ther places in a less
degree. I applied the lunar caustic to the wound immediately.
On the following day the eschar was found to be adherent, and there
was neither pain nor swelling.
The eschars separated in nine days leaving the wounds healed.
It is remarkable that the eschar remains a greater or less time over
the wound according to the severity and exigency of the case. This
case being less severe than the former one the eschar remained upon
the wound during a much shorter period of time.
CASE XVII.
An old man, aged 60, received a bruise upon the occiput from a fall;
the skin was lacerated and removed to the extent of half-a-crown. I
applied the lunar caustic soon after the accident.
On the next day an adherent eschar was formed. There was neither pain
nor swelling.--The eschar separated in a fortnight.
CASE XVIII.
Mrs. C. aged 40, was detained on a journey by a bruised wound on her
knee, received a fortnight before, which was healing very slowly under
the usual mode of treatment. The inflammation was subsiding but the
sore was extremely irritable and painful, and she was prevented from
moving. From the degree of inflammation still present, I applied the
lunar caustic very slightly over the sore and not over the inflamed
skin; I left the eschar to dry, but was very doubtful, from the same
cause, whether it would be adherent or no.
On the succeeding day I found that the eschar did remain adherent and
that the inflammation was diminished, and the soreness had entirely
subsided after that induced by the caustic had ceased.
On the next day, the lameness was gone, and there was no sort of
inconvenience from the wound. My patient continued her journey on the
following day, so that I do not know when the eschar separated.
In regard to the inflammation attendant on these wounds, I would
remark that slight inflammation is relieved by the application of the
lunar caustic and does not prevent the formation of an adherent
eschar; but very severe inflammation requires the application of the
cold poultice and lotion over the wound, and it is necessary to watch
for the period when an eschar may be attempted with the lunar caustic.
This a little experience will readily teach.
It is further to be particularly observed that the inflammation
attendant on a recent wound is removed by the caustic, when the same
degree of inflammation at a later period, and with suppuration, would
be aggravated and require t
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