pply the lunar caustic to form an eschar, enjoining
rest and the horizontal position.
On the following day complete but unadherent eschars were formed over
each sore. There, had been no pain after the smart of the caustic had
ceased. On carefully making an incision into the centre of each
eschar, a little fluid was evacuated.
On the second day, rather more fluid was evacuated in the same manner.
There was a little more inflammation round the eschar than yesterday.
On the third day the sores were exactly in the same state. On the
fourth, the patient having used his leg a little, rather more fluid
was evacuated from the centre, and there was rather more inflammation
round the edges, of the eschars. I enjoined the strictest rest.
On the fifth day, there were less inflammation and discharge.
From this day until the tenth the fluid required daily evacuation; the
eschar became adherent, and I allowed my patient to walk about.
In about six weeks the eschar was nearly separated and I removed it
by the scissors, leaving only a portion adherent of the size of a
pea. It had been prevented from being removed from the beginning, by
the gold-beater's skin. The smaller eschar had dropped off leaving the
ulcer quite healed. In a week more the last portion of eschar
separated from the larger sore, leaving it also quite well.
CASE XXVI.
The following case occurred in the person of a lady with varicose
veins and far advanced in pregnancy. Its speedy cure by the caustic
was, therefore, the more remarkable, and saved her much trouble and
suffering.
Mrs. C. aged 40, had two small irritable and inflamed ulcers, under
the inner ankle. I applied the lunar caustic to form an eschar.
It was requisite to evacuate a little fluid from under the eschars for
three successive days; they then remained adherent.
About the usual time the eschars separated, leaving a small point of
the size of a pin's head, unhealed; this I again touched with the
caustic. The case required no further attention.
This case leads me to caution my readers always to examine the parts
carefully after the separation of the eschars, and if there be the
slightest ulcer remaining to apply the caustic to it.
CASE XXVII.
Mrs. Wakefield, aged 36, had an extensive ulceration with excoriation
on the upper part of the right breast, of two months continuance; it
had been greatly aggravated by improper treatment. I applied the lunar
caustic over the whole
|