The eclectic practice of medicine / by John M. Scudder.
- John Milton Scudder
- Date:
- 1891
Licence: Public Domain Mark
Credit: The eclectic practice of medicine / by John M. Scudder. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![ness, and conical, and resembles, to some extent, a snail's shell. When the scab is removed, a new one frequently takes its place, and they may be thus reformed for months. In some cases the ulcer is healed with difficulty, the edges being livid and tumefied, the center pale, and bleeding on slight pressure. Rapia escharotica occurs most frequently in children up to two years of age. It commences with the appearance of slightly prominent livid patches, upon which irregular and flattened bullae are soon formed ; when the bullce break, ulcer ated surfaces are left which secrete a disagreeable, unhealthy pus. The infant suffers from acute pain, much fever and insomnolency. When the disease assumes an intense form, death may ensue in one or two weeks. When it does termi- nate favorably, the ulcerations are very long in healing.— (Gaze nave.) Diagnosis.—Rupia is diagnosed with ease, in most cases, by the prominent, conical, brown scabs, those of pemphigus being flat. Ecthyma resembles it most in some cases, and it will he difficult to distinguish between them in its later stages, but the hard and inflamed base, irregular scabs, and superficial excoriations, are usually sufficiently diagnostic. Treatment.—If the tongue is broad, pallid and dirty give the patient Sulphite of Soda in the usual doses. If it is simply dirty, showing atony of the digestive apparatus, use the small [•ill of Podophyllin (gr. 1-^0) and Phosphate of Hydrastia (gr. 1 4), one or two daily. In other cases we will find the Compound Syrup of the Hypophosphites, and occasionally Cod Liver Oil, excellent remedies. Here, as in other cases, the remedies that influence the skin are to be thought of, and selected according to special indications; they are the Rhus, Apis, Belladonna, Muriated Tincture of Iron, Sambucus, Iris Ver., are good. In some cases the use of Acetate of Potash, largely diluted, to increase waste and excretion by the kid- neys, will give excellent results, and in others we employ the Iodides, especially the Iodide of Ammonium. The best local application I have ever used is the Resorcin with Vaseline. Some cases will require it quite strong, as much as gj. to 5].; others, more sensitive, but grs. x to xx to the 5j. Ichthyol and Creolin have also been used with success. Sometimes a decoction of equal parts of Cornus, Alnus and Rumex, answers an excellent purpose, or the tinctures of the](https://iiif.wellcomecollection.org/image/b21077344_0789.jp2/full/800%2C/0/default.jpg)
