Herpes[83] is a disease which is very frequent, and often prevents
large ulcers from healing, as these come to assume the action of
herpetic ulcers, although, from their magnitude and depth, they do not
put on the same appearance as when the disease is confined to the skin.
The large ulcers are of a dark sloughy appearance, discharge thin
matter, are painful, and are surrounded with herpetic ulcers, and scabs
in the skin. This is a very frequent disease on the legs, and is very
tedious. Bathing with warm sulphureous water is often of service, at
the same time that we dress the parts in the intervals with camphorated
ointment. Citrine ointment is also very useful; but the following
liquor is one of the best, and most effectual applications:
[83] There are many different divisions of herpes; as, for instance,
into the scurfy, scabby, miliary, &c.; but, for a description of these,
I must refer to the writers on the diseases of the skin.
R. Pulv. Calcis Vivi Recen. unciam.
Flor. Sulph. semiunciam.
Aq. Font. sesquilibram. Coque ad dimidiam dein cola.
This ought to be applied with cloths to the parts.
When, by these means, the disease of the skin, and the specific action
of the ulcer is removed, pressure is often of service in completing
the cure.
There is a specific ulcer, which is met with most frequently on the
legs, and which is very troublesome. The skin becomes in several points
inflamed, or of a dark red colour. These parts speedily ulcerate, and
the sores belong to the suppurating kind, for no distinct granulations,
or organic particles, are formed; but the surface is smooth and glossy,
and the discharge thin and copious. These sores are generally pretty
deep, in proportion to their extent, or of a cup-like appearance. They
not unfrequently occur in scrophulous habits. Mercury, exhibited in
small doses internally, appears to be useful. Precipitate, as a local
application, generally answers very well; but, when the sores become
irritable, or spread under this treatment, hemlock poultices succeed
better.
There is a small ulcer, which sometimes is met with on the foot,
of an irregular shape, fiery appearance, and surrounded with thick
jagged margins, which, in particular parts, are white, and callous.
The neighbouring integuments are of a dark red colour. The discharge
is thin, and the pain considerable. Caustic, and afterwards the
application of the adhesive plaster, are the best local applications.
Internally, the use of hemlock is sometimes of service.
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