_Guinea Worm._ On the head of the worm appearing, it should be gently drawn down so as to secure it by rolling it round a small piece of twisted rag, or a thin piece of quill (let a native practitioner perform this operation); and Water Dressing (394) applied, or should there be much pain, a Datura Poultice (132). Every day gentle traction should be made, and if this can be done whilst the limb or part is immersed in a running stream or in a _chattie_ of cold water, the extraction is rendered additionally easy. _Great gentleness and skill_ are requisite to prevent the worm breaking, as this accident is followed by inflammation and the formation of abscesses, which are difficult of healing. See _Abscess_. _Gums, Ulceration and Sponginess of_, may be treated with one of the following:—Decoction of Babúl Bark (9), Alum (29*), Catechu (89*), or Lime Juice (231). _Hæmorrhage from Cuts, Wounds, &c._ When the blood is of a bright red colour, and comes out in jets, indicating that an artery is wounded, apply first a stream of _cold_ water, iced if possible, from a large sponge, which will not only wash away all clots, dirt, &c., but promote contraction of the vessel, and _perhaps_ arrest the bleeding at once. If not, try the fresh juice of the Physic Nut Plant (302*), or Alum (25). If these fail, or are not at hand, at once apply pressure with the finger or fingers upon the exact point from which the blood is found to issue, and there retain for some time, pressing against the bone or hard substance. If the mouth of the bleeding vessel be clearly visible, and the hæmorrhage still continues, it may be pinched up firmly between the finger and thumb, or it may be seized with a pair of pincers or forceps, drawn forward, and a ligature, silk if procurable, passed round it and firmly tied. Not more of the surrounding flesh should be included in the ligature than can be possibly avoided. If none of these plans succeed or are applicable, or if the wound be large and bleeds much, apply pressure to the limb by means of the STICK TOURNIQUET figured below.[2] [Illustration] In order to apply this properly, "tie tightly, at some little distance above the wound, a pocket-handkerchief or cravat once or twice passed round the limb; then, obtaining a piece of tough stick, push it under the handkerchief, and, by turning the stick, twist the handkerchief more and more tightly until the bleeding ceases. As soon as this result has been attained, fasten the stick by another handkerchief round the stick and limb together. This rude tourniquet may save life not unfrequently, by enabling the injured person to be transported even for some distance without fear of further bleeding." Position is a very important consideration in wounds, the bleeding sometimes being at once arrested by raising the injured limb above the level of the body.