North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
ammoniae. Indeed any evaporating,
cold, astringent lotion will be advantageous.
The application of the caustic, of course, produces some pain, but this
soon subsides, and the patient experiences more ease than under any
other mode of treatment.
_Particular cases in which the Caustic is useful._--In punctured wounds,
it should be applied to the orifice and surrounding skin, and the eschar
allowed to dry. The terrible effects of punctured wounds, are thus
completely prevented, whether caused by needles, hooks, bayonets, &c. So
also of wounds from saws; of bites from leeches and animals; of the
stings of insects; and especially of those small scratches, and
punctures, received in _anatomical dissections_. The danger of these
last mentioned accidents may, according to Mr. H., be completely
arrested by the prompt and free application of the lunar caustic. Even
in neglected cases, when a small tumour has formed under the skin,
attended with a smart stinging pain, he advises the tumour to be
removed, and an adherent eschar to be formed by the caustic; and in
still more neglected and advanced cases, where inflammation of the
absorbents has supervened, "a free crucial incision is to be made, the
caustic to be freely applied, and afterwards, the cold poultice and
lotion; the usual constitutional remedies being actively enforced."
In _bruises_, especially of the shin, the adherent eschar from lunar
caustic, has, with Mr. H., always effected a cure; and even when a
slough has been produced, the application of the caustic will moderate
the inflammation.
In _ulcers_, which are small, not exposed to friction or motion, and
discharging little, the cure by eschar will be preferable; especially in
those little irritable and painful ulcers often seen about the ancle and
tendo Achillis. Apply first a cold poultice, and then form the eschar,
which may be freely exposed to the air. Should the matter, nevertheless,
collect, it should be evacuated by puncture as often as necessary, until
the eschar remains adherent.
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