at the poultice had not been applied; there
were more pain and swelling; an eschar was formed over the puncture
which I removed and thus gave issue to a considerable quantity of
pus; I again enjoined the application of a cold poultice kept
constantly moist and cold with water.
On the succeeding day, the inflammation had greatly subsided. I
repeated the application of the caustic and poultice. On the fourth
day the inflammation had nearly disappeared and on the fifth entirely.
In such cases the caustic unites the advantages of at once opening the
puncture and of subduing the inflammation, thus preventing the
formation of deep-seated abscesses.
CASE VI.
A little boy, aged 12, received a stab by a penknife a few days ago,
in the fore part of the thigh; there are now great pain and swelling,
the orifice is nearly closed, and he has feverishness with headach. I
applied the lunar caustic deeply in the wound, and directed a poultice
and a cold lotion to be kept upon the inflamed parts; and suspecting
fascial inflammation, I took away ten ounces of blood and administered
purgative medicine.
On the next day, the inflammation had greatly subsided; the cataplasm
and lotion were continued.
On the third day, there was some inflammation round the puncture which
appeared to be closing; I repeated the application of the caustic
within the orifice of the wound.
On the fourth day the swelling was subsiding and there was no pain.
The poultice and lotion were continued.--From this time there was no
occasion for any remedy, and the little patient speedily recovered.
CASE VII.
Mr. Parr, aged 30, of delicate habit, trod upon a needle which pierced
the ball of the great toe; a free crucial incision was made but the
needle could not be found; a poultice was applied to the wound and
over the poultice a cold lotion.
In the course of a week part of the needle came away. He did not rest
as he was enjoined to do, and, in consequence, severe inflammation
came on, and in two days time, fluctuation was perceived over the
joint, opposite to the puncture; a free incision was made, and some
pus was evacuated.
On the following day there was a free discharge, but very considerable
inflammation had taken place on the side of the ball of the toe; a
free incision was made in this part, and a fresh quantity of pus was
evacuated.
On the succeeding day, the inflammation was somewhat abated; but on
the next day, it had again become
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