A dictionary of treatment, or, Therapeutic index : including medical and surgical therapeutics / by William Whitla.
- William Whitla
- Date:
- 1902
Licence: In copyright
Credit: A dictionary of treatment, or, Therapeutic index : including medical and surgical therapeutics / by William Whitla. 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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![are obtained. The dose need never exceed 4 minims of Fowler's Solution, and should be given 3 times daily along with meals. It is advisable to give arsenic for 5 or 6 weeks, and then stop and begin the internal use of sulphur for 2 or 3 weeks, and continue thus alternating for several months; or, whilst arsenic is being administered, one nightly large dose of sulphur (i drachm) may be given. Belladonna, Ergot, Ichthyol, Nitrate and Oxide of Silver, Phosphorus, and many other drugs, are recommended. When internal remedies do good it is only because they have probably relieved the affections which are the cause of the disease ; they cannot be said to have a specific effect upon the sebaceous glands. It is to the local treatment that attention must therefore be chiefly directed, and nearly every dermatologist has his own plan, but there is no diseased condition in which greater patience and perseverance is demanded in the carrying out of details. The best local preventive treatment consists in the use of anti- septic lotions to secure complete asepsis of the skin, free stimulation of the sebaceous glands by friction and medicated soaps (Eichhoff's Camphor-Sulphur), and steaming of the affected region. The bacillus origin of the disease maintained by Unna has led to the extensive use of Sublimate solutions. In the milder forms of the disease, the inflamed glands, with their obstructed ducts, should be submitted to smart friction with a rough towel after thorough washing with soap and hot water, or steaming of the face over boiling water. Any of the pimples or comedones which show black points or evidences of pustulation should be pressed and their contents squeezed out by firm pressure with the fingers ; or, better still, by firmly pressing with a watch-key form of instrument devised for the purpose. Good results may sometimes be obtained by mowing down the summits of the comedones with pumice stone, fine sand, or powdered marble, before applying pressure. After this the following lotion should be freely dabbed over the face and allowed to dry :— Precipitated Sulphur, 2 drs.; Prepared Calamine, 40 grs.; Spirit, I oz.: Rose Water, q oz. The Sulphur, according to some observers, acts better if combined with an alkali, and the follow- ing combination may be regarded as an exceedingly dilute Vlemingkx's Solution :— R. Sulphur. Prcecip. 3iij. Calamince Prcep. 3ss. AqucB Rosce §v. Eau de Cologne Tm]. Aquce Calcis ad gxii. misce. Fial lolio, M. d. u. p. p. a.](https://iiif.wellcomecollection.org/image/b21509293_0023.jp2/full/800%2C/0/default.jpg)
