The Practitioner. May, 1869.: A Monthly Journal of TherapeuticsVarious
Science
The Practitioner. May, 1869.: A Monthly Journal of Therapeutics
Various
Medicine -- Periodicals; Therapeutics -- Periodicals
Ulcers of many kinds will heal rapidly when treated with poultices; and
when I use the word “rapidly,” I refer to comparative quickness of
healing, as ascertained by measuring the chief diameters of the
ulcerated surfaces; their progressive over-closing is thus very
accurately checked from week to week. This refers more especially to
ordinary ulcers, such as result from injuries. A boy now attends in my
out-patient room who under this treatment is healing up a sore on the
fore-arm, the remains of a bad crushing of the part. Sometimes this
healing is hastened by dusting the ulcer twice daily with powder of
oxide of zinc before the poultice is at such times applied. In Sitwell
ward a woman is just well of a severe phagedænic sore involving the skin
over and below the knee. Mr. Cumberbatch, the dresser of the case, kept
the parts at rest by swinging the limb, and applied at first an ordinary
linseed poultice, then warm water dressing (another form of poultice),
and, to expedite the healing of a few remaining sores, some resin
ointment. The cure has occupied twenty-six days, a very rapid progress
considering the constitutional nature of the affection: no medicine was
needed.
I never could understand, seeing it is desirable to keep the parts
immediately after an operation warm and quiet, why those objects should
not be attained by the use of poultices; nothing I know of is more
efficient to lessen the trouble caused by the starting of a limb after
amputation, than the weight of and the resistance offered by a large
poultice surrounding the stump. But their employment is in disfavour,
first from the fear of their provoking recurrent bleeding, although this
reckons for little if due care has been taken to have the wound
thoroughly dry before closing it, and unless this care is taken there is
little chance of its uniting by the first intention; secondly, by the
prevailing notion that such union is prevented by the relaxing influence
of this kind of dressing. Wishing to put this to the test of experience,
the following cases, amongst others, were placed under treatment.
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