Third, In the incipient stage of the first variety of the second
species, we must avoid motion, and all other such causes as tend
simply to increase action. When the disease has consisted of one
short paroxysm, which has terminated, we must promote the absorption
of the diseased granulations, and the process of replacing them with
others which are more perfect, which is effected by such remedies as
render the action which forms them more natural. This is best done
by gentle pressure, and sometimes by poultices. If, however, the
paroxysm continue longer, but in a moderate degree, we must use such
applications as tend more directly to change the action, and diminish
the morbid condition; such as camphorated and opiated preparations, and
sometimes the vegetable acids.
Fourth, When this state becomes confirmed and progressive, the action
being violent, we must use remedies nearly similar to those which are
employed in the last case, and which are useful in the cure of the
inflammatio debilis, at the same time that we enjoin rest, and keep
the part as easy as possible. In some instances, the action cannot
be overcome directly by any application, but is rather increased by
them. In this case, we must lay these aside, and use mild and light
applications; such as fine oil, fresh cream, &c.; at the same time that
we avoid the general causes tending to increase action; such as motion,
heat, spirits, &c.
Fifth, When this state occurs in chronic ulcers, we must use such
remedies as tend to remove the dead or dying granulations which
frequently cover the surface, and such as at the same time produce a
more natural action, and restore to the succeeding granulations greater
powers and perfection, and a more healthy mode of acting. Stimulating
applications frequently have this effect; such as the fermenting
poultice, precipitate ointment, &c.; at other times, narcotic
applications; such as cicuta, &c. are useful.
Sixth, In these ulcers, the redness and pain of the skin which
surrounds the ulcer, is to be treated as the inflammatio assuefacta, by
being dusted with the powder which has been already mentioned, or by
similar remedies.
Seventh, In all of these ulcers, where the action is violent, much
benefit will be derived from inducing the general narcotic action to a
considerable extent. Anodynes are therefore to be freely administered,
at the same time that we employ the proper local remedies.
Eighth, Whenever the ulcer becomes more healthy, and the action less
morbid, the strength of the application is to be diminished; and,
when the state of overaction is destroyed, it must be treated as the
indolent ulcer, because the granulations are still feeble. Pressure is
most useful in this case.
GENUS IV.
_Of the Inflammatory Ulcer._
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.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account