ulcer are shelf-like
and ragged, and turn inward. The adjacent structures are red and
swollen. Very often they are attended by severe constitutional
disturbances, such as chills, fever, and great nervous prostration and
irritability.

IN THE INDOLENT ULCER the edges are not undermined, but turned outward,
and are rounded, thick, glossy, and regular. The granulations are broad,
flat, pale, insensible, and covered with a grayish, tenacious matter.
The surrounding parts are not very sensitive, but the limb on which it
is located is apt to be swollen. This is the commonest form of ulcer,
and often remains for years.

VARICOSE ULCER. This species of ulcer occasions a swollen or enlarged
condition of the neighboring veins, which are very much enfeebled. It
almost invariably appears below the knee, and may be either indolent or
irritable. It is generally sensitive to the touch, and sometimes
excessively painful. Knots of superficial veins may often be seen
beneath the skin.

As we have before remarked, these various species of ulcers are merely
modifications of one form of chronic sore. The patient may assert that
he enjoys excellent health, but if we question him closely, we find that
the sore irritates him, and that there is sufficient constitutional
disturbance to prevent the healing powers of nature from effecting a
cure.

TREATMENT. The cure of these sores is necessarily slow, and who ever
expects to obtain _immediate_ relief will be disappointed.

Constitutional treatment is of the utmost importance, and should,
therefore, be thoroughly and persistently applied. The nutritive system,
especially the absorbents, should be kept active, as these are the
channels by which the broken-down tissue surrounding the sore is
replaced by that of a higher grade of vitality. For this purpose, the
best alteratives or blood cleansing remedies are required. If secretion
and excretion are not normally performed, the blood becomes poisoned by
the absorption of unhealthy "matter" from the sore, and various
constitutional disturbances occur. If, at any time during treatment,
constitutional disturbances are manifested by fullness or disagreeable
sensations in the head, nausea, pain, cough, chills, or fever, a
thorough cathartic should be given. If the patient be robust, a
repetition of the same once a week will be very beneficial. Dr. Pierce's
Golden Medical Discovery, and "Pellets" will be productive of the best
results.

The local