Second, Whenever this ceases to produce any farther effect, or the
action relapses, and begins to go backward, we must lay aside the
pressure for a time, and dress the sore with some of the stimulating
applications above mentioned, particularly the nitro-mercurial salts;
and these, in their turn, must be laid aside, when they cease to
produce a good effect, and the pressure be again had recourse to.
Third, When we use stimulating dressings, we must attend to the
effects which they produce on different parts of the sore, and dress
these differently, according to their condition. We must likewise
proportion the strength of application to the state of the general
action. Our remedies ought to smart most when the action is most
torpid, and the smarting ought to continue longest; but, when the
action has begun to be more perfect and vigorous, the same application
will often be too strong.
Fourth, We must, in conjunction with this general plan, attend to
particular morbid structures, which may be produced by the particular
state of the ulcer, and which may react on it. The chronic thickness
and hardness of the integuments, are best removed by pressure, and
gentle frictions; but the restoration of the natural structure is very
tedious. Callous edges are likewise best removed by pressure. When
this fails, caustic must be repeatedly applied. Varicose veins may
be palliated by firm bandages, but are, in general, after they have
continued long, only to be cured by an operation.
Fifth, When chronic ulcers can be healed, it is useful to form an
issue, in order to keep up the accustomed secretory action; but these
issues have little effect in advancing the cure.
GENUS III.
_Of the overacting Ulcer._
This genus comprehends two species: First, that in which the
granulating, or purulent process is morbidly increased, or the two
parts of the ulcerative action, the granulating and the purulent, do
not correspond, or bear the same proportion to each other that they
do in a healthy ulcer: Second, that in which a state of general acute
overaction takes place, both parts of the ulcerative action being
equally affected, and rendered diseased.
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