Poultices are generally made of bread and milk boiled together, so as
to form a thick kind of paste, to which is added, so much olive oil
as will preserve it from hardening quickly[23]. These ought to be
applied, either of the same temperature with the inflamed part, or
hotter, according to circumstances. When the inflammation seems to be
naturally and quickly tending toward suppuration, it is, as has been
already mentioned, by no means essential, that any application be made
externally, in order to induce the suppurative action[24]; but still
poultices are used, and, in many cases, accelerate the progress. In
this case, the poultices should only be applied so hot as not to give
any considerable sensation of heat, otherwise we increase the action
too much, and too rapidly, and, if early employed, may even interrupt,
or stop the incipient purulent action, renewing the inflammation, and
perhaps making it terminate in partial gangrene. Poultices, then,
should not be applied very hot at first, especially when the action
seems to be such as to make us expect that it shall run its course
without any assistance. But when the inflammatory action has been more
tedious, and does not terminate in the suppurative one so soon, and
so decidedly as we would wish, then poultices must be applied, with a
different intention, being meant, not solely to prevent the action
from sinking, as in the first case, but also to raise it, and make it
brisker. The heat must therefore be greater, and such as to give a
considerable sensation; and the poultices, instead of being changed
only when they begin to grow hard[25], which is perhaps all that is
necessary in the first case, must be renewed very frequently, in order
to keep up the increased degree of heat, or the agent which supports
the action, and accelerates its progress. They ought, in this case, to
be taken off and warmed, or renewed almost every hour, at least when
the action is tedious, that is to say, when they are most required. We
are then not to lay down any certain degree of heat which is to be
employed, nor fix any particular number of times at which the poultices
must, in every instance, be changed, but regulate our practice entirely
by the nature of each particular instance, taking the progress and
degree of the action as our guide, in this respect, and interfering
exactly in proportion to the necessity for interference. It may not,
however, be improper to remark, that, cæteris paribus, the heat must
be greater in proportion to the depth of the inflamed part below the
skin; or, in other words, we must apply more heat, when we are obliged
to act on a part not yet inflamed, than when we act directly on the
inflamed part itself. When an abscess forms at a distance from the
surface, the parts betwixt it and the surface gradually come, as was
formerly mentioned, to assume the purulent action; and the sympathy of
equilibrium, which naturally exists betwixt the surface and the parts
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