Wound, s. A hurt given by violence.
Wounds, bruises, and other injuries, may happen in various ways, by kicks, by bites, in leaping over hedges or gates, by kicking against stalls, and many other ways. Various names have been applied to such injuries, according to the manner in which they are inflicted; but there is no occasion for such distinctions: they are all bruises or contused wounds, and all require to be poulticed or fomented. It is to be observed, that, in all injuries of this kind, whether wounds or bruises, or both, the horse should be immediately bled freely, and have his bowels opened by a dose of physic. The diet also should be attended to, allowing only a very moderate quantity at first of grass, or bran mashes. In all those cases poultices are by far the best remedy, until the inflammation is completely subdued; and when the situation of the part will not admit of a poultice, which is seldom the case, then fomentations of warm water only, almost constantly applied, are the best substitute. When inflammation has quite ceased, which may be known by an abatement of the pain and swelling, and by the appearance of white matter, the poultice may be discontinued, and then the wound should be carefully dressed to the bottom with a tent of tow, dipped in melted digestive ointment. The cavity is not to be filled with the tent, but it must be introduced to the bottom, and then the wound will heal as it ought; whereas, if it is dressed superficially, or only syringed, it will often close over at the surface, and the wound appear healed, while the matter is spreading and doing mischief at the bottom. There are four obstacles to the complete healing of wounds which sometimes occur, and these are, when the wound has been complicated with an injury of a bone, a ligament, a cartilage, or a tendon. In either of these cases the fleshy parts and skin will generally heal readily, and the wound will appear nearly or quite healed, except a small or minute orifice, from which a little matter oozes; and this orifice is not perceptible, being covered with spongy flesh, until a probe is introduced; it will then be found that there is a sinus running down to the bottom of the original wound, and there the probe will be resisted by the diseased bone, ligament, cartilage, or tendon. The bone may be easily distinguished by the sensation conveyed to the hand through the probe; and when this is felt a free opening should be made, if the situation of the wound will admit of it, and the diseased surface scraped off. A tent of friar’s balsam should then be introduced, and continued until it is cured. If the first scraping has not been freely performed, a second may be necessary. Sometimes sinuses, or pipes, as they are termed, remain after the inflammation of wounds has subsided. If these are superficial, running under the surface, or nearly horizontally, they require to be laid open, and then they heal readily. Sometimes they run obliquely inward, or perpendicularly, and then require to be dressed at first with stimulating or even caustic tents, of solution of blue vitriol; and these must be repeated until the sides of the sinus have sloughed off, and the very bottom of the wound can be distinctly felt. In all complicated ulcers of this kind, where the sinus runs in a winding or crooked direction, or where there are two or more sinuses, the caustic tents must be repeated until they are brought to the state of one simple sore, the bottom of which can be distinctly felt; and if the bottom happen to be bone, it must be scraped freely and dressed with friar’s balsam. A good method of destroying such sinuses is to take some corrosive sublimate, or finely pulverised blue vitriol, and fold it up in a long narrow slip of thin whity-brown paper; this being neatly folded may be twisted at each end, and may thus be conveniently introduced into the sinuses, and forced to the very bottom with a long probe. Several small particles of this kind may be made and forced in one after another, until all the sinuses are completely filled. By these means a large core or slough will be brought out in four or five days; and if the sinuses are not then so destroyed that the bottom can be ascertained, the same dressing must be repeated.
There is a class of punctured wounds that will not admit of the treatment I have described; these are punctured wounds of the sheath of tendons, and the capsular ligament of joints. Such wounds often happen about the fetlock and hock joint, or in the sheath of the flexor tendon, or back sinew; and these are often attended with considerable inflammation and swelling. It will not be proper to introduce tents into such wounds, or to irritate them by probing: emollient poultices are considered the remedies for such wounds; but they do not always succeed; I have in several cases found it necessary to touch the wound with lunar caustic, before I could procure any abatement of the inflammation and swelling, and I am inclined to believe that this had better be done on the first occurrence of such wounds. The caustic should be scraped off to a point, and introduced within the wound about the eighth of an inch or a little more; it should then be moved round a little, and withdrawn. I have seen a punctured wound in the fore leg, near the fetlock joint, get well rapidly after this had been done; though emollient poultices and fomentations had been carefully employed for several days before without doing the least good; on the contrary they were doing harm, for the inflammation, pain, and swelling, certainly increased while they were employed. But the caustic seemed to operate almost as a charm; for the leg got well in two or three days after it was applied. I have seen a similar good effect from it in a punctured wound of the hock joint.
In lacerated wounds, as they are termed, the skin is often much torn, and so are the muscles or flesh. Now the muscles must never be stitched up, on any account whatever; the skin only is to be stitched or sewed up, and that will rarely be of any use in the horse, as union by the first intension, I believe I may venture to say, can never be accomplished in the horse, except in one situation, and that is in the forehead, when the skin has been torn neatly down or up and not bruised. When the skin of a lacerated wound has been stitched up, the stitches always give way, and the wound is completely open again by the fifth day, and then the flap of skin may as well be removed, for it never will unite. The scar will then be much less than a person would imagine, for the skin and hair will be in a great measure regenerated, and scarcely any blemish will be left.
Bruises always require to be poulticed, and there is scarcely any situation where this cannot be done, if a person will but take a little trouble about it. If, however, it cannot be done, a fomentation is the best substitute. For bruises on the back the old farriers employed a greasy dish-clout, and this, next to a poultice, is perhaps the best remedy; for the cloth has been so softened by almost constant maceration in water, and is so completely imbued with grease, that it really becomes a good emollient application, and only requires to be kept wet. By this treatment bruises will be generally brought to suppuration, and if they are capable of being dispersed, poultices are the best means of effecting it. When a bruise has been brought to suppuration, or has thrown off a slough, it may then be considered as a wound or rather ulcer, for such wounds do become when they have suppurated, and must be treated according to the directions I have given under that head. These are all the instructions necessary to be given for the treatment of wounds and bruises. I think there is no occasion here for the classification and distinctions that are employed in human surgery; and it will be found, I trust, that what has been said on the subject, will be sufficient for every accident that may happen.
When a horse becomes suddenly lame, after the legs have been carefully examined and no cause of lameness appears in them, the shoe should be taken off. In many cases the offending substance will be immediately detected, or the additional heat felt in some part of the foot will point out the seat of injury; or, if the crust be rapped with the hammer all round, the flinching of the horse will discover it; or pressure with the pincers will render it evident.
When the shoe is removed for this examination the smith should never be permitted to wrench it off, but each nail should be drawn separately, and examined as it is drawn, when some moisture appearing upon it will not unfrequently reveal the spot at which matter has been thrown out. In the fore-foot the injury will generally be found on the inner quarter, and on the hind foot near the toe, these being the thinnest parts of the fore and hind-feet.
Sudden lameness occurring within two or three days after the horse has been shod will lead us to suspect that the smith has been in fault; yet no one who considers the thinness of the crust, and the difficulty of shoeing many feet, will blame him for sometimes pricking the horse. His fault will consist in concealing or denying that of which he will almost always be aware at the time of shoeing, from the flinching of the horse, or the dead sound, or the peculiar resistance that may be noticed in the driving of the nail.
When the seat of mischief is ascertained, the sole should be thinned round it, and, especially at the nail-hole or the puncture, it should be pared to the quick. The escape of some matter will now probably tell the nature of the injury, and remove its consequences. If it be puncture of the sole by some nail, or any similar body, picked up on the road, all that will be necessary is a little to enlarge the opening, and then to place on it a pledget of tow dipped in friar’s balsam, and over that a little common stopping; or, if there be much heat and lameness, a poultice should be applied.