REMARKS,
SHOWING THAT VERY LITTLE IS KNOWN OF THE NATURE AND TREATMENT OF DISEASE.
Mr. Percival details a case of peritonitis,[5] after the usual symptoms in the early stage had subsided. "The horse's bowels became much relaxed: suspecting that there was some disorder in the alimentary canal, and that this was an effort of nature to get rid of it, I promoted the diarrhœa by giving mild doses of cathartic medicine, in combination with calomel!" [Nature did not require such assistance: warm drinks, composed of marshmallows, or slippery elm, would have been just the thing.]
"On the third day from this, prolapsus ani (falling of the fundament) made its appearance. After the return of the gut, the animal grew daily duller, and more dejected, manifesting evident signs of considerable inward disorder, though he showed none of acute pain; the diarrhœa continued; swelling of the belly and tumefaction of the legs speedily followed: eight pounds of blood were drawn, and two ounces of oil of turpentine were given internally, and in spite of another bleeding, and some subordinate measures, carried him off [the treatment, we presume] in the course of a few hours.
"Dissection: a slight blush pervaded the peritoneum; at least the parietal portion of it, for the coats of the stomach and intestines preserved their natural whiteness. About eight gallons of water were measured out of the belly.[6] The abdominal viscera, as well as the thoracic, showed no marks of disease."
We have stated, in the preceding pages, that the farmers can generally treat some cases of disease, by simple means, with much better success than some of the regulars; yet there are exceptions. Some of them have been inoculated with the virus of allopathy; and when an animal is taken sick, and manifests evident signs of great derangement, they seem to suppose that the more medicine they cram down the better, forgetting, perhaps not knowing, that the province of the physician is to know when to do nothing. Others err from want of judgment; and if they have an animal sick, they send for the neighbors; each one has a favorite remedy; down go castor oil, aloes, gin and molasses, in rapid succession. "He has inflammation of the insides," says one; "give him salts." No sooner said than done; the salts are hurried down, and, of course, find their way into the paunch. These, together with a host of medicines too numerous to mention, are tried without effect: all is commotion within; fermentation commences; gas is evolved; the animal gives signs of woe. As a last resort, paunching, bleeding, &c., follow; perhaps the horns are bored, or some form of barbarity practised, and the animal dies under the treatment.
A case similar to the above came under our notice a few months since. A cow, of a superior breed, was sent a few miles into the country to winter. Having always had the very best of feed, the owner gave particular instructions that she should be fed accordingly; instead of which, however, she was fed on foxgrass and other indigestible matter, in consequence of which she was attacked with acute indigestion, (gastric fever, as it is generally called,) more popularly known, in barn-yard language, as a "stoppage." A man professing to understand cow-doctoring was sent for, who, after administering "every thing he could think of" without success, gave a mixture of hog's lard and castor oil. When asked what indication he expected to fulfil, he replied, "My object was to wake up the cow's ideas"! Unfortunately, he awoke the wrong ideas; for the cow died. On making a post mortem examination, about half a bushel of partly-masticated foxgrass was found in the paunch, and the manyplus was distended beyond its physiological capacity. On making an incision into it, the partly-digested food was quite hard and dry, and the mucous covering of the laminæ—even the laminæ themselves—could be detached with the slightest force. The farmer will probably inquire, What ought to be done in such cases? Before we answer the question, a few remarks on the nature of the obstruction seem to be necessary.
In the article Description of the Organs of Digestion, the reader will learn the modes by which the food reaches the different compartments of the stomach. In reference to the above case, the causes of derangement are self-evident, which will be seen as we proceed. The animal had, previous to the journey, (thirty miles,) received the greatest care and attention; in short, she had been petted. Being pregnant at the time, the stomach was more susceptible to derangement than at any other time. The long journey could not act otherwise than unfavorably: first, because it would fatigue the muscular system; secondly, because it would irritate the nervous. Here, then, are the first causes; and it is important, in all cases of a deviation from health, to ascertain, as near as possible, the causes, and remove them. This is considered the first step towards a cure. If we cannot remove the causes, we are enabled, by an inquiry into them, to adopt the most efficient means for the recovery of the animal. The animal having had a bountiful meal before starting on the journey, and not being allowed sufficient time to remasticate, (rumination is partially or totally suspended during active exercise,) probably, combined with the above causes, an acute attack of the stomach set in—subsided after a few days, and left those organs in a debilitated state. The sudden change in diet also acted unfavorably, especially as the foxgrass required more than ordinary gastric power to reduce it to a pulpy mass, fit to enter the fourth, or true digestive stomach. For want of a due share of vital action in the abomasum, (fourth stomach,) it was unable to perform its part in the physiological process of digestion; hence the accumulation found in the manyplus. The causes of the detachment of laminæ, and the blanched appearances,—for it was as white as new linen,—were partly chemical and partly mechanical. The mechanical obstruction consisted in over-distention of the manyplus from food, thereby obstructing the circulation of the blood through its parietes, (walls,) and depriving it not only of nutriment, from the nerves of nutrition, but paralyzing its secretive function. It then became a prey to chemical action and decomposition. The indications of cure were, to arouse the digestive organs by stimulants, then by anti-spasmodic, relaxing, and tonic medicines, (for which see Appendix:) the digestive organs would probably have recommenced their healthy action, and the life of the animal might have been saved. Oil and grease, of every description and kind, are not suitable remedies to administer to cattle when laboring under indigestion; for at best their action is purely mechanical, and cannot be assimilated by the nutritive function so as to act medicinally. Linseed oil is, however, absorbed and diffused. If the animal labors under obstinate constipation, and it is evident that the obstruction is confined to the intestines, then we may resort to a dose of oil.
The reader will perceive the benefits to be derived from a knowledge of animal physiology and veterinary medicine, when based upon sound principles and common sense. He will also see the importance of having educated and honorable men employed in cattle-doctoring. No doubt there are such; but surely something is "rotten in Denmark;" for we are repeatedly told by our patrons that they "judge of the merits of the veterinary art by the men they find engaged in it."
Scientific Treatment of Colic, or Gripes.—"On the 5th September, 1824, a young bay mare was admitted into the infirmary with symptoms of colic, for which she lost eight pounds of blood before she came in. The following drench was prescribed to be given immediately: laudanum and oil of turpentine, of each, three ounces, with the addition of six ounces of decoction of aloes. In the course of half an hour, this was repeated! But shortly after, she vomited the greater part by the mouth and nostrils. No relief having been obtained, twelve pounds of blood were taken from her, and the same drink was given. In another hour, this drench was repeated; and, for the fourth time, during the succeeding hour; both of which, before death, she rejected, as she had done the second drink. Notwithstanding these active measures were promptly taken, she died about three hours after her admission." (See Clark's Essay on Gripes.) It appears that the doctors made short work of it. Twelve ounces of laudanum, and the same of turpentine,[7] in three hours! But this is "secundum artem" "skilful treatment"—a specimen of "science and skill," and justifiable in every case where the symptoms are "alarming." Let the reader, if he has ever seen a case of colic treated by us, contrast the result. Had the case been treated with relaxing, anti-spasmodic, carminative drinks, warmth and moisture externally, injections internally, and frictions generally, the poor animal would, probably, have been saved. We have attended many cases of the same sort, and have not yet lost the first one.
Extraordinary case of "cattle doctoring"!—which ought to be termed cattle-killing.—We were requested by Mr. S. of Waltham, December 18, 1850, to see a sick cow. The following is the history of the case: The cow, as near as we could judge, was of native breed, in good condition, and in her eighth pregnant month; pulse, 80 per minute; respirations, 36 per minute; external surface, ears, horns, and legs, cold. She had not dunged for several days. She was found lying on her belly, with her head turned round towards the left side. She struggled occasionally, and appeared to suffer from abdominal pain. She uttered a low, moaning sound when pressure was made on the abdominal muscles. The following facts were related to us by the owner, which we give in his own language. "I bought the cow, and drove her about 200 miles to this place. She had been here about a week, when I perceived she did not eat her feed as well as usual. She became sick about nine days ago, I thought it best to begin to doctor her! I employed a man who was reputed to be a pretty good cattle doctor. She got pretty well dosed between us, for we first gave her one pound of salts. The next day we gave her another pound. Finding this also failed to have the desired effect, we gave her one pound eight ounces more. She kept getting worse. We next gave her a quart of urine. She still grew worse. Two table-spoonfuls of gunpowder and a quarter of a pound of antimony were then given; still no improvement. As a last resort, we gave her eight drops of croton oil; a few hours afterwards, nine drops more were given; and a final dose of twenty drops of the same article was administered. The cow rolled her eyes as if she were about to die. I then called in the neighbors to kill her, when one of them advised me to come and see you." The reader will here perceive that we had a pretty desperate case; having been called in just at the eleventh hour. We may here remark that the cow had been under treatment nine days, during which time she had eaten scarcely any food, and passed but very little excrement. The medicine had been given at different stages during that period. There was evidently no accumulation of excrement in the rectum, for she had been raked and received several injections.
As we were not requested to take charge of the case, the owner being unwilling to incur additional expense, we, therefore, with a view of giving present relief, and fulfilling the necessary indications, ordered the following:
| Powdered slippery elm, | 1 table-spoonful. |
| Powdered caraways, | 1 tea-spoonful. |
| Powdered marshmallows, | 1 table-spoonful. |
| Powdered skullcap, | 1 tea-spoonful. |
| Powdered grains of paradise, | 1 tea-spoonful. |
A sufficient quantity of boiling water to form it into the consistence of thin gruel; a junk bottle full to be given every two hours.
Directions were given to rub the ears and extremities until they were warm, and the strength of the animal to be supported with thin flour gruel.
The indications to be fulfilled were as follows:—
1st. To lubricate the mucous surfaces, and defend them from the action of the drugs.
2d. To arouse the digestive function, and prevent the generation of carbonic acid gas.
3d. To allay nervous excitement, and remove spasms.
Lastly. To equalize the circulation.
The first indication can be fulfilled by slippery elm and marshmallows; the second, by caraway seeds; the third, by skullcap; and the fourth, by grains of paradise.
We have not been able, up to the present time, to ascertain the result.
Here, then, are a few examples of horse and cattle doctoring, which we might multiply indefinitely, did we think it would benefit the reader. We ask the reader to ponder on these facts, and then answer the question, "What do horse and cattle doctors know about the treatment of disease?"
It gives us much pleasure, however, and probably it will the reader, to know that a few of the veterinary surgeons of London are just beginning to see the error of their ways. The following contribution to the Veterinarian, from the pen of Veterinary Surgeon Haycock, will be read with interest. The quotations are not complete. We only select those portions which we deem most instructive to our readers. The disease to which it alludes, puerperal fever, has made, and is at the present time making, sad havoc among the stock of our cattle-growing interest; and it stands us in hand to gather honey wherever we can find it. "Of the various questions which present themselves to traders and owners of cattle respecting puerperal fever, the following are, perhaps, a few of the most important: First. At what period of their life are cows the most liable to be attacked with puerperal fever? Secondly. At what period after the animal has calved does the disease generally supervene? Thirdly. What is the average rate of mortality amongst cows attacked with this disease? Fourthly. What is the best method to pursue with cattle, in order, if possible, to prevent the disease? Fifthly. What is the best mode of treatment to be pursued with cattle when so attacked? To these several questions I shall endeavor to reply as fully as my own knowledge of the matter will allow me. They are questions which ought to have been answered years ago; [so they would have been, doctor, if, as Curtis says, your brethren had not been progressing in a circle, instead of direct lines;] but no one appears to have thought it necessary. They are questions of great importance to the agriculturist; if they were fully answered, he would be able to form a pretty accurate estimate as to the amount of risk he was likely at all times to incur with respect to puerperal diseases of a febrile nature. For instance, suppose it was fully ascertained, from data furnished by the correct observations of a number of practitioners, at what period of the cow's life the animal is most liable to be attacked with puerperal fever; the agriculturist and cow-keeper would be able, in a considerable degree, to guard against it, either by feeding the animal, or taking such other steps as a like experience proved to be the best. It is of no earthly use practitioners writing 'grandiloquent' papers upon diseases like puerperal fever; or in their telling the world, that puerperal fever is a disease of the nervous system; or that the name which is given to it is very improper, and not suggestive; or that bleeding and the administration of a powerful purgative are proper to commence with; together with hosts of stereotyped statements of a like nature—statements which are unceasingly repeated, and which are without one jot of sound experience to substantiate them. [All good and sound doctrine.]
"Question First. At what period of their lives are cows the most liable to be attacked with puerperal fever? I have in my possession notes and memoranda of twenty-nine cases of this disease, which notes and memoranda I have collected from cases I have treated from the month of July, 1842, to the month of July, 1849—a period of seven years; and with reference to the above question the figures stand thus: Out of the twenty-nine, three of them were attacked at the third parturient period, five ditto at the fourth, sixteen at the fifth, two at the sixth, and three at the eighth.
"It appears, then, from the above numbers, that cows are the most liable to puerperal fever at the fifth parturient period—a fact which is noticed by Mr. Barlow.
"Secondly. At what period after the animal has calved does the disease generally supervene? With reference to this question, the twenty-nine cases stand thus:—
5 cows immediately after parturition.
8 cows in 20 hours after parturition.
6 cows in 23 hours after parturition.
5 cows in 24 hours after parturition.
3 cows in 30 hours after parturition.
2 cows in 36 hours after parturition.
1 cow in 72 hours after parturition.
"It appears, then, from the above, that after the twentieth and twenty-fourth hours, the animals, comparatively speaking, may be considered as safe from the disease; and that after the seventy-second or seventy-third hour, all danger may be considered as past, beyond doubt.
"Thirdly. What is the average rate of mortality amongst cows attacked with this disease? Out of the 29 cases, 12, I find, recovered and 17 died; which loss is equivalent to somewhere about 59 per cent.—a loss which, I am inclined to think, is not so great as that of many other practitioners. [It will be still less if you reject poison as well as the lancet.]
"Mr. Cartwright, in the May number of the Veterinarian of the present year, states that, 'Although I have seen at least a hundred cases, chiefly in this neighborhood, [Whitchurch,] during the last twenty-five years, yet I am almost ashamed to confess that I cannot call to recollection that I ever cured a single case, [neither will you ever cure one as long as the lancet and poison are coöperative,] nor have I ever heard of a case ever being cured by any of the quacks in the neighborhood.' [Of course not, for the quacks follow in the footsteps of their prototypes, the regular veterinary surgeons.]
"Fourthly. What is the best method to pursue with cattle, in order, if possible, to PREVENT the disease? This is a question which I hope to see amply discussed by veterinarians. I have but little to offer respecting it myself; but I labor under a kind of feeling that something valuable may not only be said, but done, by way of prevention. With reference to preventing the disease, Mr. Barlow, in his Essay, says, 'There is a pretty certain preventive in milking the cow some time before calving in full blood-letting before or immediately after; in purgatives, very limited diet, and other depletive measures; each and all tending to illustrate the necessity of a vascular state of the system for its development!'"
Mr. Haycock continues: "So far as my own experience is concerned, it is at variance with almost every one of my observations. In the table which I have given respecting question 2, the reader will recollect that I stated that puerperal fever supervened in five cows immediately after parturition. Now, it is worthy of remark, of these five cases, that every animal had been milked many hours previous to calving. The full udder, under such circumstances, is a powerful excitant to the uterus: this is a well-known fact, and the consequence is, that if this natural excitant be withdrawn, the action of the process at once becomes diminished. I have known many cases, in addition to those already given, where the parturient process was prolonged for hours in consequence of the animal's being milked, in whom fever supervened almost immediately afterwards. The prolonged process, I think, greatly weakens the animal, and, as a natural result, the vital energies become less capable of maintaining their normal integrity. With reference, again, to bleeding and purging as preventives, I have nothing to offer in favor of either mode. I do not believe that they are preventives. [Good, again, doctor: you are one of the right stripe. It would give us pleasure to see a few such as you on this side of the water.] First of all, we require to know what percentage of calving cows are liable to be affected with puerperal fever; then, whether that percentage becomes reduced in number in consequence of such preventive measures being brought into force: these are the only modes whereby the matter can be proved; and, so far as I know, no one has ever brought the question to such a test. That bleeding and purging are considered as preventives by people in general, I know perfectly; but, like many other popular opinions, the thing which is believed requires first to be proved ere it becomes truth.
"I perfectly agree with Mr. Barlow in recommending spare diet. I regard it, in fact, as the great preventive.... When I say spare diet, I do not mean poor diet. The food should be good, but they should not have that huge bulk of matter which they are capable of devouring, and which they appear so much to desire. I should commence the process for eight or ten days prior to calving, or even, with some animals, much earlier; and the diet I would give should consist of beans, boiled linseed, and boiled oats, with occasionally small portions of hay. I should not always feed upon one mixture. I might occasionally substitute boiled barley in place of oats; and when the time for calving was very near at hand, say within a day or so, I should become more sparing with my hay, and more copious with my allowance of bran. With regard to the diet after calving, I should pursue much the same course I have named: perhaps for the first thirty hours I might allow the animal nothing but gruel and bran mash, in which I should mix a little oatmeal, or very thick gruel. I have sometimes thought—but hitherto it has not gone beyond a thought with me—that a broad cotton or linen bandage, fixed moderately tight round the cow's body immediately after calving, might prove of some assistance as a preventive. I have had no experience in its benefit myself; I merely suggest the thing; and if it did nothing more, it would prevent, in some measure, the animal from feeling that sensation of vacuity which must necessarily exist immediately and for some time after calving, and which, I think, under some conditions of the system, may be injurious to the animal. I am told by a medical friend of mine, that he has known puerperal fever produced in women solely from midwives' neglecting to bandage them after delivery; at any rate, a bandage, or a broad belt having straps and buckles attached, and placed securely round the cow's body immediately after calving, and kept there for a day or two, could do no harm, if it failed of doing good.
"Fifthly. Which is the best method of treatment to pursue with cows when attacked with puerperal fever? Upon this question I feel that I could say much; but at present I defer its consideration.... Suffice it to say, then, that I never either bleed or administer purges. I used once to do both, but my experience has shown me, in numerous cases, that neither is necessary.... This malady I have written upon is fearfully destructive; and if such diseases cannot be met with powers capable of wrestling with it, I, for one, shall say that it is a stigma upon our art—I will say that when we are most wanted, we are of the least use."
FOOTNOTES:
[5] Inflammation of the peritoneum.
[6] Water very frequently accumulates in the belly or chest, after blood-letting.
[7] On remonstrating with a man who was about to administer half a pint of turpentine to a cow, he replied, "She has no business to be a cow!" We presume that some of the regulars have just as much, and not a particle more, of the milk of animal kindness as this man seemed to show.