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Cattle 1853 - Lewis Family Farm

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ACUTE AND EPICEM1C PNEUMONIA.<br />

which, the vital power being exhausted, disease of a typhoid and<br />

malignant character succeeds.<br />

Of the nature of the treatment there can be no rational doubt.<br />

Although the state of acute fever is quickly succeeded by one of a<br />

perfectly contrary character, it is not until it has committed the most<br />

earful ravages. The congested state of the lungs—the breaking<br />

down of the substance of that important part—must be sufficient to<br />

convince any rational person of the mischief that is going forward in<br />

the early stage, and the necessity of disarming the enemy before that<br />

mischief is irreparably inflicted. Therefore this acute pneumonia<br />

should be attacked in time, and by the most energetic treatment.<br />

Bleeding is the sheet-anchor, and should be pushed to its full extent.<br />

The important fact that the pulse, duly attended to, will prevent the<br />

possibility of injurious consequences from bleeding in every case, cannot<br />

be too often alluded to. While the pulse keeps up, the power<br />

of the constitution, or rather the power of the disease, is unimpaired<br />

and the faltering of pulse gives timely warning that one or the other<br />

is preparing to give way. It is folly to object that the after weakness<br />

will be increased, or that the bleeding will undermine the power of<br />

the constitution ; it is the disease which is doing this, and which will<br />

fatally accomplish its work if unchecked. By weakening the power<br />

of the disease, and especially by its removal, the vigor of the system<br />

would be preserved, and the animal would be saved. In proportion<br />

to the intensity and rapid progress of the inflammation should be the<br />

vigor the attack.<br />

The state of the cough, and heat of the breath, and heaving of the<br />

flanks, will indicate, in the space of a few hours, whether the fever is<br />

permanently diminished, or has again rallied its forces ; and by this<br />

the practitioner will be guided as to the propriety of a second bleed-<br />

ing, and the quantity of blood to be taken.<br />

Physic will of course succeed. Two scruples of the farina of the<br />

Croton nut should first be given, as most likely to operate speedily ;<br />

and the Epsom salts and the injection-pump should be in requisition<br />

until the bowels are well opened.<br />

This being accomplished, if the inflammation evidently continues,<br />

digitalis, emetic tartar, and nitre will be given. If the fever is, to a<br />

very considerable degree, subdued, but it is far from certain whether<br />

there may not be lurking danger of its return, the sedative medicines<br />

must still be given, but half an once of the spirit of nitrous ether<br />

should be added. This is an excellent medicine in such cases. It is<br />

both a sedative and a tonic. It allays irritation, and it stimulates to<br />

healthy action. Its good effect, however, is often destroyed by its<br />

being given in enormous doses. In these doubtful cases it will rarely<br />

be prudent to give more than half an ounce ; and when designed as<br />

a stimulant, the dose should rarely or never exceed double thai<br />

quantity.<br />

;

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