Observations on the causes and treatment of ulcerous diseases of the leg / by J.C. Spender.
- Date:
- 1835
Licence: Public Domain Mark
Credit: Observations on the causes and treatment of ulcerous diseases of the leg / by J.C. Spender. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![process of reparation is arrested, the granulations become livid, and the newly-formed cicatrix cover- ing that portion of the ulcer which has been obliter- ated is sometimes detached, and dies. So long as this constitutional disturbance continues, no local remedies will exert much influence on the ulcerated part—it remains stationary; and, without the assis- tance of the bandage, might even become worse: but, as soon as it subsides, the topical applications begin to be of use again. Now, if ordinary sores of the leg were produced by a constitutional cause, so frequently as many writers seem to tliink, we ought to find something similar to this which I have been mentioning in most of those cases where the general indisposition and the local evil co-exist. If such genera] indisposition, occasionally accompany- ing ulcers of the lower extremity, were the cause of them, local remedies would not produce any salutary effect on the latter, until the former were removed by internal remedies: yet, in opposition to this, we find that the majority of this kind of ulcers soon exhibit signs of improvement under proper surgical management; and, in proportion as this takes place, the constitutional symptoms diminish and disappear. This is precisely what we should expect, upon the supposition that the local evil is the origin of the ill health ; and contrary to what we should find if the opposite opinion were correct.](https://iiif.wellcomecollection.org/image/b2194698x_0215.jp2/full/800%2C/0/default.jpg)
