nitrate of silver will be the sheet-anchor of the
practitioner, and if early used will seldom deceive him. It should be
combined with ginger, and given morning and night, in doses varying from
one-sixth to one-third of a grain, according to the size of the dog.
The condition and strength of the dog, and the season of the year, will
be our best guides. If the patient has not lost much flesh,
and is
not losing it
at the time that we have to do with him, and has few
symptoms of general debility, and spring or summer are approaching we
may with tolerable confidence predict a cure; but, if he has been
rapidly losing ground, and is doing so still, and staggers about and
falls, there is no medicine that will restore him.
5th October, 1840
. — A
, eighteen months old, had had the
distemper, but not severely, and was apparently recovering when he
suddenly lost all voluntary power over his limbs. He was unable to get
up, and his legs were in constant, rapid, and violent motion. This
continued three days, during which he had refused all food, when, the
dog being in the country, my advice was asked. I ordered a strong emetic
to be given to him, and after that a dose of Epsom salts, the insertion
of a seton, and, in addition to this, our usual tonic was to be given
twice every day. His food to consist chiefly of good strong soup, which
was to be forced upon him in a sufficient quantity.
In two days he was able to get up and stagger about, although frequently
falling. His appetite returned. He continued to improve, and most
rapidly gained strength and especially flesh. A very peculiar,
high-lifting, clambering, and uncertain motion of the legs remained,
with an apparent defect of sight, for he ran against almost everything.
In six weeks the seton was removed, and the dog remained in the same
state until the 7th of December. The uncertain clambering motion was now
increasing, and likewise the defect of sight. He ran against almost
every person and every thing. The cornea was transparent, the iris
contracted, there was no opacity of the lens, or pink tint of the
retina, but a peculiar glassy appearance, as unconscious of everything
around it. An emetic was given, and, after that, an ounce of sulphate of
magnesia.
8th.
He was dreadfully ill after taking the salts; perhaps they
were not genuine. For two days he panted sadly, refused his food, and
vomited that which was forced upon him. His muzzle was hot; he could
scarcely stand; he lost flesh very rapidly. An emetic was given
immediately, and a distemper-ball daily.
16th.
He soon began rapidly to recover, until he was in nearly
the same state as before, except that the sight was apparently more
deficient. The sulphate of magnesia was given every fourth day, and
another seton inserted.
21st.
He continued the medicine, and evidently improved, the
sight returning, and the spasms being considerably less. The
distemper-ball was continued.
4th January, 1841.
— The spasms were better; but the vision did
not improve. In the afternoon he fell into a momentary fit. He almost
immediately rose again, and proceeded as if nothing had happened. An
ounce of Epson salts was given, and then the tonic balls as before.
22d
. The spasms were lessened, the clambering gait nearly ceased,
but the vision was not improved. The seton was removed, and only an
additional dose of salts given.
27th
. The spasms suddenly and very considerably increased. The
left side appeared now to be particularly affected. The left leg before
and behind were most spasmed, the right scarcely at all so. The vision
of the left eye was quite gone. The dog had been taken to Mr.
Alexander's, the oculist, who attributed the affection of the eye and
the general spasmodic disease to some pressure on the brain, and
recommended the trial of copious and repeated bleeding.
28th
. The dog was dull; the spasms appeared to have somewhat
increased and decidedly to affect the left side. Fever-balls were
ordered to be given.
29th
. Considerable change took place. At three o'clock this
morning I was disturbed by a noise in the hospital. The poor fellow was
in a violent fit. Water was dashed in his face, and a strong emetic
given; but it was not until seven o'clock that the fit had ceased; he
lay until eleven o'clock, when the involuntary spasms were almost
suspended. When he was placed on his feet, he immediately fell; he then
gradually revived and staggered about. His master brought a physician to
see him, who adopted Mr. Alexander's idea and urged bleeding. Ten ounces
of blood were immediately taken; the dog refused to eat.
1st February
. — The strength of the animal was not impaired, but
the spasms were more violent, and he lay or wandered about stupid and
almost unconscious. I subtracted eight ounces more of blood.
2d
. The spasms were fully as violent, and no amendment in the
vision. Eight ounces more of blood were subtracted without benefit. A
fever-ball was ordered to be given.
3d
. No amendment; but the bleeding having been carried to its
full extent, I again resorted to the tonic balls, which were given
morning and night. The dog was well fed and the seton replaced.
5th
. A very considerable amendment is evident.
9th
. The spasms rapidly subsided and almost disappeared. Vision
was not perfectly restored; but the dog evidently saw with his left eye.
He was taken away, and tonic balls sent with him and ordered to be
continued.
6th March
. — The dog had improved in strength and no spasmodic
affection remained; he likewise evidently saw with his left eye. The
tonic-balls had been discontinued for a week, and his master hoped that
all would turn out well, when suddenly, while at home, he was seized
with a fit that lasted ten minutes. A strong emetic was given, which
brought up a vast quantity of undigested food. A strong purging-ball was
given to him in the evening.
13th.
The dog had lain slightly spasmed for two or three days,
when they all at once ceased, and the animal appeared as well as before.
Suddenly he was taken with another fit, and again a vast quantity of
food was vomited. These spasms remained two days, but on the 21st the
fit returned with the same discharge of food. Courses of purgatives were
then determined on. A strong dose of sulphate of magnesia was given
every third day. After four doses had been given, it was impossible to
force any more upon him. The syrup of buckthorn was tried, but the
fourth dose of that it was impossible to give. The dog was then sent
into the country; no fit occurred, but there were occasional spasms.
23d September.
— He was brought back to town, and I saw him.
During the last month he had had many fits. His owner at length
consented that the actual cautery should be applied to his head. The
searing-iron for doctoring was used, and applied red-hot to the centre
of the head. It was exceedingly difficult so to confine the dog as to
make the application effectual, without destroying the skin.
Under the influence of the sudden violent pain, he wandered about for
more than two hours, and then the spasms returned with greater force
than usual. He refused all food.
We determined to try the cautery to its full extent. We chained him up
in the morning, and penetrated through the skin with the budding-iron.
The spasms were dreadfully violent, and he was scarcely able to walk or
to stand. This gradually subsided, and then he began to run round and
round, and that increased to an extraordinary velocity: he would then
lie for a while with every limb in action. The owner then yielded to all
our wishes, and he was destroyed with prussic acid. No morbid appearance
presented itself in the brain; but, on the inner plate of the right
parietal bone, near the sagittal suture, were two projections, one-sixth
of an inch in length, and armed with numerous minute spicula. There was
no peculiar inflammation or vascularity of any other part of the brain.
We once cured a case quite accidentally, by throwing a pup into a cold
stream of water, and making him swim ashore; we do not recommend the
plan, although we should be willing to try it again with one of our own
dogs. The animal should be forced to swim till nearly exhausted, and
wrapped up in blankets on coming out of the water. The intense alarm
created in the pup, together with the violent struggle and coldness of
the water, all act as revulsives to the disease, which, if purely
nervous, may be overcome by these powerful agents.
If the dog be weak, and the stomach deranged, the following tonic balls
will answer a good purpose:
[Symbol: Rx]: Carbonate of Iron;
Ground Ginger, ââ, grs. X, made into two pills, one given morning and
evening, or more frequently according to the age or size of the
animal. — L.
Contents/Detailed Contents, p. 4/Index
Rheumatism and Palsy
I do not know any animal so subject to
rheumatism
as the dog, nor
any one in which, if it is early and properly treated, it is so
manageable.
We agree with our author, that the canine family are exceedingly liable
to inflammation of the fibrous and muscular structures of the body, and
there is no disease from which they suffer more, both in their youth and
old age, than rheumatism. No particular species of dogs are more subject
to its attacks than others, all being alike victims to its ravages. Mr.
Blaine remarks, that the bowels always sympathize with other parts of
the body suffering under this disease, and that inflammation will always
be found existing in the abdominal viscera, if rheumatism be present,
and the lower bowels will be attended with a painful torpor, which he
designates as rheumatic colic. We ourselves noticed, that old setters
particularly, when suffering from this disease, are frequently attacked
with an acute diarrhoea, or suffer from obstinate constipation attended
by griping pains, but did not know that this state of things was so
uniform an accompaniment to the other affection. There are two varieties
of rheumatism, the acute and chronic, both of which are
attended with either general fever or local inflammation. The attacks
usually come on rather suddenly, the joints swell, the pulse becomes
full and tense, the parts tender, and the eyes blood-shot, the stomach
deranged, and the bowels costive. Severe lancinating pain runs through
the articulation, and along the course of the larger muscles, the tongue
is coated, the muzzle hot and dry, and the poor animal howls with agony.
The breathing becomes laboured, all food is rejected, and if you attempt
to move the sufferer he sends forth piteous cries of distress. The
causes of this serious affection are very numerous; among the most
usual and active agents may be enumerated, exposure to atmospherical
vicissitudes, remaining wet and idle after coming from the water, damp
kennels, suppressed perspiration, metastasis of eruptive diseases,
luxurious living, laziness and over-feeding. These and many other causes
are all busy in the production of this disease. Duck dogs on the
Chesapeake, we have noticed as often suffering from this affection,
owing no doubt to the great exposure they are obliged to endure; but few
of them arrive at old age without being martyrs to the chronic form.
Chronic rheumatism, generally the result of the other form of
disease, is most usually met with in old dogs: it is attended with
little fever, although the local inflammation and swelling is sometimes
considerable. The pain is often stationary in one shoulder or loin, at
other times shifts about suddenly to other portions of the body. The
muscles are tender and the joints stiff, the animal seems lame till he
becomes healed, and limber when all appearance of the disease vanishes.
In old cases the limbs become so much enlarged, and the joints so
swollen, that the dog is rendered perfectly useless, and consequently
increases his sufferings by idleness. This form of the disease is
known as gout.
Treatment of acute rheumatism — bleeding largely is very important
in this affection, and if followed up with two or three purges of aloes,
gamboge, colocynth and calomel will arrest the progress of this disease.
Made into four pills, two to be given at night, and the other the
following morning. If these medicines should not be handy, give a large
purging ball of aloes, to be followed by a full dose of salts. When the
inflammatory action is not sufficiently high to demand depletion, warm
bathing, friction and keeping the dog wrapped up in blankets before a
fire will generally afford relief. If the pain appear very severe, it
will be necessary to repeat the baths at short intervals: great
attention must be paid to the state of the bowels: if a diarrhoea
supervenes, it must not he checked too suddenly, by the use of
astringent medicines, but rather corrected by small doses of oil and
magnesia. If constipation attended with colic be the character of the
affection, small quantities of oil and turpentine in connexion with warm
enemata will be the proper remedies. If paralysis should occur, it will
be found very difficult to overcome, but must be treated, after the
reduction of inflammation, upon principles laid down under the head of
this latter affection. Blisters to the spine, setons, electricity,
acupuncturation, &c.
Treatment of chronic rheumatism — warm baths are useful, and warm
housing absolutely necessary, attention to diet, and an occasional purge
of blue mass and aloes, together with electricity, acupuncture,
rubefacient applications to the spine, &c. — L.
A
bath — perchance a bleeding — a dose or two of the castor-oil
mixture, and an embrocation composed of spirit of turpentine, hartshorn,
camphorated spirit, and laudanum, will usually remove it in two or three
days, unless it is complicated with muscular sprains, or other lesions,
such as the
chest-founder
of kennels.
This chest-founder is a singular complaint, and often a pest in kennels
that are built in low situations, and where bad management prevails.
Where the huntsman or whippers-in are too often in a hurry to get home,
and turn their dogs into the kennel panting and hot; where the beds are
not far enough from the floor, or the building, if it should be in a
sufficiently elevated situation, has yet a northern aspect and is
unsheltered from the blast, chest-founder prevails; and I have known
half the pack affected by it after a severe run, the scent breast-high,
and the morning unusually cold. It even occasionally passes on into
palsy.
The veterinary surgeon will be sometimes consulted respecting this
provoking muscular affection. His advice will comprise — dryness,
attention to the bowels, attention to the exercise-ground, and perhaps,
occasionally, setons — not where the huntsman generally places them, on
the withers above, but on the brisket below, and defended from the teeth
of the dog by a roller of a very simple construction, passing round the
chest between the fore legs and over the front of the shoulders on
either side.
The pointer, somewhat too heavy before, and hardly worked, becomes what
is called chest-foundered. From his very make it is evident that, in
long-continued and considerable exertion, the subscapular muscles will
be liable to sprain and inflammation. There will be inflammation of the
fasciæ;, induration, loss of power, loss of nervous influence and
palsy. Cattle, driven far and fast to the market, suffer from the same
causes.
By palsy, we mean a partial or complete loss of the powers of motion or
sensation in some portion of the muscular system: this affection is very
common to the canine race, and very few of them reach an advanced age
without having at some time in their life experienced an attack of this
malady.
The loins and hind legs suffer oftener than other parts, in fact we do
not recollect ever meeting with paralysis of the fore limbs alone.
Although the limbs become perfectly powerless, and are only dragged
after the animal by the combined efforts of the fore legs and back, it
is seldom that they lose their sensibility. — L.
Palsy is frequent, as in the dog. However easy it may be to subdue a
rheumatic affection, in its early stage, by prompt attention, yet if it
is neglected, it very soon simulates, or becomes essentially connected
with, or converted into, palsy.
No animal presents a more striking illustration of the connexion between
intestinal irritation and palsy than the dog. He rarely or never has
enteritis, even in its mildest form, without some loss of power over the
hinder extremities. This may at first arise from the participation of
the lumbar muscles with the intestinal irritation; but, if the disease
of the bowels continues long, it will be evident enough that it is not
pain alone that produces the constrained and incomplete action of the
muscles of the hind extremities, but that there is an actual loss of
nervous power. A dog is often brought to the veterinary surgeon, with no
apparent disease about him except a staggering walk from weakness of the
hind limbs. He eats well and is cheerful, and his muzzle is moist and
cool; but his belly is tucked up, and there are two longitudinal cords,
running parallel to each other, which will scarcely yield to pressure.
The surgeon orders the castor-oil mixture twice or thrice daily, until
the bowels are well acted upon, and, as soon as that is accomplished,
the dog is as strong and as well as ever. Perhaps his hind limbs are
dragged behind him; a warm bath is ordered, he is dosed well wilh the
castor-oil mixture, and, if it is a recent case, the animal is well in a
few days. In more confirmed palsy, the charge, or plaster on the loins,
is added to the action of the aperient on the bowels. The process may be
somewhat slow, but it is seldom that the dog does not ultimately and
perfectly recover.
It is easy to explain this connexion, although we should have scarcely
supposed that it would have been so intimate, had not frequent
experience forced it on our observation. The rectum passes through the
pelvis. Whatever may be said of that intestine, considering its vertical
position in the human being, it is always charged with fæces in the
quadruped. It therefore shares more in the effect, whatever that may be,
which is produced by the retention of fæces in the intestinal canal, and
it shares also in the inflammatory affection of other parts of the
canal. Almost in contact with this viscus, or at least passing through
the pelvis, are the crural nerves from the lumbar vertebræ, the
obtusator running round the rim of the pelvis, the glutal nerve
occupying its back, and the sciatic hastening to escape from it. It is
not difficult to imagine that these, to a certain degree, will
sympathize with the healthy and also the morbid state of the rectum; and
that, when it is inert, or asleep, or diseased, they also may be
powerless too. Here is something like fact to establish a very important
theory, and which should be deeply considered by the sportsman and the
surgeon.
Loss of the contractile power of the sphincters of the bladder and
rectum, sometimes attends this disease, and involuntary evacuations are
constantly taking place, or costiveness and retention are the
consequences. — L.
. Dupuy has given a valuable account of the knowledge we possess of
the diseases of the spinal marrow in our domestic quadrupeds.
He has proved:
- That in our domestic animals the spinal marrow is scarcely ever
affected through the whole of its course.
- That the dorsal and lumbar regions are the parts oftenest affected.
- That inflammation of the spinal marrow of these regions always
produces palsy, more or less complete, of the abdominal members.
- That, in some cases, this inflammation is limited to the inferior or
superior parts of the spinal marrow, and that there is loss only of
feeling or of motion.
- That sometimes animals die of palsy without any organic lesion.
Blows on the head, producing effusion on the brain, poisoning by lead,
inflammation of the spinal marrow, affections of the nerves, caries of
the spine, costiveness and affections of the bowels, are all productive
of palsy. If the disease proceeds from rheumatism, or other inflammatory
affections, independent of any organic lesion, the disease, if taken
early, is not difficult to overcome in the young subject. Warm baths,
bleeding, purging, and stimulating applications to the parts and along
the spine, will answer. Castor oil and turpentine is a good purge: where
the malady depends upon costiveness, purges of aloes should be
administered in connexion with warm enemata, stimulating frictions along
the spine, and hot baths. Croton oil dropped on the tongue will also be
of great benefit: if there should be effusion or compression from
fracture of the bones of the cranium, nothing but trephining will be of
any service, as we can hardly hope for the absorption of the matter, and
the removal of the spicula of bone can alone afford relief to the
patient. Paralysis arising from poisoning should be treated as described
under the head of mineral poisons. Chronic cases of paralysis arising
from want of tone of the nerves and spinal marrow, repeated blistering,
introduction of the seton along the spine, electricity, &c., have all
been tried with some success.
Strychnia, from its peculiar effects upon the animal economy, and its
almost exclusive direction to the nerves of motion, makes it a medicine
particularly applicable to the treatment of this disease. It may be
given in all stages of the malady, but is most serviceable after the
reduction of inflammatory action, and when we are convinced that the
disease depends upon want of tone in the motor muscles.
Great care should be had in its administration, as it is a powerful
poison in too large doses, to a large dog; commence with a quarter of a
grain in pill, three times daily, and gradually increase to a half grain
or more if the animal seems to bear it well. But it should be
discontinued immediately on the appearance of any constitutional
symptoms, such as spasmodic twitchings of the eyelids or muzzle. — L.
Contents/Detailed Contents, p. 4/Index
Palsy — Mange
11th February, 1835
. — A Persian bitch, at the Zoological Gardens,
who was well yesterday, now staggers as she walks, and has nearly lost
the use of her hind legs. Gave a good dose of the castor-oil mixture.
18th
. She is materially worse and drags her hind legs after her.
I would fain put on a charge, but the keeper does not like that her
beautiful coat should be spoiled, and wishes to try what gentle exercise
will do. She certainly, after she has been coaxed a great deal, will get
on her legs and stagger on fifty yards or more. Gave the castor-oil
mixture daily.
19th.
She is a little stronger, and walks a little better.
Continue the mixture. Embrocate well with the rheumatic mixture — sp.
tereb., sp. camph., liq. ammon., et tinct. opii — and give gentle
exercise.
2d March.
— She does improve, although slowly; the charge is
therefore postponed. Continue treatment.
30th.
She is
considerably better. Continue the mixture, and use the embrocation every
second day.
10th April
— She has mange in the bend of her arm, and on her
chest. Use the sulphur ointment and alterative balls, and omit the
embrocation and mixture. In less than a week she nearly recovered from
her lameness, and ran about almost as well as ever.
30th.
She
runs about very fairly, but the mange has assumed that character of
scurvy which I do not know how to grapple with. Continue the alterative
balls, and the ointment.
18th May.
— The mange has disappeared, but the palsy is returning;
she staggers slightly, and droops behind. Give the castor-oil mixture
and use the embrocation.
14th June.
— Mange quite gone, but palsy continues to a very
considerable degree. I want to use the plaster; but the keeper pleads
for a little delay. Continue the treatment.
1st July.
— I have at length determined to have recourse to the
charge. A piece of thick sheep's leather was fitted lo her loins and
haunches.
18th.
She appears to be improving, but it is very
slowly.
31st.
Very little change. The plaster keeps on well: she
has no power over her hind limbs; but she eats and drinks as well as
ever.
23d August.
— No change. Give her half a grain of strychnia,
morning and night.
26th
That singular secretion of milk, to which
the bitch is subject nine weeks after œstrum, is now appearing. Her
mammæ are enlarged, and I can squeeze a considerable quantity of milk
out of the teats. Give an aloetic pill, and continue the strychnia.
31st
. The secretion of milk continues. There is slight
enlargement and some heat of the mammæ; but she feeds as well as ever.
Increase the dose of strychnia to three-quarters of a grain.
On the following day she was found dead. In making the usual
longitudinal incision through the integuments of the abdomen a
considerable quantity of milky fluid, mingled with blood, followed the
knife. There was very slight enlargement of the teats, but intense
inflammation of the whole of the mammary substance. The
omentum
, and
particularly the portion opposite to the external disease, was also
inflamed. Besides this there was not a vestige of disease.
This is an interesting case and deserves record. I fear that justice was
not done to the animal at the commencement of the paralytic affection.
In nineteen cases out of twenty in the dog, the constant but mild
stimulus of a charge over the lumbar and sacral regions removes the
deeper-seated inflammation of the spinal cord or its membranes, when the
palsy is confined to the hind extremities, and has not been sufficiently
long established to produce serious change of structure. The charge
should have been applied at first. The almost total disappearance of the
palsy during the cutaneous disease, which was attended with more than
usual inflammation of the integument, is an instructive illustration of
the power of counter-irritation, and of what might possibly have been
effected in the first case; for much time was lost before the
application of the charge, and when at length it was applied, it and the
strychnia were powerless.
I consider the following case as exceedingly valuable, at least with
reference to the power of strychnia in removing palsy:
19th August, 1836
. — A fine Alpine dog was suddenly attacked with
a strange nervous affection. He was continually staggering about and
falling. His head was forcibly bent backward and a little on one side,
almost to his shoulder. A pound of blood was abstracted, a seton
inserted from ear to ear, and eight grains of calomel administered.
21st
. He has perfectly lost the use of every limb. He has also
amaurosis. perfect blindness, which had not appeared the day before. He
hears perfectly, and he eats, and with appetite, when the food is put
into his mouth. Gave him two large spoonfuls of the castor-oil mixture
daily; this consists of three parts of castor-oil, two of syrup of
buck-thorn, and one of syrup of white poppies.
23d
. A little better; can lift his head and throw it upon his
side, and will still eat when fed. Continue the mixture, and give half a
grain of strychnia daily.
24th
. Little change.
27th
. No change, except that he is rapidly losing flesh. Continue
the treatment.
31th
. The strychnia increased to three-fourths of a grain morning
and night. The castor-oil mixture continued in its full quantity. He
was fed well, but there was a sunken, vacant expression of countenance.
2d September.
— He can move his head a little, and has some slight
motion in his limbs.
4th.
He can almost get up. He recognises me for the first time.
His appetite, which was never much impaired, has returned: this is to be
attributed to strychnia, or the seton, or the daily aperient mixture.
They have all, perhaps, been serviceable, but I attribute most to the
strychnia; for I have rarely, indeed, seen any dog recover from such an
attack. Continue the treatment.
6th.
Fast recovering. Medicine as before.
14th.
Improving, but not so fast as before. Still continue the
treatment.
28th.
Going on slowly, but satisfactorily. Remove the seton, but
continue the other treatment.
13th October.
— Quite well.
Contents/Detailed Contents, p. 4/Index