It may be well, however, to take another case or two for further
illustration. Here, then, is a decayed tooth extracted, but the part
from which it is taken does not heal, as is usual. The hole in the gum
does not close, and a discharge of offensive humour flows from it
constantly. The bone of the upper jaw is evidently wasting, and the
decay has extended somehow considerably up the side of the nose. The
hole, however, is so small, that the usual glass syringe cannot enter
it. We got an exceedingly small instrument, used for the injection of
morphia under the skin. The point of this syringe is a needle with a
point that is hollow nearly to the very end. When this point was broken
off, the hollow part was so small that it entered the hole in the gum,
and so it was easy to inject the weak acid up to the bottom of the
sore, which had come to be only a little under the eye. About an inch
and a half of hollow had to be washed out with the acid. But in a very
short time all discharge ceased, and the cure was perfect. Both of
these cases are comparatively simple, but they show clearly the great
value of this use of acetic acid.
Carbolic acid is much more commonly used for such a purpose. It has the
drawback of being liable itself to melt away the healthy tissue, and to
make a wound larger. Acetic acid never does this, and so heals more
quickly and certainly.
We might take a much more difficult case. It was that of an abscess and
bad sore in the lower bowels. It was supposed to be necessary to
perform a very dangerous operation in order to try to cure this--not
much hope was held out of its being possible really to cure. It was,
however, quite possible to reach the sore by the injection of acetic
acid. The sufferer was directed to have this done regularly. In a very
short time there was a complete cure. In such a case all that is wanted
is an ordinary india-rubber enema. A much larger quantity of water is
required, but about the same strength of acid. First of all, as much
acidulated water as can be taken up with comfort is injected: after a
minute or so this is passed off. Then another is used in the same way,
and passed off also. A third syringing may be employed, when about
half-a-teacupful is taken and retained. If the acid gives no
comfortable feeling of warmth it needs to be strengthened till it does
so, but not so that it produces any pain. The operation really well
done is not in the least painful, but, on the contrary, rather
comfortable.
Public-domain text, read in full here on John Shaqi.
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