e succeeding day, I found that the large eschar had again been
disturbed, the patient having applied a little linen, instead of
leaving it exposed. I reapplied the lunar caustic.
On the next day both eschars were complete, but there was a little
fluid under the centre of each, which required to be evacuated by an
incision. There was little inflammation or pain.
On the following day, my patient expressed herself as astonished at
the rapid amendment. A little fluid was again evacuated from beneath
the centre of the eschar.
On the next day the smaller eschar was quite adherent; under the large
one, there was still a very little fluid.
About the ninth day, both the eschars were perfectly adherent. In two
days afterwards the eschars began to separate round the edges, and in
a few days more, it was necessary to remove the separating portion by
the scissors.--In the course of time the eschar separated completely,
leaving the ulcers healed.
Mrs. Butcher had no pain after the first four days from the
application of the caustic, and in a week was able to attend to her
household affairs.
CASE XXII.
J. Copeland, blacksmith, aged 38, came to me with many deep
ulcerations, from the size of a horse bean to that of a pea, attended
with great pain, heat, itching and excoriations of the surrounding
skin, obliging him to rest at different times, for several days
together. These ulcers came without any apparent cause, have continued
for many weeks, and have only been a little benefitted by rest,
although he has applied many kinds of ointment, the last consisting of
equal parts of mercurial and of the tar ointment. I applied the lunar
caustic upon each ulcer, but not over the excoriation, and I enjoined
the patient to leave the whole exposed to dry.
On the following day, I was gratified to find that eschars had formed
upon every ulcer; upon examination, a little fluid was found to
subsist under several of the larger eschars; this I evacuated, and I
then applied the lunar caustic to the points from which it had issued
to make up the breach of continuity of the eschars over the surface of
the ulcers. There was far less inflammation and scarcely any pain, and
he has continued his occupation of blacksmith.
On the third day nearly all the eschars were adherent; three, however,
had unfortunately been removed by an accident; I renewed them by again
applying the caustic.
In four days after the last report, most of the escha
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