Owing to the almost hopeless character of this affection, prevention of the disease is of the utmost importance. This can only be effected by the enforcement of stringent laws against keeping all dogs. The practice of raising dogs as pets is really a reprehensible one. Cases are known in which persons have contracted hydrophobia through the licking of the hand by a dog afterward shown to be mad. There is a popular belief that certain species of dogs, particularly the variety known as the Spitz, are especially liable to this affection. A gentleman said to us not long ago that he would as soon have a rattlesnake in his house as a Spitz dog.

About the only treatment which is at all effectual is that which can be administered immediately after the bite. A strong ligature should be applied between the part bitten and the heart. It should bo drawn sufficiently tight to obstruct the circulation. The bitten part should then be cut out, including a little of the sound flesh about it. An iron, as a poker, may be heated to a white heat and applied to the part instead of using a knife. Nitrate of silver or lunar caustic may also be used for the same purpose, the part being first dried before it is applied. Probably the safest way is, first to wash and dry the body, and then apply lunar caustic or caustic potash. When caustic potash is used, it may be neutralized by washing the part with vinegar after a sufficiently energetic action has been obtained.

Whether treated in this manner or not, the wound itself generally heals kindly at first, but as already pointed out, is likely to become sore and irritable at some subsequent time just before the other symptoms of the disease make their appearance. It is unsafe to employ the mouth in sucking the poison from the wound as has often been recommended, as infection may take place through some slight abrasion in the mucous membrane, which may be so small as to escape the attention of the individual.

A person who has been bitten should adopt the measures recommended instantaneously, if possible, and should then look forward to the future with hopefulness, consoling himself with the fact that a very small proportion of those who are bitten are actually poisoned, and still further with the thought that if inoculation has taken place, it has undoubtedly been rendered inert by the prompt treatment applied. Several thousand cases are recorded in which persons who have been bitten have had the bite treated in this manner, and in no case hydrophobia appeared subsequently. The pain attending the removal of the bitten part by a knife may be prevented by freezing the tissues with ice and salt mixed together in a thin muslin bag and held over the part four or five minutes.

When the characteristic symptoms of the disease are fully developed, very little can be done, except to palliate the patient's sufferings. The vapor bath and the inhalation of oxygen gas are more highly recommended than any other measures of treatment. A physician practicing in India claims to have obtained success by cutting out the scar as soon as an attack is threatened by pain, tenderness, or other peculiar symptoms, thus dividing the nerves which are connected with it, and then inducing free perspiration by the hot-water or vapor bath. Opium, Indian hemp, and chloroform, are useful for the purpose of relieving the patient's sufferings. The severe thirst which sometimes gives patients great distress, on account of their inability to drink, may be relieved in some degree by injecting a considerable quantity of water into the bowels and retaining it as long as possible. The patient may also be nourished by the employment of nutritive injections when unable to swallow any kind of food.