Here the great difficulty often is to get the patient the very chief
condition for cure--that is, perfect rest for the affected limb. If
this can in any way be secured, all else is comparatively plain
sailing. But this is sometimes impossible: the children may not be in a
position to be left, or the little business cannot be allowed to die,
as it would in a month's time if not attended to, or some other
hindrance is in the way. We must just do the best in the circumstances.
We shall say that we are compelled to do without the rest, probably
also without certain other things. Rest is very desirable, and so is a
gentle rubbing all over the body, first with warm vinegar and then with
olive oil, but there is perhaps no one capable of doing such a thing
whose services can be secured. It is easy to "order" very useful
processes, but among many who would not be exactly called "poor people"
it is not easy to have the "order" carried out. We must often do
without this double rubbing, and yet cure the diseased skin of the
afflicted limb. Let the reader remember that it is no matter of choice
that we dispense with the rest and the rubbing. If they are possible,
by all means let them be taken advantage of to the utmost.
For treatment, unless distinct running sores are formed, bathe the limb
with warm water and M'Clinton's Soap, which will remove all crusts,
scabs, &c. Then apply zinc ointment. Do not bathe or poultice after the
first time. All secretion can be removed by a piece of cotton wool
dipped in warm olive oil. If deep running sores have formed, then we
must have a water-tight box of rough deal in which the whole leg up to
the knee can be bathed for an hour in hot water. We see no reason why
it should cost much over a shilling to get this, and it would be a sore
want if it could not be procured. It is so made that the leg and foot
can rest easily in it while it is nearly full of hot water. It need not
be wider than just to hold the limb easily. Some good-hearted joiner
will put five small boards together so as to meet this want. We shall
suppose that it is supplied. Now for a few cloths, such as will cover
the diseased parts, about three-ply all round. Then for vinegar or
acetic acid, so diluted with water that it will just cause a slight
smarting when heated and touching the affected skin. It must not be so
strong as to cause burning, nor so weak as to give no sense of its
presence at all, but between these extremes. It can be tried when too
weak, and vinegar or other acetic acid added till a gentle smarting is
felt. The cloths are dipped in the diluted and heated vinegar, allowed
to drip till no more falls off, and then laid tenderly all round the
sore. A strip of dry cloth may then be wound round so as to keep these
on, and the leg thus dressed placed in the bath. It should be kept
there, with now and again a gentle movement, and the strong comfortable
heat of the water kept up for an hour, unless the patient should feel
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