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
It appears scarcely necessary to describe the immediate and well known
effects of the application of the lunar caustic to the surface of a
wound or ulcer. It may, however, be shortly observed that the contact
of the caustic induces, at first, a white film or eschar which, when
exposed to the air, assumes in a few hours a darker colour, and at a
later period, becomes black; as the eschar undergoes these changes of
colour it gradually becomes harder and resembles a bit of sticking
plaster; in the course of a few days, according to the size and state
of the wound, the eschar becomes corrugated and begins to separate at
its edges, and at length peels off altogether, leaving the surface of
the sore underneath, in a healed state.
In the formation of this eschar several things require particular
attention. The application of the caustic should be made over the
whole surface of the sore; and indeed no part requires so much
attention as the edges; to make a firmer eschar the caustic should
even be applied beyond the edge of the wound, upon the surrounding
skin, for the eschar in drying is apt to contract a little, and in
this manner may leave a space between its edges and that of the
adjacent healthy skin.
At the same time, much attention must be paid to the degree in which
the caustic is applied. In cases of recent wounds unattended by
inflammation, it may be applied freely; but when inflammation has come
on, too severe an application of the caustic induces vesication of the
surrounding skin, and the edges of the eschar may in this manner also
be loosened and removed. If every part is touched, a slight
application of the caustic is generally sufficient.
The importance of avoiding all causes which might detach the edges of
the eschar will be apprehended by the following interesting
observation, which I have been enabled to deduce from very extensive
trials of the caustic; it is, that, in every instance in which the
eschar remains adherent from the first application, the wound or ulcer
over which it is formed, invariably heals.
Not only the cause just mentioned, but every other by which the eschar
might be disturbed, must, therefore, be carefully avoided; and
especially, as the eschar begins to separate from the healed edges of
the sore, it should be carefully removed by a pair of scissors.
To the surface of the wound the eschar supplies a complete protection
and defence, and allows the healing process to go on underneath
uninterruptedly and undisturbed. It renders all applications, such as
plasters, totally unnecessary, as well as the repeated dressings to
which recourse is usually had in such cases; and it at once removes
the soreness necessarily attendant on an ulcerated surface being
exposed to the open air. In many cases too, in which the patients are
usually rendered incapable of following their wonted avocations, this
mode of treatment saves them from an inconvenience, which is, to some,
of no trifling nature.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account