Druitt's surgeon's vade mecum : a manual of modern surgery / [Robert Druitt].
- Robert Druitt
- Date:
- 1887
Licence: Public Domain Mark
Credit: Druitt's surgeon's vade mecum : a manual of modern surgery / [Robert Druitt]. Source: Wellcome Collection.
987/1016
![Permanganate of potash to be efficient should be of the strength 5 per cent. (gr. j. ad Iodoform is used chiefly in crystals or powder ; the former always when any large surface is to be dusted. Iodoform wool is not com- monly used in England. Section XI.—Poultices. N.B. Before applying any poultice, it is well to smear the skin with glycerine in order to prevent particles from sticking. The impermeable spongio-piline is a good and clean substitute for poultices ; and like them may be made the means of applying carbolic acid, creosote, opium, &c. Fomentations may be made by steeping flannel (3 or 4 layers thick) or spongio-piline in boiling opiate or belladonna lotion, F. 238, &c, and wringing it as dry as possible in a coarse towel or special wringer ; they should be applied as hot as can be borne and covered with oiled silk, cotton-wool, and a silk handkerchief. They are much cleaner than poultices and are always to be preferred in cases of wounds. Fomen- tations of boracic lint are a valuable antiseptic dressing. 281. Bran Poultice.—Make a linen or flannel bag of the size re- quisite to cover the part affected, and fill it loosely with bran. Pour boiling water on this till it is thoroughly moistened, and wring it dry in a coarse towel; apply as soon as it is cool enough. 282. Bread Poultice consists of bread crumb, without lumps, steeped in boiling water and spread thickly on linen. It does not retain heat well, and should not be applied to raw surfaces. 285. Mustard Poultice.—Is best made by mixing flour of mustard with warm (not boiling) water. Rigollot's mustard leaves, or charta sinapis, P. B., are very convenient. 286. Opiate Poultice.—Poultices medicated with eonium, or bella- donna, or poppy, may be easily made by adding some of the extract to the bread poultice. Scald a basin ; pour into it sufficient boiling water for the poultice, and scatter the meal into this with the left hand whilst whipping the water briskly with a spatula in the right ; continue until the mass is smooth, coherent, and no longer sticky. Then spread it (about a quarter of an inch thick) on soft linen of sufficient size. 288. Charcoal Poultice is made by stirring an ounce or more of powdered wood charcoal into a linseed meal poultice. Sometimes placed on a colotomy wound, but an oakum fomentation is better. Section XII.—Ointments. N.B. The glycerate of starch, F. 274, or glycerine pure, or the ben- zoated lard, or a compound of wax and olive oil, P.B., or vaseline may be substituted for adeps in most of the following ointments with benefit. 301. Scotfs Ointment.—Bo Unguenti hydrargyri fortioris, cerati saponis, aa §j.; camphoras pulverizatse 5j. Misce. 302. Tartar Emetic Ointment.—Bo Antimonii potassio-tartratis 5j.; adipis 5]'. Misce. 303. Ointment for Piles.—Bo Pulveris gallas 3j. ; liquoris plumbi diacetatis mxv.; adipis 53. Misce. Bo Pulveris opii t)ss. ; liquoris plumbi diacetatis guttas x.; adipis .^ss. Misce. The suppositorium plumbi composition, P.B., is a useful form.](https://iiif.wellcomecollection.org/image/b20418887_0987.jp2/full/800%2C/0/default.jpg)
