De Witt's Complete American Farrier And Horse Doctor ... With Copious Notes From the Best English And American Authorities ..

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The ligament of the neck passes over the " atlas " or first bone of the neck, without being attached to it, and the seat of the inflam- mation is between this ligament and the bone beneath. It will readily be seen what intense pain would be caused by the formation of matter at such a point if no way for its escape should be provided.
The treatment is simple, almost identical with that for fistula, only great care must be taken to avoid the spinal cord, the knife should not be run in deeply, but
... slantingly, and on the right side, making a passage that will surely permit all the pus to run out. A seton should generally be employed. If the opening is made with the needle, put it in on the top of the swelling, make sure that it reaches the bottom, and bring it out a little below the abscess on the right side. The reason for this latter is that most horses lie down on the right side, and thus, both in fistula and poll-evil the matter can continue running when he is lying down. If he happens to have formed the habit of laying on his left side, act accordingly.

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