The treatment is rendered the more difficult because of the insidious nature of the disorder, and the uncertain character of its symptoms; under such circumstances, it is no easy task to make perfectly clear those instructions I am about to give. I am in possession of no specific; I do not pretend to teach how to conjure; I am going only to lay down certain rules which, if judiciously applied, will tend to take from this disease that fatal reputation which it has hitherto acquired. I shall be obliged, however, to leave much to the discretion of the reader; for it would employ too great a space, did I attempt to make provision for all possible accidents and probable combinations.
The diet is of all importance; it must be strictly attended to. In the first place, meat or flesh must be withheld. Boiled rice, with a little broth from which the fat has been removed, may be the food of a weakly animal, but for the majority bread and milk will be sufficient; whichever is employed must be given perfectly cold. Sugar, butter, sweet biscuits, meat, gravy, greens, tea or pot liquor – either luxuries or trash – must be scrupulously denied in any quantity, however small. Skim-milk, if perfectly sweet, is to be preferred, and coarse bread or ship biscuits are better than the same articles of a finer quality. These will form the diet, when the dog can be brought to accept them; and to rice, the favorite – however great may be the pity he elicits, or however urgent may be his solicitations for a more liberal fare – must be rigidly confined. If, after a few trials, the dog stubbornly refuses such provender, meat must of necessity be given, but it should be of the very best description, and rather underdone. Of this kind, it ought to be minced, and mixed with so much rice or ship biscuit as the animal can at first be made to eat with it; the rice or biscuit may then be gradually increased; and in the end the vegetable substance will constitute, at all events, the major part of the support. Water, constantly changed – a circumstance too little attended to where dogs are concerned – must be the only drink; the bed must be warm and dry, but airy. Cleanliness cannot be carried to too nice an extent; here the most fastidious attention is not out of place. Let the kennel be daily cleared, and the bed regularly changed at least thrice-a-week; straw or hay is better for the dog to sleep upon than cushions or blankets, which, being more expensive, are not so frequently replaced. Too much hay or straw cannot be allowed, but, on the other hand, it is difficult to regulate the quantity of the finer articles. In the last kind of bed the animal is often almost smothered, or else he scrapes them into a lump, and lies shivering on the top; whereas, when he has straw to lie upon, he can either creep beneath it, and shelter himself when sensible of cold, or expose himself to the air when oppressed by the fever. The sensations being the only guide, it is best to leave the dog, as much as possible, capable of obeying its instinct; but always let the bed be ample, as during the night the shivering generally prevails, and the cold fit is entirely independent of the heat to be felt at the skin, or the temperature of the season. Let the dog be kept away from the fire, for, if permitted, it will creep to the hearth, and may be injured by the falling cinders, when the burn will not perhaps readily heal. A cold or rather cool place is to be selected – one protected from wet, free from damp, and not exposed to wind or draughts. The kennel, if properly constructed, is the better house, for dogs do best in the open air; the only objection to which is, the chance it offers of the animal being drenched with rain. If the kennel can be placed under an open outhouse, I should always have it put there; and what else I would recommend is, of course, told by the line of conduct which I pursue.
Medicinal measures are not to be so quickly settled. A constant change of the agents employed will be imperative, and the practitioner must be prepared to meet every symptom as it appears. The treatment is almost wholly regulated by the symptoms, and as the last are various, of course the mode of vanquishing them cannot be uniform. To guide us, however, there is the well-known fact, the disease we have to subdue is of a febrile kind, and has a decided tendency to assume a typhoid character; therefore, whatever is done must be of a description not likely to exhaust, – depletion is altogether out of the question. The object we have to keep in view is the support of nature, and the husbanding of those powers which the malady is certain to prey upon: in proportion as this is done, so will be the issue. In the very early stage, purgatives or emetics are admissible. If a dog is brought to me with reddened eyes, but no discharge, and the owner does no more with regard to the animal than complain of dulness, a want of appetite, and a desire to creep to the warmth, then I give a mild emetic such as is directed, page 119; and this I repeat for three successive mornings; on the fourth day administering a gentle purge, as ordered, page 116. The tartar emetic solution and purgative pills I employ for these purposes, in preference to castor oil or ipecacuanha, and during the same time I prescribe the following pills: —
Make into twenty-four pills, and give three daily; choosing the lowest amount specified, or the intermediate quantities, according to the size of the animal.
Often under this treatment the disease will appear to be suddenly cut short. With the action of the purgative, or even before it has acted, all the symptoms will disappear, and nothing remains which seems to say any further treatment is required. I never rest here, for experience has taught me that these appearances are deceptive, and the disorder has a disposition to return. Consequently strict injunctions are given as to diet, and a course of tonics is adopted: —
Make into twenty pills, and give three daily.
At the same time I give the liquor arsenicalis, which I prepare not exactly as is directed to be made by the London pharmacopœia, but after the following method: —
Take any quantity of arsenious acid, and adding to it so much distilled water as will constitute one ounce of the fluid to every four grains of the substance, put the two into a glass vessel. To these put a quantity of carbonate of potash equal to that of the acid, and let the whole boil until the liquid is perfectly clear. The strength is the same as the preparation used in human practice; the only difference is, the coloring and flavoring ingredients are omitted, because they render the medicine distasteful to the dog. The dose for the dog is from one drop to three drops; it may be carried higher, but should not be used in greater strength, when a tonic or febrifuge effect only is desired.
Of the liquor arsenicalis I take ten or twenty drops, and adding one ounce of distilled water, mingled with a little simple syrup, I order a teaspoonful to be given thrice daily with the pills, or in a little milk, or in any fluid the creature is fond of. The taste being pleasant, the dog does not object to this physic, and it is of all importance that it should be annoyed at this time as little as may be possible.
Numerous are the cases which have thus been shortened by this method; and the advantage gained by this mode of treatment is, that if the measures employed be not absolutely necessary, they do no harm, and if required, they are those which are calculated to mitigate the violence of the disease; so for three or four weeks I pursue this course, and should all then appear well, I dismiss the case.
Most generally, however, the dogs brought to us with the distemper have the disease fairly established before we see them. Then I never purge or vomit: the time when such agents could be remedial has passed, and if now used, though they will seem to do some immediate good, the after consequences are always to be regretted. The action of the purgative has scarcely subsided before the distemper assumes a more virulent form, and the probability of the termination is rendered more dark. During the distemper I pay little attention to the bowels; and, however great may be the costiveness, I never venture to resort even to a laxative, though, should I discover the rectum to be impacted with hard fæces, an enema may be employed. That which I use on these occasions is composed of gruel, to which some sulphuric ether and laudanum has been added.
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