substance encircles small pointed and florid granulations, which bleed
from the slightest rudeness of touch; and the space formerly occupied
by an unsightly sore is soon diminished to a small and firm cicatrix.
It is only necessary to continue this mode of dressing so long as the
granulating surface is below the level of the surrounding surface.
Then the object being attained, the deranged state of the cellular
tissue being got rid of, and the ulcer put in a state favourable for
cicatrisation, the sulphate of zinc lotion not over strong may be
resorted to; positive rest and support of the affected part being still
enjoined and observed. In the old and debilitated, however, in whom the
indolent sore most frequently occurs, the integuments remain purple
and shining, and from very slight causes the cicatrix is absorbed, and
breach of surface is reproduced.
These sores are often connected with a varicose state of the veins.
In all such cases, a degree of compression on the affected limb must
be maintained, both during the continuance of the sore, and after it
has healed. The usual situation of such sores is on the leg, and the
varicose state of the veins does not, in general, extend above the
knee; in such cases, a radical cure may be attained (provided the
patient wishes to encounter the attendant risks, rather than submit
to a continuance of the disease) by effecting an obliteration of the
saphena major vein. The manner of doing this, and its effects, were
mentioned while treating of diseased veins. In some cases, the saphena
minor is also varicose to some extent, the varices on which must also
be obliterated. Sometimes as many as eight or ten needles must be
applied, in pairs, before the circulation of a limb can be brought into
a right state.
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