Castration is a much more dangerous operation in the mare than in the

females of other domesticated quadrupeds and should never be resorted to

except in animals that become unmanageable on the recurrence of heat and

that will not breed or that are utterly unsuited to breeding. Formerly

the operation was extensively practiced in Europe, the incision being

made through the flank, and a large proportion of the subjects perished.

By operating through the vagina the risk can be largely obviated, as the

danger of unhealthy inflammation in the wound is greatly lessened. The

animal should be fixed in a trevis, with each foot fixed to a post and a

sling placed under the body, or it may be thrown and put under

chloroform. The manual operation demands special professional knowledge

and skill, but it consists essentially in making an opening through the

roof of the vagina just above the neck of the womb, then following with

the hand each horn of the womb until the ovary on that side is reached

and grasped between the lips of forceps and twisted off. It might be

torn off by an ecraseur especially constructed for the purpose. The

straining that follows the operation may be checked by ounce doses of

laudanum, and any risk of protrusion of the bowels may be obviated by

applying the truss advised to prevent eversion of the womb. To further

prevent the pressure of the abdominal contents against the vaginal wound

the mare should be tied short and high for twenty-four or forty-eight

hours, after which I have found it best to remove the truss and allow

the privilege of lying down. Another important point is to give bran

mashes and other laxative diet only, and in moderate quantity, for a

fortnight, and to unload the rectum by copious injections of warm water

in case impaction is imminent.

STERILITY.

Sterility may be in the male or in the female. If due to the stallion,

then all the mares put to him remain barren; if the fault is in the

mare, she alone fails to conceive, while other mares served by the same

stallion get in foal.

In the stallion sterility may be due to the following causes: (a)

Imperfect development of the testicles, as in cases in which they are

retained within the abdomen; (b) inflammation of the testicles,

resulting in induration; (c) fatty degeneration of the testicles, in

stallions liberally fed on starchy feed and not sufficiently exercised;

(d) fatty degeneration of the excretory ducts of the testicles (_vasa

deferentia_); (e) inflammation or ulceration of these ducts; (f)

inflammation or ulceration of the mucous membrane covering the penis;

(g) injuries to the penis from blows (often causing paralysis); (h)

warty growths on the end of the penis; (i) tumors of other kinds

(largely pigmentary), affecting the testicles or penis; (j) nervous

diseases which abolish the sexual appetite or that control the muscles

which are essential to the act of coition; (k) azoturia with resulting

weakness or paralysis of the muscles of the loins or the front of the

thigh (above the stifle); (l) ossification (_anchylosis_) of the

joints of the back or loins, which render the animal unable to rear or

mount; (m) spavins, ringbones, or other painful affections of the hind

limbs, the pain of which in mounting causes the animal to suddenly stop

short in the act. In the first three of these only (a, b, and c)

is there real sterility in the sense of the nondevelopment or imperfect

development of the male vivifying element (spermatozoa). In the other

examples the secretion may be imperfect in kind and amount, but as

copulation is prevented it can not reach and impregnate the ovum.

In the mare barrenness is equally due to a variety of causes. In a

number of breeding studs the proportion of sterile mares has varied from

20 to 40 per cent. It may be due to: (a) Imperfect development of the

ovary and nonmaturation of ova; (b) cystic or other tumors of the

ovary; (c) fatty degeneration of the ovary in very obese, pampered

mares; (d) fatty degeneration of the excretory tubes of the ovaries

(Fallopian tubes); (e) catarrh of the womb, with mucopurulent

discharge; (f) irritable condition of the womb, with profuse

secretion, straining, and ejection of the semen; (g) nervous

irritability, leading to the same expulsion of the male element; (h)

high condition (plethora), with profuse secretion and excitement; (i)

low condition, with imperfect maturation of the ova and lack of sexual

desire; (j) poor feeding, overwork, and chronic debilitating diseases,

as leading to the condition just named; (k) closure of the neck of the

womb, temporarily by spasm or permanently by inflammation and

induration; (l) closure of the entrance to the vagina through

imperforate hymen, a rare, though not unknown, condition in the mare;

(m) acquired indisposition to breed, seen in old, hard-worked mares

which are first put to the stallion when aged; (n) change of climate

has repeatedly been followed by barrenness; (o) hybridity, which in

male and female alike usually entails sterility.

_Treatment._--The treatment of the majority of these conditions will be

found dealt with in other parts of this work, so that it is only

necessary here to name them as causes. Some, however, must be specially

referred to in this place. Stallions with undescended testicles are

beyond the reach of medicine, and should be castrated and devoted to

other uses. Indurated testicles may sometimes be remedied in the early

stages by smearing with a weak iodin ointment daily for a length of

time, and at the same time invigorating the system by liberal feeding

and judicious work. Fatty degeneration is best met by an albuminoid diet

(wheat bran, cottonseed meal, rape cake) and constant, well-regulated

work. Saccharine, starchy, and fatty food (potatoes, wheat, corn, etc.)

are to be specially avoided. In the mare one diseased and irritable

ovary should be removed, to do away with the resulting excitability of

the remainder of the generative organs. An irritable womb, with frequent

straining and the ejection of a profuse secretion, may sometimes be

corrected by a restricted diet and full but well-regulated work. Even

fatigue will act beneficially in some such cases, hence the practice of

the Arab riding his mare to exhaustion just before service. The

perspiration in such case, like the action of a purgative or the

abstraction of blood just before service, benefits, by rendering the

blood vessels less full, by lessening secretion in the womb and

elsewhere, and thus counteracting the tendency to the ejection and loss

of semen. If these means are ineffectual, a full dose of camphor (2

drams) or of salicin may at times assist. Low condition and anemia

demand just the opposite kind of treatment--rich, nourishing, albuminoid

feed, bitter tonics (gentian), sunshine, gentle exercise, liberal

grooming, and supporting treatment generally are here in order.

Spasmodic closure of the neck of the womb is common and is easily

remedied in the mare by dilatation with the fingers. The hand, smeared

with belladonna ointment and with the fingers drawn into the form of a

cone, is introduced through the vagina until the projecting, rounded

neck of the womb is felt at its anterior end. This is opened by the

careful insertion of one finger at a time, until the fingers have been

passed through the constricted neck into the open cavity of the womb.

The introduction is made with a gentle, rotary motion, and all

precipitate violence is avoided, as abrasion, laceration, or other cause

of irritation is likely to interfere with the retention of the semen and

consequently with impregnation. If the neck of the womb is rigid and

unyielding from the induration which follows inflammation--a rare

condition in the mare, though common in the cow--more force will be

requisite, and it may even be needful to incise the neck to the depth of

one-sixth of an inch in four or more opposite directions prior to

forcible dilatation. The incision may be made with a probe-pointed

knife, and should be done by a professional man if possible. The

subsequent dilatation may be best effected by the slow expansion of

sponge or seaweed tents inserted into the narrow canal. In such cases it

is best to let the wounds of the neck heal before putting to horse. An

imperforate hymen may be freely incised in a crucial manner until the

passage will admit the human hand. An ordinary knife may be used for

this purpose, and after the operation the stallion may be admitted at

once or only after the wounds have healed.

PREGNANCY.

INDICATIONS OF PREGNANCY.

As the mere fact of service by the stallion does not insure pregnancy,

it is important that the result should be determined to save the mare

from unnecessary and dangerous work or medication when actually in foal

and to obviate wasteful and needless precautions when she is not.

The cessation and nonrecurrence of the symptoms of heat (horsing) are

most significant, though not an infallible, sign of conception. If the

sexual excitement speedily subsides and the mare persistently refuses

the stallion for a month, she is probably pregnant. In very exceptional

cases a mare, though pregnant, will accept a second or third service

after weeks or months, and some mares will refuse the horse

persistently, though conception has not taken place, and this in spite

of warm weather, good condition of the mare, and liberal feeding. The

recurrence of heat in the pregnant mare is most liable to take place in

hot weather. If heat merely persists an undue length of time after

service, or if it reappears shortly after, in warm weather and in a

comparatively idle mare, on good feeding, it is less significant, while

the persistent absence of heat under such conditions may be usually

accepted as proof of conception.

An unwonted gentleness and docility on the part of a previously

irritable or vicious mare, and supervening on service, is an excellent

indication of pregnancy, the generative instinct which caused the

excitement having been satisfied.

An increase of fat, with softness and flabbiness of muscle, a loss of

energy, indisposition for active work, a manifestation of laziness,

indeed, and of fatigue early and easily induced, when preceded by

service, will usually imply conception.

Enlargement of the abdomen, especially in its lower third, with slight

falling in beneath the loins and hollowness of the back are significant

symptoms, though they may be entirely absent. Swelling and firmness of

the udder, with the smoothing out of its wrinkles, is a suggestive sign,

even though it appears only at intervals during gestation.

A steady increase in weight (1-1/2 pounds daily) about the fourth or

fifth month is a useful indication of pregnancy. So is a swollen and red

or bluish-red appearance of the vaginal mucous membrane.

From the seventh or eighth month onward the foal may be felt by the hand

(palm or knuckles) pressed into the abdomen in front of the left stifle.

The sudden push displaces the foal toward the opposite side of the womb,

and as it floats back its hard body is felt to strike against the hand.

If the pressure is maintained the movements of the live foal are felt,

and especially in the morning and after a drink of cold water or during

feeding. A drink of cold water will often stimulate the fetus to

movements that may be seen by the eye, but an excess of iced water may

prove injurious, even to the causing of abortion. Cold water dashed on

the belly has a similar effect on the fetus and is equally provocative

of abortion.

Examination of the uterus with the oiled hand introduced into the rectum

is still more satisfactory, and, if cautiously conducted, no more

dangerous. The rectum must be first emptied and then the hand carried

forward until it reaches the front edge of the pelvic bones below, and

pressed downward to ascertain the size and outline of the womb. In the

unimpregnated state the vagina and womb can be felt as a single rounded

tube, dividing in front to two smaller tubes (the horns of the womb). In

the pregnant mare not only the body of the womb is enlarged, but still

more so one of the horns (right or left), and on compression the latter

is found to contain a hard, nodular body, floating in a liquid, which in

the latter half of gestation may be stimulated by gentle pressure to

manifest spontaneous movements. By this method the presence of the fetus

may be determined as early as the third month. If the complete, natural

outline of the virgin womb can not be made out, careful examination

should always be made on the right and left side for the enlarged horn

and its living contents. Should there still be difficulty the mare

should be placed on an inclined plane, with her hind parts lowest, and

two assistants, standing on opposite sides of the body, should raise the

lower part of the abdomen by a sheet passed beneath it. Finally the ear

or stethoscope applied on the wall of the abdomen in front of the stifle

may detect the beating of the fetal heart (one hundred and twenty-five a

minute) and a blowing sound (the uterine sough), much less rapid and

corresponding to the number of the pulse of the dam. It is heard most

satisfactorily after the sixth or eighth month and in the absence of

active rumbling of the bowels of the dam.

DURATION OF PREGNANCY.

Mares usually go about eleven months with young, though first

pregnancies often last a year. Foals have lived when born at the three

hundredth day, so with others carried till the four hundredth day. With

the longer pregnancies there is a greater probability of male offspring.

HYGIENE OF THE PREGNANT MARE.

The pregnant mare should not be exposed to teasing by a young and ardent

stallion, nor should she be overworked or fatigued, particularly under

the saddle or on uneven ground. Yet exercise is beneficial to both

mother and offspring, and in the absence of moderate work the breeding

mare should be kept in a lot where she can take exercise at will.

The feed should be liberal, but not fattening--oats, bran, sound hay,

and other feeds rich in the principles which form flesh and bone being

especially indicated. All aliments that tend to indigestion are to be

especially avoided. Thus rank, aqueous, rapidly growing grasses and

other green feed, partially ripe rye grass, millet, Hungarian grass,

vetches, peas, beans, or maize are objectionable, as is overripe,

fibrous, innutritious hay, or that which has been injured and rendered

musty by wet, or that which is infested with smut or ergot. Feed that

tends to costiveness should be avoided. Water given often, and at a

temperature considerable above freezing, will avoid the dangers of

indigestion and abortion which result from taking too much ice-cold

water at one time. Very cold or frozen feed is objectionable in the same

sense. Severe surgical operations and medicines that act violently on

the womb, bowels, or kidneys are to be avoided as being liable to cause

abortion. Constipation should be corrected, if possible, by bran mashes,

carrots, or beets, seconded by exercise, and if a medicinal laxative is

required it should be olive oil or other equally bland agent.

The stall of the pregnant mare should not be too narrow, so as to cramp

her when lying down or to entail violent effort in getting up, and it

should not slope too much from the front backward, as this throws the

weight of the uterus back on the pelvis and endangers protrusions and

even abortion. Violent mental impressions are to be avoided, for though

most mares are not affected thereby, yet a certain number are so

profoundly impressed that peculiarities and distortions are entailed on

the offspring; hence, there is wisdom shown in banishing particolored or

objectionably tinted animals, and those that show deformities or faulty

conformation. Hence, too, the importance of preventing prolonged, acute

suffering by the pregnant mare, as certain troubles of the eyes, feet,

and joints in the foals have been clearly traced to the concentration

of the mother's mind on corresponding injured organs in herself. Sire

and dam alike tend to reproduce their individual defects which

predispose to disease, but the dam is far more liable to perpetuate the

evil in her progeny which was carried while she was individually

enduring severe suffering caused by such defects. Hence, an active bone

spavin or ringbone, causing lameness, is more objectionable than that in

which the inflammation and lameness have both passed, and an active

ophthalmia is more to be feared than even an old cataract. For this

reason all active diseases in the breeding mare should be soothed and

abated as early as possible.

EXTRA-UTERINE GESTATION.

It is rare in the domestic animals to find the fetus developed elsewhere

than in the womb. The exceptional forms are those in which the sperm of

the male, making its way through the womb and Fallopian tubes,

impregnates the ovum prior to its escape, and in which the now vitalized

and growing ovum, by reason of its gradually increasing size, becomes

imprisoned and fails to escape into the womb. The arrest of the ovum may

be in the substance of the ovary itself (ovarian pregnancy), in the

Fallopian tube (tubal pregnancy), or when by its continuous enlargement

it has ruptured its envelopes so that it escapes into the cavity of the

abdomen, it may become attached to any part of the serous membrane and

draw its nourishment directly from that (abdominal pregnancy). In all

such cases there is an increase and enlargement of the capillary blood

vessels at the point to which the embryo has attached itself so as to

furnish the needful nutriment for the growing offspring.

All appreciable symptoms are absent, unless from the death of the fetus,

or its interference with normal functions, general disorder and

indications of parturition supervene. If these occur later than the

natural time for parturition, they are the more significant. There may

be general malaise, loss of appetite, elevated temperature, accelerated

pulse, with or without distinct labor pains. Examination with the oiled

hand in the rectum will reveal the womb of the natural, unimpregnated

size and shape and with both horns of one size. Further exploration may

detect an elastic mass apart from the womb, in the interior of which may

be felt the characteristic solid body of the fetus. If the latter is

still alive and can be stimulated to move, the evidence is even more

perfect. The fetus may die and be carried for years, its soft structures

becoming absorbed so as to leave only the bones, or by pressure it may

form a fistulous opening through the abdominal walls, or less frequently

through the vagina or rectum. In the latter cases the best course is to

favor the expulsion of the foal and to wash out the resulting cavity

with a solution of carbolic acid 1 part to water 50 parts. This may be

repeated daily. When there is no spontaneous opening it is injudicious

to interfere, as the danger from the retention of the fetus is less than

that from septic fermentation in the enormous fetal sac when that has

been opened to the air.

MOLES, OR ANIDIAN MONSTERS.

These are evidently products of conception, in which the impregnated

ovum has failed to develop naturally, and presents only a chaotic mass

of skin, hair, bones, muscles, etc., attached to the inner surface of

the womb by an umbilical cord, which is itself often shriveled and

wasted. They are usually accompanied with a well-developed fetus, so

that the mole may be looked upon as a twin which has undergone arrest

and vitiation of development. They are expelled by the ordinary process

of parturition, and usually at the same time with the normally developed

offspring.

CYSTIC DISEASE OF THE WALLS OF THE WOMB, OR VESICULAR MOLE.

This condition appears to be attributable to hypertrophy (enlargement)

of the villi on the inner surface of the womb, which become greatly

increased in number and hollowed out internally into a series of cysts,

or pouches, containing liquid. Unlike the true mole, therefore, they

appear to be disease of the maternal structure of the womb rather than

of the product of conception. Rodet, in a case of this kind, which had

produced active labor pains, quieted the disorder with anodynes and

effected a recovery. When this can not be done, attempts may be made to

remove the mass with the ecraseur or otherwise, following it up with

antiseptic injections, as advised under the last heading.

DROPSY OF THE WOMB.

This appears as a result of some disease of the walls of the womb, but

has been frequently observed as the result of infection after sexual

congress, and has, therefore, been confounded with pregnancy. The

symptoms are those of pregnancy, but without any movements of the fetus

and without the detection of any solid body in the womb when examined

with the oiled hand in the rectum. At the end of four or eight months

there are signs of parturition or of frequent straining to pass urine,

and after a time the liquid is discharged clear and watery, or muddy,

thick, and fetid. The hand introduced into the womb can detect neither

fetus nor fetal membrane. If the neck of the womb closes, the liquid may

accumulate a second time, or even a third, if no means are taken to

disinfect it or to correct the tendency. The best resort is to remove

any diseased product that may be found attached to the walls of the womb

and to inject it daily with a warm solution of carbolic acid 2 drams,

chlorid of zinc one-half dram, water 1 quart. A course of bitter tonics

(gentian 2 drams, sulphate of iron 2 drams, daily) should be given, and

a nutritious, easily digested, and slightly laxative diet allowed.

DROPSY OF THE AMNION.

This differs from simple dropsy of the womb in that the fluid collects

in the inner of the two water bags (that in which the foal floats) and

not in the otherwise void cavity of the womb. This affection can occur

only in the pregnant animal, while dropsy of the womb occurs in the

unimpregnated. The blood of the pregnant mare contains an excess of

water and a smaller proportion of albumen and red globules, and when

this condition is still further aggravated by poor feeding and other

unhygienic conditions there is developed the tendency to liquid

transudation from the vessels and dropsy. As the watery condition of the

blood increases with advancing pregnancy, so dropsy of the amnion is a

disease of the last four or five months of gestation. The abdomen is

large and pendulous, and the swelling fluctuates under pressure, though

the solid body of the fetus can still be felt to strike against the hand

pressed into the swelling. If the hand is introduced into the vagina,

the womb is found to be tense and round, with the projecting rounded

neck effaced, while the hand in the rectum will detect the rounded,

swollen mass of the womb so firm and tense that the body of the fetus

can not be felt within it. The mare moves weakly and unsteadily on her

limbs, having difficulty in supporting the great weight, and in bad

cases there may be loss of appetite, stocking (dropsy) of the hind

limbs, difficult breathing, and colicky pains. The tension may lead to

abortion, or a slow, laborious parturition may occur at the usual time.

_Treatment_ consists in relieving the tension and accumulation by

puncturing the fetal membrane with a cannula and trocar introduced

through the neck of the womb and the withdrawal of the trocar so as to

leave the cannula in situ, or the membranes may be punctured with the

finger and the excess of liquid allowed to escape. This may bring on

abortion, or the womb may close and gestation continue to the full term.

A course of tonics (gentian root 2 drams, sulphate of iron 2 drams,

daily) will do much to fortify the system and counteract further

excessive effusion.

DROPSY OF THE LIMBS, PERINEUM, AND ABDOMEN.

The disposition to dropsy often shows itself in the hind and even in the

fore limbs, around and beneath the vulva (perineum), and beneath the

abdomen and chest. The affected parts are swollen and pit on pressure,

but are not especially tender, and subside more or less perfectly under

exercise, hand rubbing, and bandages. In obstinate cases rubbing with

the following liniment may be resorted to: Compound tincture of iodin,

2 ounces; tannic acid, one-half dram; water, 10 ounces. It does not last

more than a day or two after parturition.

CRAMPS OF THE HIND LIMBS.

The pressure of the distended womb on the nerves and blood vessels of

the pelvis, besides conducing to dropsy, occasionally causes cramps of

the hind limbs. The limb is raised without flexing the joints, the front

of the hoof being directed toward the ground, or, the spasms occurring

intermittently, the foot is kicked violently against the ground several

times in rapid succession. The muscles are felt to be firm and rigid.

The cramp may be promptly relieved by active rubbing or by walking the

animal about, and it does not reappear after parturition.

CONSTIPATION.

This may result from compression by gravid womb, and is best corrected

by a graduated allowance of boiled flaxseed.

PARALYSIS.

The pressure on the nerves of the pelvis is liable to cause paralysis of

the hind limbs or of the nerve of sight. These are obstinate until after

parturition, when they recover spontaneously, or under a course of nux

vomica and (local) stimulating liniments.

PROLONGED RETENTION OF THE FETUS (FOAL).

Though far less frequently than in the case of the cow, parturition may

not be completed at term, and the mare, to her serious and even fatal

injury, may carry the foal in the womb for a number of months. Hamon

records one case in which the mare died after carrying the fetus for 17

months, and Caillier a similar result after it had been carried 22

months. In these cases the fetus retained its natural form, but in one

reported by Gohier the bones only were left in the womb amid a mass of

apparently purulent matter.

Special Report on Diseases of the Horse · 第 19 / 71 段