Kitabı oku: «The Dog», sayfa 22

SKIN DISEASES

Every affection of the skin in the dog is termed mange. This is very wrong; and receipts for the cure of mange are all nonsense, unless we can imagine that one physic is good for various disorders. The dog is very subject to mange; that is, the animal's system can hardly suffer without the derangement flying to and developing itself externally, or upon the skin. True mange is chiefly caught, being mainly dependent upon contagion; but all the other varieties have the seats internally, and are chiefly owing to the keep or lodging. Too close a kennel will give rise to mange, as will too spare or too full a diet; too much flesh or unwholesome food; too hard or too luxurious a bed. In fact, there is hardly a circumstance to which the animal is exposed which will not cause this malady to be developed. Peculiar kinds of bedding, as barley straw, will give rise to it; and particular kinds of diet, as subsisting entirely upon flesh food, will produce it. In short, I know a few, and only a few, of those things which will cause it; and my time has been so taken up that I have been able to observe but five distinct varieties; though my reason informs me there are many more than I here describe. However, as, in describing five kinds of mange, I do more than either of my predecessors, the public must be content with the moiety for the present; and wait till either I find time to accurately note, if possible, the different forms which mange in the dog will assume, or some more close observer comes forth to take the task from before me.

True mange is dependent, as in the horse, upon an insect; and though not commonly met with, is known by the same symptoms, as the similar affection in the more valuable animal. The skin is partially denuded of hair, but never perfectly so; for in the most bare place, hairs, either single or in small and distinct patches, will be seen adhering to the surface of the body: these remaining hairs are very firmly planted in the skin, have a coarse or unnatural feel, and look all awry and unthrifty. The skin appears very dry and scaly; it is corrugated, or thrown into ridges. The parts chiefly affected have been the back, eyes, neck, &c.; though no part of the body is exempt, for I have seen it virulent upon the feet, and the rest of the body comparatively untouched.

The animal appears dejected, though at seasons he may assume his usual liveliness; but when nothing attracts his attention, his time is nearly consumed in scratching himself violently. His appetite generally remains good, notwithstanding the torture he endures; but the heat of the body denotes fever, and his thirst may be excessive.

The treatment consists in rubbing the body over with some of the various dressings for mange; some of which, however, are compounded for the horse, and do not very well suit the canine race. Care should be taken that the dressing, of whatever nature it may be, reaches and is expended upon the skin, as simply anointing the dog or smearing the salve upon the hair is of no earthly use. The unguent which I have employed, and with such success as emboldens me to recommend it, is composed of —

This is to be applied one day; washed off the next; and then the dressing repeated until the dog has been dressed three times, and washed thrice; after which the ointment may be discontinued; but again had recourse to if the animal exhibits the slightest signs of uneasiness; when the entire process may be gone through once more. Mercurial ointments are the most certain remedies for this disorder; but then they are not safe, and should always be avoided where the dog is concerned.

The second kind of mange is where hair partially falls off; and this kind of disorder is well marked by bare patches of small dimensions, showing themselves on the point of the elbow and any part which is prominent, and which the animal might be supposed to have rubbed as he lay in his kennel. The patches are small and free from hair; but at the same time the skin exposed is rough, scaly, thickened, and corrugated. The itching is intense; but it does not particularly affect the exposed part; it rather seems to reside in those portions of the body which are well covered with hair.

For this form of disease the cure begins with tonic medicine; and after this has been administered a week or a fortnight, as the strength may appear to require restoration, it is suddenly left off; and liquor arsenicalis in gradually increasing doses is administered. If it be a little dog, let the first day's dose consist of half-a-drop each time; and if for a large animal, of two drops each dose; three doses in either case to be given in the course of the day. In the former case, the quantity of arsenicalis is to be increased half-a-drop each day, and in the latter instance one drop daily is to be the advance; the quantity in both cases to be distributed over three doses, one to be given in the morning, one at noon, and the last at night.

The medicine is to be kept on increasing each day, until the dog loathes his food; has a running from the eyes; a scarlet conjunctiva; or exhibits some symptom that denotes the physic has hold of his system; when the arsenicalis is to be discontinued for three days, and then steadily persevered with at the dose which preceded the derangement. Thus, supposing it requires three and a half drops to throw the small dog off his appetite, the quantity to resume with will in that case be three drops.

There is no power I possess which can predicate the quantity of the liquor arsenicalis which an animal will bear; its effects on different creatures of the same species are so various, that what one can gorge with impunity would kill his companion. On this account no fixed quantity of the medicine can be recommended; but the practitioner must be satisfied to watch the symptoms induced, and be content to be guided by these. So soon as the physiological symptom is beheld, the good results of the medicine may be anticipated; and no compound in the pharmacopœia works with greater certainty. The disease will begin to decline; and in a month, six weeks, or two months at furthest, will be thoroughly eradicated. In the course of that period, however, it may be as well to give Nature a jolt every now and then, by occasionally increasing the dose, being always prepared to diminish it on the symptoms giving the slightest hint that it is prudent so to do. The arsenicalis should be used simply diluted with water; and during the period occupied by the cure, no other medicine whatever will be required.

The next form of mange attacks very fat and cruelly overfed animals. The poor dog is very foul. He, as it were, smells aloud; and his hide is enormously thickened, being everywhere devoid of sensation. Pinch it as hard as you can – even until the moisture be forced through the pores by the pressure – and the operation which should inflict pain, will only communicate pleasure.

The animal, instead of crying out or endeavoring to snap, will stand altogether quiet, the expression of the face announcing the perfect delight it experiences; or the head turns round to lick the hand of the pincher, thereby entreating him to continue the delicate recreation.

The hair is generally more or less removed from the back; and the thickest portions of the skin are either above the neck, or just before the tail. The animal is the whole day dull, never being alive except at meal-times, when it is all activity; the rest of the day is passed in sleeping, licking, scratching, biting, and gnawing its person – to the infinite annoyance of an indulgent master, who looks on the mass of disease before him, and with regret pictures the animated creature which it once was.

Here the mode of feeding must be changed. Flesh must be strictly prohibited. Boiled rice forms the most wholesome diet; but even rice milk will not be touched. Neither will be eaten at first; but this does not much signify, as a day or two of abstinence rather does good than injury. If, however, the refusal to feed be exhibited beyond the third day, one, two, or three ounces of meat, according to the size, may be allowed; which quantity, though insufficient to satisfy the desires, is sufficient to keep a dog alive and hungry for an almost indefinite period. Fresh vegetable diet should be presented every day; and if declined, it should immediately be withdrawn. On no account should it be allowed to remain about, and the animal to blow upon it till it either becomes stale or noisome in the creature's eyes. Fresh clean rice should be boiled, and presented every morning; and this should be offered and withdrawn, as though it were too choice a luxury to be twice refused. The animal, tired out, and despairing of gaining anything better to eat through resistance, will fall to the loathed dish at last; and afterward swallow it without any coaxing, although the preference for flesh as food will be cherished to the death.

The food being managed as directed, the dog may also have first a mild emetic, to be followed by three doses, on three different days, of castor-oil prepared as recommended, p. 116.

To these is to succeed a course of pretty strong tonics, to keep up the general tone of the body, invigorate the appetite, and to support the strength. Likewise a cold bath every morning may be added, and plenty of exercise in the course of the day.

So soon as the appetite is subdued, stimulating dressings are applied down the back, where the hair is wanting; and, for a beginning, the common mange liniment answers very well. It is thus prepared: —

This may at first attract no notice; after it has been submitted to for a week, add to every three pints an extra pint of turpentine, which will soon banish all the philosophy the strongest-minded dog may have at his command. Even subsequent to the period when the application of the liniment is received with the acutest and most piteous cries, the torture must be continued until the skin, being reduced to its natural thickness, announces that its office is perfected; only, with the production of this last effect, the agent that gives such pain should be used less lavishly.

During the application of the liniment, some diluted liquor arsenicalis may also be administered, and even the pills containing iodide of sulphur exhibited.

The fourth kind of mange is where the hair falls suddenly off in circular patches. For this any simple ointment, as the ung. cest. or no application at all is sufficient.

The fifth kind is the worst, especially where it attacks young pups. Almost all the hair falls off; and the poor little creature is thin, and nearly naked, while the surface of the body is covered with dark patches, and comparatively large pustules. If the dark patches be punctured, a quantity of venous and grumous blood exudes; but the wound soon heals. In full-grown dogs, the same form of disease seldom involves more than the top of the head, neck, and the entire length of the back; but it is precisely of the self-same character as in the more juvenile animal.

In both cases the treatment is the same. The dark pustules are to be cut into, which produces no pain; and the pustules are to be freely opened, which operation is attended with no apparent effects. The bare skin is to be then washed tenderly with warm water and a soft sponge, after which the body may be lightly smeared over with the ointment of camphor and mercury; see p. 265. This operation must be repeated daily. The liquor arsenicalis may be administered as drops, and pills of the iodide of sulphur likewise exhibited.

Where the dog is old, a cure invariably results; but it takes time to bring it about. Perhaps months may be thus consumed; and the practitioner will require a goodly stock of patience before he undertake the treatment of such a case. The proprietor, therefore, must be endowed with some esteem for the animal, before he can be induced to pay for all the physic it will consume. I cannot account for so virulent a form of skin disease affecting pups; but certain it is, that they have scarcely left the dam before its signs are to be detected. Probably it may be owing to their being weaned upon garbage or putrid flesh. Certain it is that the cure of creatures at this tender age greatly depends upon their previous keep. If it has for any known length of time been good and generous, the practitioner may undertake the case without fear; but if, on the other hand, the pup, though of a valuable breed, had lived in filth, never enjoyed exercise, and been badly nurtured, no entreaties should tempt the veterinarian to promise a restoration. It will certainly perish, not perhaps of the skin disease, but of debility.

Here I may for the present conclude my imperfect account of mange; again insisting that in every form of the disorder the food is to consist of vegetables, and every kind of flesh is to be scrupulously withheld, unless to pups in a very weakly condition. Blaine and Youatt speak of alteratives as necessary towards the perfection of a cure; but as I am simply here recording my experience, all I can say is, I have not found them to be required. Cleanliness – the bed being repeatedly changed – free exercise – wholesome, not stimulating food – and fresh water – are essential towards recovery. In no case should the dog suffering under these complaints be allowed to gorge or cram itself; but the victuals must be withdrawn the instant it has swallowed sufficient to support nature.

CANKER WITHIN AND WITHOUT THE EAR

Blaine treats of these two as different diseases. Youatt speaks of them as the same disease situated on different parts. As they differ in their origin and in their effects, however closely they may be united, I hold Blaine's arrangement to be the soundest, and therefore to that I shall adhere. Water-dogs are said to be the most liable to attacks of these disorders; but I have not found such to be the case. At the mouth of the river Ex, near Exeter, Devonshire, for instance, there are numerous dogs kept for the purpose of recovering the wild fowl, by shooting of which their masters exist during winter. Here is rather a wide field for observation; but among the many water-dogs there to be found, the canker both internal and external is unknown; whereas there is scarcely a dog kept in town, especially of the larger size, that does not present a well-marked case of canker. The London dog is, for the most part, over-fed on stimulating diet (flesh), and kept chained up, generally in a filthy state. The country dog gets plenty of exercise, being allowed to sleep in the open air where he pleases outside of his master's cottage, and has but little food, and very seldom any flesh. I scarcely ever have a sporting dog sent to me, on the approach of autumn, suffering from what their masters are pleased to term "foul," but canker within and without the ear are found to be included in the so-called disorder. Often am I desired to look at both long-haired and short-haired dogs, and find both kinds victims to these diseases; but canker without the ear, or on the flap of the ear, I never see without canker within the ear being also present. Canker on the flap of the ear, it is true, becomes the worst in short-haired dogs, because these animals have this part by nature more exposed to injury. Long-haired dogs, on the other hand, have the disease within the organ worst, because the warmth of their coats serves to keep hot and to encourage the disorder.

Therefore, we find on inquiry that neither breed of dogs is more liable or more subject to be attacked by a particular kind of canker; though in each kind there exist circumstances calculated to give a direction to the disease when once established. Authors speak of rounding the ear for external canker; that is, of taking a portion of the border away, so as to leave the flap of the ear the less for the operation; and fox-hounds are said to have the ears rounded to escape the ravages of the disorder. There are said to have been poor dogs subjected to a second and third rounding; till at length the entire ear has been rounded away, and the wretched beast has been at last destroyed; because man first fed it till it was diseased, and then was too heartless properly to study the nature of the affection which tormented the animal.

Let those who may feel disposed to question this view of external canker, ask themselves what it is which induces the dog to shake his head violently at first? For the brute must shake the head violently and frequently, before canker in the flap can be established. The disease is, in the first instance, thus mechanically induced. It has its origin in the violent action of the beast; and that action is the very one which ensues upon the animal being attacked by internal canker.

The dog shakes his head long before the eye can detect anything within the ear. By that action, in nine cases out of ten, we are led to inspect the part. The action is symptomatic of the disorder, and it is the earliest sign displayed. In the dog whose coat does not favor internal canker, it may, however, establish the external form of the disease; which being once set up, may afterwards even act as a derivative to the original disorder.

External canker is nothing more in the first stage than a sore established around the edge of the ear, in consequence of the dog violently shaking the head, and thereby hitting the flap of the ear with force against the collar, chain, neck, &c. Shaking, however, does not cure the annoyance. An itching within the ear still remains; which the dog, doubtless imagining it to be caused by some foreign body, endeavors to shake out. In consequence of the continued action, the sore is beaten more and more, till an ulcer is established; the ulcer extends, involves the cartilage which gives substance to the flap of the ear, and thus is created a new source of increased itching. The ulcer enlarges, becomes offensive; and he who is consulted, instead of seeking for the cause, begins by attending to the effect. Various remedies are employed to cure the flap of the ear; and each and all of these failing, the poor animal is at length rounded, and as books and teachers advise, rounded high enough up.

All the diseased parts are carefully cut away; but the disease appears again, and the wretched beast is rounded a second time. On this occasion the rounding is carried still deeper, the operator being resolved the knife this time shall take effect. The dog has little ear left when the disease appears again; and the master saying he wants his dog for the field – to shoot over, and not to look at – the remaining portion of the ear is removed, hoping for better luck this time. However, chances are now against them; they have cut beyond mere skin and cartilage, into the seat of flesh in goodly substance. Spite of the brutal use of the red-hot iron, the hemorrhage is great, and ulcers appear before the cicatrix is perfected. The miserable animal having nothing more that can be cut away, is then killed, being said to be incurably affected.

This is a true history, and can be substantiated by reference to all the authors who have hitherto written about the dog. It does not, therefore, depend solely upon the testimony of the present writer; but sad is the reflection, that all the pain and suffering thus occasioned was unnecessary. Canker without the ear cannot be established unless canker within the ear, in the first instance, exists. It may not be violent; it may be present only in an incipient stage, and never get beyond it; but in this state it is sufficient to annoy the animal, and make it shake its head. Doing this, however, it does enough to mislead the practitioner, and cause the death of the unfortunate animal.

When a dog is brought with canker in the flap, the first thing I order is a calico cap, to keep the animal from shaking the ear. I then give the person accompanying the creature a box of the mercurial and camphor ointment, ordering it to be well applied to the external ear thrice daily, with the intention of cooling the part. I do nothing absolutely to heal the ulcers beyond keeping the part from being shaken; for I have not yet met with a case in which the cartilage has been positively involved, however much authors may write about such a texture having suffered. I direct my chief attention to the healing of the internal ear, from which I trace all the evil to have sprung. For this purpose I give a bottle of the canker-wash, described a little further on, ordering it to be applied thrice daily, and rest contented as to the result.

With regard to internal canker, how virulent was the disorder, and to what lengths it used to progress, may be imagined from reading Blaine and Youatt; both of whom speak with terror of its effects, advising the use of agents for the recommendation of which I cannot account, excepting by the supposition that they were selected under the influence of fear. Most of the solutions advised are painful; but how far they were effective we may conjecture from the descriptions they have left us of the disease. They tell us that, as the disorder proceeds, it eats into the brain; either causing the dog to be destroyed, or driving it phrenetic. The poor animal, we are informed, leans the head upon the fore-feet, the diseased ear being pressed downwards, and continually utters a low moan, which at length rises into one prolonged howl. Of all this I know nothing; but I remember at college, when going the rounds with the Professor Simonds, on a Sunday morning, hearing one of those huge howls which are uttered by large dogs when enduring excessive torture. On my asking whence the sound proceeded, I was coolly informed by my teacher that he supposed Sam (the head groom) had been pouring some dressing into the ear of a dog that had got canker. Of what the dressing that had occasioned such pain was composed, I never inquired; but we may judge of its power to destroy the bone, from the extent of the agony which it produced. No wonder, when such powerful agents were employed, the bone, the brain, or any other part, was affected.

Thank heaven! there is one good custom prevalent in this disease – dogs affected with it are brought to us early. Often, when the animal is only observed to be constantly shaking and scratching the ear, the proprietors bring the dog for us, to remove something from the interior of the organ. At other times, and with the most careless or unobservant masters, the dog is brought under our notice with a blackened discharge within the convolutions of the ear, and a slight smell, like decayed cheese, proceeding from it. A crackling sensation is then imparted to the fingers when the base of the ear below the flap is manipulated; the necessary pressure sometimes drawing forth an expression of pain. A worse case than this I have not encountered; though how common canker has been in my practice may be conjectured from my keeping a two-gallon stock-bottle of the wash in my surgery, and a label, for the bottles in which it is sent out, within my drawers. The mode of administering this wash is admirably described by Youatt, from whose pages I transcribe it: —

"Some attention should be paid to the method of applying these lotions. Two persons will be required in order to accomplish the operation. The surgeon must hold the muzzle of the dog with one hand, and have the root of the ear in the hollow of the other, and between the first finger and the thumb. The assistant must then pour the liquid into the ear; half a tea-spoonful will usually be sufficient. The surgeon, without quitting the dog, will then close the ear, and mould it gently until the liquid has insinuated itself as deeply as possible into the passages of the ear."

The warming of the fluid I find to be unnecessary; and there is something to be added to the above direction, when the wash I advise is employed. After one ear is done, let it be covered closely with the flap, and the other side of the head turned upward without releasing the dog. When both are finished, take a firm hold of the dog, and fling him away to any distance the strength you possess is capable of sending the animal; for the instant the dog is loose, it will begin shaking its head, and, as the canker-wash I employ contains lead, wherever a drop falls, a white mark or spot, as the liquid dries, will be left behind.