Diseases of the skin : their description, pathology, diagnosis, and treatment / by H. Radcliffe Crocker.

  • Henry Radcliffe Crocker
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the skin : their description, pathology, diagnosis, and treatment / by H. Radcliffe Crocker. Source: Wellcome Collection.

    757/786 (page 721)
    College Hospital I find that the heat required to volatilize the calomel is enough to excite sufficient perspiration in most people, and since the steaming has been omitted, faintness is not induced. For sulphur baths 1 to 2 ounces may be used, but this is rarely required for skin diseases, but is useful for rheumatic people, and is sometimes used for syphilitics to slightly irritate the skin, if there is any doubt about the disease having been sufficiently treated. Medicated Liquid Baths are used for a variety of diseases, and are of divers kinds. The proportions mentioned below are those used at University College Hospital since they were first started by Tilbury Fox, and quoted from his work, and are estimated for a full-length bath with 30 gallons of water at a temperature of 900 to 95° F. The emollient, alkaline and sulphuret of potassium baths are the most commonly prescribed. 1. Emollient Baths are made of:—(a) Bran 2 to 6lbs., (6) potato starch lib., (V) gelatine 1 to 3 lbs., {d) linseed lib., (e) marshmallow 4 lbs.; (/) size 2 to 4 lbs., to 20 or 30 gallons of water. Use in all erythematous, itchy, and scaly diseases. 2. Alkaline.—(a) Bicarbonate of soda 31] to 3X, (b) carbonate of potash 3ij to 3yj, (c) borax 5iij. The bicarbonate of soda may be used with bran liquor, made by infusing a gallon of bran. Use in eczema, psoriasis, urticaria, lichen, and prurigo, where there is much local irritation. 3. Acid.—Nitric or muriatic acid 3j, or a mixture of nitric acid 3j, or more, with hydrochloric acid in like quantity to 30 gallons of water. Use in chronic lichen and prurigo. 4. Iodine.—Iodine 5ss, iodide of potassium 3SS, with 31 j of glycerine, or iodine 5j or more, with 3j or gij of liquor potassse to 30 gallons of water. Use in scrofulous eruptions, in syphilis, and in squamous diseases. 5. Bromine.—20 drops of bromine with 31J of iodide of potassium. Use as the iodine. 6. Sulphuret Of Potassium.—Jij to §iv to each bath. The balneum sulphuris co. of Startin is made with 3^ of sulphur (precipitated), §j of hyposulphite of soda, and 3SS of dilute sulphuric acid, with a pint of water, added to the usual 30 gallons of water. Use in itch, in chronic eczema, lichen, and psoriasis. 7. Mercurial.—Bichloride Sj-iij, with 5j °f hydrochloric acid ; biniodide of mercury 3j, with 31J of chloride of sodium. Use in pityriasis rubra and the syphilodermata, especially with ulceration. CAUSTICS. 1. Arsenic.—Arsenious acidgr. io, artificial cinnabar 5ss, rose ointment 5SS (Hebra's Cosme's paste); or it may be used as a powder with white sugar instead of the ointment. 2. Calomel 5ijss, bisulphuret of mercury 3ij, arsenious acid 5j (Startin). Use in lupus and strumous ulcers, rodent ulcers, and syphilis. 3. Chromic Acid.—A saturated solution is excellent for warts. Gr. 10 to gr. 30 to water for superficial glossitis, syphilitic or otherwise, and for syphilitic papilloma of tongue. 4. Mercury. Acid nitrate— B.P. solution; or pure mercury jjj, nitric acid (sp. gr. 1-4) gij (Startin). Use in lupus, syphilis, verruca necrogenica nsevus, etc. The addition of 5j of arsenious acid to Starting formula is sometimes made. 46