Heat is found to increase almost every action; and, therefore, in
indolent ulcers, it is sometimes of use, especially for a few days
after we begin the management of the sore, as it paves the way for the
action of other agents, by beginning a change of the action. Poultices
are the vehicle by which it is most frequently applied, and answers, in
general, better than other forms. Fomentations are much used by many
practitioners, who employ decoctions of different kinds of vegetables;
but they have no superiority over poultices. Dry heat was used by M.
Hevin, who held ignited charcoal near the sore; and it is sometimes of
use to repeat this practice betwixt each dressing.
Electricity is of little service; because it cannot be constantly
employed; and, therefore, its operation is only temporary.
It is worthy of observation, that although this kind of ulcer may be
sometimes completely cured by the use of heat, that yet the action is
not so perfect, and consequently the structure and power of the part is
weaker, than when stimulating dressings are employed. Exercise, or any
other cause, is therefore more apt to injure the part afterwards, and
make it again break out into an ulcer.
The red precipitate, mixed with resinous ointment, in the proportion
of a drachm of the former to an ounce of the latter, is a very useful
dressing; but the ung. hyd. nit. mixed with four times its weight of
hog’s lard, forms an ointment which is still more generally useful.
Ten grains of the cuprum ammoniatum, rubbed up with an ounce of
basilicon, or simple ointment, is sometimes useful, but cannot be
depended on. The same may be said of an ointment composed of an ounce
of ung. simplex, and ten drops of the oil of cloves, or of savin.
Cloths dipped in the aqua zinci vitriolati, or the solution of cuprum
vitriolatum, diluted with water, so as only to smart moderately, are
likewise of service, but not so frequently as weak solutions of the
nitrates of silver, zinc, copper, bismuth, and many other metallic
salts, such as muriate of mercury, &c.
Solution of common salt, or of nitre, of such a strength as to produce
a moderate smarting, are of temporary advantage, but will not continue
their effect long. Indeed all solutions of saline substances, whether
alkaline or metallic, are most useful when applied only for half an
hour at a time, when the sore is dressing.
Mixtures of Thus, elemi, turpentine, canadine balsam, &c. with wax, or
oil, have no advantage over the common ung. resinosum[55].
[55] An ointment composed of these resinous substances is much
recommended in the Acta Med. Berolin. Tom. VII. p. 58.
The bile, either by itself, or diluted, or mixed with yolk of eggs,
does not seem to be of much service.
Lemon juice, or the mineral acids, particularly the nitrous, diluted
so as to be of equal strength with the juice, are frequently of
service[56]. Port wine is also an useful lotion.
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