has supervened, a free crucial incision is to be made, the
caustic is to be very freely applied, and afterwards a cold poultice
and lotion, the usual constitutional remedies being actively enforced.

* * * * *

In connexion with punctured wounds I here subjoin several cases of the
bites of animals.

CASE IX.

James Joynes, aged 12, was bitten by an ass, on each side of the
middle finger; the wounds were severe, and almost immediately
followed by swelling and great pain. The lunar caustic was well
applied within half an hour after the accident.

On the succeeding day, the eschar was found to be quite adherent, and
the pain and swelling had subsided.

The eschar separated in about twelve days and the wounds were healed.

CASE X.

Mr. Worth's daughter, aged six, was thrown down by a dog and bitten
severely on the face and forehead in three places; one of the wounds
in the cheek was deep from the penetration of the dog's front teeth,
and the parts were much bruised. The lunar caustic was well applied in
half an hour after the accident to each of the wounds, and the eschar
was covered with gold-beater's skin.

On the next day the eschars were adherent. There was some swelling
from the severity of the bruise; but the child made little complaint.

On the third day, the swelling remained as before and the eschar
adherent. On the fourth, the swelling had nearly disappeared.--The
eschar separated in nine days from the infliction of the wound,
leaving the parts healed and free from scar.

CASE XI.

Mrs. G. was bitten by a little dog on forefinger about a fortnight
ago. There is now a very irritable, inflamed, fungous sore. I removed
the fungous by a pair of scissors and applied the lunar caustic to
form an eschar.

On the succeeding day, I found that the patient had applied a little
lint before the eschar was dry, which had prevented it from remaining
adherent. I reapplied the caustic and desired that the eschar might be
exposed to dry.

The eschar remained adherent, the inflammation subsided and the case
gave no further trouble.

CASE XII.

A servant maid was bitten by a dog in four places--severely on the
forearm--three days ago. Adhesive plaster had been applied. There is a
wound across the arm two inches in length and three-fourths of an inch
in breadth, attended by dull pain, and swelling of the arm. I applied
the caustic to form an eschar, covering it with goldbea