; there is tenderness over left side of the broad ligament of uterus; vagina is decided ; the walls feel bossy and pitted Dr. Johnson, 5t.h Goorkhas, was called in in conon pressure. sultation ; medicine to be continued. Apply 12 leeches around and swathe abdomen in large linseed poultices; the anus, vagina to be syringed morning and evening with tepid water. Restorative diet with beef-tea ad libitum. 21-??.?Was exceedingly restless and perspiring all night; breathing oppressed ; vaginal tenderness increased ; the left iliac region very dull and bulged ; percussion over broad ligament elicited a shriek. Six leeches were applied over this spot. She took a cup of beef-tea every quarter of an hour, and 6 ounces of brandy during the day. At 7 p.m. she was seized with a "spasm of heart" and fainted ; the face and limbs became livid and patchy. As she rallied one drachm of liquor ammonise ancl two of brandy were administered, after which she slept peace-
20th.?Slept pretty fairly
of abdomen, with the heat of
thickening
fully.
22nd.?Local symptoms have not subsided and the womb has risen into the umbilical region ; fever very much less , complains of flashings of light, although the room is darkened, and thickness of right eyelid. Takes her food eagerly every quarAt 6 p.m. she complained of ter of an hour and retains it. scorching heat all over her body, but it was merely a subjective The breast-pump was used to relieve distended
phenomenon. mammae.
23rd.?She had a good night, and passed a very quiet day. Suffers great pain in urinating and agony when defecating ; local symptoms very troublesome ; fever less ; perspiring freely. She complains of great exhaustion : takes her food and stimulants well.
2ith.?Felt very weak during the night
;
took food and stimu-
excellently. At 3. a.m. she complained of waves of heat flashing over her body ; her pulse by 7. a. m. was 132. and respirations 58 per minute ; the temperature reached 106? Fahr. Just after 7, she threw herself horizontally over bed, said, I am dying, and fell back into a death-like swoon. Her body was mapped out into livid patches ; she was with difficulty brought As she rallied, the lower lip twitched violently, while to. repeated vomitings and profuse stools ensued. She had a somewhat similar attack at 5. p.m., the pulse beating 132, and temperature marking lOo'l F. Held a consultation with Drs. Bellew and Johnson. We regarded the The only favorable feature was the power of case as hopeless. receiving and retaining food. 25th.?Had an easier night; there is an improvement in general and local symptoms. At 10 p.m. her pulse was 98 temperature normal ; discharge has appeared. 2&h.?Better, although she had an uneasy night; perspirations were very profuse ; she dropped into a calm sleep in the lants
CASES AND OBSERVATIONS. By Surgeon-Major J. W. {Continued from
Johnston.
page
forenoon.
214.)
PUERPERAL FEVER. A.?Metritis.
B.?Perimetric Cellulitis.
A. 33., who had previously borne a healthy girl and made nn excellent recovery, was confined on the evening of 8th October of a full-grown healthy female child. On 10th she was somewhat feverish and perspired frequently ; fever continued until when it subsided with free diaphoresis ; the discharge was
11th,
affected. A herpetic eruption appeared on chest, which subsided in three days; she complained of loss of appetite and frequent perspirations until 17th, on which day she appeared very much exhausted from nursing, but slept quietly after 25 grains of chloral. On the forenoon of 18th she had a rigor, which was speedily followed by fover, with.very distressing pains in back and limbs ; the tongue got loaded by eventide, free perspiration ensued at 4 p.m., and again at midnight, without reducing the pulse : the discharge eeased. 19th.?Fever still running high, with severe frontal headache, foul tongue, flatulence. There is no localized pain, but abnormal heat in vagina. Ordered hot turpentine stupes over abdomen, with 5 grains of dover's powder, and one of calomel, every fourth hour, and 40 grains of bismuth in an ounce of mucilage water every six hours. Passed two large odorous motions at eventide. No improvement. To have a grain of opium immediately, and 130 grains of cholornl at 9 p.m. As she continued restless?20 grains were again exhibited at midnight. not
27th.?Rested fairly, complains of exhaustion from perspiration ; at 7 a.m., she had another fainting fit; about noon, she passed three profuse motions in rapid succession, and two at 7 p.m. Treatment.?Substitute chalk and cinnamon mixture for bismuth.?To have ounce starch injections after each stool.
28th.?Slept well, with diminished perspirations, she feels better, says she will not die, complains of an overpowering odor of red
herrings.
At 7 p.m., she felt a localised feeling of intense heat, under the skin, which was relieved by free diaphoresis. 2?th.?Perspiring profusely, feels stronger, the tenderness over abdomen is less, although the thickening is very marked, the discharge has increased considerably, the womb has subsided there is tenderness over right iliac region. The catheter had to be used twice during the day. much better, every untoward symptom has disIn fact she may now be regarded as convalescent. From this date she gradually improved. For two months to be very annoying, and were considerperspirations continued ably augmented, when the meno-flux was due, and ultimately occurring at that period only, being apparently vicarious of it.
30/A.?Very
appeared.
The mono-pause extended over 4
months,
when the molimeu
ensued somewhat profusely. Under a course of potassium iodide, tincture cantharides and bitters, absorption gradually ensued, and health was permarestored. A memo, of the
nently
attached
5
these
were
and temperature, thrice recorded every two hours :?
pulse
a
day,
is
THE INDIAN MEDICAL GAZETTE.
240
Houb.
Bate.
October 19tli "
20th
21st
22n'd 23rd
24th
25th
26t'h 27th
2Sth i?
29th
30th
8 a.m. 1 p.m. 8 pm. 9 a.m. 2 p.m. 9 p.m. 8-30 a.m. 2-45 p.m. 8-40 p.m. 7-30 a.m. 1 p.m. 8 p.m. 7-30 a.m. 1-4 p.m. 8-30 p.m. 7 a.m. 1-10 p.m. 9 p'm 7 a.m. 12 noon 9 p.m. 8 a.m. 1 p.m. 10 p m 9 a.m. 1 p.m. 9 p.m. 8 a.m. 1 p.m. 8 p.m. 8 a.m. 1 p.m. 8 p.m. 7 a.m. 1 p.m. 8 p.m.
Pulse.
120 120 102 120 112 113 120 109 112 101 94 101 94 101 99 132 130 120 103 109 108 102 120 120 132 128 110 108 120 103 96 96 108 96 100
Tempebatube.
no
IJABIES
during
1S73. its pre-
IN A DOG, GOAT, AND TWO FOWLS.
small spaniel bit A. B. in the hand in rather ; no notice of this was taken until the 17th, servant reported that on the same evening it had bit
On 16th
101
May
suspicions
a
103-2
a
103
when a two Looshai fowls in the leg and a kid on nose. On the morning of 17th I examined the dog; his eyes were glowing like balls of living fire, and on anything approaching him ho rushed at and worried it. The diagnosis was unmistakable; he was suffering from acute mania. His master shot him through the head; an autopsy revealed pathognomic indications of rabies. The tongue was tumified; papilla) and mucous glands generally enlarged ; epiglottis injected and circled with blackish fringes, individually resembling a diminutive crushed
101-4 103 100-1
101-3 99 4
96 96 96 106
103-2 102-3 101-2 102 93
Normal. 101 103
104-1 103-3 101-3 100 3 102-3 97-4 984 99 99
93-4
trace of diphtheritis was discovered, seem to support Professor Martin of Berlin's theory; inasmuch as infection presumbly occurred. The inflammatory throat undobtedly was of a specific character, as every one coming into contract with the patient suffered. Paul Dubois many years ago noted that while women during the menopause might attend puerperal patients without suffering in any way; when the molimen became established, if they were not relieved, they were frequently prostrated with an allied affection. It is impossible to dogmatise upon the origin of puerperal fever in Abbottabad. Prior to its appearance, typhus and typhoid fever, as well as erysipelas, had occurred in the station. A month elapsed, during which time every possible precaution was taken between the confinements. I am inclined to regard it as one penalty of neglected sanitation. In Abbottabad cantonments there is no sauitary establishment whatever. Yirchow has lately become convinced that there is no such thing as milk fever (vide Record No. I.), and regards every case of febrile accession as the direct result of puerperal disturbance. Reviewed in this light, the invasion of the disease is to be traced to the " weed" of the 10th. Although there was every reason to suspect that pyamiic absorption had taken place, judged by metritis, rigors, hectic patches, and other symptoms, yet as first pointed out by Sir James Y. Simpson, the effusion must have been serum and not " no formation of pus pus, as generally occurs till about 10 or 14 days." The patient was saved by careful nursing, expectant treatment, and the extraordinary amount of food, which amounted in two days to the concentrated beef-tea produced by an average Indian oxWhatever theories may be held with regard to puerperal infection, there is certainly sufficient to teach us the necessity
although
of removing children away from any house valence
103 103-9
From a careful analysis of all the records, it appears that excepting 26th there -was a regular diminution of temperature in tlie evening, accompanied by au increased pulse beat on the 19th, 20th, 21st, 22nd. and 29th, with a diminished pulse on the 23rd, 24th, 27th, 28th, and 30th. During the progress of the disease a child, aged two and half years, was affected with croupoid inflammatory throat succeeded by troublesome head symptoms and temporary alopecia. The monthly nurse, and a lady in attendance during their menotlux, suffered from a similar throat affection ; the former very severely. A patient whom I attended a month previously to A.B.'s confinement, died of puerperal fever, and her child, scarcely three years of age, was also attacked by croup and succumbed. These cases,
[September 1,
manner
generally.presurcharged witli a viscid secretion. The stomach was very generally injected and vascular, but there were no inflammatory patches. It was remarkably distended and contained twigs, masses of dirt, a wasp, and some flies. No cicatrix was discovered the only clue to inoculation is, that, 14 days ago, a lurcher pariah hud a
blackberry; sent
was
the
generic inflammatory patch
absent; the bronchia) and lungs
so
were
.
tussle with him. On 17th, after examining the wound of the kid, which was about an inch in length, and quite penetrated through the wing of right nostril, it was placed under close supervision with the view of determining the period of incubation, should constitutional symptoms develope. There was no indication whatever of rabies until the 8th of June?21 days after receipt of injury. On that morning it was reported to be bleating in a peculiar manner, and putting the door with its head. An hour afterwards I found it hemiplegia, with paralysis of muscles of mastication, and a viscid frothy mucus dribbling from nose and mouth ; the pupils were widely dilated, and pulse intermitting. It was very gentle, and allowed itself to be freely handled. This is a typical case of dumb mania, the result of inoculation with the rabid virus of a dog suffering from acute mania. The kid died at 10 a.m. An autopsy revealed tumefaction of throat, engrogement of bronchia;, with frothy spume and sub-acute gastritis. The stomach contained a lot of rubbish. The two fowls died three days after inuoculation of the rabid virus, appax-ently from general paralysis. This, I find, confirms the observations of Dr. Linche of Jena and Mr. King of Clifton, who record that rabid fowls loose the power of standing up and die
quietly.
was 2 days .in the fowls, 14 in the dog, and 21 in the kid. Tonat's experience is, that rabies usually appears somewhere He nover saw a case under between three and seven months. Blain records nor over 8 months, after innoculation. 17
Remarks.?The period of incubation
days,
that the constitutional symptoms appear never less than 14 days, or more than 3 months. Professor Ilerewit, of Eerlin, teaches that rabies propagated either by artificial or inoculation, it is at its height in 50 days. Ilabies, undoubtedly, killed the fowls in three days, and at least one authentic case of hydrophobia destroying a man a year after inoculation is The causo of propagation is the salivary secretion only. In India a dog or jackal is the most usual offender, tlio wolf an occasional one. Eight years ago a maniacal rushed through Abbottabad and attacked a sepoy, buffalo, and horse; they all perished. The poison of rabies lies dormant longer than any other yet known. It is however ultimately absorbed, and while circulating in the system, has tho power of propagating its own peculiar nature to other secretions. The acute and dumb varieties are recognizod by all veterina-
accidental'
recognized.
leopard
rians. The former animals.
generally attacking
young,
tho latter adult
It is noteworthy that the disease, as met within lower aniis never characterized by an aversion to water ; in fact, laryngeal spasm is wanting, tho recurrent nervo being unaffected ; dogs may, owing to tumefaction and paralysis of the muscles of deglutition, refuse, but never avoid it. Excision followed by keen destruction of surrounding tissuo by lunar caustic is a sine qua non. This is by far the best remedy. Nitric and other acids are inferior and roprchensible. It is of paramount importance to realize that after any lapse of time, provided rabies has not appeared, this treatment invariably guarantees absolute freedom from uftor effects, hence tho
mals,
September 1,
MALARIA.
1S73.]
of practically utilizing it the animal is rabid or not.
propriety
on
every
occasion, -whether
PROLAPSUS ANI IN A MULE. I
ani in a
mule, because
Perbut rarely under the notice of the veterinary surgeon even in horses, although oftener among them than in other animals." The regimental mules were put on green food last spring; two cases of prolapsus occurred shortly afterwards, one was easily reduced ; the second, when it came under my notice, was of four days' standing. The usual taxis having failed, the mule was placed under chlorofrom, and the solidified shining albumenoid tumour in which the sphincter was embedded carefully dissected away, the the gut retained in situ bj' tacking the prolapsus reduced, and anus to adjacent parts. The tumour weighed about four
append
a
case
ciral in his classical
of
prolapsus
Hippopatliology says:?" It
conies
pounds.
The mule made an excellent recovery. I am informed that two of this affection generally occur in each frontier
a case or
every spring. The mules are condemned and cast. The application of Dupuytren's principle of operation to these unfortunates would savo considerable loss among our baggage animals.
regiment
241
20th.?Slept pretty fairly
of abdomen, with the heat of
thickening
fully.
22nd.?Local symptoms have not subsided and the womb has risen into the umbilical region ; fever very much less , complains of flashings of light, although the room is darkened, and thickness of right eyelid. Takes her food eagerly every quarAt 6 p.m. she complained of ter of an hour and retains it. scorching heat all over her body, but it was merely a subjective The breast-pump was used to relieve distended
phenomenon. mammae.
23rd.?She had a good night, and passed a very quiet day. Suffers great pain in urinating and agony when defecating ; local symptoms very troublesome ; fever less ; perspiring freely. She complains of great exhaustion : takes her food and stimulants well.
2ith.?Felt very weak during the night
;
took food and stimu-
excellently. At 3. a.m. she complained of waves of heat flashing over her body ; her pulse by 7. a. m. was 132. and respirations 58 per minute ; the temperature reached 106? Fahr. Just after 7, she threw herself horizontally over bed, said, I am dying, and fell back into a death-like swoon. Her body was mapped out into livid patches ; she was with difficulty brought As she rallied, the lower lip twitched violently, while to. repeated vomitings and profuse stools ensued. She had a somewhat similar attack at 5. p.m., the pulse beating 132, and temperature marking lOo'l F. Held a consultation with Drs. Bellew and Johnson. We regarded the The only favorable feature was the power of case as hopeless. receiving and retaining food. 25th.?Had an easier night; there is an improvement in general and local symptoms. At 10 p.m. her pulse was 98 temperature normal ; discharge has appeared. 2&h.?Better, although she had an uneasy night; perspirations were very profuse ; she dropped into a calm sleep in the lants
CASES AND OBSERVATIONS. By Surgeon-Major J. W. {Continued from
Johnston.
page
forenoon.
214.)
PUERPERAL FEVER. A.?Metritis.
B.?Perimetric Cellulitis.
A. 33., who had previously borne a healthy girl and made nn excellent recovery, was confined on the evening of 8th October of a full-grown healthy female child. On 10th she was somewhat feverish and perspired frequently ; fever continued until when it subsided with free diaphoresis ; the discharge was
11th,
affected. A herpetic eruption appeared on chest, which subsided in three days; she complained of loss of appetite and frequent perspirations until 17th, on which day she appeared very much exhausted from nursing, but slept quietly after 25 grains of chloral. On the forenoon of 18th she had a rigor, which was speedily followed by fover, with.very distressing pains in back and limbs ; the tongue got loaded by eventide, free perspiration ensued at 4 p.m., and again at midnight, without reducing the pulse : the discharge eeased. 19th.?Fever still running high, with severe frontal headache, foul tongue, flatulence. There is no localized pain, but abnormal heat in vagina. Ordered hot turpentine stupes over abdomen, with 5 grains of dover's powder, and one of calomel, every fourth hour, and 40 grains of bismuth in an ounce of mucilage water every six hours. Passed two large odorous motions at eventide. No improvement. To have a grain of opium immediately, and 130 grains of cholornl at 9 p.m. As she continued restless?20 grains were again exhibited at midnight. not
27th.?Rested fairly, complains of exhaustion from perspiration ; at 7 a.m., she had another fainting fit; about noon, she passed three profuse motions in rapid succession, and two at 7 p.m. Treatment.?Substitute chalk and cinnamon mixture for bismuth.?To have ounce starch injections after each stool.
28th.?Slept well, with diminished perspirations, she feels better, says she will not die, complains of an overpowering odor of red
herrings.
At 7 p.m., she felt a localised feeling of intense heat, under the skin, which was relieved by free diaphoresis. 2?th.?Perspiring profusely, feels stronger, the tenderness over abdomen is less, although the thickening is very marked, the discharge has increased considerably, the womb has subsided there is tenderness over right iliac region. The catheter had to be used twice during the day. much better, every untoward symptom has disIn fact she may now be regarded as convalescent. From this date she gradually improved. For two months to be very annoying, and were considerperspirations continued ably augmented, when the meno-flux was due, and ultimately occurring at that period only, being apparently vicarious of it.
30/A.?Very
appeared.
The mono-pause extended over 4
months,
when the molimeu
ensued somewhat profusely. Under a course of potassium iodide, tincture cantharides and bitters, absorption gradually ensued, and health was permarestored. A memo, of the
nently
attached
5
these
were
and temperature, thrice recorded every two hours :?
pulse
a
day,
is
THE INDIAN MEDICAL GAZETTE.
240
Houb.
Bate.
October 19tli "
20th
21st
22n'd 23rd
24th
25th
26t'h 27th
2Sth i?
29th
30th
8 a.m. 1 p.m. 8 pm. 9 a.m. 2 p.m. 9 p.m. 8-30 a.m. 2-45 p.m. 8-40 p.m. 7-30 a.m. 1 p.m. 8 p.m. 7-30 a.m. 1-4 p.m. 8-30 p.m. 7 a.m. 1-10 p.m. 9 p'm 7 a.m. 12 noon 9 p.m. 8 a.m. 1 p.m. 10 p m 9 a.m. 1 p.m. 9 p.m. 8 a.m. 1 p.m. 8 p.m. 8 a.m. 1 p.m. 8 p.m. 7 a.m. 1 p.m. 8 p.m.
Pulse.
120 120 102 120 112 113 120 109 112 101 94 101 94 101 99 132 130 120 103 109 108 102 120 120 132 128 110 108 120 103 96 96 108 96 100
Tempebatube.
no
IJABIES
during
1S73. its pre-
IN A DOG, GOAT, AND TWO FOWLS.
small spaniel bit A. B. in the hand in rather ; no notice of this was taken until the 17th, servant reported that on the same evening it had bit
On 16th
101
May
suspicions
a
103-2
a
103
when a two Looshai fowls in the leg and a kid on nose. On the morning of 17th I examined the dog; his eyes were glowing like balls of living fire, and on anything approaching him ho rushed at and worried it. The diagnosis was unmistakable; he was suffering from acute mania. His master shot him through the head; an autopsy revealed pathognomic indications of rabies. The tongue was tumified; papilla) and mucous glands generally enlarged ; epiglottis injected and circled with blackish fringes, individually resembling a diminutive crushed
101-4 103 100-1
101-3 99 4
96 96 96 106
103-2 102-3 101-2 102 93
Normal. 101 103
104-1 103-3 101-3 100 3 102-3 97-4 984 99 99
93-4
trace of diphtheritis was discovered, seem to support Professor Martin of Berlin's theory; inasmuch as infection presumbly occurred. The inflammatory throat undobtedly was of a specific character, as every one coming into contract with the patient suffered. Paul Dubois many years ago noted that while women during the menopause might attend puerperal patients without suffering in any way; when the molimen became established, if they were not relieved, they were frequently prostrated with an allied affection. It is impossible to dogmatise upon the origin of puerperal fever in Abbottabad. Prior to its appearance, typhus and typhoid fever, as well as erysipelas, had occurred in the station. A month elapsed, during which time every possible precaution was taken between the confinements. I am inclined to regard it as one penalty of neglected sanitation. In Abbottabad cantonments there is no sauitary establishment whatever. Yirchow has lately become convinced that there is no such thing as milk fever (vide Record No. I.), and regards every case of febrile accession as the direct result of puerperal disturbance. Reviewed in this light, the invasion of the disease is to be traced to the " weed" of the 10th. Although there was every reason to suspect that pyamiic absorption had taken place, judged by metritis, rigors, hectic patches, and other symptoms, yet as first pointed out by Sir James Y. Simpson, the effusion must have been serum and not " no formation of pus pus, as generally occurs till about 10 or 14 days." The patient was saved by careful nursing, expectant treatment, and the extraordinary amount of food, which amounted in two days to the concentrated beef-tea produced by an average Indian oxWhatever theories may be held with regard to puerperal infection, there is certainly sufficient to teach us the necessity
although
of removing children away from any house valence
103 103-9
From a careful analysis of all the records, it appears that excepting 26th there -was a regular diminution of temperature in tlie evening, accompanied by au increased pulse beat on the 19th, 20th, 21st, 22nd. and 29th, with a diminished pulse on the 23rd, 24th, 27th, 28th, and 30th. During the progress of the disease a child, aged two and half years, was affected with croupoid inflammatory throat succeeded by troublesome head symptoms and temporary alopecia. The monthly nurse, and a lady in attendance during their menotlux, suffered from a similar throat affection ; the former very severely. A patient whom I attended a month previously to A.B.'s confinement, died of puerperal fever, and her child, scarcely three years of age, was also attacked by croup and succumbed. These cases,
[September 1,
manner
generally.presurcharged witli a viscid secretion. The stomach was very generally injected and vascular, but there were no inflammatory patches. It was remarkably distended and contained twigs, masses of dirt, a wasp, and some flies. No cicatrix was discovered the only clue to inoculation is, that, 14 days ago, a lurcher pariah hud a
blackberry; sent
was
the
generic inflammatory patch
absent; the bronchia) and lungs
so
were
.
tussle with him. On 17th, after examining the wound of the kid, which was about an inch in length, and quite penetrated through the wing of right nostril, it was placed under close supervision with the view of determining the period of incubation, should constitutional symptoms develope. There was no indication whatever of rabies until the 8th of June?21 days after receipt of injury. On that morning it was reported to be bleating in a peculiar manner, and putting the door with its head. An hour afterwards I found it hemiplegia, with paralysis of muscles of mastication, and a viscid frothy mucus dribbling from nose and mouth ; the pupils were widely dilated, and pulse intermitting. It was very gentle, and allowed itself to be freely handled. This is a typical case of dumb mania, the result of inoculation with the rabid virus of a dog suffering from acute mania. The kid died at 10 a.m. An autopsy revealed tumefaction of throat, engrogement of bronchia;, with frothy spume and sub-acute gastritis. The stomach contained a lot of rubbish. The two fowls died three days after inuoculation of the rabid virus, appax-ently from general paralysis. This, I find, confirms the observations of Dr. Linche of Jena and Mr. King of Clifton, who record that rabid fowls loose the power of standing up and die
quietly.
was 2 days .in the fowls, 14 in the dog, and 21 in the kid. Tonat's experience is, that rabies usually appears somewhere He nover saw a case under between three and seven months. Blain records nor over 8 months, after innoculation. 17
Remarks.?The period of incubation
days,
that the constitutional symptoms appear never less than 14 days, or more than 3 months. Professor Ilerewit, of Eerlin, teaches that rabies propagated either by artificial or inoculation, it is at its height in 50 days. Ilabies, undoubtedly, killed the fowls in three days, and at least one authentic case of hydrophobia destroying a man a year after inoculation is The causo of propagation is the salivary secretion only. In India a dog or jackal is the most usual offender, tlio wolf an occasional one. Eight years ago a maniacal rushed through Abbottabad and attacked a sepoy, buffalo, and horse; they all perished. The poison of rabies lies dormant longer than any other yet known. It is however ultimately absorbed, and while circulating in the system, has tho power of propagating its own peculiar nature to other secretions. The acute and dumb varieties are recognizod by all veterina-
accidental'
recognized.
leopard
rians. The former animals.
generally attacking
young,
tho latter adult
It is noteworthy that the disease, as met within lower aniis never characterized by an aversion to water ; in fact, laryngeal spasm is wanting, tho recurrent nervo being unaffected ; dogs may, owing to tumefaction and paralysis of the muscles of deglutition, refuse, but never avoid it. Excision followed by keen destruction of surrounding tissuo by lunar caustic is a sine qua non. This is by far the best remedy. Nitric and other acids are inferior and roprchensible. It is of paramount importance to realize that after any lapse of time, provided rabies has not appeared, this treatment invariably guarantees absolute freedom from uftor effects, hence tho
mals,
September 1,
MALARIA.
1S73.]
of practically utilizing it the animal is rabid or not.
propriety
on
every
occasion, -whether
PROLAPSUS ANI IN A MULE. I
ani in a
mule, because
Perbut rarely under the notice of the veterinary surgeon even in horses, although oftener among them than in other animals." The regimental mules were put on green food last spring; two cases of prolapsus occurred shortly afterwards, one was easily reduced ; the second, when it came under my notice, was of four days' standing. The usual taxis having failed, the mule was placed under chlorofrom, and the solidified shining albumenoid tumour in which the sphincter was embedded carefully dissected away, the the gut retained in situ bj' tacking the prolapsus reduced, and anus to adjacent parts. The tumour weighed about four
append
a
case
ciral in his classical
of
prolapsus
Hippopatliology says:?" It
conies
pounds.
The mule made an excellent recovery. I am informed that two of this affection generally occur in each frontier
a case or
every spring. The mules are condemned and cast. The application of Dupuytren's principle of operation to these unfortunates would savo considerable loss among our baggage animals.
regiment
241
