The second species is distinguished by the paleness and imperfection of
the granulations, whilst the discharge is tolerably good; but it never
can be equal to that of the healthy ulcer; because, when one part of
the action is affected, the other is also more or less affected. This
species does not require any more particular observation or remark,
because it is to be treated exactly as the first, of which it is often
just a slighter degree, or a forerunner; for it is frequently the first
change which takes place in a healthy ulcer. When it becomes diseased,
it does not continue long; for both parts soon come to suffer in the
same proportion; in which case, the ulcer belongs to the first species.
For this reason, we never find old ulcers belonging to this species.
Chronic ulcers sometimes induce a disease of the bones, &c. below; but,
in this case, they generally are converted into a different genus.
They also come naturally, in consequence of the great imperfection of
their action, and the consequent want of power, to act beyond the due
proportion betwixt action and power; and, therefore, most ulcers of
this genus come at last, if neglected, to belong to the next.
The most effectual remedy for these ulcers is pressure. This has been
long employed, by means of tight rollers wound round the limb, or by
the laced stocking. But, of late, a more effectual method has been
proposed, namely, a bandage of adhesive plaster, which applies itself
closely to the surface, and produces a state of artificial contact and
covering. This has been recommended by Dr. Darwin in the form of a
many-tailed bandage, and by Mr. Baynton in the form of strips, wrapped
round the limb. The following is the method of applying them: A strip
of adhesive plaster, about an inch broad, and so long as to encircle
the limb and cross at each end, is to be warmed, and the middle of
it applied to that part of the limb which is exactly opposite to the
sore; both ends are now to be brought forward, and one of them laid
tightly over the under part of the sore (if it be so large as not to
be covered with one strip), whilst the other is brought firmly over
this from the opposite side, and doubled down upon it. The ends of
the strip thus fold over each other at the ulcer. Another strip is
then to be applied to the part of the sore contiguous to this which is
not yet covered, and so on in succession, until the whole be covered.
This is the best way of applying the strips, if the integuments be
firm; but, if they be loose and yielding, it will be useful to push
forward the loose skin from behind, with the strips, as we bring them
forward; and, instead of laying down first one end, and then the other
over it, make the two ends cross each other at the same time, and lay
them down upon the skin, and not on each other, the under end covering
the lower part of the sore, and the upper the part next it. The same
strip, therefore, covers two portions of the surface, whereas, in the
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