An early and free incision must be made into the tumour; if the
swelling is large or extensive, the preferable form of incision is
the crucial; the ill-formed matter is thus evacuated, the slough
exposed, and more readily allowed to escape. If the mortification
of the cellular tissue be extensive, and the sloughs prove firmly
adherent, the free employment of the caustic potass will be found of
much service, the half-dead cellular substance being thereby completely
destroyed, and the surrounding parts stimulated to a new and superior
degree of action, necessary for the removal of the mortified parts, and
reparation of the breach of surface. Poultices and fomentations may
afterwards be employed, followed by the warm-water dressing, medicated
or not. The stomach and bowels must be put into proper order by the
exhibition of suitable medicines; and the vis vitæ may be still farther
supported by the administration of tonics and stimulants. If, after the
separation of the sloughs, the exposed surface shall assume an indolent
or debilitated action, stimulating dressings, such as turpentine
liniment, or elemi ointment may be employed.
Such practice will be found sufficient to procure a speedy and
favourable termination of the disease, in this country, where we have
not to combat any of those malignant diseases with which carbuncle is
accompanied in other climates.
OF INFLAMMATION OF THE MUCOUS MEMBRANES.
Mucous Membranes and the skin are analogous in structure, somewhat
similar in function, and sympathise closely with each other in
health and in disease. Both are endowed with that peculiar degree of
sensibility which enables them to bear with impunity the impressions
of foreign bodies; and both are protected from the influence of these
bodies by an inorganic covering; the cutis and rete mucosum by the
epidermis; the corium of mucous membranes by a laminated epithelium.
They are the seat of all excretions, and by them all substances are
introduced from without into the system. The capillary portion of
the vascular system appears to have somewhat the same arrangement
in both; the distribution of blood to the mucous membranes being,
however, more copious. At the commencement and extremity of the
alimentary canal, they insensibly pass into each other by means of
an intermediate structure, of which the prolabium may serve as an
example. In particular circumstances, they change into each other,
both in appearance and in function. Thus, in prolapsus of the gut or
of the vagina, the discharge from the protruded mucous surface after
a time subsides, the rugæ disappears, the membrane becomes thickened
and indurated, and gradually assumes an appearance exactly resembling
that of the skin. In natural paraphymosis, the delicate membrane
which, in the healthy state of parts, lines the internal surface of
the prepuce, becomes converted into a cuticular covering. In neglected
and long-continued excoriation of the nates, the raw surface, which
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.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account