An Essay on the Application of the Lunar Caustic in the Cure of Certain Wounds and Ulcers — John Shaqi
An Essay on the Application of the Lunar Caustic in the Cure of Certain Wounds and UlcersHigginbottom, John
Science
An Essay on the Application of the Lunar Caustic in the Cure of Certain Wounds and Ulcers
Higginbottom, John
Antiseptics; Silver nitrate; Wound healing
On the following day, I was gratified to find that eschars had formed
upon every ulcer; upon examination, a little fluid was found to
subsist under several of the larger eschars; this I evacuated, and I
then applied the lunar caustic to the points from which it had issued
to make up the breach of continuity of the eschars over the surface of
the ulcers. There was far less inflammation and scarcely any pain, and
he has continued his occupation of blacksmith.
On the third day nearly all the eschars were adherent; three, however,
had unfortunately been removed by an accident; I renewed them by again
applying the caustic.
In four days after the last report, most of the eschars had separated
from the smallest ulcers leaving the parts healed.
In a day or two more, my patient took cold and was affected with
hoarseness and cough, and the skin round the eschar became excoriated
a little. I directed a saline purgative and applied the lunar caustic
to the excoriated parts.
On the succeeding day his cold was better and the eschars adherent. I
directed five grains of the Plummer's pill to be taken night and
morning, which he continued about a week.
Five days after this period, I again observed a disposition to
excoriate. I applied the caustic.
In two days more, the eschars were adherent, and there was no further
appearance of excoriation.
In ten more days, the eschars had separated and all the ulcers and
excoriations were completely healed.
This case occurred several years ago, and there has been no return of
the affliction whatever.
CASE XXIII.
Mr. Marshall, aged 60, had a troublesome ulcer under the outer ankle,
of an oblong form and of the size of sixpence. He has been long
subject to ulcers of the legs, and he had a similar ulcer to the
present one in the same situation, some years ago, which proved
extremely difficult to heal under usual remedies. The veins are
varicose.--From the small size of the ulcer, I applied the lunar
caustic and protected the eschar by the gold-beater's skin.
On the following day, I found the eschar complete but unadherent by
the effusion of a little fluid; this I evacuated daily in the manner
already described, for about a fortnight, when the eschar became
adherent.
During the progress of the cure a little excoriation formed round the
eschar. I touched the parts with the caustic, and the eschar thus
formed served to support that formerly made, and so to do good. The
whole adhered until the sore was very nearly healed; but as it was
situated in a part greatly exposed, it was removed by accident. The
caustic was again applied; fluid formed underneath the eschar as
before and required evacuating thrice; but at length the eschar
adhered, and in due time separated leaving the ulcer quite healed.
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