Directions for the medicine chest / prepared by Lewis Heermann.

  • Lewis Heermann
Date:
1811
Catalogue details

Licence: Public Domain Mark

Credit: Directions for the medicine chest / prepared by Lewis Heermann. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

    41/48
    *see No. 50] at the very onset of indisposition. But when the swell- ing has taken place, it is to be kept wet and cool with No. 12 ; and sometimes, where this does not agree, apply warm poultices. Con- finement upon the back, and an entire omission for the time of No. 28, are requisite. The penis ought however to be frequently bathed with warm water ; and if fever attends, blood-letting should be recommend- ed to lessen it. No. 37 also, or No. 25 with No. 24, will be effectual remedies to lessen the inflammation. CHANCRE begins in the form of a small white pimple, which on breaking leaves a deep ulcer with irregular and hard edges. In this infection No. 33 and No. 36 are indispensibly necessary; and should be commenced with after a dose of No. 24 has been exhibited. But sometimes the height of inflammation produces great swelling of the foreskin, which cannot be pulled back ; and then it is advisable to de- sist from the above remedies, to give No. 23 and to apply warm poul_ tices, until the dropsical affection of the foreskin is abated, when they again should be resumed. A similar swelling of the foreskin, when confined behind the head of the penis, so as to leave the head bare, without being able to pull it forward, is not to be treated with warm applications, but with the preparatiou of No. 12. [These affections of the foreskin occur likewise in clap ; and are to be reduced by the same means.] No. 30 or No 33 are the fittest dressings for a chancre ; and if in the course of three or four weeks it shows no disposition to heal, it may be touched occasionally with No. 11. Cleanliness of the ulcer with strong soapsuds is above all things necessary. BUBOE is a common but uncertain consequence of chancre ; and may likewise take place without having been preceded by chancre; No. 33 and 36 are the chief means to be depended upon ; and lo- cally the preparation of No. 12 is to be employed. The access of much redness on the surface of the swelling, requires a dose of No. 33, the diligent application of No. 12, and probably bleeding; where- as'No. 33 and 36 should be set aside for three or four days, until this ap- pearance vanishes. But if in spite of this attention, the redness increases, the swelling is affected with a beating pain, and begins probably to get soft, discontinue every remedy above recommended, apply warm poultices &. give No. 3 three times a day, until it is soft enough to the feel to be opened, which ought to be done at the lowest part of the soft place to be felt, by a simple puncture with the lancet. Three r four days after this, No. 3 is no longer necessary, and No. 33 and No* 36 must be persevered in. No. 30 is the usual dressing employed for the sore, and which in like manner ought to be kept as clean as pos- sible by frequently washing it. WOUNDS. The most simple wound? are those mad^ with, any sharp cutting--