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d by the condition of his case. He should see that it is not too far advanced, and that a great deformity of the hoof, or actual exploration, does not indicate disease of the greater part of the wall. _Treatment_.--From what has gone before, it will be seen that the eradication of canker is no easy task, that it is, in fact, a most difficult matter, and one not to be lightly undertaken. At the risk of recapitulating what we have said before, we may mention here the two points which the veterinarian must bear in mind. (1) That there is no actual disease or alteration in structure of the deep layers of the keratogenous apparatus. It is only the superficial, or horn-secreting, layer that concerns us. (2) That the disease of this superficial layer is infection with a material that may reasonably be presumed to be infective. Put thus, treatment of canker would at first sight appear to be easy. One would imagine that a simple and long-continued soaking of the entire foot in a strong enough antiseptic would be all that was needed. Clinical observation, however, shows that this is not so, and for this there must be reasons. The reasons are these: (1) Between us and the diseased layer upon which our attention must be directed is often a layer of normal horn, effectually protecting the tissues beneath from any dressing which we might consider beneficial. (2) Anything applied with the object of destroying septic material, but strong enough, or caustic enough, to injure the membrane upon which we are working, only makes the case worse. The superficial layer of the keratogenous membrane in which we have judged the disease to exist is, after all, but a delicate structure. When attacked by the application of too potent a drug its horn-secreting layer is easily destroyed, and thus, although we may succeed in establishing asepsis, we cannot expect at the point of injury a growth of horn. In its place we are confronted with large outgrowths of inflammatory fibrous tissue. (3) Shedding of the diseased horn and removal of the pressure exerted by the hoof faces us with hypertrophy of the exposed villi. The difficulty of meeting this with an adequate and evenly-distributed pressure is well enough known, and we find in that a further reason that the treatment of canker is superlatively difficult. (4) The material on which the animal has to stand is a distinct bar to the maintaining of a strict asepsis. When we have said this, it is easy
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