Tuesday, June 21, 2016

The treatment must commence with constitutional remedies

The treatment must commence with constitutional remedies

The treatment must commence with constitutional remedies



The treatment must commence with constitutional remedies, if the state of the part permits of the requisite delay. The digestion should be amended, and the piles, which are certain to be present, attended to. After a fortnight, more or less, has been devoted to such measures, a strong ligature should be tied as tight up as possible around the base of the growth, and a fresh one should be applied every second day. There must be no forbearance in the application of the ligature, but the degree of tension must be regulated only by the strength of the operator. This is far more severe than the removal would be if the knife were employed, but I have not seen a case which I dared venture to excise. I do not like the ligature; it is long and torturing in its action; but here there will be no chance, for the vessels are too numerous and large to admit of the speedier process being resorted to. Where it is possible, it is well, however, to cut through the skin before applying the cord; for the operation is expedited considerably, and an important deduction made from the animal's agony.


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