Moderate pressure, by means of adhesive plaster, conjoined with the
application of cold water, is one of the best remedies for the mild
scrophulous ulcer, when it is situated so, that this can be used. When
it is not, then dusting the part thickly with cerussa, containing a
sixth part of powdered alum, may be had recourse to. A piece of dry
lint is next to be applied, and a compress bound down, with such
pressure as can be used. It is sometimes useful to dip the compress in
cold water, and renew it frequently.
The ceratum e lapide calaminari forms a very good dressing for this
sore, when it is intended to leave it to follow its own course.
As a stimulant, the unguentum resinorum, either alone, or mixed with
red precipitate, is often used; but it seldom is of service, and
often makes the sore irritable. If, however, the ulcer become very
indolent, this, or the citrine ointment, properly diluted[103], may
be of service. The same may be said of the other common stimulating
applications.
[103] This application forms a very useful remedy for the scrophulous
ulceration of the eye-lids, which we so frequently meet with.
Poultices made of bread and sea water have been recommended, but seem
to possess little power of accelerating the cure.
Solutions of alum, of blue vitriol, corrosive sublimate[104], of the
nitrites of copper, bismuth, and silver, are sometimes useful to wash
the sore with.
[104] This substance is the basis of a celebrated lotion for the face,
which is sometimes useful in chronic pustules, which are frequently of
a scrophulous nature. It promotes suppuration, the pustule then scabs,
and, when this falls off, the part is sometimes found sound below. It
is made by dissolving corrosive sublimate in an emulsion of bitter
almonds.
The recent leaves of the wood sorrel bruised, and applied raw to the
sore, is sometimes useful. The same may be said of cloths dipped in
lemon juice, or vinegar and water.
Saturnine ointment is much employed by some, for abating heat and pain;
but is inferior to compresses dipped in cold water.
Sometimes only the anterior part of a scrophulous tumor suppurates and
ulcerates, and the deeper part of it remains swelled and hard. In this
case, the bottom is generally covered with a slough, which comes slowly
away piecemeal, and is renewed for some time, until the tumor subsides,
partly by sloughing, partly by absorption, and partly by the subsidence
of the remaining inflammatory action. In this case, sprinkling the
surface lightly with precipitate, or blue vitriol, is of service; and
this may be alternated with the common warm poultice. When the surface
becomes cleaner, dry lint forms a very good dressing; and this may be
covered with a pledget of linen spread with cerate. Afterwards pressure
is useful.
The irritable overacting sore, or what has been called the struma
maligna, is very difficult to manage, especially as it is frequently
connected with a diseased state of the bones or tendons below.
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