First principles of medicine / By Archibald Billing.

  • Archibald Billing
Date:
1831
Catalogue details

Licence: Public Domain Mark

Credit: First principles of medicine / By Archibald Billing. Source: Wellcome Collection.

    42/142 (page 34)
    bilitate the part, and the granulations become weak and spongy, or what is called proud flesh forms, these spongy granulations may be checked either by applying. an ASTRINGENT, such as vinegar with the poultice, or ne ad aN, by nitrate of silver, or sulphate of copper &c. which by — Pe constringing the vessels give a firmer smaller granu- ~ lation, or by merely laying on a bit of DRY LINT it absorbs the coagulable lymph as fast as thrown out so. as to stop granulation, which accounts for dry lint pre- venting the healing of some ulcers, and assisting others according as the granulations require repressing or 9.) - 3 be not, and what has been here stated affords an explana- 2 tion of why in some cases dressings should be changed — Hoe frequently in other cases as seldom as possible. =e : BayYNTon’s strapping unites the advantages of keep- | o ve ing the granulations moist with support, but if injudi-. ciously applied injury is done by pressure &c. Mr. J. Scott has clearly pointed out the difference practically — between support and pressure, weakened vessels want support, but cannot bear pressure. I have above used the term premature scabbing, because the crust formed | is sometimes of use. The application of dry lint will be enough without an astringent if the proud flesh be merely too great a : s eS Be ame: BN ty fe od oe en eee Seles” Glcs <Aba Sety dt N M - ~ =>*, Be pe Uhibete aT growth of healthy granulations caused by keeping on e the poultice too long, but if the granulations are also weak the astringent will be necessary; this weakness may be known by a livid colour and thin instead. of - creamy pus, and if still weaker the granulations will even melt away and the ulcer deepen again and spread. Now an inexperienced person would suppose that the application of nitrate of silver, (lunar caustic) or vinegar a a ne a ee