The Seaman's Medical Instructor: In a Course of Lectures on Accidents and Diseases Incident to SeamenFalck, N. D. (Nikolai Detlef)
Science
The Seaman's Medical Instructor: In a Course of Lectures on Accidents and Diseases Incident to Seamen
Falck, N. D. (Nikolai Detlef)
First aid in illness and injury -- Early works to 1800; Medicine, Popular -- Early works to 1800
But, when the humours that are obstructed get malignantly corrupted into
a pernicious acrimony, and stimulate the distended solids, so that they
stretch beyond their natural tone, without admitting any circulation,
the parts become insufferably painful; the patient is restless, anxious,
and attended with an acute fever; the humours become offensive and
fœtid, and the parts at length turn of a livid colour, and this is then
called a _gangrene_. Gradually the parts begin to putrefy and grow
black, the humours acquire a cadaverous fœtor, the solids lose their
natural texture, and die. This is called a _sphacelus_, or
mortification; and unless the mortified parts are removed from the
sound, death must inevitably be the consequence.
These are the different terminations of inflammation; and whether the
cause is from external injuries, or from internal acrimony, the
indication must ever be the same, I shall consider each separately.
_Of Resolution._
Inflammation that attends wounds, contusions, &c. should be dispersed by
the application I have already mentioned in the foregoing lectures, viz.
_camphorated spirit_ (A), or _liniment of soap_ (B), the first suits
best the fleshy part, and the latter the inflammation on the joints and
tendinous parts. But when with the inflammation a wound is compounded,
and is obstructed in its suppuration, recourse should be had to
poultices; as thereby the fibres may be the more relaxed, so that the
ulcer may the freer discharge the matter, thence drain the inflamed part
of the obstructed humour, and consequently remove the cause of the
inflammation.
_Of Suppuration._
When an inflammation arises from an internal cause, there generally is
some acrimonious humour that wants to be discharged; in this case
resolvents is not always safe, as it is ever apt to increase the pain
and inflammation. Of that kind are the boils and swellings under the
armpits, hams, and other parts. In this case, poultices should be
applied as warm as possible; the ingredients may be oatmeal, or biscuit
powdered, honey and a little butter, warm and largely applied. When the
swelling increases, grows red, and acquires a top, together with
constant throbbing, it is a sign that matter is forming, which is the
more confirmed by its growing soft. When the fluctuation of matter is
actually felt, and that the top becomes somewhat of a black and yellow
colour, it then is mature for being opened, in order to let out the
matter, which is best performed with a lancet: this being done, apply
the poultices again. And when the matter is fully discharged, lay on the
diachylon plaister, in order to heal up the part. Should however an
ulcer be the result, it must then be treated accordingly, as will be
directed under that head.
_Of Tumours._
Public-domain text, read in full here on John Shaqi.
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