New London surgical pocket-book : (medical, operative, and mechanical,) founded on the popular lectures and works of Mr. Abernethy, Sir Astley Cooper, Mr. Lawrence, and other distinguished surgeons ... including an adapted pharmacopoeia.

Date:
1836
Catalogue details

Licence: Public Domain Mark

Credit: New London surgical pocket-book : (medical, operative, and mechanical,) founded on the popular lectures and works of Mr. Abernethy, Sir Astley Cooper, Mr. Lawrence, and other distinguished surgeons ... including an adapted pharmacopoeia. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    cise. The use of stimulants of the preceding kind, is to excite the languid parts to healthy action. The emplastrmn galbani compositum is likewise a good application to a languid sore, and is preferable again to adhesive plaster, which frequently is the cause of considerable irritation. The next state of ulcers presenting an impediment to the healing process, is that in which they are seen the day after a patient of this kind enters the hospital, i. e. in an inflamed state, giving out a sanious ichor, &c. Here poultices and fomentations, the recumbent posture, rest, &c. are absolutely necessary; purg- ing, at the same time, the patient with the submuriate of mercury, combined with the cathartic extract, at night, and giving the sul- phas magnesisE, with the infusum sennse the next morning, anc! applying leeches when the inflammation runs liigh. The next state at which a sore may arrive, is that of gangrene, which is known at once by the usual appearance, viz. sudden d - minution of pain in the afiected part, livid discoloration, whic: from being yellowish, becomes of a greenish hue, a detachmei of the cuticle, under wliich a turbid fluid is eflfuscd, &c. Tli patient suffers much both constitutionally and locally. Here tl; recumbent posture is a sine qua non in the treatment A sligl stimulus must be given to the parts surrounding the sore, n well as to the sore itself. There is nothing equal to nitric aci in checking the progress of gangrene: the best mode of using : is 50 drops to a quart of distilled water; it may be increased to drachm, or diminished, should it excite much pain or uneasines on ap])lying it, to 40 drops ; but 50 drops with the above-mcntioni' quantity of distilled water agrees best. Sir Astley Cooper lias sec this lotion produce a speedy good effect. It is applied by means of lint over which oil-skin is placed to prevent evaporation. This, he (Sir A.) observes, is the best application either in the slougli- ing condition of sores, or when the granulations arc languid, &C' It also corrects the offensive smell, and destroys the sulphuretted hydrogen which is usually given out in this condition of sores. Nitre a drachm, to water a jiint, is a good application in tliepre ceding case; in short, all the salts in which nitric acid is com- bined. Sulphuric acid also has the same eflfcct, but not the