Buboes are to be treated in the same way as any other inflammatory
swellings; local means being taken at the commencement to subdue the
inflammatory action, and resolve the swelling. Rest is indispensable.
When they are stationary, the application of a blister will either
cause resolution or suppuration, and so the enlargement will be got rid
of, either in the one way or the other. The painting of a rubefacient
solution of iodine occasionally on the swelling is also useful, and
preferable to frictions with iodine ointment. When they have passed
into a decidedly chronic state, absorption may be promoted by pressure,
or, again, means must be taken to hasten suppuration, and the matter
which forms is to be early evacuated. If suppuration occur in the
cellular tissue, and not in the substance of the enlarged gland,
neither cicatrisation, nor a permanent cure, can be expected until
the prominent and indurated parts have been destroyed by the caustic
potass. In phagedena, bread and water poultices or tepid-water dressing
are, in the first place, to be applied, and the pain and irritation
may be soothed by solutions of opium, or extract of poppy. If bands of
skin intersect the ulcerated parts, they are to be divided, as being
a source of irritation which prevents healing. If the frænum præputii
be surrounded by ulceration and undermined, it must be incised for a
similar reason. It is often advisable, also, to divide the prepuce.
After the process of destruction has ceased, gently stimulating washes
will promote contraction of the sore.
Public-domain text, read in full here on John Shaqi.
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