Furunculi, or Boils, most generally occur in unhealthy constitutions,
particularly in those individuals who are habitually addicted to the
use of ardent liquors: they seem to arise from, at least they follow,
disorder of the digestive organs. Their seat is in the skin and
subjacent cellular tissue.
They generally occur in those parts which are possessed of little
vitality, as in the back, buttocks, shoulders, the posterior part of
the neck, &c. They are seldom single, are often numerous, and vary in
size from a pea to a pigeon’s egg.
A boil is of a conical form, elevated above the surface of the body;
its base is hard and firm, whilst its apex is acute, soft, of a white
colour, and exceedingly painful; the pain experienced in the tumour
is severe and burning. From the comparatively trifling nature of the
affection, the assistance of the surgeon is seldom required, and hence
the apex of the tumour generally gives way either spontaneously, or
in consequence of being scratched by the patient, or rubbed by the
clothes; the purulent matter, which is generally small in quantity, and
mixed with blood, is thus discharged. This, however, is attended with
but little relief in bad forms of the affection; for at the lower part
of the cone is situated a considerable quantity of mortified cellular
tissue, which must be evacuated before the cavity can heal.
In this unhealthy species of inflammation, resolution cannot be
expected; on the contrary, suppuration is the natural termination of
the disease, and must be hastened by poultices and fomentations. A
simple or crucial opening, according to circumstances, must afterwards
be made in the apex of the tumour, so that the sloughs of the cellular
tissue may be permitted to escape readily. In the advanced stage, the
sloughs are the irritating cause by which the inflammatory action is
prolonged, and on their removal the cavity contracts speedily.
If there is much derangement of the digestive organ, it may frequently
be found necessary to administer an emetic. If the bowels are slow
and the liver torpid, calomel and antimony are highly useful, or
other mercurial preparations may be given, in combination with
active purgatives; if the state of the secretions is more natural,
these medicines may be administered in alterative doses. The mineral
acids are often usefully administered, with the view of removing the
disposition to the formation of boils. Twenty minims of the aromatic
sulphuric acid may be given twice or thrice a day in any convenient
vehicle. Anodynes are occasionally required.
[Illustration]
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