Part 15
Under these circumstances, it will be our duty to supply the latter deficiency by carefully anointing the parts with olive oil; at the same time, allow the animal a generous supply of slippery elm gruel: if she refuses to partake of it, when offered in a bucket, it must be gently poured down the throat from a bottle. At times, delivery is very slow; a considerable time elapses before any part of the calf makes its appearance. Here we have only to exercise patience; for if there is a natural presentation, nature, being the best doctor under all circumstances, will do the work in a more faithful manner unassisted than when improperly assisted. "A meddlesome midwifery is bad." Therefore the practice of attempting to hurry the process by driving the animal about, or annoying her in any way, is very improper. In some cases, however, when a wrong presentation is apparent, which seems to render calving impracticable, we should, after smearing the hand with lard, introduce it into the vagina, and endeavor to ascertain the position of the calf, and change it when it is found unfavorable. When, for example, the head presents without the fore legs, which are bent under the breast, we may gently pass the hand along the neck, and, having ascertained the position of the feet, we grasp them, and endeavor to bring them forward, the cow at the same time being put into the most favorable position, viz., the hind quarters being elevated. By this means the calf can be gently pushed back, as the feet are advanced and brought into the outlet. The calf being now in a natural position, we wait patiently, and give nature an opportunity to perform her work. Should the expulsive efforts cease, and the animal appear to be rapidly sinking, no time must be lost; nature evidently calls for assistance, but not in the manner usually resorted to, viz., that of placing a rope around the head and feet of the calf, and employing the united strength of several men to extract the foetus, without regard to position. Our efforts must be directed to the mother; the calf is a secondary consideration: the strength of the former, if it is failing, must be supported; the expulsive power of the womb and abdominal muscles, now feeble, must be aroused; and there are no means or processes that are better calculated to fulfil these indications than that of administering the following drink:--
Bethroot, 2 ounces. Powdered cayenne, one third of a tea-spoon. Motherwort, 1 ounce.
Infuse in a gallon of boiling water. When cool, strain, then add a gill of honey, and give it in pint doses, as occasion may require.
Under this treatment, there is no difficulty in reëstablishing uterine action. If, however, the labor is still tedious, the calf may be grasped with both hands, and as soon as a pain or expulsive effort is evident, draw the calf from side to side. While making this lateral motion, draw the calf forward. Expulsion generally follows.
If, on examination, it is clearly ascertained that the calf is lying in an unnatural position,--for example, the calf may be in such a position as to present its side across the outlet,--in such cases delivery is not practicable unless the position is altered. Mr. White says, "I have seen a heifer that it was found impossible to deliver. On examining her after death, a very large calf was found lying quite across the mouth of the uterus." In such cases, Mr. Lawson recommends that, "when every other plan has failed for taming the calf, so as to put it in a favorable position for delivery, the following has often succeeded: Let the cow be thrown down in a proper position, and placed on her back; then, by means of ropes and a pulley attached to a beam above, let the hind parts be raised up, so as to be considerably higher than the fore parts; in this position, the calf may be easily put back towards the bottom of the uterus, so as to admit of being turned, or his head and fore legs brought forward without difficulty."
We must ever bear in mind the important fact that the successful termination of the labor depends on the strength and ability of the parent; that if these fail, however successful we may be in bringing about a right presentation, the birth is still tedious, and we may finally have to take the foetus away piecemeal; by which process the cow's life is put in jeopardy.
To avoid such an unfortunate occurrence, support the animal's strength with camomile tea. The properties of camomile are antispasmodic, carminative, and tonic--just what is wanted.
Mr. White informs us that "instances sometimes occur of the calf's head appearing only, and so large that it is found impossible to put it back. When this is found to be the case, the calf should be killed, and carefully extracted, by cutting off the head and other parts that prevent the extraction; thus the cow's life will be saved."
In cases of malformation of the head of the foetus, or when the cranium is enormously distended by an accumulation of fluid within the ventricles of the brain, after all other remedies, in the form of fomentations, lubricating antispasmodic drinks, have failed, then recourse must be had to embryotomy.
EMBRYOTOMY.
For the following method of performing the operation we are indebted to Mr. Youatt's work. The details appeared in the London Veterinarian of 1831, and will illustrate the operation. M. Thibeaudeau, the operating surgeon, says, "I was consulted respecting a Breton cow twenty years old, which was unable to calve. I soon discovered the obstacle to the delivery. The fore limbs presented themselves as usual; but the head and neck were turned backwards, and fixed on the left side of the chest, while the foetus lay on its right side, on the inferior portion of the uterus." M. Thibeaudeau then relates the ineffectual efforts he made to bring the foetus into a favorable position, and he at length found that his only resource to save the mother was, to cut in pieces the calf, which was now dead. "I amputated the left shoulder of the foetus," says he, "in spite of the difficulties which the position of the head and neck presented. Having withdrawn the limb, I made an incision through all the cartilages of the ribs, and laid open the chest through its whole extent, by which means I was enabled to extract all the thoracic viscera. Thus having lessened the size of the calf, I was enabled, by pulling at the remaining fore leg, to extract the foetus without much resistance, although the head and neck were still bent upon the chest. The afterbirth was removed immediately afterwards." This shows the importance of making an early examination, to determine the precise position of the foetus; for if the head had been discovered in such position in the early stage of labor, it might have been brought forward, and thus prevented the butchery.
FALLING OF THE CALF-BED, OR WOMB.
When much force used in extracting the calf, it sometimes happens that the womb falls out, or is inverted; and great care is required in putting it back, so that it may remain in that situation.
_Treatment._--If the cow has calved during the night, in a cold situation, and, from the exhausted state of the animal, we have reason to suppose that the labor has been tedious, or that she has taken cold, efforts must be made to restore the equilibrium. The following restorative must be given:--
Motherwort tea, 2 quarts. Hot drops, 1 table-spoonful. Powdered cinnamon, 1 tea-spoonful.
Give a pint every ten minutes, and support the animal with flour gruel.
The uterus should be returned in the following manner: Place the cow in such a position that the hind parts shall be higher than the fore. Wash the uterus with warm water, into which sprinkle a small quantity of powdered bayberry; remove any extraneous substance from the parts. A linen cloth is then to be put under the womb, which is to be held by two assistants. The cow should be made to rise, if lying down,--that being the most favorable position,--and the operator is then to grasp the mouth of the womb with both hands and return it. When so returned, one hand is to be immediately withdrawn, while the other remains to prevent that part from falling down again. The hand at liberty is then to grasp another portion of the womb, which is to be pushed into the body, like the former, and retained with one hand. This is to be repeated until the whole of the womb is put back. If the womb does not contract, friction, with a brush, around the belly and back, may excite contraction. An attendant must, at the same time, apply a pad wetted with weak alum water to the "shape," and keep it in close contact with the parts, while the friction is going on. It is sometimes necessary to confine the pad by a bandage.
GARGET.
In order to prevent this malady, the calf should be put to suck immediately after the caw has cleansed it; and, if the bag is distended with an overplus of milk, some of it should be milked off. If, however, the teats or quarters become hot and tender, foment with an infusion of elder or camomile flowers, which must be perseveringly applied, at the same time drawing, in the most gentle manner, a small quantity of milk; by which means the over-distended vessels will collapse to their healthy diameter. An aperient must then be given, (see APPENDIX,) and the animal be kept on a light diet. If there is danger of matter forming, rub the bag with the following liniment:--
Goose oil, } equal parts. Hot drops, }
If the parts are exceedingly painful, wash with a weak lie, or wood ashes, or sal soda. In spite of all our efforts, matter will sometimes form. As soon as it is discovered, a lancet may be introduced, and the matter evacuated; then wash the part clean, and apply the stimulating liniment. (See APPENDIX.)
SORE TEATS.
First wash with castile soap and warm water; then apply the following:--
Lime water, } equal parts. Linseed oil, }
CHAPPED TEATS AND CHAFED UDDER.
These may be treated in the same manner.
If the above preparation is not at hand, substitute bayberry tallow, elder or marshmallow ointment.
FEVER.
_Description and Definition._--Fever is a powerful effort of the vital principle to expel from the system morbific or irritating matter, or to bring about a healthy action. The reason why veterinary practitioners have not ascertained this fact heretofore is, because they have been guided by false principles, to the exclusion of their own common experience. Let them receive the truth of the definition we have given; then the light will begin to shine, and medical darkness will be rendered more visible. Fever, we have said, is a vital action--an effort of the vital power to regain its equilibrium of action through the system, and should never be subdued by the use of the lancet, or any destructive agents that deprive the organs of the power to produce it. Fever will be generally manifested in one or more of that combination of signs known as follows: loss of appetite, increased velocity of the pulse, difficult respiration, heaving at the flank, thirst, pain, and swelling; some of which will be present, local or general, in greater or less degree, in all forms of disease. When an animal has taken cold, and there is power in the system to keep up a continual warfare against encroachments, the disturbance of vital action being unbroken, the fever is called pure or persistent. Emanations from animal or vegetable substances in a state of decomposition or putrefaction, or the noxious miasmata from marshy lands, if concentrated, and not sufficiently diluted with atmospheric air, enter into the system, and produce a specific effect. In order to dethrone the intruder, who keeps up a system of aggression from one tissue to another, the vital power arrays her artillery, in good earnest, to resist the invading foe; and if furnished with the munitions of war in the form of sanative agents, she generally conquers the enemy, and dictates her own terms. While the forces are equally balanced, which may be known by a high grade of vital action, it is also called _unbroken_ or _pure_ fever. The powers of the system may become exhausted by efforts at relief, and the fever will be periodically reduced; this form of fever is called _remittent_. By remittent fever is to be understood this modification of vital action which rests or abates, but does not go entirely off before a fresh attack ensues. It is evident, in this case, also, that nature is busily engaged in the work of establishing her empire; but being more exhausted, she occasionally rests from her labors. It would be as absurd to expect that the most accurate definition of fever in one animal would correspond in all its details with another case, as to expect all animals to be alike. There are many names given to fevers; for example, in addition to the two already alluded to, we have milk or puerperal fever, symptomatic, typhus, inflammatory, &c. Veterinary Surgeon Percival, in an article on fever, says, "We have no more reason--not near so much--to give fever a habitation in the abdomen, than we have to enthrone it in the head; but it would appear from the full range of observation, that no part of the body can be said to be unsusceptible of inflammation, (local fever,) though, at the same time, no organ is invariably or exclusively affected."
From this we learn that disease always attacks the weakest organ, and that our remedies should be adapted to act on all parts of the system.
The same author continues, "All I wish to contend for is, that both idiopathic and symptomatic fevers exhibit the same form, character, species, and the same general means of cure; and that, were it not for the local affection, it would be difficult or impossible to distinguish them."
Fever has always been the great bugbear, to scare the farmer and cattle doctor into a wholesale system of blood-letting and purging; they believe that the more fever the animal manifests, the more unwearied must be their exertions. The author advises the farmer not to feel alarmed about the fever; for when that is present it shows that the vital principle is up and doing. Efforts should be made to open the outlets of the body, through which the morbific materials may pass: the fever will then subside. It will be difficult to make the community credit this simple truth, because fever is quite a fashionable disease, and it is an easy matter to make the farmer believe that his cow has a very peculiar form of it, that requires an entirely different mode of treatment from that of another form. Then it is very profitable to the interested allopathic doctor, who can produce any amount of "learned nonsense" to justify the ways and means, and support his theory.
The author does not wish, at the present time, to enter into a learned discussion of the merit or demerit of allopathy: the object of this work is, to impart practical information to farmers and owners of stock. In order to accomplish this object, an occasional reference to the absurdities of the old school is unavoidable.
A celebrated writer has said, "The very medicines [meaning those used by the old school, which kill more than they ever cure] which aggravate and protract the malady bind a laurel on the doctor's brow. When, at last, the sick are saved by the living powers of nature struggling against death and the physician, he receives all the credit of a miraculous cure; he is lauded to the skies for delivering the sick from the details of the most deadly symptoms of misery into which he himself had plunged them, and out of which they never would have arisen, but by the restorative efforts of that living power which at once triumphed over poison, blood-letting, disease, and death."
In the treatment of disease, and when fever is manifested by the signs just enumerated, the object is, to invite the blood to the external surface; or, in other words, equalize the circulation by warmth and moisture; give diaphoretic or sudorific medicines, (see APPENDIX,) with a view of relaxing the capillary structure, ridding the system of morbific materials, and allaying the general excitement. If the ears and legs are cold, rub them diligently with a brush; if they again relapse into a cold state, rub them with stimulating liniment, and bandage them with flannel. In short, to contract, to stimulate, remove obstructions, and furnish the system with the materials for self-defence, are the means to be resorted to in the cure of fevers.
We shall now give a few examples of the treatment of fever; from which the reader will form some idea of the course to be pursued in other forms not enumerated. But we may be asked why we make so many divisions of fever when it is evidently a unit. We answer the question, in the words of Professor Curtis, whose teachings first emancipated us from the absurdity of allopathic theories. "These divisions were made by the learned in physic, and we follow them out in their efforts to divide what is in its nature indivisible, to satisfy the demands of the public, and to give it in small crumbs to those practitioners of the art who have not capacity enough to take in the whole at a single mouthful."
In the treatment of fevers, we must endeavor to remove all intruding agents, their influences and effects, and reëstablish a full, free, and universal equilibrium throughout the system. "The means are," says Professor Curtis, "antispasmodics, stimulants, and tonics, with emollients to grease the wheels of life. Disprove these positions, and we lay by the pen and 'throw physic to the dogs.' Adhere strictly to them in the use of the best means, and you will do all that can be done in the hour of need."
MILK OR PUERPERAL FEVER.
_Treatment._--Aperients are exceedingly important in the early stages, for they liberate any offending matter that may have accumulated in the different compartments of the stomach or intestines, and deplete the system with more certainty and less danger than blood-letting.
_Aperient for Puerperal Fever._
Rochelle salts, 4 ounces. Manna, 2 ounces. Extract of butternut, half an ounce. Dissolve in boiling water, 3 quarts.
To be given at a dose.
By the aid of one or more of the following drinks, the aperient will generally operate:--
Give a bountiful supply of hyssop tea, sweetened with honey. Keep the surface warm.
Suppose the secretion of milk to be arrested; then apply warm fomentations to the udder.
Suppose the bowels to be torpid; then use injections of soap-suds and salt.
Suppose the animal to be in poor condition; then give the following:--
Powdered balmony or gentian, 1 ounce. Golden seal, 1 ounce. Flour gruel, 1 gallon.
To be given in quart doses, every four hours.
Suppose the bowels to be distended with gas; then give the following:--
Powdered caraways, 1 ounce. Assafoetida, 1 tea-spoonful. Boiling water, 2 quarts.
To be given at a dose.
Any of the above preparations may be repeated, as circumstances seem to require. Yet it must be borne in mind that we are apt to do too much, and that the province of the good physician is "to know when to do nothing." The following case from Mr. Youatt's work illustrates this fact:--
"A very singular variety of milk fever has already been hinted at. The cow is down, but there is apparently nothing more the matter with her than that she is unable to rise; she eats and drinks, and ruminates as usual, and the evacuations are scarcely altered. In this state she continues from ten days to a fortnight, and then she gets up well." Yes, and many thousands more would "get up well," if they were only let alone. Nature requires assistance sometimes; hence the need of doctors and nurses. All, however, that is required of the doctor to do is, just to attend to the calls of nature,--whose servant he is,--and bring her what she wants to use in her own way. The nearer the remedies partake or consist of air, water, warmth, and food, the more sure and certain are they to do good.
If a cow, in high condition, has just calved, appears restless, becomes irritable, the eye and tongue protruding, and a total suspension of milk takes place, we may conclude that there is danger of puerperal fever. No time should be lost: the aperient must be given immediately; warm injections must be thrown into the rectum, and the teats must be industriously drawn, to solicit the secretion of milk. In this case, all food should be withheld: "starve a fever" suits this case exactly.
INFLAMMATORY FEVER.
Inflammatory fever manifests itself very suddenly. The animal may appear well during the day, but at night it appears dull, refuses its food, heaves at the flanks, seems uneasy, and sometimes delirious; the pulse is full and bounding; the mouth hot; urine high colored and scanty. Sometimes there are hot and cold stages.
_Remarks._--When disease attacks any particular organ suddenly, or in an acute form, inflammatory fever generally manifests itself. Now, disease may attack the brain, the lungs, kidneys, spleen, bowels, pleura, or peritoneum. Inflammatory fever may be present in each case. Now, it is evident that the fever is not the real enemy to be overcome; it is only a manifestation of disorder, not the cause of it. The skin may be obstructed, thereby retaining excrementitious materials in the system: the reabsorption of the latter produces fever; hence it is obvious that a complete cure can only be effected by the removal of its causes, or, rather, the restoration of the suppressed evacuations, secretions, or excretions.
It is very important that we observe and imitate nature in her method of curing fever, which is, the restoration of the secretions, and, in many cases, by sweat, or by diarrhoea; either of which processes will remove the irritating or offending cause, and promote equilibrium of action throughout the whole animal system. In fulfilling these indications consists the whole art of curing fever.
But says one, "It is a very difficult thing to sweat an ox." Then the remedies should be more perseveringly applied. Warm, relaxing, antispasmodic drinks should be freely allowed, and these should be aided by warmth, moisture, and friction externally; and by injection, if needed. If the ox does not actually sweat under this system of medication, he will throw off a large amount of insensible perspiration.
_Causes._--In addition to the causes already enumerated, are the accumulation of excrementitious and morbific materials in the system. Dr. Eberle says, "A large proportion of the recrementitious elements of perspirable matter must, when the surface is obstructed, remain and mingle with the blood, (unless speedily removed by the vicarious action of some other emunctory,) and necessarily impart to this fluid qualities that are not natural to it. Most assuredly the retention of materials which have become useless to the system, and for whose constant elimination nature has provided so extensive a series of emunctories as the cutaneous exhalents, cannot be long tolerated by the animal economy with entire impunity."
Dr. White says, "Many of the diseases of horses and cattle are caused by suppressed or checked perspiration; the various appearances they assume depending, perhaps, in great measure, upon the suddenness with which this discharge is stopped, and the state of the animal at the time it takes place.