The Practitioner. May, 1869.: A Monthly Journal of TherapeuticsVarious
Science
The Practitioner. May, 1869.: A Monthly Journal of Therapeutics
Various
Medicine -- Periodicals; Therapeutics -- Periodicals
Attention is at present attracted to various applications having for
their object the better healing of wounds and sores of different kinds;
but I should be sorry if, in the search after new, one at least of the
ancient remedies should fall into disfavour. It has been asserted that
poultices are often used to conceal defects of treatment, a kind of
refuge in ignorance of any more advantageous applications, and that they
often do positive harm by inciting profuse, and consequently exhausting,
suppuration, and, no doubt, it is true they favour the tendency to
suppuration which may exist in particular instances, and that they will
increase a suppurating discharge when the latter is already established.
Most remarkable results, however, follow the use of poultices in certain
cases—of lupus, for example. A woman attends at my out-patient room with
ordinary lupus which, when first seen, had eaten away the middle portion
of the upper lip, and had encroached upon the septum of the nose. A
bread poultice was applied day and night to the ulcerated surface, and
she took iodide of potassium. The sore was soon and completely healed.
After six months she returned with the disease worse than ever, but it
quickly healed again under treatment, and would, I am sure, remain well
if she were ordinarily watchful over it. As the iodide of potassium may
have had some influence in this instance, its use was dispensed with in
other cases. A woman was taken into Sitwell ward with extensive lupus of
the nose. It was with difficulty we persuaded her to submit to such
simple treatment as the application of bread poultices continuously to
the sore; she craved for physic, which was denied her. Very quickly the
sore healed, and she left well. It is needless to record other and
similar cases which have been treated in this simple fashion with the
same satisfactory results.
Some months ago a man was sent to me from Woolwich with an ulcer on the
outer angle of the orbit extending to the conjunctival surfaces of the
lids; it was irregularly scabbed over. In my opinion, and in this I was
confirmed by several of my colleagues, it was an example of so-called
epithelial disease; at all events it had been an open and increasing
sore for nearly five years, and before proceeding to remove it I agreed
to try the effect of some local caustic. To clean the surface a bread
poultice was applied, and it mended so much that this application was
continued, when great part of the sore healed rapidly, and the remainder
cicatrized after being touched with caustic zinc.
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