2 drams extract of belladonna or of 2 grains powdered Spanish fly may serve to rouse the lost tone. These failing, a mild current of electricity daily may succeed.

INFLAMMATION OF THE BLADDER (CYSTITIS, OR UROCYSTITIS).

Cystitis may be slight or severe, acute or chronic, partial or general. It may be caused by abuse of diuretics, especially such as are irritating (cantharides, turpentine, copaiba, resin, etc.), by the presence of a stone or gravel in the bladder, the irritation of a catheter or other foreign body introduced from without, the septic ferment (bacterium) introduced on a filthy catheter, the overdistention of the bladder by retained urine, the extrication of ammonia from retained decomposing urine, resulting in destruction of the epithelial cells and irritation of the raw surface, and a too concentrated and irritating urine. The application of Spanish flies or turpentine over a too extensive surface, sudden exposure of a perspiring and tired horse to cold or wet, and the presence of acrid plants in the fodder may cause cystitis, as they may nephritis. Finally, inflammation may extend from a diseased vagina or urethra to the bladder.

Symptoms.—The symptoms are slight or severe colicky pains; the animal moves his hind feet uneasily or even kicks at the abdomen, looks around at his flank, and may even lie down and rise frequently. More characteristic are frequently repeated efforts to urinate, resulting in the discharge of a little clear, or red, or more commonly flocculent urine, always in jets, and accompanied with signs of pain, which persist after the discharge, as shown in continued straining, groaning, and perhaps in movements of the feet and tail. The penis hangs from the sheath, or in the mare the vulva is frequently opened and closed, as after urination. The animal winces when the abdomen[Pg 150] is pressed in the region of the sheath or udder, and the bladder is found to be sensitive and tender when pressed with the oiled hand introduced through the rectum or vagina. In the mare the thickening of the walls of the bladder may be felt by introducing one finger through the urethra. The discharged urine, which may be turbid or even oily, contains an excess of mucus, with flat shreds of membrane, with scaly epithelial cells, and pus corpuscles, each showing two or more nuclei when treated with acetic acid, but there are no microscopic tubular casts, as in nephritis. If due to stone in the bladder, that will be found on examination through rectum or vagina.

Treatment implies, first, the removal of the cause, whether poisons in feed or as medicine, the removal of Spanish flies or other blistering agents from the skin, or the extraction of stone or gravel. If the urine has been retained and decomposed it must be completely evacuated through a clean catheter, and the bladder thoroughly washed out with a solution of 1 dram of borax in a quart of water. This must be repeated twice daily until the urine no longer decomposes, because so long as ammonia is developed in the bladder the protecting layer of epithelial cells will be dissolved and the surface kept raw and irritable. The diet must be light (bran mashes, roots, fresh grass), and the drink impregnated with linseed tea, or solution of slippery elm or marsh mallow. The same agents may be used to inject into the rectum, or they may even be used along with borax and opium to inject into bladder (gum arabic 1 dram, opium 1 dram, tepid water 1 pint). Fomentations over the loins are often of great advantage, and these may be followed or alternated with the application of mustard, as in paralysis; or the mustard may be applied on the back part of the abdomen below or between the thighs from the anus downward. Finally, when the acute symptoms have subsided, a daily dose of buchu 1 dram and nux vomica one-half dram will serve to restore lost tone.

IRRITABLE BLADDER.

Some horses, and especially mares, show an irritability of the bladder and nerve centers presiding over it by frequent urination in small quantities, though the urine is not manifestly changed in character and no more than the natural quantity is passed in the twenty-four hours. The disorder appears to have its source quite as frequently in the generative or nervous system as in the urinary. A troublesome and dangerous form is seen in mares, which dash off and refuse all control by the rein if driven with a full bladder, but usually prove docile if the bladder has been emptied before hitching. In other cases the excitement connected with getting the tail over the reins is[Pg 151] a powerful determining cause. The condition is marked in many mares during the period of heat.

An oleaginous laxative (castor oil 1 pint) will serve to remove any cause of irritation in the digestive organs, and a careful dieting will avoid continued irritation by acrid vegetable agents. The bladder should be examined to see that there is no stone or other cause of irritation, and the sheath and penis should be washed with soapsuds, any sebaceous matter removed from the bilocular cavity at the end of the penis, and the whole lubricated with sweet oil. Irritable mares should be induced to urinate before they are harnessed, and those that clutch the lines under the tail may have the tail set high by cutting the cords on its lower surface, or it may be prevented from getting over the reins by having a strap carried from its free end to the breeching. Those proving troublesome when "in heat" may have 4-dram doses of bromid of potassium, or they may be served by the male or castrated. Sometimes irritability may be lessened by daily doses of belladonna extract (1 dram), or a better tone may be given to the parts by balsam copaiba (1 dram).

DISEASED GROWTHS IN THE BLADDER.

These may be of various kinds, malignant or simple. In the horse I have found villous growths from the mucous membrane especially troublesome. They may be attached to the mucous membrane by a narrow neck or by a broad base covering a great part of the organ.

Symptoms.—The symptoms are frequent straining, passing of urine and blood with occasionally gravel. An examination of the bladder with the hand in the rectum will detect the new growth, which may be distinguished from a hard, resistant stone. In mares, in which the finger can be inserted into the bladder, the recognition is still more satisfactory. The polypi attached by narrow necks may be removed by surgical operation, but for those with broad attachments treatment is eminently unsatisfactory.

DISCHARGE OF URINE BY THE NAVEL, OR PERSISTENT URACHUS.

This occurs only in the newborn, and consists in the nonclosure of the natural channel (urachus), through which the urine is discharged into the outer water bag (allantois) in fetal life. At that early stage of the animal existence the bladder resembles a long tube, which is prolonged through the navel string and opens into the outermost of the two water bags in which the fetus floats. In this way the urine is prevented from entering the inner water bag (amnion), where it would mingle with the liquids, bathing the skin of the fetus and cause irritation. At birth this channel closes up, and the urine takes[Pg 152] the course normal to extra-uterine life. Imperfect closure is more frequent in males than in females, because of the great length and small caliber of the male urethra and its consequent tendency to obstruction. In the female there may be a discharge of a few drops only at a time, while in the male the urine will be expelled in strong jets coincidently with the contractions of the bladder and walls of the abdomen.

The first care is to ascertain whether the urethra is pervious by passing a human catheter. This determined, the open urachus may be firmly closed by a stout, waxed thread, carried with a needle through the tissues back of the opening and tied in front of it so as to inclose as little skin as possible. If a portion of the naval string remains, the tying of that may be all sufficient. It is important to tie as early as possible so as to avoid inflammation of the navel from contact with the urine. In summer a little carbolic-acid water or tar water may be applied to keep the flies off.

EVERSION OF THE BLADDER.

This can occur only in the female. It consists in the turning of the organ outside in through the channel of the urethra, so that it appears as a red, pear-shaped mass hanging from the floor of the vulva and protruding externally between its lips. It may be a mass like the fist, or it may swell up to the size of an infant's head. On examining its upper surface the orifices of the urethra maybe seen, one on each side, a short distance behind the neck, with the urine oozing from them drop by drop.

This displacement usually supervenes on a flaccid condition of the bladder, the result of paralysis, overdistention, or severe compression during a difficult parturition.

The protruding organ may be washed with a solution of 1 ounce of laudanum and a teaspoonful of carbolic acid in a quart of water, and returned by pressing a smooth, rounded object into the fundus and directing it into the urethra, while careful pressure is made on the surrounding parts with the other hand. If too large and resistant it may be wound tightly in a strip of bandage about 2 inches broad to express the great mass of blood and exudate and diminish the bulk of the protruded organ so that it can be easily pushed back. This method has the additional advantage of protecting the organ against bruises and lacerations in the effort made to return it. After the return, straining may be kept in check by giving laudanum (1 to 2 ounces) and by applying a truss to press upon the lips of the vulva. (See Eversion of the womb.) The patient should be kept in a stall a few inches lower in front than behind, so that the action of gravity will favor retention.

PLATE XI.
CALCULI AND INSTRUMENT FOR REMOVAL.

[Pg 153]

INFLAMMATION OF THE URETHRA (URETHRITIS, OR GLEET).

This affection belongs quite as much to the generative organs, yet it can not be entirely overlooked in a treatise on urinary disorders. It may be induced by the same causes as cystitis (which see); by the passage and temporary arrest of small stones, or gravel; by the irritation caused by foreign bodies introduced from without; by blows on the penis by sticks, stones, or by the feet of a mare that kicks while being served; by an infecting inflammation contracted from a mare served in the first few days after parturition or one suffering from leucorrhea; by infecting matter introduced on a dirty catheter, or by the extension of inflammation from an irritated, bilocular cavity filled with hardened sebaceous matter, or from an uncleansed sheath.

Symptoms.—The symptoms are swelling, heat, and tenderness of the sheath and penis; difficulty, pain, and groaning in passing urine, which is liable to sudden temporary arrests in the course of micturition, and later a whitish, mucopurulent oozing from the papilla on the end of the penis. There is a tendency to erection of the penis, and in cases contracted from a mare the outer surface of that organ will show more or less extensive sores and ulcers. Stallions suffering in this way will refuse to mount or, having mounted, will fail to complete the act of coition. If an entrance is effected, infection of the mare is liable to follow.

Treatment in the early stages consists in a dose of physic (aloes 6 drams) and fomentations of warm water to the sheath and penis. If there is reason to suspect the presence of infection, inject the urethra twice daily with borax 1 dram, tepid water 1 quart. When the mucopurulent discharge indicates the supervention of the second stage a more astringent injection may be used (nitrate of silver 20 grains, water 1 quart), and the same may be applied to the surface of the penis and inside the sheath. Balsam of copaiba (1 dram daily) may also be given with advantage after the purulent discharge has appeared.

Every stallion suffering from urethritis should be withheld from service, as should mares with leucorrhea.

STRICTURE OF THE URETHRA.

This is a permanent narrowing of the urethra at a given point, the result of previous inflammation, caused by the passage or arrest of a stone, or gravel, by strong astringent injections in the early nonsecreting stage of urethritis, or by contraction of the lining membrane occurring during the healing of ulcers in neglected inflammations of that canal. The trouble is shown by the passage of urine in a fine stream, with straining, pain, and groaning, and by frequent painful[Pg 154] erections. It must be remedied by mechanical dilatation, with catheters just large enough to pass with gentle force, to be inserted once a day, and to be used of larger size as the passage will admit them. The catheter should be kept perfectly clean and washed in a borax solution and well oiled before it is introduced.

URINARY CALCULI (STONE, OR GRAVEL).

These consist in some of the solids of the urine that have been precipitated from the urine in the form of crystals, which remain apart as a fine, powdery mass, or magma, or aggregate into calculi, or stones, of varying size. (See Pl. XI.) Their composition is therefore determined in different animals by the salts or other constituents found dissolved in the healthy urine, and by the additional constituents which may be thrown off in solution in the urine in disease. In this connection it is important to observe the following analysis of the horse's urine in health:

The carbonate of lime, which is present in large quantity in the urine of horses fed on green fodder, is practically insoluble, and therefore forms in the passages after secretion, and its microscopic rounded crystals give the urine of such horses a milky whiteness. It is this material which constitutes the soft, white, pultaceous mass that sometimes fills the bladder to repletion and requires to be washed out. In hay-fed horses carbonates are still abundant, while in those mainly grain-fed they are replaced by hippurates and phosphates—the products of the wear of tissues—the carbonates being the result of oxidation of the vegetable acids in the feed. Carbonate of lime, therefore, is a very common constituent of urinary calculi in herbivora, and in many cases is the most abundant constituent.

Oxalate of lime, like carbonate of lime, is derived from the burning up of the carbonaceous matter of the feed in the system, one important factor being the less perfect oxidation of the carbon. Indeed, Füstenberg and Schmidt have demonstrated on man, horse, ox, and rabbit that under the full play of the breathing (oxidizing) forces oxalic acid, like other organic acids, is resolved into carbonic acid.[Pg 155] In keeping with this is the observation of Lehmann, that in all cases in which man suffered from interference with the breathing oxalate of lime appeared in the urine. An excess of oxalate of lime in the urine may, however, claim a different origin. Uric and hippuric acids are found in the urine of carnivora and herbivora, respectively, as the result of the healthy wear (disassimilation) of nitrogenous tissues. If these products are fully oxidized, however, they are thrown out in the form of the more soluble urea rather than as these acids. When uric acid out of the body is treated with peroxid of lead it is resolved into urea, allantoin, and oxalic acid, and Wœhler and Frerrichs found that the administration of uric acid not only increased the excretion of urea but also of oxalic acid. It may therefore be inferred that oxalic acid is not produced from the carbonaceous feed alone but also from the disintegration of the nitrogenous tissues of the body. An important element of its production is, however, the imperfect performance of the breathing functions, and hence it is liable to result from diseases of the chest (heaves, chronic bronchitis, etc.). This is, above all, liable to prove the case if the subject is fed to excess on highly carbonaceous feeds (grass and green feed generally, potatoes, etc.).

Carbonate of magnesia, another almost constant ingredient of the urinary calculi of the horse, is formed the same way as the carbonate of lime—from the excess of carbonaceous feed (organic acids) becoming oxidized into carbon dioxid, which unites with the magnesia derived from the feed.

The phosphates of lime and magnesia are not abundant in urinary calculi of the horse, the phosphates being present to excess in the urine in only two conditions—(a) when the ration is excessive and especially rich in phosphorus (wheat, bran, beans, peas, vetches, rape cake, oil cake, cottonseed cake); and (b) when, through the morbid, destructive changes in the living tissues, and especially of the bones, a great quantity of phosphorus is given off as a waste product. Under these conditions, however, the phosphates may contribute to the formation of calculi, and this, above all, is liable if the urine is retained in the bladder until it has undergone decomposition and given off ammonia. The ammonia at once unites with the phosphate of magnesia to form a double salt—phosphate of ammonia and magnesia—which, being insoluble, is at once precipitated. The precipitation of this salt is, however, rare in the urine of the horse, though much more frequent in that of man and sheep.

These are the chief mineral constituents of the urine which form ingredients in the horse's calculi, for though iron and manganese are usually present it is only in minute quantities.[Pg 156]

The excess of mineral matter in a specimen of urine unquestionably contributes to the formation of calculi, just as a solution of such matters out of the body is increasingly disposed to throw them down in the form of crystals as it becomes more concentrated and approaches nearer to the condition of saturation. Hence, in considering the causes of calculi we can not ignore the factor of an excessive ration, rich in mineral matters and in carbonaceous matters (the source of carbonates and much of the oxalates), nor can we overlook the concentration of the urine that comes from dry feed and privation of water, or from the existence of fever which causes suspension of the secretion of water. In these cases, at least the usual quantity of solids is thrown off by the kidneys, and as the water is diminished there is danger of its approaching the point of supersaturation, when the dissolved solids must necessarily be thrown down. Hence, calculi are more common in stable horses fed on dry grain and hay, in those denied a sufficiency of water or that have water supplied irregularly, in those subjected to profuse perspiration (as in summer), and in those suffering from a watery diarrhea. On the whole, calculi are most commonly found in winter, because the horses are then on dry feeding, but such dry feeding is even more conducive to them in summer when the condition is aggravated by the abundant loss of water by the skin.

In the same way the extreme hardness of the water in certain districts must be looked upon as contributing to the concentration of the urine and correspondingly to the production of stone. The carbonates, sulphates, etc., of lime and magnesia taken in the water must be again thrown out, and just in proportion as these add to the solids of the urine they dispose it to precipitate its least soluble constituents. Thus the horse is very subject to calculi on certain limestone soils, as over the calcareous formations of central and western New York, Pennsylvania, and Ohio, in America; of Norfolk, Suffolk, Derbyshire, Shropshire, and Gloucestershire, in England; of Poitou and Landes, in France; and Munich, in Bavaria.

The saturation of the urine from any or all of these conditions can only be looked on as an auxiliary cause, however, and not as in itself an efficient one, except on the rarest occasions. For a more direct and immediate cause we must look to the organic matter which forms a large proportion of all urinary calculi. This consists of mucus, albumen, pus, hyaline casts of the uriniferous tubes, epithelial cells, blood, etc., mainly agents that belong to the class of colloid or noncrystalline bodies. A horse may live for months and years with the urine habitually of a high density and having the mineral constituents in excess without the formation of stone or gravel; again, one with dilute urine of low specific gravity will have a calculus.[Pg 157]

Rainey, Ord, and others furnish the explanation. They not only show that a colloid body, like mucus, albumen, pus, or blood, determined the precipitation or the crystalline salts in the solution, but they determined the precipitation in the form of globules, or spheres, capable of developing by further deposits into calculi. Heat intensifies this action of the colloids, and a colloid in a state of decomposition is specially active. The presence, therefore, of developing fungi and bacteria must be looked upon as active factors in causing calculi.

In looking, therefore, for the immediate causes of calculi we must consider especially all those conditions which determine the presence of albumen, blood, and excess of mucus, pus, etc., in the urine. Thus diseases of distant organs leading to albuminuria, diseases of the kidneys and urinary passages causing the escape of blood or the formation of mucus or pus, become direct causes of calculi. Foreign bodies of all kinds in the bladder or kidney have long been known as determining causes of calculi and as forming the central nucleus. This is now explained by the fact that these bodies are liable to carry bacteria into the passages and thus determine decomposition, and they are further liable to irritate the mucous membrane and become enveloped in a coating of mucus, pus, and perhaps blood.

The fact that horses, especially on the magnesian limestones, the same districts in which they suffer from goiter, appear to suffer from calculi may be similarly explained. The unknown poison which produces goiter presumably leads to such changes in the blood and urine as will furnish the colloid necessary for precipitation of the urinary salts in the form of calculi.

CLASSIFICATION OF URINARY CALCULI.

These have been named according to the place where they are found, renal (kidney), ureteric (ureter), vesical (bladder), urethral (urethra), and preputial (sheath, or prepuce). They have been otherwise named according to their most abundant chemical constituent, carbonate of lime, oxalate of lime, and phosphate of lime calculi. The stones formed of carbonates or phosphates are usually smooth on the surface, though they may be molded into the shape of the cavity in which they have been formed; thus those in the pelvis of the kidney may have two or three short branchlike prolongations, while those in the bladder are round, oval, or slightly flattened upon each other. Calculi containing oxalate of lime, on the other hand, have a rough, open, crystalline surface, which has gained for them the name of mulberry calculi, from a supposed resemblance to that fruit. These are usually covered with more or less mucus or blood, produced by the irritation of the mucous membrane by their rough[Pg 158] surfaces. The color of calculi varies from white to yellow and deep brown, the shades depending mainly on the amount of the coloring matter of blood, bile, or urine which they may contain.

Renal calculi.—These may consist of minute, almost microscopic, deposits in the uriniferous tubes in the substance of the kidney, but more commonly they are large masses and lodged in the pelvis. The larger calculi, sometimes weighing 12 to 24 ounces, are molded in the pelvis of the kidney into a cylindroid mass, with irregular rounded swellings at intervals. Some have a deep brown, rough, crystalline surface of oxalate of lime, while others have a smooth, pearly white aspect from carbonate of lime. A smaller calculus, which has been called coralline, is also cylindroid, with a number of brown, rough, crystalline oxalate of lime branches and whitish depressions of carbonate. These vary in size from 15 grains to nearly 2 ounces. Less frequently are found masses of very hard, brownish white, rounded, pealike calculi. These are smoother, but on the surface crystals of oxalate of lime may be detected with a lens. Some renal calculi are formed of more distinct layers, more loosely adherent to one another, and contain an excess of mucus, but no oxalate of lime. Finally, a loose aggregation of small masses, forming a very friable calculus, is found of all sizes within the limits of the pelvis of the kidney. These, too, are in the main carbonate of lime (84 to 88 per cent) and without oxalate.

Symptoms of renal calculi are violent, colicky, pains, appearing suddenly, very often in connection with exhausting work or the drawing of specially heavy loads, and in certain cases disappearing with equal suddenness. The nature of the colic becomes more manifest if it is associated with stiffness of the back and hind limbs, frequent passage of urine, and, above all, the passage of gravel with the urine, especially at the time of the access of relief. The passage of blood and pus in the urine is equally significant. If the irritation of the kidney goes on to active inflammation, then the symptoms of nephritis are added.

Ureteric calculi.—These are so called because they are found in the passage leading from the kidney to the bladder. They are simply small, renal calculi which have escaped from the pelvis of the kidney and have become arrested in the ureter. They give rise to symptoms almost identical with those of renal calculi, with this difference, that the colicky pains, caused by the obstruction of the ureter by the impacted calculus, are more violent, and if the calculus passes on into the bladder the relief is instantaneous and complete. If the ureter is completely blocked for a length of time, the retained urine may give rise to destructive inflammation in the kidney, which may end in the entire absorption of that organ, leaving only a fibrous[Pg 159] capsule containing an urinous fluid. If both the ureters are similarly blocked, the animal will die of uremic poisoning.

Treatment of renal and ureteric calculi.—Treatment is unsatisfactory, as it is only the small calculi that can pass through the ureters and escape into the bladder. This may be favored by agents which will relax the walls of the ureters by counteracting their spasm and even lessening their tone, and by a liberal use of water and watery fluids to increase the urine and the pressure upon the calculus from behind. One or two ounces of laudanum, or 2 drams of extract of belladonna, may be given and repeated as it may be necessary, the relief of the pain being a fair criterion of the abating of the spasm. To the same end use warm fomentations across the loins, and these should be kept up persistently until relief is obtained. These act not only by soothing and relieving the spasm and inflammation, but they also favor the freer secretion of a more watery urine, and thus tend to carry off the smaller calculi. To accomplish this object further give cool water freely, and let the feed be only such as contains a large proportion of liquid, gruels, mashes, turnips, beets, apples, pumpkins, ensilage, succulent grasses, etc. If the acute stage has passed and the presence of the calculus is manifested only by the frequent passage of urine with gritty particles, by stiffness of the loins and hind limbs, and by tenderness to pressure, the most promising resort is a long run at pasture where the grasses are fresh and succulent. The long-continued secretion of a watery urine will sometimes cause the breaking down of a calculus, as the imbibition of the less dense fluid by the organic, spongelike framework of the calculus causes it to swell and thus lessens its cohesion. The same end is sought by the long-continued use of alkalies (carbonate of potassium), and of acids (muriatic), each acting in a different way to alter the density and cohesion of the stone. It is only exceptionally, however, that any one of these methods is entirely satisfactory. If inflammation of the kidneys develops, treat as advised under that head.

Stone in the bladder (vesical calculus, or cystic calculus).—These may be of any size up to over a pound in weight. One variety is rough and crystalline and has a yellowish-white or deep-brown color. These contain about 87 per cent carbonate of lime, the remainder being carbonate of magnesia, oxalate of lime, and organic matter. The phosphatic calculi are smooth, white and formed of thin, concentric layers of great hardness extending from the nucleus outward. Besides the phosphate of lime they contain the carbonates of lime and magnesia and organic matter. In some cases the bladder contains and may be even distended by a soft, pultaceous mass made up of minute, round granules of carbonates of lime and magnesia. This, when removed and dried, makes a firm, white, and stony mass.[Pg 160] Sometimes this magma is condensed into a solid mass in the bladder by reason of the binding action of the mucus and other organic matter, and then forms a conglomerate stone of nearly uniform consistency and without stratification.

Symptoms of stone in the bladder.—The symptoms of stone in the bladder are more obvious than those of renal calculus. The rough, mulberry calculi especially lead to irritation of the mucous membrane and frequent passing of urine in small quantities and often mingled with mucus or blood or containing minute, gritty particles. At times the flow is suddenly arrested, though the animal continues to strain and the bladder is not quite emptied. In the smooth, phosphatic variety the irritation is much less marked and may even be altogether absent. With the pultaceous deposit in the bladder there is incontinence of urine, which dribbles away continually and keeps the hair on the inner side of the thighs matted with soft magma. In all cases alike the calculus may be felt by the examination of the bladder with the oiled hand in the rectum. The pear-shaped outline of the bladder can be felt beneath, and within it the solid, oval body. It is most easily recognized if the organ is half full of liquid, as then it is not grasped by the contracting walls of the bladder, but may be made to move from place to place in the liquid. If a pultaceous mass is present it has a soft, doughy feeling, and when pressed an indentation is left.

In the mare the hard stone may be touched by the finger introduced through the short urethra.

Treatment of stone in the bladder.—The treatment of stone in the bladder consists in the removal of the offending body; in the mare this is easily effected with the lithotomy forceps. These are slightly warmed and oiled, and carried forward along the floor of the passage of the vulva for 4 inches, when the orifice of the urethra will be felt exactly in the median line. Through this the forceps are gradually pushed with gentle, oscillating movement until they enter the bladder and strike against the hard surface of the stone. The stone is now grasped between the blades, care being taken to include no loose fold of the mucous membrane, and it is gradually withdrawn with the same careful, oscillating motions as before. Facility and safety in seizing the stone will be greatly favored by having the bladder half full of liquid, and if necessary one oiled hand may be introduced into the rectum or vagina to assist. The resulting irritation may be treated by an injection of laudanum, 1 ounce in a pint of tepid water.

The removal of the stone in the horse is a much more difficult proceeding. It consists in cutting into the urethra just beneath the anus and introducing the lithotomy forceps from this forward into the bladder, as in the mare. It is needful to distend the urethra with[Pg 161] tepid water or to insert a sound or catheter to furnish a guide upon which the incision may be made, and in case of a large stone it may be needful to enlarge the passage by cutting in a direction upward and outward with a probe-pointed knife, the back of which is slid along in the groove of a director until it enters the bladder.

The horse may be operated upon in the standing position, being simply pressed against the wall by a pole passed from before backward along the other side of the body. The tepid water is injected into the end of the penis until it is felt to fluctuate under the pressure of the finger, in the median line over the bone just beneath the anus. The incision is then made into the center of the fluctuating canal, and from above downward. When a sound or catheter is used as a guide it is inserted through the penis until it can be felt through the skin at the point where the incision is to be made beneath the anus. The skin is then rendered tense by the thumb and fingers of the left hand pressing on the two sides of the sound, while the right hand, armed with a scalpel, cuts downward onto the catheter. This vertical incision into the canal should escape wounding any important blood vessel. It is in making the obliquely lateral incision in the subsequent dilatation of the urethra and neck of the bladder that such danger is to be apprehended.

If the stone is too large to be extracted through the urethra, it may be broken down with the lithotrite and extracted piecemeal with the forceps. The lithotrite is an instrument composed of a straight stem bent for an inch or more to one side at its free end so as to form an obtuse angle, and having on the same side a sliding bar moving in a groove in the stem and operated by a screw so that the stone may be seized between the two blades at its free extremity and crushed again and again into pieces small enough to extract. Extra care is required to avoid injury to the urethra in the extraction of the angular fragments, and the gravel or powder that can not be removed in this way must be washed out, as advised below.

When a pultaceous magma of carbonate of lime accumulates in the bladder it must be washed out by injecting water through a catheter by means of a force pump or a funnel, shaking it up with the hand introduced through the rectum and allowing the muddy liquid to flow out through the tube. This is to be repeated until the bladder is empty and the water come away, clear. A catheter with a double tube is sometimes used, the injection passing in through the one tube and escaping through the other. The advantage is more apparent than real, however, as the retention of the water until the magma has been shaken up and mixed with it hastens greatly its complete evacuation.[Pg 162]

To prevent the formation of a new deposit any fault in feeding (dry grain and hay with privation of water, excess of beans, peas, wheat bran, etc.) and disorders of stomach, liver, and lungs must be corrected. Give abundance of soft drinking water, encouraging the animal to drink by a handful of salt daily. Let the feed be laxative, consisting largely of roots, apples, pumpkins, ensilage, and give daily in the drinking water a dram of either carbonate of potash or soda. Powdered gentian root (3 drams daily) will also serve to restore the tone of the stomach and system at large.

Urethral calculus (stone in the urethra).—This is less frequent in horses than in cattle and sheep, owing to the larger size of the urethra in the horse and the absence of the S-shaped curve and vermiform appendix. The calculi arrested in the urethra are never formed there, but consist of cystic calculi which have been small enough to pass through the neck of the bladder, but are too large to pass through the whole length of the urethra and escape. Such calculi therefore are primarily formed either in the bladder or kidney, and have the chemical composition of the other calculi found in those organs. They may be arrested at any point of the urethra, from the neck of the bladder back to the bend of the tube beneath the anus, and from that point down to the extremity of the penis. I have found them most frequently in the papilla on the extreme end of the penis, and immediately behind this.

Symptoms of urethral calculus.—The symptoms are violent straining to urinate, but without any discharge, or with the escape of water in drops only. Examination of the end of the penis will detect the swelling of the papilla or the urethra behind it, and the presence of a hard mass in the center. A probe inserted into the urethra will strike against the gritty calculus. If the stone has been arrested higher up, its position may be detected as a small, hard, sensitive knot on the line of the urethra, in the median line of the lower surface of the penis, or on the floor of pelvis in the median line from the neck of the bladder back to the bend of the urethra beneath the anus. In any case the urethra between the neck of the bladder and the point of obstruction is liable to be filled with fluid, and to feel like a distended tube, fluctuating on pressure.

Treatment of urethral calculus may be begun by an attempt to extract the calculi by manipulation of the papilla on the end of the penis. This failing, the calculus may be seized with a pair of fine-pointed forceps and withdrawn from the urethra; or, if necessary, a probe-pointed knife may be inserted and the urethra slightly dilated, or even laid open, and the stone removed. If the stone has been arrested higher up it must be extracted by a direct incision through the walls of the urethra and down upon the nodule. If in the free[Pg 163] (protractile) portion of the penis, that organ is to be withdrawn from its sheath until the nodule is exposed and can be incised. If behind the scrotum, the incision must be made in the median line between the thighs and directly over the nodule, the skin having been rendered tense by the fingers and thumb of the left hand. If the stone has been arrested in the intrapelvic portion of the urethra, the incision must be made beneath the anus and the calculus extracted with forceps, as in stone in the bladder. The wound in the urethra may be stitched up, and usually heals slowly but satisfactorily. Healing will be favored by washing two or three times daily with a solution of a teaspoonful of carbolic acid in a pint of water.

Preputial calculus (calculus in the sheath, or bilocular cavity).—These are concretions in the sheath, though the term has been also applied to the nodule of sebaceous matter which accumulates in the blind pouches (bilocular cavity) by the sides of the papilla on the end of the penis. Within the sheath the concretion may be a soft, cheesy-like sebaceous matter, or a genuine calculus of carbonate, oxalate, phosphate and sulphate of lime, carbonate of magnesia, and organic matter. These are easily removed with the fingers, after which the sheath should be washed out with castile soap and warm water and smeared with sweet oil.

[Pg 164]

DISEASES OF THE GENERATIVE ORGANS.

By James Law, F. R. C. V. S.,

Formerly Professor of Veterinary Science, etc., in Cornell University.

CONGESTION AND INFLAMMATION OF THE TESTICLES, OR ORCHITIS.

In the prime of life, in vigorous health, and on stimulating feed, stallions are subject to congestion of the testicles, which become swollen, hot, and tender, but without any active inflammation. A reduction of the grain in the feed, the administration of 1 or 2 ounces of Glauber's salt daily in the feed, and the bathing of the affected organs daily with tepid water or alum water will usually restore them to a healthy condition.

When the factors producing congestion are extraordinarily potent, when there has been frequent copulation and heavy grain feeding, when the weather is warm and the animal has had little exercise, and when the proximity of other horses or mares excites the generative instinct without gratification, this congestion may grow to actual inflammation. Among the other causes of orchitis are blows and penetrating wounds implicating the testicles, abrasions of the scrotum by a chain or rope passing inside the thigh, contusions and frictions on the gland under rapid paces or heavy draft, compression of the blood vessels of the spermatic cord by the inguinal ring under the same circumstances, and, finally, sympathetic disturbance in cases of disease of the kidneys, bladder, or urethra. Stimulants of the generative functions, like rue, savin, tansy, cantharides, and damiana, may also be accessory causes of congestion and inflammation. Finally, certain specific diseases, like dourine, glanders, and tuberculosis, localized in the testicles, will cause inflammation.

Symptoms.—Apart from actual wounds of the parts, the symptoms of orchitis are swelling, heat, and tenderness of the testicles, straddling with the hind legs alike in standing and walking, stiffness and dragging of the hind limbs or of the limb on the affected side, arching of the loins, abdominal pain, manifested by glancing back at the flank, more or less fever, elevated body temperature, accelerated pulse and breathing, lack of appetite, and dullness. In bad[Pg 165] cases the scanty urine may be reddish and the swelling may extend to the skin and envelopes of the testicle, which may become thickened and doughy, pitting on pressure. The swelling may be so much greater in the convoluted excretory duct along the upper border of the testicle as to suggest the presence of a second stone. Even in the more violent attacks the intense suffering abates somewhat on the second or third day. If it lasts longer, it is liable to give rise to the formation of matter (abscess). In exceptional cases the testicle is struck with gangrene, or death. Improvement may go on slowly to complete recovery, or the malady may subside into a subacute and chronic form with induration. Matter (abscess) may be recognized by the presence of a soft spot, where pressure with two fingers will detect fluctuation from one to the other. When there is liquid exudation into the scrotum, or sac, fluctuation may also be felt, but the liquid can be made out to be around the testicle and can be pressed up into the abdomen through the inguinal canal. When abscess occurs in the cord the matter may escape into the scrotal sac and cavity of the abdomen and pyemia may follow.

Treatment consists in perfect rest and quietude, the administration of a purgative (1 to 1-1/2 pounds Glauber's salt), and the local application of an astringent lotion (acetate of lead 2 drams, extract of belladonna 2 drams, and water 1 quart) upon soft rags or cotton wool, kept in contact with the part by a suspensory bandage. This bandage, of great value for support, may be made nearly triangular and tied to a girth around the loins and to the upper part of the same surcingle by two bands carried backward and upward between the thighs. In severe cases scarifications one-fourth inch deep serve to relieve vascular tension. When abscess is threatened its formation may be favored by warm fomentations or poultices, and on the occurrence of fluctuation the knife may be used to give free escape to the pus. The resulting cavity may be injected daily with a weak carbolic-acid lotion, or salol may be introduced. The same agents may be used on a gland threatened with gangrene, but its prompt removal by castration is to be preferred, antiseptics being applied freely to the resulting cavity.

SARCOCELE.

This is an enlarged and indurated condition of the gland, resulting from chronic inflammation, though it is often associated with a specific deposit, like glanders. In this condition the natural structure of the gland has given place to embryonal tissue (small, round cells, with a few fibrous bundles), and its restoration to health is very improbable. Apart from active inflammation, it may increase very slowly. The diseased testicle is enlarged, firm, nonelastic, and comparatively[Pg 166] insensible. The skin of the scrotum is tense, and it may be edematous (pitting on pressure), as are the deeper envelopes and spermatic cord. If liquid is present in the sac, the symptoms are masked somewhat. As it increases it causes awkward, straddling, dragging movement of the hind limbs, or lameness on the affected side. The spermatic cord often increases at the same time with the testicle, and the inguinal ring being thereby stretched and enlarged, a portion of intestine may escape into the sac, complicating the disease with hernia.

The only rational and effective treatment is castration, and when the disease is specific (glanders, tuberculosis), even this may not succeed.

HYDROCELE, OR DROPSY OF THE SCROTUM.

This may be merely an accompaniment of dropsy of the abdomen, the cavity of which is continuous with that of the scrotum in horses. It may be the result, however, of local disease in the testicle, spermatic cord, or walls of the sac.

Symptoms.—The symptoms are enlargement of the scrotum, and fluctuation under the fingers, the testicle being recognized as floating in water. By pressure the liquid is forced, in a slow stream and with a perceptible thrill, into the abdomen. Sometimes the cord or the scrotum is thickened and pits on pressure.

Treatment may be the same as for ascites, yet when the effusion has resulted from inflammation of the testicle or cord, astringent applications (chalk and vinegar) may be applied to these. Then, if the liquid is not reabsorbed under diuretics and tonics, it may be drawn off through the nozzle of a hypodermic syringe which has been first passed through carbolic acid. In geldings it is best to dissect out the sacs.

VARICOCELE.

This is an enlargement of the venous network of the spermatic cord, and gives rise to general thickening of the cord from the testicle up to the ring. The same astringent dressings may be tried as in hydrocele, and, this failing, castration may be resorted to.

ABNORMAL NUMBER OF TESTICLES.

Sometimes one or both testicles are wanting; in most such cases, however, they are merely partially developed, and retained in the inguinal canal or abdomen (cryptorchid). In rare cases there may be a third testicle, the animal becoming to this extent a double monster. Teeth, hair, and other indications of a second fetus have likewise been found in the testicle or scrotum.[Pg 167]

DEGENERATION OF THE TESTICLES.

The testicles may become the seat of fibrous, calcareous, fatty, cartilaginous, or cystic degeneration, for all which the appropriate treatment is castration. They also become the seat of cancer, glanders, or tuberculosis, and castration is requisite, though with less hope of arresting the disease. Finally, they may become infested with cystic tapeworms or the agamic stage of a strongyle (Strongylus edentatus).

WARTS ON THE PENIS.

These are best removed by twisting them off, using the thumb and forefinger. They may also be cut off with scissors and the roots cauterized with nitrate of silver.

DEGENERATION OF PENIS (PAPILLOMA, OR EPITHELIOMA).

The penis of the horse is subject to great cauliflower-like growths on its free end, which extend back into the substance of the organ, obstruct the passage of urine, and cause very fetid discharges. The only resort is to cut them off, together with whatever portion of the penis has become diseased and indurated. The operation, which should be performed by a veterinary surgeon, consists in cutting through the organ from its upper to its lower aspect, twisting or tying the two dorsal arteries, and leaving the urethra longer by half an inch to 1 inch than the adjacent structures.

EXTRAVASATION OF BLOOD IN THE PENIS.

As the result of kicks, blows, or of forcible striking of the penis on the thighs of the mare which it has failed to enter, the penis may become the seat of effusion of blood from one or more ruptured blood vessels. This gives rise to a more or less extensive swelling on one or more sides, followed by some heat and inflammation, and on recovery a serious curving of the organ. The treatment in the early stages may be the application of lotions, of alum, or other astringents, to limit the effusion and favor absorption. The penis should be suspended in a sling.

PARALYSIS OF THE PENIS.

This results from blows and other injuries, and also in some cases from too frequent and exhausting service. The penis hangs from the sheath, flaccid, pendulous, and often cold. The passage of urine occurs with lessened force, and especially without the final jets. In cases of local injury the inflammation should first be subdued by astringent and emollient lotions, and in all cases the system should[Pg 168] be invigorated by nourishing diet, while 30-grain doses of nux vomica are given twice a day. Finally, a weak current of electricity sent through the penis from just beneath the anus to the free portion of the penis, continued for 10 or 15 minutes and repeated daily, may prove successful.

SELF-ABUSE, OR MASTURBATION.

Some stallions acquire this vicious habit, stimulating the sexual instinct to the discharge of semen by rubbing the penis against the belly or between the fore limbs. The only remedy is a mechanical one, the fixing of a net under the penis in such fashion as to prevent the extension of the penis or so prick the organ as to compel the animal to desist through pain.

DOURINE.

This disease is discussed in the chapter on "Infectious Diseases."

CASTRATION.

CASTRATION OF STALLIONS.

This is usually done at 1 year old, but may be accomplished at a few weeks old at the expense of an imperfect development of the fore parts. The simplicity and safety of the operation are greatest in the young. The delay till 2, 3, or 4 years old will secure a better development and carriage of the fore parts. The essential part of castration is the safe removal or destruction of the testicle and the arrest or prevention of bleeding from the spermatic artery round in the anterior part of the cord. Into the many methods of accomplishing this limited space forbids us to enter here, so that only the method most commonly adopted, castration by clamps, will be noticed. The animal having been thrown on his left side, and the right hind foot drawn up on the shoulder, the exposed scrotum, penis, and sheath are washed with soap and water, any concretion of sebum being carefully removed from the bilocular cavity in the end of the penis. The left spermatic cord, just above the testicle, is now seized in the left hand, so as to render the skin tense over the stone, and the right hand, armed with the knife, makes an incision from before backward, about three-fourths of an inch from and parallel to the median line between the thighs, deep enough to expose the testicle and long enough to allow that organ to start out through the skin. At the moment of making this incision the left hand must grasp the cord very firmly, otherwise the sudden retraction of the testicle by the cremaster muscle may draw it out of the hand and upward through the canal and even into the abdomen. In a few seconds,[Pg 169] when the struggle and retraction have ceased, the knife is inserted through the cord, between its anterior and posterior portions, and the latter, the one which the muscle retracts, is cut completely through. The testicle will now hang limp, and there is no longer any tendency to retraction. It should be pulled down until it will no longer hang loose below the wound and the clamps applied around the still attached portion of the cord, close up to the skin. The clamps, which may be made of any tough wood, are grooved along the center of the surfaces opposed to each other, thereby fulfilling two important indications—(a) enabling the clamps to hold more securely and (b) providing for the application of an antiseptic to the cord. For this purpose a dram of sulphate of copper may be mixed with an ounce of vaseline and pressed into the groove in the face of each clamp. In applying the clamp over the cord it should be drawn so close with pincers as to press out all blood from the compressed cord and destroy its vitality, and the cord applied upon the compressing clamps should be so hard-twined that it will not stretch later and slacken the hold. When the clamp has been fixed the testicle is cut off one-half to 1 inch below it, and the clamp may be left thus for 24 hours; then, by cutting the cord around one end of the clamp, the latter may be opened and the stump liberated without any danger of bleeding. Should the stump hang out of the wound it should be pushed inside with the finger and left there. The wound should begin to discharge white matter on the second day in hot weather or the third in cold, and from that time a good recovery may be expected.

The young horse suffers less from castration than the old, and very rarely perishes. Good health in the subject is all important. Castration should never be attempted during the prevalence of strangles, influenza, catarrhal fever, contagious pleurisy, bronchitis, pneumonia, purpura hemorrhagica, or other specific disease, nor on subjects that have been kept in close, ill-ventilated, filthy buildings, where the system is liable to have been charged with putrid bacteria or other products. Warm weather is to be preferred to cold, but the fly time should be avoided or the flies kept at a distance by the application of a watery solution of tar, carbolic acid, or camphor to the wound.

CASTRATION OF CRYPTORCHIDS (RIDGLINGS).

This is the removal of a testicle or testicles that have failed to descend into the scrotum, but have been detained in the inguinal canal or inside the abdomen. The manipulation requires an accurate anatomical knowledge of the parts, and special skill, experience, and manual dexterity, and can not be made clear to the unprofessional mind in a short description. It consists, however, in the discovery and removal of the missing gland by exploring through the natural channel (the inguinal canal), or, in case it is absent, through the inguinal[Pg 170] ring or through an artificial opening made in front and above that channel between the abdominal muscles and the strong fascia on the inner side of the thigh (Poupart's ligament). Whatever method is used, the skin, hands, and instruments should be rendered aseptic with a solution of mercuric chlorid 1 part, water 2,000 parts (a carbolic-acid lotion for the instruments), and the spermatic cord is best torn through by the écraseur. In many such cases, too, it is desirable to sew up the external wound and keep the animal still, to favor healing of the wound by adhesion.

CONDITIONS FOLLOWING CASTRATION.

Pain after castration.—Some horses are pained and very restless for several hours after castration, and this may extend to cramps of the bowels and violent colic. This is best kept in check by carefully rubbing the patient dry when he rises from the operation, and then leading him in hand for some time. If the pain still persists a dose of laudanum (1 ounce for an adult) may be given.

Bleeding after castration.—Bleeding from the wound in the scrotum and from the little artery in the posterior portion of the spermatic cord always occurs, and in warm weather may appear to be quite free. It scarcely ever lasts, however, more than 15 minutes, and is easily checked by dashing cold water against the part.

Bleeding from the spermatic artery in the anterior part of the cord may be dangerous when due precaution has not been taken to prevent it. In such case the stump of the cord should be sought for and the artery twisted with artery forceps or tied with a silk thread. If the stump can not be found, pledgets of tow wet with tincture of muriate of iron may be stuffed into the canal to favor the formation of clot and the closure of the artery.

Strangulated spermatic cord.—If in castration the cord is left too long, so as to hang out of the wound, the skin wound in contracting grasps and strangles it, preventing the free return of blood and causing a steadily advancing swelling. In addition the cord becomes adherent to the lips of the wound in the skin, whence it derives an increased supply of blood, and is thereby stimulated to more rapid swelling. The subject walks stiffly, with a straddling gait, loses appetite, and has a rapid pulse and high fever. Examination of the wound discloses the partial closure of the skin wound and the protrusion, from its lips, of the end of the cord, red, tense, and varying in size from a hazelnut upward. If there is no material swell and little protrusion, the wound may be enlarged with the knife and the end of the cord broken loose from any connection with the skin and pushed up inside. If the swelling is larger, the mass constitutes a tumor and must be removed. (See below.)[Pg 171]

Swelling of the sheath, penis, and abdomen.—This occurs in certain unhealthy states of the system, in unhealthful seasons, as the result of operating without cleansing the sheath and penis, or of keeping the subject in a filthy, impure building, as the result of infecting the wound by hands or instruments bearing septic bacteria, or as the result of premature closure of the wound, and imprisonment of matter.

Pure air and cleanliness of groin and wound are to be obtained. Antiseptics, like the mercuric-chlorid lotion (1 part to 2,000) are to be applied to the parts; the wound, if closed, is to be opened anew, any accumulated matter or blood washed out, and the antiseptic liquid freely applied. The most tense or dependent parts of the swelling in sheath or penis, or beneath the belly, should be pricked at intervals of 3 or 4 inches to a depth of half an inch, and antiseptics freely applied to the surface. Fomentations with warm water may also be used to favor oozing from the incisions and to encourage the formation of white matter in the original wounds, which must not be allowed to close again at once. A free, creamlike discharge implies a healthy action in the sore, and is the precursor of recovery.

Phymosis and paraphymosis.—In cases of swelling, as above, the penis may be imprisoned within the sheath (phymosis) or protruded and swollen so that it can not be retracted into it (paraphymosis). In these cases the treatment indicated above, and especially the scarifications, will prove a useful preliminary resort. The use of astringent lotions is always desirable, and in case of the protruded penis the application of an elastic or simple linen bandage, so as to press the blood and accumulated fluid out, will enable the operator to return it.

Tumors on the spermatic cord.—These are due to rough handling or dragging upon the cord in castration, to strangulation of unduly long cords in the external wound, to adhesion of the end of the cord to the skin, to inflammation of the cord succeeding exposure to cold or wet, or to the presence of infection (Staphylococcus botriomyces). These tumors give rise to a stiff, straddling gait, and may be felt as hard masses in the groin connected above with the cord. They may continue to grow slowly for many years until they reach a weight of 15 or 20 pounds, and contract adhesions to all surrounding parts. If disconnected from the skin and inguinal canal they may be removed in the same manner as the testicle, while if larger and firmly adherent to the skin and surrounding parts generally, they must be carefully dissected from the parts, the arteries being tied as they are reached and the cord finally torn through with an écraseur. When the cord has become swollen and indurated up into the abdomen such removal is impossible, though a partial destruction of the mass may still be attempted by passing white-hot, pointed irons upward toward the inguinal ring in the center of the thickened and indurated cord.[Pg 172]

CASTRATION BY THE COVERED OPERATION.

This is only required in case of hernia or protrusion of bowels or omentum into the sac of the scrotum, and consists in the return of the hernia and the application of the caustic clamps over the cord and inner walls of the inguinal canal, so that the walls of the latter become adherent above the clamps, the canal is obliterated, and further protrusion is hindered. For the full description of this and of the operation for hernia for geldings, see remarks on hernia.

CASTRATION OF THE MARE.

Castration is a much more dangerous operation in the mare than in the females of other domesticated quadrupeds and should never be resorted to except in animals that become unmanageable on the recurrence of heat and that will not breed or that are utterly unsuited to breeding. Formerly the operation was extensively practiced in Europe, the incision being made through the flank, and a large proportion of the subjects perished. By operating through the vagina the risk can be largely obviated, as the danger of unhealthy inflammation in the wound is greatly lessened. The animal should be fixed in a trevis, with each foot fixed to a post and a sling placed under the body, or it may be thrown and put under chloroform. The manual operation demands special professional knowledge and skill, but it consists essentially in making an opening through the roof of the vagina just above the neck of the womb, then following with the hand each horn of the womb until the ovary on that side is reached and grasped between the lips of forceps and twisted off. It might be torn off by an écraseur especially constructed for the purpose. The straining that follows the operation may be checked by ounce doses of laudanum, and any risk of protrusion of the bowels may be obviated by applying the truss advised to prevent eversion of the womb. To further prevent the pressure of the abdominal contents against the vaginal wound the mare should be tied short and high for twenty-four or forty-eight hours, after which I have found it best to remove the truss and allow the privilege of lying down. Another important point is to give bran mashes and other laxative diet only, and in moderate quantity, for a fortnight, and to unload the rectum by copious injections of warm water in case impaction is imminent.

STERILITY.

Sterility may be in the male or in the female. If due to the stallion, then all the mares put to him remain barren; if the fault is in the mare, she alone fails to conceive, while other mares served by the same stallion get in foal.

In the stallion sterility may be due to the following causes: (a) Imperfect development of the testicles, as in cases in which they are[Pg 173] retained within the abdomen; (b) inflammation of the testicles, resulting in induration; (c) fatty degeneration of the testicles, in stallions liberally fed on starchy feed and not sufficiently exercised; (d) fatty degeneration of the excretory ducts of the testicles (vasa deferentia); (e) inflammation or ulceration of these ducts; (f) inflammation or ulceration of the mucous membrane covering the penis; (g) injuries to the penis from blows (often causing paralysis); (h) warty growths on the end of the penis; (i) tumors of other kinds (largely pigmentary), affecting the testicles or penis; (j) nervous diseases which abolish the sexual appetite or that control the muscles which are essential to the act of coition; (k) azoturia with resulting weakness or paralysis of the muscles of the loins or the front of the thigh (above the stifle); (l) ossification (anchylosis) of the joints of the back or loins, which render the animal unable to rear or mount; (m) spavins, ringbones, or other painful affections of the hind limbs, the pain of which in mounting causes the animal to suddenly stop short in the act. In the first three of these only (a, b, and c) is there real sterility in the sense of the nondevelopment or imperfect development of the male vivifying element (spermatozoa). In the other examples the secretion may be imperfect in kind and amount, but as copulation is prevented it can not reach and impregnate the ovum.

In the mare barrenness is equally due to a variety of causes. In a number of breeding studs the proportion of sterile mares has varied from 20 to 40 per cent. It may be due to: (a) Imperfect development of the ovary and nonmaturation of ova; (b) cystic or other tumors of the ovary; (c) fatty degeneration of the ovary in very obese, pampered mares; (d) fatty degeneration of the excretory tubes of the ovaries (Fallopian tubes); (e) catarrh of the womb, with mucopurulent discharge; (f) irritable condition of the womb, with profuse secretion, straining, and ejection of the semen; (g) nervous irritability, leading to the same expulsion of the male element; (h) high condition (plethora), with profuse secretion and excitement; (i) low condition, with imperfect maturation of the ova and lack of sexual desire; (j) poor feeding, overwork, and chronic debilitating diseases, as leading to the condition just named; (k) closure of the neck of the womb, temporarily by spasm or permanently by inflammation and induration; (l) closure of the entrance to the vagina through imperforate hymen, a rare, though not unknown, condition in the mare; (m) acquired indisposition to breed, seen in old, hard-worked mares which are first put to the stallion when aged; (n) change of climate has repeatedly been followed by barrenness; (o) hybridity, which in male and female alike usually entails sterility.[Pg 174]

Treatment.—The treatment of the majority of these conditions will be found dealt with in other parts of this work, so that it is only necessary here to name them as causes. Some, however, must be specially referred to in this place. Stallions with undescended testicles are beyond the reach of medicine, and should be castrated and devoted to other uses. Indurated testicles may sometimes be remedied in the early stages by smearing with a weak iodin ointment daily for a length of time, and at the same time invigorating the system by liberal feeding and judicious work. Fatty degeneration is best met by an albuminoid diet (wheat bran, cottonseed meal, rape cake) and constant, well-regulated work. Saccharine, starchy, and fatty food (potatoes, wheat, corn, etc.) are to be specially avoided. In the mare one diseased and irritable ovary should be removed, to do away with the resulting excitability of the remainder of the generative organs. An irritable womb, with frequent straining and the ejection of a profuse secretion, may sometimes be corrected by a restricted diet and full but well-regulated work. Even fatigue will act beneficially in some such cases, hence the practice of the Arab riding his mare to exhaustion just before service. The perspiration in such case, like the action of a purgative or the abstraction of blood just before service, benefits, by rendering the blood vessels less full, by lessening secretion in the womb and elsewhere, and thus counteracting the tendency to the ejection and loss of semen. If these means are ineffectual, a full dose of camphor (2 drams) or of salicin may at times assist. Low condition and anemia demand just the opposite kind of treatment—rich, nourishing, albuminoid feed, bitter tonics (gentian), sunshine, gentle exercise, liberal grooming, and supporting treatment generally are here in order.

Spasmodic closure of the neck of the womb is common and is easily remedied in the mare by dilatation with the fingers. The hand, smeared with belladonna ointment and with the fingers drawn into the form of a cone, is introduced through the vagina until the projecting, rounded neck of the womb is felt at its anterior end. This is opened by the careful insertion of one finger at a time, until the fingers have been passed through the constricted neck into the open cavity of the womb. The introduction is made with a gentle, rotary motion, and all precipitate violence is avoided, as abrasion, laceration, or other cause of irritation is likely to interfere with the retention of the semen and consequently with impregnation. If the neck of the womb is rigid and unyielding from the induration which follows inflammation—a rare condition in the mare, though common in the cow—more force will be requisite, and it may even be needful to incise the neck to the depth of one-sixth of an inch[Pg 175] in four or more opposite directions prior to forcible dilatation. The incision may be made with a probe-pointed knife, and should be done by a professional man if possible. The subsequent dilatation may be best effected by the slow expansion of sponge or seaweed tents inserted into the narrow canal. In such cases it is best to let the wounds of the neck heal before putting to horse. An imperforate hymen may be freely incised in a crucial manner until the passage will admit the human hand. An ordinary knife may be used for this purpose, and after the operation the stallion may be admitted at once or only after the wounds have healed.

PREGNANCY.

INDICATIONS OF PREGNANCY.

As the mere fact of service by the stallion does not insure pregnancy, it is important that the result should be determined to save the mare from unnecessary and dangerous work or medication when actually in foal and to obviate wasteful and needless precautions when she is not.

The cessation and nonrecurrence of the symptoms of heat (horsing) are most significant, though not an infallible, sign of conception. If the sexual excitement speedily subsides and the mare persistently refuses the stallion for a month, she is probably pregnant. In very exceptional cases a mare, though pregnant, will accept a second or third service after weeks or months, and some mares will refuse the horse persistently, though conception has not taken place, and this in spite of warm weather, good condition of the mare, and liberal feeding. The recurrence of heat in the pregnant mare is most liable to take place in hot weather. If heat merely persists an undue length of time after service, or if it reappears shortly after, in warm weather and in a comparatively idle mare, on good feeding, it is less significant, while the persistent absence of heat under such conditions may be usually accepted as proof of conception.

An unwonted gentleness and docility on the part of a previously irritable or vicious mare, and supervening on service, is an excellent indication of pregnancy, the generative instinct which caused the excitement having been satisfied.

An increase of fat, with softness and flabbiness of muscle, a loss of energy, indisposition for active work, a manifestation of laziness, indeed, and of fatigue early and easily induced, when preceded by service, will usually imply conception.

Enlargement of the abdomen, especially in its lower third, with slight falling in beneath the loins and hollowness of the back are significant symptoms, though they may be entirely absent. Swelling[Pg 176] and firmness of the udder, with the smoothing out of its wrinkles, is a suggestive sign, even though it appears only at intervals during gestation.

A steady increase in weight (1-1/2 pounds daily) about the fourth or fifth month is a useful indication of pregnancy. So is a swollen and red or bluish-red appearance of the vaginal mucous membrane.

From the seventh or eighth month onward the foal may be felt by the hand (palm or knuckles) pressed into the abdomen in front of the left stifle. The sudden push displaces the foal toward the opposite side of the womb, and as it floats back its hard body is felt to strike against the hand. If the pressure is maintained the movements of the live foal are felt, and especially in the morning and after a drink of cold water or during feeding. A drink of cold water will often stimulate the fetus to movements that may be seen by the eye, but an excess of iced water may prove injurious, even to the causing of abortion. Cold water dashed on the belly has a similar effect on the fetus and is equally provocative of abortion.

Examination of the uterus with the oiled hand introduced into the rectum is still more satisfactory, and, if cautiously conducted, no more dangerous. The rectum must be first emptied and then the hand carried forward until it reaches the front edge of the pelvic bones below, and pressed downward to ascertain the size and outline of the womb. In the unimpregnated state the vagina and womb can be felt as a single rounded tube, dividing in front to two smaller tubes (the horns of the womb). In the pregnant mare not only the body of the womb is enlarged, but still more so one of the horns (right or left), and on compression the latter is found to contain a hard, nodular body, floating in a liquid, which in the latter half of gestation may be stimulated by gentle pressure to manifest spontaneous movements. By this method the presence of the fetus may be determined as early as the third month. If the complete, natural outline of the virgin womb can not be made out, careful examination should always be made on the right and left side for the enlarged horn and its living contents. Should there still be difficulty the mare should be placed on an inclined plane, with her hind parts lowest, and two assistants, standing on opposite sides of the body, should raise the lower part of the abdomen by a sheet passed beneath it. Finally the ear or stethoscope applied on the wall of the abdomen in front of the stifle may detect the beating of the fetal heart (one hundred and twenty-five a minute) and a blowing sound (the uterine sough), much less rapid and corresponding to the number of the pulse of the dam. It is heard most satisfactorily after the sixth or eighth month and in the absence of active rumbling of the bowels of the dam.[Pg 177]

DURATION OF PREGNANCY.

Mares usually go about eleven months with young, though first pregnancies often last a year. Foals have lived when born at the three hundredth day, so with others carried till the four hundredth day. With the longer pregnancies there is a greater probability of male offspring.

HYGIENE OF THE PREGNANT MARE.

The pregnant mare should not be exposed to teasing by a young and ardent stallion, nor should she be overworked or fatigued, particularly under the saddle or on uneven ground. Yet exercise is beneficial to both mother and offspring, and in the absence of moderate work the breeding mare should be kept in a lot where she can take exercise at will.

The feed should be liberal, but not fattening—oats, bran, sound hay, and other feeds rich in the principles which form flesh and bone being especially indicated. All aliments that tend to indigestion are to be especially avoided. Thus rank, aqueous, rapidly growing grasses and other green feed, partially ripe rye grass, millet, Hungarian grass, vetches, peas, beans, or maize are objectionable, as is overripe, fibrous, innutritious hay, or that which has been injured and rendered musty by wet, or that which is infested with smut or ergot. Feed that tends to costiveness should be avoided. Water given often, and at a temperature considerable above freezing, will avoid the dangers of indigestion and abortion which result from taking too much ice-cold water at one time. Very cold or frozen feed is objectionable in the same sense. Severe surgical operations and medicines that act violently on the womb, bowels, or kidneys are to be avoided as being liable to cause abortion. Constipation should be corrected, if possible, by bran mashes, carrots, or beets, seconded by exercise, and if a medicinal laxative is required it should be olive oil or other equally bland agent.

The stall of the pregnant mare should not be too narrow, so as to cramp her when lying down or to entail violent effort in getting up, and it should not slope too much from the front backward, as this throws the weight of the uterus back on the pelvis and endangers protrusions and even abortion. Violent mental impressions are to be avoided, for though most mares are not affected thereby, yet a certain number are so profoundly impressed that peculiarities and distortions are entailed on the offspring; hence, there is wisdom shown in banishing particolored or objectionably tinted animals, and those that show deformities or faulty conformation. Hence, too, the importance of preventing prolonged, acute suffering by the pregnant mare, as certain troubles of the eyes, feet, and joints in the foals have[Pg 178] been clearly traced to the concentration of the mother's mind on corresponding injured organs in herself. Sire and dam alike tend to reproduce their individual defects which predispose to disease, but the dam is far more liable to perpetuate the evil in her progeny which was carried while she was individually enduring severe suffering caused by such defects. Hence, an active bone spavin or ringbone, causing lameness, is more objectionable than that in which the inflammation and lameness have both passed, and an active ophthalmia is more to be feared than even an old cataract. For this reason all active diseases in the breeding mare should be soothed and abated as early as possible.

EXTRA-UTERINE GESTATION.

It is rare in the domestic animals to find the fetus developed elsewhere than in the womb. The exceptional forms are those in which the sperm of the male, making its way through the womb and Fallopian tubes, impregnates the ovum prior to its escape, and in which the now vitalized and growing ovum, by reason of its gradually increasing size, becomes imprisoned and fails to escape into the womb. The arrest of the ovum may be in the substance of the ovary itself (ovarian pregnancy), in the Fallopian tube (tubal pregnancy), or when by its continuous enlargement it has ruptured its envelopes so that it escapes into the cavity of the abdomen, it may become attached to any part of the serous membrane and draw its nourishment directly from that (abdominal pregnancy). In all such cases there is an increase and enlargement of the capillary blood vessels at the point to which the embryo has attached itself so as to furnish the needful nutriment for the growing offspring.

All appreciable symptoms are absent, unless from the death of the fetus, or its interference with normal functions, general disorder and indications of parturition supervene. If these occur later than the natural time for parturition, they are the more significant. There may be general malaise, loss of appetite, elevated temperature, accelerated pulse, with or without distinct labor pains. Examination with the oiled hand in the rectum will reveal the womb of the natural, unimpregnated size and shape and with both horns of one size. Further exploration may detect an elastic mass apart from the womb, in the interior of which may be felt the characteristic solid body of the fetus. If the latter is still alive and can be stimulated to move, the evidence is even more perfect. The fetus may die and be carried for years, its soft structures becoming absorbed so as to leave only the bones, or by pressure it may form a fistulous opening through the abdominal walls, or less frequently through the