/^O o ■ 1 JOHNA.SEAVERNS jUFTS UNIVERSITY LIBRARIES 3 9090 013 418 351 Webster Family Library of Veterin^^ Medicine Cummlngs School of Veterinary iviedicine at Tufts University 200 V oroRoad x North Grafton, MA 01536 X OBSERVATIONS AND DISCOVERIES MADE UPON HORSES, WITH A New Method of Shoeing. By the Sieur LA FOSSE, Farrier to the King of France. With COPPER-PLATES. LONDON,. Printed for J. N o u r s e at the Lamb oppofitc Katherine- Street in the Strand, MDCCLvT THE EDITOR'S PREFACE TO THE READER. I N C E experimental philofophy has heen fo happily propagated by the learned of our own nation ; it has heen Spread and adopted into all the feminaries of Europe wherever the native curiojity of mankind^gratified and improved by an application to the liberal arts^ has prevail- ed. It is to this we owe^ this day^ the benefits arifing to mankind^ from the progrefs made in phyfic and furgery \ it is to this we owe the remov- al of prejudices in every part of learnings and the replacing of it with certainties and plain truths \ and it is in a word from this the recipro-^ cal benefits accruing from one nation to another^ by their improvements and inventions^ daily arife. However negligently the difeafes of horfes have heen heretofore committed to the care of the moft ignorant among mankind *, the great ufe thefe ani* mals are of in the ceconomy of life has at laft point'^ . ed out to men of fenfe and learmtg to take them into their conjideration : Comparative anatomy has excited them^ and the great fimilarity of parts^ A 2 offices^ [iv] offices^ and fiindtions in the ftruSfure of a horfe with thofe of human nature^ was a fufficient allure^ tnent to invite gentlemen to take them under a more mature confideration^ and to refcue the noble ani- mals from the hands of the mofi illiterate empi- rics. I do not intend to expatiate upon the ufe and im- portance of thefe animals in life^ as they are evi- dent already to every obferver \ I mean only to give fome little account of the improvements made by the Sieur la Foffe upon farriery in the following treatife ; which 1 am the more ready to do that thofe of my countrymen^ whofe concerns require the imployment of horfes, may profit of it in their ma- nagement and the cure of their difeafes. Nor would I in the leafl forget the fenfible trea- tifes wrote and publifhed by our own authors Gib- fon^ Bracken^ and Bartlet, who have treated the fubje^ in a learned manner^ and who made early and ingenious fieps towards reducing it to a ra- tional fyfi em ^ ivell knowing it was a matter of weight enough to engage the mofi fagacious in the improvement of an art^ from which fo con/tderable a benefit ari/es to the greater^ and indeed thefuperior^ part of mankind. But I fhould think myfelf wanting in the duty I owe my country^ if I did not propagate among them, whatever occurred to me that might tend to fuch laudable ends., in the mofifpeedy and befl manner I could. And therefore as foon as this valuable little bock come to my handsy I took care to tah 2 the [v] the proper rite a fur es for communicating ^ to the puh- lic^ thofe ufeful hints that appeared in it upon the moft important points of farriery ; being additional difcoveries to what has already been ever made in any country. This author then has given the anatomy of a horfe's foot^ and in the moft clear manner laid down the different degrees of punEiures a horfe is liable to^ and their different confequences^ which he has carefully demonflrated by proper reprefentations in copper plates^ as well as amply provided for in the method of cure^ as far as human fkill and pe- netration can go ; and in the whole^ it appears that he is very well verfed in the anatomical di- ftribution of the parts of a horfe^ or has been affified by fame able anatomijl -, and from his ob- fervations on the parts ^ he has found that farriers were perpetually rowelling^ cauterifing^ and apply- ing topical medicines to parts of horfes that had no ailment^ by their ignorance of fuch as were the nal feats of their diforders. Another important dfcovery of this author is his pointing out the true feat of the glanders^ which has always been thought a difeafe of the lungs ; Mr, Bartlet^ one of our Englifh authors has ap* proved and adopted his do5irine^ and has added feme judicious remarks of his own upon it ; by whicb he merits the thanks of his countrymen in general. Ifhall only take the liberty to add briefly a word or ffr [ vl ] OT two concerning two other points of as great mo- went as thofe mentioned ♦, the firfi is his applica- tion of the powder of the PufF-balls to flop the 'hlood in divided arteries^ and the other is an im- provement upon the manner of jhoeing horfes. As to the fir ft he has made fuch undeniable expe- riments in cafes of amputation of limbs and other parts^ that the certificates of the Royal Academy of Sciences at Paris were readily granted him, as will be feen in the fec[iiel of his book -, and indeed the great benefit of this difcovery does not ftop here •, // will be extended to cafes of amputation in man^ kind, and be capable of taking away a conftderable part of their pain as well as other accidents that fometimes attend the ufual methods in furgery, of providing againft dangerous hemorrhages. And in a word, the reader will find many CU' rious remarks upon the methods of fhoeing, which it were to be wifhed, our farriers will fo on come into \ and many precautions which cannot fail of giving great fatisfaEiion, as well as conduce very much to the profit of all keepers of horfes. We miifl inform the reader, further that {as our ingenious author has tranfiated the chief part of Mr, Bartlet's i2th chapter upon the difeafes of horfes in this book, we have thought it neceffary to tran- fcribe the EnglifJj original here, becaufe it contains the fcope of the Sieur la Foffe's difcoveries upon the glanders ; and becaufe Mr. Bartlet, befides trepanning as our author mentions it for this dif- eafe, dire^s keeping open another hole, which he calls the lower hole, with a leaden hollow tent, to, 2 [ vili ] to let the matter run off \ this lower hole appears by the foregoing paragraphs to be made into the maxillary finus^ hy perforation in the place of a tooth drawn for that purpofe ; and this hint is wifely taken from the invention of Drake and Cooper, which makes Mr. Bartlet compare the ozcena and its method of cure to the glanders^ and from thence add the keeping open this lower hole in the manner mentioned above ; as well as that on the horfe^s cheeky opened by the trepan^ as invent^ ed by the Sieur la Foffe -, nor indeed can it be thought^ in our opinion^ an ufelefs addition ; we mufl further add that the infirument referred to by Mr. Bartlet in the adjoining paragraph^ is no other than the trepan^ which this author has added to his copy of the Sieur la Foffe* s plate of the head of a horfe, ERRATA. Page Line 11 13 for cup or. r. cut in the capfula 12 10 r. 4. the holes. 16 I for coronary, r. coronet Ibid. 2 for which was difculTed, r. they refolved upon drawing the fole. Ibid. 16 for harnefTed, r. put to 27 8 for by, r. for the thread, a fpongy excrefcence fo called 34 6 for fmearit over r. disfigure it. Ibid. 24 /or amputation r. operation. 3^ 4 for ample r. firm. 36 12 for contrary to nature, r. this preternatural bone. 38 1 5 /or medicine r. farriery. 39 24 for hyppiatric r. hippiatric. 44 17 for fnot r. matter. 46 6 for of four r. to four. 48 4 for defcription r. defign. 82 i2/?r djminilhed ;\ confined down. BOOKS printed for J. Nourje at the Lamb oppoftte Katherine-ltreet in the Strand. A Treatise on the Difeafes incident to Children from their Birth to the Age of fifteen j with particular In- Itrudlions to tender Mothers, prudent Midvvives, and careful Nurfes. The Whole made familiar to every Capacity. By the learned Dr. John Astruc, Regius Profeflbr of Medicine at Paris, und chief Phyfician to his prefent Majefty the King of France, i^c Oftavo, 1746. Academical Lectures on Fevers j in which the ef- fential Symptoms and Nature of the various Kinds of Fevers are defcribed, the immediate Caufes pointed out, with the general and particular Indications in the Method of Cure I'ubjoined to each. Confirmed by the Author's fuccefsful Pradice for forty Years ; read in the Royal College at Paris. By the fame Author, Odlavo. 1747. A Dissertation on the Food, and Difcharges of Human Bodies. By Bryan Robinson, M, D. Cdavo. 1748. Boerhaave's Medical Correspondence ; Containing the various Symptoms of Chronical Diftempers, the Profef- for's Opinion, Method of Cure, and Remedies. To which is added, his Practice in the Hofpital at Leyden, with his Manner of inftruding his Pupils in the Cure of Difeafes. Odlavo, 1745. In this ColIe£lion are contained many Letters, wrote originally in Englifh, to the Dodlor by Perfons of Diftinc- tion. Gentlemen and Ladies, iffc. with his Anfwers ; fuch are marked %*, the reft are tranflated from the Latin. The Dispensatory of the Royal College of Phyficians, London. Tranflated into Englifh, with Remarks, ^c. by H. Pemberton, M. D. Profeffor of Phyfic in Greiham College, and F. R. S. Octavo 1749. The fecond Edition. A Course of Practical Chemistry, in which are contained all the Operations defcribed in Wilfon's complete Courfe of Chemiftry, with many new and uncommon Pro- celTes. To each Article is given the Chemical Hiftory ; and to mofl an Account of the Quantities of Oil, Salt, Spirits, yielded in Diftillation, dffr. from Lemery, HofF- nian, the French Memoirs, Philofophical Tranfadions, iffc. and from the Author's own Experience; with Copper- Plates. By William Lewis, M. B. F. R. S. Oclavo. 1746. [i] ADVERTISEMENT. ^-^m H E differtations fet forth ^S in the table of oblerva- K tions are the fruits of the knowledge of anatomy. It is to that alone I owe all my difcoveries, and if I am fometimes obliged to devi- ate from the common rules of prac- tice, thefe very principles in anato- my, and the deftruclive errors I for- merly fell into, are the caufe of it. A I never [ " ] 1 never had any more knowing inafters than thofe of my own frater- nity, and therefore am more fenfible than any other, how far I am from being perfea ; but however Imperfed my firft plan may be, I would, at leaft, claim the advantage of having firft opened the way. If my brethren are wUUng to lead their children in the fame path, and to caufe thofe intended for the profeflion of Far- riery to iludy anatomy in time ; I am very coiofident fewer errors wdl be committed, "and the art will in a little time be carried farther than it ever vet has been. However , [ iii ] However, as the knowledge of anatomy is not the only requifite for a progrefs in our profeflion, it would be highly neceffary to join with it that of medicine. How ihall we cure difeafes if we do not know them ? how are remedies to be applied, if we are not certainly acquainted with either their vertues or effeds ? In a word, how are juft prognoflics to be made upon difeafes, if we are not truly enlightened either by our own ftudy, or by fome able and careful mafler ? It is yet to be wifhed that all A 2 who [ i^ ] who undertake the cure of horles, were verfed in the ftrud:ure of that animal, they would avoid thofe er- rors which dilgrace the farrier, and depreciate his profeffion, which is of fuch moment to tlie public. A LIST LIST OF I M P O RTANT Obfervations and Difcoveries UPON SEVERAL Accidents that happen to HORSES. I . i^^^^^ H E exa6t anatomy of a horfe s MIt^^- foot. tJ?Egj^-^^i^ 2. A hiflory of the caiifes and feat of different difeafes, faid to be in the hip, or fhoulder, which lame the horfe, and are dcmon- flrated to be in the foot. 3. A train of new experiments and obferva- tions upon the glanders. 4. A memoir prefented to the academy of A 3 fciences. [6] fciences, upon a method of flopping the blood in large arteries. 5. A new method of fhooing horfes, both for preferving their feet, and to prevent their flipping upon fmooth pavements. A TABLE [7] TABLE O F OBSERVATIONS. I. ^ I ^ HE anatomical plate of the diffeded -■* parts of a horfe's foot, with their ieveral figures, croiTed by fix parallel right lines, the fpace of which fhews, upon every part, the im- portance of the accidents that happen to them ; fo that the quality and feat of each may be fuffi- ciently known, to make a true prognoftic upon their different kinds, without having fludied anatomy. 2. That the caufe of the lamenefs in hodes, which is commonly looked for in the fhoulders or haunches, is in the foot, proceeding from the comprefTion of the fiefhy fole, by the coronary bones pufhing againfl: it : this lamenefs often be- comes incurable by the coalefcing of thefe bones, for want of applying remedies as foon as per- ceived, 3. The rupture of the great tendon called the Tendo Achillis. 4. The fradlure of the coronary bone into three pieces, and fometimes more. 5. The fradure of the nut- bone in two, and A 4 fometimes IS] fometlmes in three parts, but always fradlured with the coronary bone. 6. Ihe fradure of the foot bone only in two. 7. A fet of new experiments and obfervations upon the glanders, as a fupplement, to a treatife on that difeafc, publifhed in 1749. 8. The manner of flopping the blood of the great arteries cut afunder, without either ligature or cauflic •, with the judgment of the Royal Academy of Sciences, in confequence of the re- ports of the committee, teftifying the experiments made before them. 9. The m^ethod of fhooing horfes, in order to fecure them upon a pavement in fummer, or in winter, although quite fmooth ; and the advan- tages attending it; i. They are not fo liable to call their fhoes. 2. The flefhy Ible is fecured from feveral accidents : 3d. To preferve the legs and render their motions more eafy. 10. A note of what Dr. Bracken fays in his tranflation of my treatife upon the glanders. 11. A tranflation of what relates to the glan- ders, in the treatife lately publifhed in London by Mr. Bartlet, iurgeon. T H E [9] THE ANATOMICAL TABLE. ne dijj'e^ied parts of a horfe^s foot^ and their fi- gures^ crojfed by fix horizontal^ parallel right lines ^ the fp ace of which indicates^ upon every part^ the importance of the accidents that happen to them ; fo that the quality and feat of each may be fuffi- ciently known ^ to make a true prognoflic upon their different kinds without having fludied anatomy. EXPLANATION of the FIGURES of the Second Plate. ' I ^ H E firfl figure repreTents the bottom of a -*- horfe's foot. A. is the horny fole. B. the fros;. 2. The ^^^^/ towards its lower edge, called by the author the wall of the foot. Figure the fecond fhews the horny fole A. raifed from the Piefhy fole C. round which is the en- channelied ^iti'a^ 6. placed in the fulcus of the inner furface of the hoof: 5. the horny part of which is foft and white. Figure the third reprefents the under part of the fleiliy fole C. raifed from the foot bone * D. G the covering or thee a of thQ -.Tendo Achillis, 2. The cartilage. 6. The edge of the flefhy fole confined in the furrow of the channelled horny fubflance. * The foot-bone is Gibfon's Coff.n-hone. ' The [ IS ] The fourth figure fhews a back view of the hg, 7. The lldn laid open, in order to view the iBiier foft parts belonging to the articulations. 8 . The aponeurotic membrane^ formed of dif- ferent laminc-E, which feparate the mufcles and cu- taneous tendons-. ^. and 3. Are partly the covering of the flex- or tendon of — 5. The coronary bone *, which ferves as a co- vering to the Tendo Achillis, 10. II. I'he ligament of the cannon-bone, the pafleFn and the coronary bones ; 16. The cup or capfula of the tendon of theco- rona-ry hon&. 18. The canon-bone -f. 6. The foot-bone. Figure the fifth is the fame leg and in the fame view. 2. The foot bone. 1. The Tendo Achillis> diflefted to fhew the co- ronary bone 6. 3. The nut-bone J. 4. The concave part of the foot-bone to whick the tendon is fixed. 7. The ligament of the foot-bone with the nut- bone. * The coronary bone is the Tittre pattern of Gibfbn. f French authors call thofe bones, Camn banes both be- fore and behind, which Gibfon calls in the fore legs, the Shonk hcrresy and in the hind legs the hjiep bones. X T he nut-bone called by the French Os de la mix is a little cblcng hone placed acrofs at the jun^ion of the lirtle and great paiUrns behind, which is not taken notice of by Giblon. 8. The [ 10 ] S, The ligament of the tendon with the nut- bone. Figure the fixth reprefents the ^endo Achillis raifed and feparated from figure 5. To fhew the lamina 8. which ferves as a ligament to the nut- bone of the fame figure. Figure the feventh fhews the enchannelled flefli, I. The wall or hoof being raifed from it j 2. The rough border that furrounds the enchan- nelled flefh above the hoof. 3. The cartilage of the foot. 4. The extenfor tendon of the foot. Figure the eighth demonftrates the bone of the foot Z. the enchannelled flefh of which is rais'd with the cartilage. 5. The ligament of the coronary bone with that of the foot. 3 and 4. The extenfor tendon of the foot. ne third plate^ containing figures of the ojteology and fraElure of the hones. Figure the firfl reprefents a fore view of the leg. 3. The canon-bone cut acrofs at the upper end. 4. The paftern bone. 5. The coronary bone. 6. The foot bone. The fecond figure is a back yiew of the fame leg. 8. The canon -bone. 4. The paftern. 5. The coronary bone. 3-Th [ « 3 5^ The nut- bone which cannot be iccn in a fejre view. 6. The foot, or coffin-bone. The third figui-e is another back view of the lame leg, i6. The place where the artery divides into two branehee. 5- The diftributiQn of thefe two branches round the foot. The holes into which thele two branches pafs, in the foot. 6. The foot bone. The fourth figure is the coronary bone viewed ajiteriorly, with the marks of its fradures, i, 2, 3. The fifth figure is the fame coronary bone in a back view with the appearance of the fame frac- tures, I, 2, g. Tlie fixth is the nut-bone fradlured into three parts, 4, 5, 6. The feventh fhews the fame bone fractured in two, 4. 4. The eighth is a figure of the foot bone viewed on its upper furface fradured in two, with the mark of the fradture, 6, 7. The ninth is a view of the under furface of the fame bone, with the fradlure marked 6. 7. this bone is very fpongy. OBSER- [ H ] O B S E RVAT I O N UPON SUCH ACCIDENT j^ often happen to hdrfis feet^ which ghj€ them ^ ftidden lamenefs^ the canfe of which mrmut he discovered. Observation L lame horie was committed to my care, but -^ -* I could receive no manner of informatloE concerning his diforder ; and after I had drdHed him for eight and twenty days, without either difcGvering the caufe, or the ieaft ibccefs : they put him into the hands of another farrier, who alio attended him Mtt^^ days longer. The owb- «r of the horfe feeing this man's endeavours as fruitlefs as m.ine, gave him up to me, and I cut off his leg in order for difledion ; and found the ^endo Achillis ruptured near its infertion, and the coronary bone broke into three pieces, without any diflocation ; having as recent an appearance as if they had been fractured but a day ; altho* the accident happened fix weeks before. And not htiii^ able to find ont how, nor by what particular [ h] effort this bone could be broken •, nor whether it was begun by the foot, or paflern bone •, I fhewed it to feveral ikilful perfons, who after a long examination appeared as much at a (land about it as myfelf Nor was there any fudden effort of the horfe obierved before it. Ob SE RVATION IL With refpe6l to fuch efforts, I myfelf faw a horfe, put to a coach, fradure the coronary bone at his firll fetting off. Observation III. I happened to pafs by a coach, when the coachman, ready to put off, whipped his horfe, w^ho inflantly made a fpring, and became fud- denly lame ; having obferved it, I felt his foot, and the rattling nolle I was fenfible of, by touch- ing him, indicated the coronary bone to be frac- tured ; and the diffedion farther proved the Ten- do Achillis to have been ruptured near its infer- tion, as may be feen by the figures. Observation IV. A horfe who was put to a coach, being at the fame time very quiet, received a cut of a whip from the coachman, which made him tremble, whence he fuddenly fell lame ; the coach- [ ^5 1 coadiman faw it and looked at his foot. And though nothing ailed him to appearance^ he put him into the liable, I was called a.nd found the coronary- bone fradiuredj declarmg him inciirable ; but this was doubted, becaule they had not obferved any effort made by the horfe before it ; however they took care of, and drefled him for a month, but as he grew no better^ they put him to death ; I difTcifted has foot to fhew them I was not miftaken ^ I demoiiftrated that the coronary-bone was fra^hured into three pieces : but was fujprifed to find the nut-bone alfo broke in tw^, and, the Tendo ^chillis entire, becaufe I never favt^ fraclures of this kind before, among the ma- oy difleifHoiis I had made. Observation V. Having examined a horfe, whofe Ihoulder was drefled, which was thought the feat of his diforder-, I aflerted it v/as in the foot, caufed by the comprejiion of tht coronary-bone ; for, that being in motion, it raifes and pufhes the nut-bone againfl the tendon, which puts the Heihy fole in a ilate of compreflion, as if between an anvil and hammer. It formed an inflammation there, and therefore they ought to have imme- diately drawn the ible ; but as they had loll fome time, and feeing he did not mend, i faw him again^ and found a fmall fwelling at the coronarVy [ i6 ] coronary, which I fhewed, and which was difcufied by drawing the fole. They accord- ingly drew it out, after having fired the tumor ; but he was not cured. He remained eight - months in pain when they killed him. I found the Tendo Achillis oflified at its infertion with the coffin-bone, and this with the nut and co- ronary-bones, round which the cartilage was alfo coalefced, fo that all thefe parts formed one entire body *, the pieces of which I have yet by me. Thefe examples make it apparent that the comprelTion of the fieihy fole, for want of a fpeedy remedy, becomes incurable. Observation VL Of a fingular fracture which happened in 1743. I was called to fee a horfe who became fuddenly lame of his two hind feet, being har- nefTed to a coach. It was thought he had ftrained his reins ; I examined him, and de- clared his diforder was in his feet, and that it was incurable, for that he had fradures in them. I diffedled thefe two feet and found the two co- ronaries fractured, and the tv/o tendons of Achilles ruptured : this horfe walked near a quarter of a league, with thefe two bones in that condition. * An Anchvlofis. Obser- [l?] Observation VII. Another horfe put to a coach, without any apparent violent motion, fractured the coro- nary-bone in twenty pieces ; while the nut-bone, that of the foot, and the great tendon remained unhurt ; this was the only cafe of this kind I ever faw. Observation VIII. Another horfe had been lame a confider- able time •, and it was not known whether it was in the foot or fhoulder : I examined him, and found the coronary- bone fradiured, and affured them his cafe was incurable i they doubted it, but were obliged to abandon him at the month's end ; I diifedled his foot and accordingly found the coronary- bone fradured in four pieces, and the nut-bone in two, the Tendo Achillis being fafe. B Observation ['8 1 Observation IX, A horfe was lame for four months ; he was drefled at firfl above the leg, and afterwards ia the foot, but his fole was not drawn •, I judged him incurable, as I fufpeded an anchylofis, and he was put to death. I difledled the foot, and found the foot or coffin-bone fra6lured in two, in which fradture the anchylofis began to be formed, as well as the offification between the coronary, nut and coffin-bones. The frac- ture croiTed diametrically one of the cavi- ties of the articulation, and ended towards the middle of the toe or point of the foot- bone. So that this bone appeared to be di- vided obliquely into two unequal parts -, It is not unlikely that the horfe had trod upon a flone which raifed one fide of his foot more than the other, and which, joined to the weight of his body, caufed this oblique fradure -, al- though the foot was in a perpendicular direc- tion: thisisthefecond fra^lure of this fort I have met with; and it is curable if fpeedily taken in hand. I have already feveral feet, which arc ofllfied like this. Obser- i^9i Observation X. A horfe was lame for two months without their knowing his cafe ; I pronounced the lame- nefs to be in his foot, and fhewed them a fmall fwelUng at the coronet, they attended him, but the fwelJing increafed, for two years, by negleding to draw the fole in the beginning. I difledted this foot, and found the nut, coro- nary, and coffin-bones oflified together •, which was caufed by the difcharge of the oileous juice upon them •, they were fo coalefced to- gether, that it was difficult to diftinguifh the places of the articulation of thefe three bones. Observation XL An anchylofis after an inflammation. An effort or ftrain which might not be violent enough to fradlure the coronary nor nut-bones, nor even rupture the flexor tendon, might go fo far as to produce an inflammation of the fleihy fole -, if the inflammation is communicated to the ligaments, tendons, and capfulse of the joints. I pronounced it always incurable by the formation of an anchylofis in the part if not infl:antly taken in hand. I have feen two kinds of this difeafe in feet difl^edled by my- felf, an account of the pieces of which, as well B 2 as [ 20 ] as of the fradlured bones inentioned before, were added to the memoir given in to the aca- demy as a fupplement. Observation XII. Drawing the fole prevents fuch oITifications as I have been mentioning, and reHeves the flefhy fole from prefTure •, which fole is regard- ed as an expanfion of the mufcles and tendons of the foot ; this operation enlarges the fpacc in the hoof, the flefliy fole being no longer prefled, its inflammation ccafes and the foot re- covers its natural ftate. When a horfe's fole is drawn, care mud be taken to let the foot bleed in order to empty the blood -vefTels and lymphatics, to apply with the firft drefiings, turpentine and its fpirit, or oil ; and not to bind the fplints too ftraitly^ that the inflamed parts may not be injured, the coronet mull be bathed with oil ot tur- pentine, and the hoof dreflTed up all round with emollients, in order to moiften, extend and foften the parts. Obser- [ 21 ] Observation XIII. The hoof of a horfe may be compared to a fponge ', when it is dry it contradts itfelf even to the inner parts ; if it be moiftened, it foft- ens and dilates •, if he flands long in a liable without taking care to keep the hoofs moift, he often goes lame ; becaufe they are fufceptible of contradlion as well as dilatation. The com- preiTion in the hoof happens by the coronary pufliing againfl the nut-bone, upon which it partly moves ; which having the adlion of a le- ver, takes for its point of fupport the upper and fore-part of the foot-bone comprefled , the nut- bone which it raifes, and which pufhes againft the Tendo AchiUis^ which tendon prefTes the flefhy fole againfl the horny one; and all thefe combined compreffions produce an in- flammation upon the flefhy fole, which fpreads over all the other parts. Observation XIV. I have happened to drefs the fhoulders of lame horfes, becaufe the owners infilled that the caufe was in that part •, although it really was in the feet, and proceeded from compreffion ; thefe horfes were cured without having any remedies applied to the feet, but it was by great B 3 chance^ [22 ] chance, length of time, and reft ; which often happens. I can however aflert that I never faw nor heard of a horfe, put to hard labour, as draw- ing heavy carriages, or carrying heavy burdens, fradluring the coronary-bone. Observation XV. , Strong compreflions are diftinguifhed by pufliing the thumb upon the coronet, it makes a horfe feel as Iharp a pain as if there was a fra6lure ; in this cafe no time muft be loft be- fore the fole is drawn. When the compreftlon is not fo violent, as that it cannot be thus known by the coronet, it muft be examined in the foot, the horny fole muft be pared until it becomes flexible under the tool ; which muft be done as near the frog as can be -, the tool muft be prefTed, and if the horfe is fenfible of it in that place, we may be affured that there is a compreffion of the coronary-bone upon the nut-bone. The me- thod of cure is to pare the fole to the quick, to let him bleed at the point of the foot, and apply a pledget with oil of turpentine to the bleeding ; alfo an emollient pultife in the foot and round the coronet. Above three fourths of thefe cafes are cured without drawing the fole : but I pre- fer bleeding in the upper part of the foot, in expedbation of the returning blood ; whereby you will the better unload the part. Obser- [as] Observation XVI. The moll certain remedy is to draw the fole immediately, I have cured horfes in fifteen days by this method, that were not able to put their feet to the ground. Again, the length of time the comprelTion has continued, may be known by the adhefion of the horny to the flefhy fole, for the horfe bleeds but little after drawing it ; becaufe of the inter- ruption of the circulation of the fluids by the comprefTiOn. Observation XVII. A horfe, drawing a cart heavily loaden, preffed his foot upon a piece of iron, which fplit the foot or coffin-bone. I took off the fhoe and drew the fole immediately •, and he was perfedly cured. This bone fo fplit by the iron Ihews that this part, fra6lured by the mere effort or adbion of the horfe, may unite, if prefently taken in hand, even though the frac- ture happens above by the coronary-bone. The fra6ture of the foot- bone which has no other motion but thofe of the flelhy and hor- ny foles upon which it is fituated, happens from one of the two convex fides of the lower part of the coronary- bone, the other fide mak- ing an unequal prefifure : this fracture ought to B 4 unite, [ 24 ] unite, becaufe the motion of the foot-bone upon the fiefny foie is very imperceptible, being flrengthened by the horny fole, enclofed all round by the enchanneiled fiefh, and fecured over all its furface, which is equally enchan- neiled by the inner horny furface of the hoof, which is foft and whitilh. From all I have faid above, it may be con- cluded, that I. The nature of the union of the fibres of the fuperior parts, the tenfion and elaf- ticity of which is very great in the foot, ought to render them fufceptible of all the unhappy confequences of compreflion ; 2. That it is to no purpofe to keep horfes who have any fradlures, except in the foot- bone; the fradlure of this is capable of unit- ing, becaufe of its having fo little motion, and is fecured as I have juft faid. I keep fome preparations as tellimonials of cafes which prove, that if a nail penetrates to the joint of the foot, where matter may be formed, and by its long continuance putrify, fo as to erode the cartilages of the joint, by its corrofive quality, the cafe is incurable. 3. "When a fudden motion or effort of a horfe is not fufliciently violent to fracture the articulations of the foot, the puHi of the coro- nary-bone upon the nut-bone, muft occafion a ftrong comprelTion upon the fiefhy fole againft the horny fole, which we look upon to be no jTiore than an expanfion of the nervous tufts of the [25] the mufcles and tendons of the foot as wc have faid before. 4. That in all cafes of flrong comprefTion the inflammation muft oflify the joints of the foot, by the flagnation of the fluids, efpecially when not taken care of foon enougl; , B. I have feen examples wherein, v/hen the nut and coronary bones have been wounded by nails, or when matter has been long pent up, the cartilages of thefe bones have been eaten in- to by the fharpnefs of it; thefe are incurable diforders, even though all the other parts are found. There can be no hopes of curing the frac- tures of the nut and coronary-bones, as we do the ruptured ^endo Achillis^ for all their articulations are in continual motion ; and if by chance they fhould unite, the horfe would fl:ill inevitably be lame, by the callus formed in the joint, as Mr. Morand fays in his report given in to the academy. B. I prefume the very ftrudlure of the foot makes it liable to feveral accidents. The hoof wherein the articulations of the upper parts aflfemble, and which, befides, has its own par- ticular motion, has need of great flrength and folidity \ becaufe all the weight of the body, bearing upon the feet, can admit neither the bones nor tendons to vary their condition. Obser- [ 26 ] ., Observation XVIII. Having drefled a horfe whofe fole was drawn, from which they had cut away part of the frog fd> a flreet nail that had afFe6ted it ; being almoft cured, as he lay along, he had a cut of a whip given him *, he ftarted up but was lamed by the fudden fpring in rifing. I thought at firft that it was occafioned by the prefTure of the coronary- bone againft the nut-bone; but about ten days after the accident, a humour appeared about the middle of the foot -, I then thought the nut- bone might be fradlured, but the humour penetrated deeper -, I obferved the nut-bone in- tire, but the tendon ruptured, and the lower part properly attached. In five or fix days more this part of the tendon came off piece- meal from its adhefion, and laid the nut- bone bare. I ufed the Fioraventi Balfam * in my drefiings for three months which fucceeded ; what gave me hopes, was my having feen fome horfes, whofe tendons were cut acrofs through ignorance, recover \ I had a mind to know how the upper part of the tendon could reunite at its insertion upon the foot-bone, for this horfe was cured. And an accident hap- pened by which he died eleven months after, which gave me an opportunity of difleding his foot ; when I found the tendon oflified with * A vulnerary balfam, like the Friars Balfam. the [ 27 ] the nbt-bone, and this with that of the foot, fo as that thefe three parts were united, and the coronary-bone had preferved the freedom of its motion in the joint. The horfe was no longer lame, but in walking inclined a little upon the heel. Observation XIX. ' A horfe, upon whom the extirpation of the frog by the thread was performed, had the ^endo Achillis much injured; I could not well tell whether it happened from cutting out the thread, or from the acrimony of the topical ap- plications; the tendon however was deftroyed as that mentioned above, the nut-bone was laid bare, and the tendon putrefied at its infertion. After his cure was compleated, he died in five or fix months. And I found the nut-bone co- vered, by a kind of ligament, all over that part which was connedled with the upper part of the tendon : this new tendon was as a liga- ment, and adhered to the nut-bone, which was olTified to it ; but it was more than twice as thick as in its natural flate. It remains to know whether this excrefcence proceeds from the ten- don, or from the covering of the cellular mem- brane or from other membranes ; but it is time andobfervations which muftlead us to the know- ledge of this. REFLEC- [ 28 ] PvEF LECTIONS. N refleding upon the various motions a horfe makes, and upon the flrudture of his foot, we cannot be furprifed to find this part liable to fo many accidents. Experience llie^ys Ks that for one horfe who is lamed in the haunch or fhoulder, an hundred have it in the foot, and that the know^ledge of this part me- rits all our attention : I am of opinion thefe ac- cidents happen chiefly to draught-horfes, and not to thofe of the faddle ; I alfo think that it is the different attitudes of a horfe's foot over- charged at the fame time with the weight of his body, that caufe the different fra6lures of the coronary and nut-bones ^ for when the foot has not a diredl pofition, the joints are twifted, as when a horfe treads upon the point or toe of the hoof, the upper and inner part of the coro- nary-bone, which is in an oblique pofition, prefTed in that ftate by the burthen of his own body, is forced to yield on one fide, and rife on the other^L its lower and back part, which now rifes, drives the nut- bone againfl the TendoAchil - lis which fuftains it, the tendon preiTes in its turn againft the flelhy fole, which is alfo com- prefied againfl the horny fole, which is its point [^9 ] point of fupporc ; the tendon, coronary, and nut- bones become fraftured upwards and back- wards by the pafrern, which alfo had an oblique pofition, and downwards and forwards by the foot or coffin bone, which here adis as a wedge. The nut- bone is fometimes fradlured by the lower and back part of the coronary-bone alone : but although thefe bones are fra6lured in the manner I have jufl mentioned, at the in- ftant a horfe gives a fpring, there happens' no luxation of thefe bones, becaufe of the manner of their being tied and fecured all round by the ligaments, the tendons, cartilages, and the con- llrudlion of the hoof which inclofes them and all that depend on them. In all the horfes feet I diflefled, immediately after thefe accidents, I found the 'Tendo Achillis ruptured, and had a notion that the fradture of the coronary-bone in three pieces ought always to be followed by the rupture of the tendon, particularly after the foot is pared •, . or that there are froft nails or raifed heels to the ihoes, fo that the frog is thrown up from its point of fupport •, which will appear when we treat of fhoeing. We diftinguifh fradlures of the coronary- bones in raifing the foot by the lov/er part -, the foot mufl be drawn forward, and prefled up- on the coronet with the thumb, and if there is a fradure, a ratling will be perceived ; when [31 ] when the tendon is not ruptured, it fuftains the bones ; and, as it is their point of fupport, the noife is lefs fenfible, but it is better diftinguifh- cd when the tendon is divided. It is to be obferved, as to the fra6lure of the foot-bone, that this bone is in a manner im- moveable in its place, fupported in its plane by the horny fole, and in its circumference by the fides of the hoof, which keeps it univerfally firm every way. I never faw this bone fradlured but once, and believe it curable, and what made me of this opinion was, that I happened to attend a horfc who had the foot-bone fplit in two, quite through, by treading on a piece of fharp iron j and he was cured of it. A faddle-horfe has a different attitude and manner of treading from that of a draught-horfc *, the former always has the articulated parts of his foot in a perpendicular cjiredion, and in their proper fituation for ac- tion ; whereas the draught-horfe is accuftomed to have thefe parts often in an oblique pofition ; and convenient for the attitude necelTaryin draw- ing a carriage ', and accordingly a ftone or fault in a pavement, happening under one fide of his foot, which is thereby inclined to the other, the preifure of the coronary- bone charged with the whole weight of the body will be very capable of caufing this kind of fradure. THE THE METHOD OF CURING Pricks and other Accidents That happen to HORSES Feet. Plate II. upon all the Urns. Figure I. IF a nail has only pierced the horny fole, and but lightly touched the flefhy fole, there is nothing to do. But if there is room to fulpedl the bone of the foot D figure 3. is touched •, a large open- ing muft be made, in order to prevent drawing the fole, by facilitating the exfoliation. If [32] ' If the nail has penetrated to the infertion of the tendon lo. figure 4. great attention mufl be paid to it, drelTing it the oftener, that the tendon be not injured •, if it pafTes in- to the concave part 4. of the foot- bone figure 5. an exfoliation will come on, without any bad confcquences, provided matter be not left any time to deflroy the ligament 7 upon the line R figures i. 2. 3. 4. If the nail has not palTed to the tendon, the horfe will grow v/t\l without a necefTity for drawing the fole ; but if the tendon is wounded the fole mufl be carefully drawn, becaufe the fynovia is difcharg- ed. If the nail has penetrated to the ligament 7 fig. 5. he mufl be drefied lightly every day rather twice than once, taking care not to confine the tent, nor let the matter remain in any time, lefl it might erode the cartilaginous parts of the nut-bone and deflroy its ligaments. When the part is to be laid open, a channel'd direflor mull be introduced to condudl the point of the biflory, in order to make a perpendicular open- ing, and not a tranfverfe one, becaufe the ten- don might be cut acrofs, which would not co- alefce again, and great mifchief might be pro- duced. Upon the line B. figures i. 2. 3, 4. the fame manner of proceeding mufl be ufed, as is marked- upon the line R. but if the nail is gone up to the nut-bone 3. figure 5. it is incurable, becaufe this little bone cannot exfoliate, and becaufe Is?] becaufe the cartilaginous part of it is deflroyed as foon as injured. Upon the line S figures i. 2. 3. 4. the fame muft be obferved as at the line R. but if it reaches to the ligament 8. what is mentioned for the line R. muft be followed, becaufe there will be danger of corroding the lov/er cartila- ginous part of the coronary-bone, which in this cafe would become incurable. Upon the line T. there is danger only of the cartilage 2. figure 3. of v/hich I ihall make fome mention -, if the nail pafi^es into the frog B. figure I. fo as not to reach the tendon, no- thing comes of it, even though it penetrates through to the paftern. I have made horfes walk in this cafe, without confining them to the llables ; but if it has toiiched the tendon, wc muft proceed in the method obferved before. If the nail has touched between the line A. and the line R. and that it has penetrated to 4 plate 3 figure 3. it may have pricked an artery^ in which cafe a proper pledget muft be applied in order to comprefs the part and ftop the blood. For all thefe operations the balfam of fiora- venti or fpirit of turpentine muft be ufed, and the dreflings prepared as we lliall mention them for drawing the fole ; but care muft be taken when it is to be drawn, that the horny fole be not too ftrong, and if it be fo, to pare it well that it become more flexible j otherwife, in bearing with the fpatula upon the edge of the C hoof [34] hoof, wc lliould run the rifque of forcing and feparating it from the enchannelled fleih, which would produce a dangerous inflammation, of which I have feen fome examples. You mull obferve not to raife the flefhy fole with the horny fole, nor to fmear it over, as has been done, for it prolongs the cure ; but every able pradtitioner knows how to avoid thefe kinds of dangers. When the cartilage muft be cut away figure 7 and 8 plate II. if it be fpoiled, part of the wall or hoof which covers it muft alfo be taken off, as alfo the enchannelled flefli reprefented at figure 7. and then the whole car- tilage without referve ; for if any part be left, although found, it foon becomes morbid, and notwithftanding all our endeavours, we fhould be obliged to come to a fecond operation. The ligament which joins the bone of the foot to the coronary, and the capfula that contains the fynovia of the joint muft be carefully avoided, for touching thefe parts would render the dif- order incurable, as if the lower part of the co- ronary-bone was injured figure i. Plate III. In order to remedy and afTift this amputa- tion the fole muft be drawn, if there be any matter under it, on the difeafed fide •, but if not. It may be let alone •, for the firft and fe- cond drefTings good firm doffils muft be made, fome little fome big; the fmall ones for the bottom of the wound, the larger ones for the outer [ 35 ] outer part gradually enlarged, which mufl be dipped in oil of turpentine ; afterwards the dof- iils mufl be armed with common-turpentine, and a good ample bandage put on to com- prefs them, fo as to prevent the flefh from rifing above the hoof. As for the future dref- fings they need not be fo clofely confined ; in this cafe all foftening remedies are good, and the whole difficulty of this amputation lies in the cutting, and the management of the drefiings. I have obferved that although the operations- made upon the fore feet, be never fo well per- formed, efpecially if the hoof be ftrong, and however well cured, the horfe will fometimes continue lame-, which never is the cafe with the hind feet; this is a fad: which perhaps we may in fome meafure account for. If what is marked above be not pun6lually followed, and the cartilage ihould be taken off piece-meal, either by cauftics, the adlual cautery, or cutting,we rifque keeping the horfe a longtime upon his litter -, which retains the matter, fpoils the capfula and ligament, and often deftroys the animal. The diiTedlion of the feet of two horfes has taught me an exception to this extirpation of the cartilage abovementioned : It happens fometimes by an extraordinary conformation, that the horfe has little or no cartilage upon the apophyfis of the foot-bone, and that it is a C 2 vrue [ 38] true elongation of the fame bone, which by its confidence or hardnefs very well refembles the form at the coronet of the foot. He that is acquainted with his fubjedl will in this cafe di- itinguifh the want of the cartilage, in preffing the coronet, by the moveable refiftance of the bone ♦, in fuch circumitances it is to be fup- pofed that the quarter of the hoof muft not be cut away, but a fimple opening only muft be made on the upper part of the apophyfis in order to wait the exfoliation of the carious bone. If it happens that, contrary to nature, this bone is edged by a thin cartilage, the faid part or quarter muft no more be taken off than in the cafe above, for the corroded part will feparate by being treated in the above manner, and will come out at the opening made above. EXTRACT [ n ] EXTRACT OF THE REGISTERS OF THE Academy of Sciences. January 20, 1750. \Xr E have, by order of the Academy, ex- ^ ^ amined a manufcript of the Sieur la Fofle, farrier of the king's flables. The au- thor fets forth, that having had frequent op- portunities of drelTing lame-horfes, and not finding the caufe of their lamenefs in either the upper or middle parts of their limbs, he looked for it in the feet •, and that a fmall tumor which he obferved, pointed out the feat of the difor- der ; the difTedion further demonflrated that the coronary-bone was fradlured. After this firft obfervation the faid Sieur la Fofie made feveral others of the fame kind -, and what is fingular, is, that he aflerts this fradureis made without any great effort of the horfe : and that he faw one put to a voiture, fradure the coronary-bone at the inftant he was ready to fet C 3 * off; [38 ] ofF; thofe alfo who have carried their horfes,. affeded in the fame manner, to him, have aiTur- ed him that the leafl falfe ftep has occafioned it. The Sieiir la Fofle remarks another fingularity, which is, that the coronary-bone is generally di- vided in three pieces nearly equal. Perhaps the reafon of this may be drawn from the confidera- tion of the manner in which the coronary-bone is joined to the paftern and foot-bones, by their ilrong ligaments, which being three in number, each feems to have retained its part of the bone, and favoured its divifion into three parts. The difcovery of this difeafe, which has ne- ver been treated of before by the writers of ana- tomy, medicine, or furgery, does not lead us to the manner of curing it, becaufe it is ab- ' folutely incurable ; on the contrary it ferves to convince us, that if it was even pofTible to keep the bones together fo as to favour their uniting, the fradure being in a joint, there would flill remain an anchyiofis or callous, which would render the horfe unfit for fervice. But the Sieur la FoiTe's obfervation is not- withftanding of very great ufe, for it fhews us the impolTibility of curing a difeafe that was always thought curable from their ignorance of the matter, and confequently he has found the means of fparing to the owners of horfes, taken lame, the expences of a cure attempted in vain. He further knows how to diftinguifh when the coronary-bone is fradured or is not ; although [ 39 ] although there may be no vifiUe appearance oF the difeafe, and the effort wherein the coronary- bone refills the fracture, indicates the manner of cure, when the bone is not broken, and alfo that the horfe ought to feel in this effort very great pain, when he flrains the fradlure. We cannot avoid giving the Sieur la Fofle due praife for his zeal and capacity in his endea- vours to perfe6l and extend the knowledge of his profeffion. We think this memoir merits being printed among the colledlion of the pa- pers communicated to the academy. Signed, Morand, Ferrein. / certify the prefent extra^ to he conformable to its original and to the judgment of the Academy. Given at Paris Feb. i, 1750. *S/^«^i Grand jean DE FoucHY, perpetual fecretary to the Royal Aca- demy of Sciences. EXTRACT of the REGISTERS OF THE Royal Academy of Sciences, Of 23 Auguji, 1752. MR. Morand, who was appointed by the Academy to examine the Hyppiatric * obfervations of M. la Fofle, farrier to the king's * Relating to Horfes. C 4 itables^ [ 40 I ftables, upon fix difeafes of a horfe*s foot, which appear to have never been known to au- thors, having made his report, the Academy judged that thefe difeafes were clearly defcribed, that the obfervations made in confequence were very judicious, and that the whole is rendered ftill the more ufeful as it is accompanied with anatomical plates, wherein the bones and adja- cent parts are better reprefented than any where elfe i this memoir is judged v/orthy to be print- ed among the pieces communicated by foreign- ers. Paris Auguft 31, 1752 •, figned Gr and jean DE FoucHY, perpetual fecretary of the Royal Academy of Sciences. A TRAtN A TRAIN OF NEW Experiments a^d OhihYv^tions UPON THE GLANDERS. H E Glanders, properly fo called, is an inflammatory difeafe which has its feat in the pituitary membrane, as I have explained it in my treatife of 1749, to which I refer the reader. In order to be well acquainted with this dif- eafe, it will be neccflary to diftinguilh in it three different periods : to wit, its beginning, its middle and its end. In each of thefe times it has a different name, in the firft it is called a menacing [42] menacing or impending glanders ; in the ie- cond a confirmed glanders -, and in the third an inveterate glanders. Three fymptoms muft alfo be known in this difeafe. 1 . The inflammation in the pituitary mem- brane. 2. A fwelling of the glands under the nether jaw. 5 , The running of the glanders properly fo called. Thefe three fym.ptoms are mutually caufed by one another: the liril produces the fecond ; the fecond produces the ulcers, whence pro- ceeds a running of the noflril on the difeafed fide. la my treatife of 1749, I called a gland, which the inflammation of the pituitary mem- brane caufes to fwell, the fuhlingual Gland ; but it is only a lymphatic gland, the canals of which, after fending out feveral ramifications, go to the maxillary gland, and then to ano- ther lymphatic gland placed under the parotid, from which it divides two large branches which accompany the trachea in its whole length, on each fide ; then again pafTes between the two bronchia, about two inches and half from the aorta, into two lymphatic glands j there they part in order to crofs them, and at lafl terminate n the Vena cava. As to the fublingual glands they are fituated at the fyraphyfis of the chin. B. Although 3 [ 44 ] B. Although I was certain the Inflammation of the pituitary gland was the firft lymptom of the glanders in horfcs, yet in order to afcer- tain it to myfelf I made the two following ex- periments. I injeded one noftril of a found horfe with a certain liquor. The pituitary membrane be- came inflamed : this inflammation caufed a lym- phatic gland under the jaws on the fame fide, to fwell as I had forefeen ; the inflammation of this membrane produced ulcers, whence the fnot or matter of the glanders run through the fame noftril. I again injedled both nofl:rils of a found horfe with the fame liquor -, the pituitary membrane inflamed, made the lymphatic gland on both fides fwell ; and the fnot run from both nofl:rils in a little time ; which confirmed me in the opinion that the inflammation was the firfl: fym- ptom of the glanders properly fo called : that the glands fwelled under the jaws was the fe- cond, and the running the third. OBSER^ [45] OBSERVATIONS UPON Glander^d Horses. 1^ F T E R having trepanned an old horle •^^ in 1749, and dreffed him, they put him to work ; and eighteen months after he was knocked on the head. I faw by difledmg his head that the pituitary membrane was grown 6 or y lines thick, and offified to the neighbour- ing bones •, it had acquired this thicknefs and confiftence by the flagnation of the lymphatic juice, caufed by the inflammation and the fpread- ing of the ulcers. 2. A horfe received a kick of another horfe, which broke part of the bone of the max- illary fmus ', having examined the wound, I found it was not mortal •, but as the finus was injured, and the pituitary membrane inflamed, I did not doubt but the glanders would come on, and it was not long before the eflecft con- firmed my fijfpicion. The glands of the jaws were fwelled on the morbid fide, ulcers were formed on the pituitary membrane, matter flow- ed [ 45 ] cd thro' the noftril, and this difcharge Is the glanders properly fo called. I made frequent injed:ions into the noftril, the dilcharge ceafed in four months, the fwelling of the gland was difculTed, the injection cleanled the low-^ cr part of the maxillary finus's, and that of t;he cornets, which hinder the matter's lyinginthem^ and a thorough cure was made. This horfe be- longed to Madam Fondu, a miilrefs-carrier, in the Faux-bourg Saint Honore. All the authors that have wrote upon the difeafes of horfes feem to have copied one ano- ther, to maintain that the glanders was a dif- charge accompanied with a very offenfive fmell ; I never found that the glanders had any ill- fmell of itfelf, but it may when the matter is confined in the maxillary fmufes, or that the aliment has infmuated itfelf, as I have obferved it, by the chinks of old broken jaw- teeth and infeded the parts. I have again found horfes whofe glanders have flunk very much, but then they have had the ftrangles with decay or farcy. I have alfo feen fome with whom the running proceeded from a putrefadlion of the lungs, to- gether with the glanders ; and others with whom the fmell proceeded only from the ma- lignance of the ftrangles which they difcharged. 4. I faw a horfe belonging to a poor man who worked him in an inveterate glanders for fix years j and at lail he was knocked on the head [ 46 ] head on account only of his great age. I opened this horfe to fee the flate of the vifcera and found them all in a found flate, as well as the other internal parts, except the pituitary membrane which was thickened by ul- cers of four or five lines broad, as well in the frontal as maxillary finufes. It is known that a horfe with the glanders properly fo called can communicate the difeafe to other horfes ; but this difeafe will alfo be catched from any caufe capable of inflaming the pituitary membrane. For example, a horfe will often become glandered, if after fwimming him he is left in the cold, or his nofe expofed to the wind ; for in two hours the glands under the jaws will be fwelled, and the nollrils be filled with a vifcid mucus. I have had horfes brought to me who had catched cold thus in the pituitary membrane, and could perceive by their glands they were threatened with a confirmed glanders •, I bled and cooled them, and cured them in a very little time. And I have fince obferved horfes thus affedr- ed in the glands from the fame caufe, for which I propofed the fame treatment by way of pre- vention, became abfolutely glandered for want of that care. In order to prevent thefe difeafes, when horfes are hot, they mull not be let to grow cool without adlion, and therefore they fhould be walked gently after running, to hinder their fud- denly I 47] denly taking cold. If they cannot be walked about, their nofes muft be covered to hinder the fir ft fudden ingrcfs of the cold air ; their tails fhould alfo be turned towards the wind, to pre- vent its affeding the pituitary membrane, and alfo care fhould be taken that the delicate tex- ture of this membrane, fo expofed to the imme- diate contad of the air and wind, may not have too fudden a change from heat to cold. But if a horfe has been afFe6led in the glands for a confiderable time, and has had a dif- charge from the obllrudied fide without coughing, the glanders is confirmed even tho* he has a good appetite, and every other fign of health. Emollient deco<5lions muft be thrown up the noftrils, being careful to pufh them to the frontal finufes, and to repeat them three times a day for a week ♦, if the running continues, it will be very proper to ufe fumigations, which would come more into pradlice, if their good effeds were better known. To fumigate is to make a horfe receive the vapour or fmoke of certain medicines thrown into the fire or upon a red-hot iron. And this fumigation produces different effedls, according to the different compofition made ufe of For this purpofe I thought of a kind of box with a tube fixed to it, which may be put into the noftril of the horfe ♦, this box has the ad- vantage of conveying the vapour as intended, which [48] which by the common method is mollly wail- ed. The mechanifm of this box is too fimple to need a particular explanation ; the bare de- fcription of it is eafily underftood. After pro- per injedlions and fumigations, the horfe mull be walked about without heating him, taking care to give him nothing but bran, and keep him warm in the liable. There is no anfwering for the cure, for that depends upon the flub- bornnefs of the difeafe. But if the fymptoms be purfued with attention, and we undertake it in time, the glanders may be cured. If the gland is of any (landing, and the horfc difcharges a bloody matter, and another gland appears to be affected on the other fide the jaw, with difficulty of refpiration, we mufl fuppofe it proceeds from the thickening of the mem- brane: when the glanders is inveterate the horfe mull be trepanned, as I have mentioned it in my treatife of 1749 •, for it is the only me- thod to prevent the flagnation of the corrofive humour. Suppofe two horfes, one glandered the other found, at the fame manger, if they are tied up fo as that the found horfe may not receive the breath of the diflempered one, he certainly will not be infefled. After having explained what is a confirmed glanders, I {hall treat of fix other kinds of dif- charges by the noilrils, of which four are incu- rable. The J^/.!„J,C n A Fui.6. Fui. 5 . Fiu £<'• + • Fiq.i. Fui Fw.i'^: ,?, ,|iriii;(i;iwx.^ B Jt A ri-.ih-l'^- ^ ' T'/a^nVn- 7, . '' /"/l/. 3 . Fu, lo. a, . i I eSa^;.-:^ - .-■sSl>», T .,S_„U S l,_^7t -.^^...1..- h i^^^T'LrO. n ...^a a ~'r " ' ^ • . .. / [ 49 3 The firft of thcfe four proceeds from the lungs when they are affedted, and therefore may be called the pulmonary glanders: the fecond is called the wafting glanders •, the third the glanders with malignant ftrangles j and the fourth the farcy- glanders. The pulmonary-glanders proceeds from one or more abfcelfes formed in the lobes of the lungs, the purulent matter of which gets into the bronchia, comes up the Trachea, pafTes through the nafal cavities, and is difcharged by the noftrils like a whitifh liquor, fome- times appearing in lumps or grumes. In this cafe the horfe runs at the nofe without having the glands affedled ; and therefore what he dif- charges cannot be accounted the true glanders. If the horfe be young, he may be relieved by making him work a little ; pe6lorals muft be adminiftered, and he muft be turned to grafs every year. ■ That humour which I call the wafting hu- mour ufually feizes a horfe at the end of dif- eafes caufed by too hard labour, which have been thought cured j a defluxion is made upon the lungs which produces a whitifti humour, fometimes tinged with yellow, which is dif- charged by the noftrils, he eats and drinks pret- ty well, but notwithftanding he runs out of flefh. The ftrangle-glanders produces humours which nature is not able to difcharge, and they D fall [ 50 ] fall upon the lungs, where they form abfceffes ; "rhefe humours take their courfe alfo by the nof- trils, and fometimes in coughing by the mouth j and the horfe gradually periihes. The farcy-glanders is fo acrimonious a hu- mour, that it feizes, at the fame tirae, both the ' lungs and pituitary membrane ; making more havock than the three other kinds already de- fcribed. The three firft kinds, as I have defcribed them, are not catching, except when the hu- mour has acquired an acrimony by length of time, which pafling by the noftrils is detained in the maxillary fmufes, inflames the pituitary membrane, and fwells the glands ; a fure pro- •gnoflic of the true glanders. But the fourth, which is the farcy kind of glanders, being more of an eroding nature, is apt to ulcerate both the lungs and pituitary membrane, and is confequently infe6lious. It remains to mention the two other kinds, the one which proceeds from a horie's being over- heated ; he coughs, and firfl difcharges a "limpid fluid, and after, a whitifh matter; be- caufe the cold air has laid hold on the pituitary membrane, has condenfed the lymph in the fmall veflels, which caufes an inflammation, •and fwells the throat, larynx and lymphatic gland?. ' The horfe fometimes as he coughs difcharges the matter from his mouth, and when the cough [51] cough ceafes, and that he flill continues to dif- charge it for fifteen or twenty days, that the gland under the jav/hardens rather thandhninilh- es ; this running is fufpicious and fometimes de- generates into a true glanders •, and therefore, as foon as a horfe is found to be overheated, he mud be blooded, kept to white drink, kept warm, and not worked too much •, but if he continues ill for fifteen or twenty days, he mud be fumigat- ed or injected, as we have mentioned it before. The fixth kind of difcharge is the flrangles, which every horfe ought for his health's fake to difcharge. This is a humour which circu- lates in the mafs of blood to a certain age, which nature endeavours to throw off. It dif- charges itfelf in different manners, and that which is leafl fatiguing to the horfe, is when it forms an abfcefs between the jaws without tak- ing its courfe by the nofe : It fometimes is thrown upon different parts, where it produces different effedbs according to the difpofition of thefe parts. For example when it falls upon the throat, all the part is fwelled, the arteries are compreffed, the blood is impeded, an inflam- mation fucceeds, and an abfcefs is formed. In order to remedy this evil, the horfe is to . be kept warm, and as foon as the fwelling is perceived, it mufl be dreffed with a proper me- dicine to encourage the fuppuration of the abfcefs, which fometimes breaks of itfelf j but it is more ©ligible not to wait for this, but to open it in D 2 order order to difcharge the malignant matter with -» the pus, and the horfe does well. This is what I call a mild kind of llrangles. The ftrangles which difcharges by the nof- trils produces alfo different effecls, according to the parts affe6led. At firft the horfe begins to be dull and hea- vy, carrying his head lower than ufual, and fometimes falling off his ftomach ♦, he has fome- times alfo a little cough, and the jaws fwell a little, by the inflammation. At different times feveral fmall glands feem obflTud:ed, and in a fmall time after, a dif- charge by the nofbrils follows of a thick kind of glanders more or lefs. It often happens too that the noftrils run, without any fwelling or obflru6tion about the jaws •, this firfl fpecies of flrangles goes off frequently by nature, it is however necelfary to give her fome affiftance •, wherefore the horfe ought to be kept warm, and fome cordial me- dicine fhould be given him in order to promote the expulfion of the humour. When the humour falls upon the lymphatic parts of the larynx, it caufes the fame inflam- mation of all the parts of the pituitary mem- brane, and fo flraitens the refpiration of the horfe, that his breath can fcarce move the flame of a candle held to his nofe-, and as this animal refpires only through the noftrils, he is forced to rattle in the throat. To afllll his breath, a piece [ 53 ] piece of wood ought to be put into his mouth, in order to keep it conflantly open, and favour the difcharge of the flegm caufed by the in- flammation of the parotid and maxillary glands-, afterwards the humour of the ftrangles is thrown off by the noftrils, which fometimes has an ill fmell. And as I have remarked that even this way is not always fufficient for the difcharge of the quantity of humours that the inflammation caufes, one may expedl that the humours will neceffarily be thrown under the jaws, or on one fide ; this abfcefs muft be opened to afiift that difcharge already begun by the noflrils, and be he never fo ill he Vv^ili by this means be cured ; but if fuch a depofite of the humours does not form an abfcefs, it is to be feared it will fall upon the vifcera, and the cafe is full of dan- ger. In order to relieve him in this cafe, cordials muft be given him to promote perfpiration ; but when all the pafTages are obftrudled, as well .for his drink as for refpiration, a quantity of oats muft be boiled in vinegar, put into a bag, and applied to the region of the kidnies, cover- ing him up warm, and the perfpiration, which •this remedy produces, will promote the expul- ^lion of the humours. What I have juft explained plainly Ihews that this ftrangles although mild enough in it- feif, may become very dangerous with refpe6l to D 3 the [ 54] the funcflions of the part afFeded, efpecially when the inflammation feizes the oefophagus and about the larynx ♦, for it often happens in this cafe, that the horfe difcharges his meat throuq;h his noftrils when he cannot fwallow Thefe kinds of ftrangles are the moft laudable of all i I call them laudable becaufe it is necef- fary for the health of a horfe that he has and difcharges them ; which if he does not, the hu- mours which caufe the flrangles are apt fooner or later to fall upon one or more parts of the body, where it may form tumors or abfcefles, and that even upon the vifcera, which we then call the baftard flrangles, or malignant flrangles, as I have called them before. It fometimes happens, though but feldom, that thefe two kinds of flrangles feize a horfe at the fame time -, that is, that he difcharges the matter both from an abfcefs, and by the nof- 'trils. I do not mention another, feventh, kind of glanders, which horfes throw off by the nofe, and fometimes even at the mouth when they cough, like the whites of eggs. I have opened horfes in thefe cafes, and found that this kind of glanders was flopped, and fell upon the upper part of the afpera arte- ria, from whence it feparates and defcends with- out any hindrance by the noftrils. By opening horfes who difcharged a kind of glandered matter both by the nofe and mouth, caufed [55] caiifed by an inflammation of the throat, I found that it was caufed by a defluxion upon the tra- chea; which appeared to be the effedl of a quin- zy ; this diforder lafls two or three days andfome- times longer -, the horfe can fcarce eat or drink, and it is known by a fmall fwelling under the throat, which is fenfible to the touch. A horfe difcharged a great quantity of white thick matter by the nofe for eighteen months ; and when he was at reft in the ftable the run- ing ftopped ; but he was heard to rattle, which alfo ceafcd when they made him work j how- ever although he was not affeded in the glands they knocked him on the head. I opened him and found the pituitary membrane perfedlly found, the fmus and all the internal parts of the nofe well, the vifcera in the abdomen found; but upon opening the thorax, I found a confi- derable abfcefs, where the trachea divides to fink into the fubftance of the lungs. By this obfervation it is plain a horfe may live and work a long; while with an abfcefs in the thorax; and yet the pituitary membranes may remain uninjured by the matter palling by the trachea, crofs the nafal cavities ; and that we muft diftinguifh this from a true glanders, by the ratling, tumefied glands, and the vaft quantity of matter that runs off. . I have faid before that it was neceflary a horfe Ihould difcharge the ftrangles at a certain D 4 time. [ 56 ] time, for the good of his health ; in this cafe it is cuftomary to feparate the found horfes from the difeafed ones, becaufe it is infectious. I am not of the opinion of thofe who fepa- rate horfes with the flrangles from fuch as have not yet had it, in the fine feafon of the year ; on the contrary, I turn them together in order to make them catch it of one another, to avoid the danger they would rifque in not throwing off the matter of that difeafe. [ 57 3 AN ANATOMICAL TABLE O F A HORSE 's HEAD. Plate I. BB. The boundaries of the cerebellum which is very fmall in a horfe, as is alfo the brain D. CC. The beginning of the upper part of the frontal finus with the depreflions or finkings which terminate the lines. D, and E. Shew a body fhaped like a chan- nelled pear, which is the ethmoidal- bone, thro' which the nerves pafs which go to the pituitary membrane. , E. The beginning of the maxillary fmus. M. The fpace between thefe two lines repre- fents the depth of the finus. Note, the cells and windings are not marked here to avoid confufion. F. This white oblique line is a bony in- clofure [ 58 ] clofure or partition which feparates the finus in- to two cavities. F. G. Two other inclofures -, fomctimes there is but one to be found in horfes. N. The beginning of the cornets or horns. O. Their dupHcation. P. Their middle part. Q^ Their lower extremities. M. The bony canal which inclofes and guards the upper maxillary nerve. AA. The partition or feptum which divides the nofe by a line all along to form the two noflrils. THE [59 1 THE REPORT of the COMMITTEE O F T H E Royal Academy of Sciences. Extras of the Regifters of this Academy of the 2th of January i ^75'^* T> Y order of the Royal Academy of Sci- -■-^ ences we have examined a new memoir of the Sieur la Fofle upon the glanders in horfes. In the firil memoir he delivered upon this fubjecl, he has efbablilhed by obfervations, confirmed by the committee of the academy, that the pituitary membrane is the feat of this difeafe •, which in confequence of an inflamma- tion, ulcerates and makes an habitual difcharge of a corrofive pus which renders the bones it adheres to carious ; and in the memoir which is the obje6l of this report, he improves and brings to perfection, his difcovery. He diftinguiflies feven kinds of difcharges which may come from the noflrils of horfes, lays down the fymptoms and [6o] and caufes of each, and fliews the evil of their being all confounded under one denomination : he alfo rri^kes it evident that the true glanders has its charadieriilics, which eflentially diftin- guifh it frome very other difeafe that has been called by the fame name. ; And in order to prove that a great inflamma- tion of the pituitary membrane is always the caufe of the glanders,' he has attempted to bring on an inflammation upon the fame mem- brane by a corrofive injedion ; and when the injedlion was only made into one fide, the max- illary lymphatic glands were fwelled on the fame fide, and that noilril only produced the difcharge. • But^ on the other hand, when both, noflrils were inje^ed, thefe fymptoms appeared on both fides. The author produced, with his memoir, a feclion of fome of the bones of the head, comprehending a portion of the maxillary and frontal bones : thefe pieces had on their inner furface very remarkable veiliges of a caries, and are in many places become more thick than in their natural ftate •, which feems to have been produced by the continuance of a fuperabundance of vitiated mucous matter, which foftened and injured the texture of thefe bones. The firft memoir prefented by the Sieur la FofTe was confined to a bare defcription of the difeafe, and only a propofal of a method of I cure {61 ] cure by way of projedt ; but in this, he certifies that he has cured feveral glandered horfes by ' means of his injedions and fumigations throwa;, into the noftrils. Although he has not yet found out fuch in- jedlions as will fucceed in the greater number of cafes that come before him, there is room to hope that end will yet be attained ;, nor caa we withhold our approbation of the enquiries he is inceffantly making, in order to bring the mat- ter to perfedlion. '^'* Signed Morand and Bouvard. / do certify the prefent extra5l to be conforma- ble to his original memoir^ and to the judgment of the academy. Paris January 12, 1752. Signed Grandjean de Fouchy, perpetual fecretary to the Royal Academy of Sciences. fp '■^'-■'^^^^^^fSsn^^'S^^ *^ .ffi'^ REMARKS [62 ] REMARKS. "T^ R. Brachen an Englifh phyfician has •*-^ wrote a treatife on the difeafes of horfes ; and has alfo tranflated^ my treatife upon the glanders into EngHlh. The following is an ex- tradt of what he fays about it. cc I agree with Monf. La Fofie that the feat of the glanders is in the pituitary membrane, and not at all in the vifcera ; that drenches are *' of no manner of ufe in this cafe -, and that injedious thrown into the finufes is a judi- cious pradice." €C CC CC The [^3 ] The Twelfth Chapter Of Mr. BART LETT'S Book UPON THE DISEASES OF HORSES, Being this author'' s doElrine of the Glanders^ which is tranjlated by the Sieur la Fojfe into French in this work, ' I * H E caufe and feat of the glanders has -■* till lately been fo imperfe<5lly handled, and fo little underfcood by the writers on this di- ftemper, that it is no wonder it fhould be rank- ed among the incurables : but a new light having been thrown on this whole affair by the lludy of M. la Foffe, the King of France's Far- rier, who has been at the pains to trace out, and difcover by diffedlions, the fource and caufe of this diforder ; we hope the method he has propofed, with fome further experiments and improvements, will foon bring to a certain- ty of cure (in moil cafes at lead) a diftemper fo dangerous to our horfes, and that hitherto has eluded the force of art. Before 2 [64 ] Before we make mention of this work, which has the approbation of the Royal Academy of Sciences^ it will not be unacceptable to our read- 'ers, we apprehend, to have a more particular account of the fymptoms of this diforder than M. la Fofie has laid down, that we may the better judge of the merit of our author and his difcoveries. ' — - ■ The matter then difcharged from the noflrils of a glander'd horfe is either white, yellow, or greeniih, fometimes ftreaked or tinged with blood ; when the difeafe is of long Handing, the matter turns blackllh, and becomes very fetid, v.and is always attended with a fv/elling of the kernels or glands under the jaws •, in every other refpedl the horfe is generally healthy and found till "the diflemper has been of fome con- tinuance. From thefe fymptoms and fome obfervations made by Bracken and Gibfon, it is plain they were not abfolute flrangers to the feat of this r diforder, though they neglefted pufhing their enquiries to the fountain-head, and confequent- ly were at a lofs to know how to apply the re- medy to the parts afte6i:ed. ; But our author after examining by diffedlionthe carcafes of glander'd horfes, and making a ftrid fcrutiny into the ftate of the vifcera, affiftcd for that purpofe by ingenious and expert anatomifls for ten years together, afiirms this difeafe to be altogether locaU and that the true feat of it is in in the pituitary membrane, which lines the par* tition along the infide of the nofe, the m.axillary fmufes or cavities of the cheek-bones on each fide the nofe, and the frontal finufes or cavities above the orbits of the eyes -, that the vifcera, as liver, lungs, &:c. of glandered horfes are in general exceeding found ; and confequently that the feat of this diforder is not in thoie parts, as has been alTerted by moil authors •, nor indeed is it probable it fnould ; for hov/ could fuch horfes preferve their appetite, their good ap- pearance, fleek and fliining coats, in a word all the figns of health for many years together (which many gland^ered horfes are known to enjoy) with fuch diftempered bowels. But on nicely examining the heads of fuch horfes he found the cavities abovementioned, more or lefs, filled with a vifcous flimey mat- ter, the membrane which lines both them and the noflrils inflamed, thickened, and corroded with fordid ulcers, which, in fom.e cafes, had eat into the bones. Thefe finufes or cavities will be better underflood by referring to the an- nexed plate. He obferves that when glandered horfes dif- charged matter from both noflrils, both fides of the membranes and cavities were affedled -, but when they run at one nofiril only, that fide on- ly was found difbempered. It is a curious remark of our author, that the fublingual glands, or the kernels fituated un- E . der [ ee ] der the jaw-bone, which are always fwelled in this diftemper, do not difcharge their lymph in- to the mouth, as in man, but into the nof- tril j and that he conflantly found their obftruc- tion agreed with the difcharge -, if one gland only was affedied, then the horfe difcharged from one nollril only, but if both were, then the difcharge was from both. He fornetimes, though rarely, found the bony partition of the nofe carious and rotten ; but that the fpongy bones about this part mufl fuffer from the acrimony of matter long pent up, is not at all to be doubted, though the more folid ones may efcape. The feat of this diforder thus difcovered, our author with great ingenuity has paved the way for the cure, by trepanning thefe cavities, and taking out a piece of bone, by which means the parts affeded maybe wafhed, with a proper inje6lion, and, in fine, the ulcers deterged, healed, and dried up. This operation he has performed on three horfes, one of whom difcharged from one nof- tril only, and the third from both. The two firft he trepanned on that fide of the head which was affeded j and to the other he performed it on both : and found that the wound and per- foratioii filled up v/ith good flefh in twenty-fix days, and that the horfes fufrered no inconve- nience from the operation. Though after this experiment they v/ere knocked on the head. The [67] The directions and orders of the civil vernment of France, which hindered people from keeping glandered horfes long, prevented M, la FofTe repeating his attempts, and pufhing his experiments further •, but it is to be hoped that fo ufeful a projeft will be purfued to its ut- mofl extent, as it feems fo promifing in the execution, and is fo important in its confe- quences: to which end we fliall beg leave to animadvert upon what has been faid, and offer our opinion both in relation to the difeafe, the operation, andthemannerof conducing the cure. The oriorinal fource and caufe then of this diforder feems to be an inflammation of the glands and membrane that lines the noilrils and thefe cavities •, which if not difperfed in time, will form matter and ulcerate and erode the bones, for want of a free difcharge to un- load the cavities ; and of proper applications to cleanfe and detero;e the ulcers : violent colds or a feverifh tranflation fettling here, may alfo occafion the fame complaint, and are commor^- ly the general caufes. There is a diforder in men called Ozcena that has great fimilitude to this in horfes, and arifes often from an inflammation in the maxillary li- nufes, or cavity of the cheek-bones •, from whence enfues a collediion of matter : which when the cavity is full, or the head propefly inclined, runs over into the nofe, and would confbantly difcharge thence like a glandered E 2 horfe [68] horfe was the head continued in the fame pofl- tion. The furgical cure is the taking out one or more teeth from the upper-jaw, and perfo- rating the cavity with a proper inftrument in order to make a depending orifice for the matter to flow through ♦, and to make way for fyring- ing the parts affected with proper injecPcionSj which in this cafe are thrown thro' the cavity into the nofe. The fimilarity of thefe two cafes, with the method of cure, and the fuccefs attending the furgical treatment, (which was firft invented by our countrymen Drake and Cooper) un- doubtedly gave the firft hint for trepanning and fyringing thefe cavities in horfes : and it is moft probable, that w^hen the operation is at- tempted in time, before the bones become rot- ten, it will be attended with equal fuccefs ; but after opening the cavities, fhould it by probing be difcovered that the bones are in that ftate, the be£l way then would be to difpatchthe horfe, to prevent unnecefTary trouble and expence. The parts fixed on for applying the trepan arc pointed out in the plate, and the manner of fawing out the bone will eafily be underflood by a view of the inilrument, and the explanation annexed. The perforations being made, our next bufi- nefs is to prevent their filling up too fait : as it may be neceffary to keep them open for fome weeks, b(jfore a cure can be effedled; for which purpofe. purpofe, after the ufe of the inje(5lIon, let the upper one be filled up with a piece of cork waxed over and adapted exaclly to its fize ; the lower one may be filled up with a hollow lead- ' en tent, and both kept on with a proper ban- dage. If this method fhould not prevent the granu- lations or fhoots of fiefh, from filling up fb fail, as to choak up the perforation, and by that means hinder the injediions pafTing freely ; they mufl be fuppreffed by rubbing v/ith cauflic me- dicines, or touching with the adual cautery ; as may alfo the bony edges ; which by obliging them to exfoliate or fcale off, will retard the healing. The injedlions firfl made ufe of fhould be of a deterfive nature ; as a decoction of birth - wort, gentian, and centaury -, to a quart of which, if two ounces of segyptiacum, and tindlure of myrrh are added, it may be as proper as any ; and when the difcharge is obfcrved to abate, and the colour alter to a thick white matter, the injedlion may be changed for barley water, honey of rofes •and tindiure of myrrh-, and finally to dry up the humidities, and recover the tone of the relaxed glands, Bates's alum-water, or a folu- tion of colcothar, vitriol, lapis medicamentofus, or the like, in lime-water will mofl probably complet the cure. E 2 But [ 70 1 But v/hoever is at all acquainted with prat^li- cal furgery, well knows that without the aflill- ance ot internals, efpecially in glandular difor- ders, the cure is not fo eafily effeded, nor ren- dered complete and lafling j I therefore advife a ilrong deco6lion of guaiacum chips to be given every day to a quart or three pints throughout the cure, and when the matter leiTens, to purge at proper intervals and put a rowel into the horfe's cheft in order to divert the fluids from their old channel. If thele fliould not fucceed, mercurials may be given with the phyfic-, and the alterative powders with lime-water may be taken for a time, if the horfe is worth the expence. Vide chap, on altcrvatives. My treatife upon the glanders has been tranf- lated into Englilh by Dr. Bracken, author him- felf of feveral treatifes upon the difeafes of horfes, and was alfo' approved of by Mr. Bart- let an Englifh furgeon. My difcovery made upon this difeafe and my method of cure have been approved of in England. But I ought to declare that I have lead Mr. Bourgelat, author of a book entitled Elemens d'Hypptatrique into an error, where I fpeak. of the fublingual glands, upon which he has expatiated with a credulity that does me honour, for which he has my thanks \ bur unhappily it was a mif- take in me, for I acknowledged it fince, and re- tr;icled [ 71 ] tra61:ed that opinion that horfes have no glands but under the fymphyfis of the chin. And I freely own that I called them fublingual glands very improperly ; they are lymphatic glands that the inflammation of the pituitary membrane caufes to fwell, the canals of which after having thrown off feveral ramifications pafs under the maxillary gland and fixes under the parotid ^ from whence two large tubes ilTue which ac- company the trachea on each fide for its whole length, and ends in the vena cava. Mr. Bourgelat, a good anatomift, ought to have known this error, and to conclude from thence, that he fhould not be in fo much hafle to criticife as to approve. E4 A ME- MEMOIR PRESENTEDTOTHE ROYAL ACADEMY of SCIENCES November i8, 1750. Upon a mcft fpsedy mid infallible remedy to flop blood in large divided arteries 'without a liga^ ture. N order to flop the blood in accidental hse- morrhages of the fmall vefTels, I had a no- tion to try what effe6l the dufl of a certain wild mufhroom, commonly called in France VefTe-de-loiip *, and botanically Lycoperdon, could have upon great divided arteries -, in the cafe of accidents in bleeding, and in performing amputations of limbs , I propofed therefore to make my experiments on horfes. Having chofen proper fubjeds, I laid the temporal artery bare in one, and di ided it traniverfely half way •, the blood ftarted out * In England pufl'-b^lls. witk [ 73 "J with great impetuofity ; I applied fome of this dufl of the puff-ball, which I confined to the part, by only the palm of my hand, for about tv/elve or fifteen minutes ; and the blood flopped. I pricked, In the fame manner, the artery in a horfe's leg; I drelTed it with the fame dufl, and the blood flopped in like manner. I cut off the fore-leg of another horfe at its upper part, near the thorax, and applied the powder or dufl to the flump, without any other dreffmg than a bladder to keep it on, and the blood flopped ; notwiihflanding the flruggles of the horfe to relieve himfelf, for he was thrown, in order to make the operation. I afterwards cut off the tail of the fame horfe at the place of its firfl joint ♦, and the blood of the four arteries flopped like the other cafes by the fame treatment. I caufed this horfe to be knocked on the head on the fourth day after, and diffedled the divided arteries-, when I found that a mem- branous inclofure was formed, which was half tranfparent and exadlly flopped their orifices, the center of each of which had a little grume of blood like a nipple. It mufl be obferved here that as I examined the flump of this horfe while he was yet alive, I faw with great pleafure, the blood force againfl the faid inclofmg membrane, which being up- on the level with the flefh, made it eafy for me [74] me to obfen/e very diflindly the extremity of the artery by its pulfation. Havirg feparated the flefh from the artery, I fiit it up longitudinally, and found that the little grume of clear blood was of a firm con- fiftence, of a lively red, in form of a cone or fugar-loaf, the bafis of which adhered to the little inclofing membrane which lliut up the artery v/ithout ; the point of which floated in the cavity of the vefTel •, snd I further found the coats grown thicker at their extremities. At length, in order to try whether the fuppu- ration of the wound would not open the orifices of the arteries again, which were juft flopped up by the remedy, I let the firft horfe live, which was the more vigorous of the two, un« til a perfecl fuppuration was eflabhfhi^d, which proved^ that it did not, in the leaft refpedt, hin- der the cicatrifino; of the arteries. EXTRACT lis] EXTRACT of the REGISTERS OF THE Royal Acadeptty of Sciences, December 23, 1750. TH E Sieur la Fofle, Farrier to the king's fLables, in the laft memoir he prefented to the academy, aflerts, i. That by applying the powder or duft of the lycoperdon or pufF- ballsto very confiderable divided arteries in horfes the blood was flopped in a few minutes ; and the arteries cicatrifed by this means alone, without any fucceeding hemorrhage. 2. That about twenty hours after the appli- cation of this remedy, a membrane, or rather a pellicule, or thin fkin, was obfervod to cover the extremity of the divided artery, with a fmall grume which fhut up the mouth of the fame artery. 3. That the pulfation of the artery was very diftindlly perceived in the place. 4. That this grume was fhaped like a cone, the bafis of which flopped up the orifice of the divided vefTel, and the point was turned inward in the velTei. Thefc I 76 ] Thefe are the fads which the academy or- dered us to confider and verify. In order to try the experiment we caufed M. la Fofle to cut off the tail of a mare as near the root as he could, the blood flew out of the four arteries with great force*, he applied this puff-ball pow- der to the ilump with a cap of a pig's bladder to keep it on •, he took off this dreffnig in a quarter of an hour, and three of the arteries weie ftaunched, but the fourth continued to bleed very fail ; and by applying a pinch of the powder to the bleeding artery, which he kept to it only with his finger, the blood was silfo topped in this vcild in fix minutes. He cut off the kg of another horfe about ten inches above the knee •, and as the arteries did not bleed, he handled them for half a quar- ter of an hour in order to force them, but to no purpofe : however he applied the powder fecur- ed by a pledget and proper bandage -, and there "was not any bleeding for three days after, al- though the horfe had moved himfelf very much, and v/as often put to pain after the operation. The horfe was ordered to be killed, and hav- ing opened the principal artery of the flump longitudinally, we found a body of a conic fi- gure about four fingers breadth above the ex- tremity, the bafe of which adhered ffrongly all round to the internal coat of the artery, its other extremity turned inward into the veffel ; wiien this conic body was macerated in v/ater, k [ 77 ] it appeared very diilinclly to be a kind of mem- Branous fack, like a funnel filled with blackifii grumous blood : the internal convex furface of the fack, fhewed, in tufts, a great number of granulations like thofe of a wound beginning to incarn ; as to the reft, all that interval of the artery comprehended within the place where the fack adhered to the divided extremity was filled with grumes of lymph and blood, without any regular order or figure, which had neverthelefs fome adhefions to the artery. In this cafe, the matter does not exadly anfwer the Sieur la FofTe's narrative; but there is the greateil reafon to fuppofe that the agitations of the horfe after the amputation, had interrupted the efforts of nature to form the grume ♦, and indeed this obfervation ought to be looked up- on as an exception to thole we fliall give the following account of. In eight days after the amputation of the tail of a young mare, there appeared no manner of hcEmorrhage •, and when we dire6led M. la Foi& to cut ofi' the thigh of the fame mare, about tQu. inches above the ham, the blood fpurted out with great rapidity from feverai arteries ; and in order to try whether an application of armenian. bole would not Hop it as well as zHq puff-ball powder, we armed a pledget with the bole, and applied it, fecuring it with a proper bandage; two hours and a half after, though the animal had not flirred, the blood dill iflued 3 ^'^^ 9 [78 ] out ; the drefTings were taken off, and tlien the blood fprung out with great force ; the aforefaid powder of the lycoperdon was ap- plied, which was gently confined by his hand only, for fix minutes, when upon taking away his hand, the crural artery only bled through the layer of powder upon the fliump ; but this little fiiream was two thirds fmaller than before, by the application, but it grew no bigger though let alone for fix minutes longer ; then the Sieur la Fofle applied a pinch of the powder to that little ftream, which he held on with his finger about four minutes longer, and the bleeding was flopped. In its place a little elevation was very clearly obferved, pufhing and retiring fucceflively, and exad:ly corre- fponding widi the arterial pulfation. This ob- fervation lafied a quarter of an hour, without the leaft hemorrhage from any part •, the flump was then drefTed up with pledgets of tow, and three days after we obferved at the extremity of the artery a grumiC which plug'd up the orifice, and over the grume a white tranfparent fkin •, when this vefTel was opened longitudi- nallv, we obferved the grume intire as it was ; it was formed into a cone, the bafe of which was to the divided end of the artery, which it clofed exactly, the point or apex being turned inward, and was elongated like a ftilet floating in the arterial tube. The bafis projeded about a line beyond 3 [79] beyond the extremity of the artery, and was fungous and rounded Hke a nipple, and cover- ed with granulations like the little membranous fack mentioned before. The point had a fmooth furface, and was nearly equal to the internal furface of the artery in confiftence ; the middle part, which might be called the body of the grume, was more red than the extremities, which had but a very faint tindhure of the fame colour : but it was firm, and was fo ftrongly at- tached to the artery, that we could not pull them afunder without tearing, and leaving a confi- derable quantity of its fubflance behind, which conilituted one body with the vefTel. We or- dered another amputation of a horfe's flioulder, and every thing anfwered in the fame manner, as in the former experiment, except in a few trivial circumflances ; which feemed indeed to depend only upon the horfe's having died twenty fix hours after the amputation : the grume in this cafe was redder at the extremities, fhorter, and lefs folid, nor did it adhere fo firmly to the artery : but it is very plain that it wanted only the horfe's living two days longer to have been exadlly parallel to the former cafe. From what has been laid down, it may be concluded that the Sieur la FolTe has advanced nothing but the truth •, we agree, however, that the ufe of this powder of the puff-bails for flopping of blood was not wholly unknown, but it is not certain that the blood which the moft t So ] mofl confiderable arteries could difcharge, was ever attempted to be (lopped by this remedy before, which it did in the fpace of fix minutes ; this author's explanation ot the formation of the grume, differs from that of Monf. Petit, it opens to philofophers an opportunity of making ufeful difcoverics upon this fubjed, or at leaft fuch as are very curious •, figned Bernard de Jussieu, and Bouvart* I certify that the prefent extrcM is conformable to its original a7td to the opinion of the Academy, Paris Feb. i, 1750. 6'i^;?£'/i Grand jean de Pou- chy, -perpetual fecretary to the Royal Academy of Sciences. A NEW /. ■' n.-i-c.-i .i.-i