ether trifling. For
such sores are very apt to spread and to remain long very
troublesome.

An old gentleman came to me with an oblong ulcer on the shin about an
inch in length; it was very painful and inflamed. I applied the lunar
caustic to form an eschar and requested him to call on the following
morning. He did not come, however, but on seeing him the next day it
was requisite to evacuate a little fluid; this was repeated on they
third day, after which period the eschar remained adherent, and the
part totally free from pain.

The eschar separated in about three weeks leaving the part healed.

CASE XXV.

The following case illustrates the superior efficacy of the lunar
caustic over the ordinary modes of treatment in some ulcers of the
legs, and will, I trust, be found particularly interesting.

Mr. G.B. aged 60, a very tall and stout person, had two ulcers, one of
the size of a shilling upon the back of the leg just above the tendo
achillis, the other rather less, on the outside of the leg; they were
caused by his scratching the parts severely three months before; and
he had used various remedies in the interval. There were some oedema
of the leg to which he is subject, and much pain and inflammation of
the ulcers. I directed the application of a cold poultice and lotion,
and prescribed the pil. hydrarg. every second night with an aperient
draught the following morning.

This plan of treatment was continued for a number of days without any
appearance of healing in the ulcers. As the inflammation had subsided
I proposed to adopt the mode of treatment recommended by Mr. Baynton,
fearing that any attempt to heal the ulcers by eschar would fail on
account of the oedema. This project was deferred, however, by the
patient's wish to try the effect of sea-bathing. After a month's
residence on the sea shore I was, on the return of my patient, again
requested to examine these ulcers, which I found very nearly in the
same state as before, only with the addition of some excoriations. I
recommended the cold poultice for a few days to allay inflammation,
and then tried Mr. Baynton's plan, dressing the leg myself daily; on
the fourth day, however, the sore above the tendo achillis became so
irritable that I was compelled to desist and to remove the plaster and
bandage, and I again directed the cold poultice with rest, for a few
days.

When the inflammation had again subsided, I ventured, notwithstanding
the oedema, to a