at the same time
encourage.
12. _Rheumatismus chronicus._ Chronic rheumatism. After the acute
rheumatism some inspissated mucus, or material similar to chalk-stones of
the gout, which was secreted on the inflamed membrane, is probably left,
owing to the too hasty absorption of the thinner and saline part of it; and
by lying on the fascia, which covers some of the muscles, pains them, when
they move and rub against it, like any extraneous material.
The pain of the shoulder, which attends inflammations of the upper membrane
of the liver, and the pains of the arms, which attend asthma dolorificum,
or dropsy of the pericardium, are distinguished from the chronic
rheumatism, as in the latter the pain only occurs on moving the affected
muscles.
M. M. Warm bath, cold bath, bandage of emplastrum de minio put on tight, so
as to compress the part. Cover the part with flannel. With oiled silk. Rub
it with common oil frequently. With ether. A blister. A warmer climate.
Venesection. A grain of calomel and a grain of opium for ten successive
nights. The Peruvian bark.
13. _Cicatrix vulnerum._ The scar after wounds. In the healing of ulcers
the matter is first thickened by increasing the absorption in them; and
then lessened, till all the matter is absorbed, which is brought by the
arteries, instead of being deposed in the ulcer.
M. M. This is promoted by bandage, by the sorbentia externally, as powder
of bark, white lead; solution of sugar of lead. And by the sorbentia
internally after evacuations. See Sect. XXXIII. 3. 2.
In those ulcers, which are made by the contact of external fire, the
violent action of the fibres, which occasions the pain, is liable to
continue, after the external heat is withdrawn. This should be relieved by
external cold, as of snow, salt and water recently mixed, ether, or spirits
of wine suffered to evaporate on the part.
The cicatrix of an ulcer generally proceeds from the edges of it; but in
large ones frequently from the middle, or commences in several places at
the same time; which probably contributes to the unevenness of large scars.
14. _Corneae obfuscatio._ Opacity of the cornea. There are few people, who
have passed the middle of life, who have not at some time suffered some
slight scratches or injuries of the cornea, which by not healing with a
perfectly smooth surface, occasion some refractions of light, which may be
conveniently seen in the following manner: fill a tea-saucer with
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