1000000030

R R

. dLh, anJ tah care

lh~t

it is kept lhere by proper como

rrrls

~nd

b.lndage, till .n efel... is formcd; olherwiCe it

will elude your expetlations, and frcquently alarm you

wllh frelh bleediogs.

In amemoir prcfented to the Royal

Ac.ld

~my

of Sci·

eoces by M. La

~'o{fe,

hegives . n aCCOunt 01 lhe fucceC,

he had met with io í10pping lhe bleedlogs of veryeonfi .

~eralllc

arlelies in horCes, by lhe apphealion of lhe pow–

der of pulf b, lIs, lhe amries eicotrizing by this mcaos

only, ",ilhout any fueceedlOg h

morrh.ge

. Thls Ll'eo.

perdoo, or puff.lldll, was ¡nade ure of for this.purpote io

humao fubjcas, about 160 yem ago, by Felox Wurtz,

a ramous olu rurgeoo io Germany; but he does not reem

10 have a thought of trulliog to it in fueh eonfiderable

arteries as M. La Fo{fe mention"

viz.

thore of the leg

aod Ihigh, the blcedings frolll whieh divided ve{fd, he

1I0pt io.a few mioutes by the ufe of this

pOI~der

ooly.

The agarie of lhe oak may airo be ufed for tllls purpofe,

whm it eao be retaioed by a proper bandage.

Th, fe applicatioos, as lodeeu all !lyptie" feem to an

by eonllrioging Ih" extremilY. of lhe

v~flel,

or ehoakiog

it up, till a grume of blood

formed Illleroally,

IVhle~

plugs up Ihe orifiee; and has beeo foood lO .dhere to It

fo, as to conflilute ooe body with Ihe ve{fe!.

We a,oid fetting do·.lo aoy famoos reeelpts for frefh

wouod, IVhelher ointments, or Fryar's balfams, being

wdl

a{f~red,

Ihat in a healthy foond conflitolion, nature

furoifhes the bcll balfam, aod perfolm, herfelf lhe cure,

whieh is

ofleo anribuled to lhe medieioe; wheo il is

otherwife, aod the blood is deprived of its

balCam.ie

flate,

...

ill appear from lhe afpea of lhe woood, aod

liS

mao·

nu of healiog. it m"1I be reaihed by proper ioteroal me·

dieioes, before a good foondalioo for healiog eao be lald

by any eXlernal appliealioos whatever.

The lips of lhe wouod Iheo being brought together by

Ihe needle or

baod~ge,

i: oeeds only lObe eo,ered wllh

rags dipped io brand)" or a pledget of tOW fpread IVlth

the wouod oiotmenl, (fee p. 570. col. l. par. ; .) the di–

naion, io the preeediogfeaioos being oblerved, aod the

wouoded pm kept asmueh as poffible from mOlioo.

Punaured wouods from thoros, or aoyolher aecideots,

fhould betreated io the fame maooer; applying Ihe beer,

or bread aod milk poultiee over the

dreff.ng,

till fome.

figos of digeRionappear; aod fomentiog Ihe part lVell e–

veryday. Thi, method is alfo very fueeefsfully ufed t()

thofe fwcllings , whieh oftto "ife 00 the oeek frombleed·

iog, the fores beiog fpriokled with preeipitate, and

bu~nt

alum powdered , tO feteb out the eore, or fuogus, IVhleh

(hoakl up lhe orifiee. The ufual method is lO

~ntroduee

a pieee of vitriol, or fublimate, whieh ofteo bnogs 00 a

plentiful difeharge, felches out the

cor~,

and

~akes

(ure;

~ut

il i, ofleo,lVilh the lofs·of the

VelO,

aod It fome–

limes lcavel a large flVclliog and imponhumatioo.

lo guo·OIOt wouod" wheo the ball has not peoetrated

lOO deep, it fhould be extraaed, if it can be fetehed a·

way wilhout dillulbaoec:,

to~e!her

wilh aoy extraoeool

borlies that lIlight p. fs io witll il; the wound OlOuld be

dreffed \Vilh the old digeflive of Veoiee or

eo~muo

tur–

penlioe, divided with lhe yolks of rggs, 10 ",hleh may be

added fome hooey aod linélmé of Olyrrh. The eOlraoee

C)f mefe wuuoJs frequently requires lO be eolargcd, aud

511

dep~odiog

orifiee

OIO~1d

allV'y! be procured if poffihle;

"",llf lhe wnund {hould nOl digen kinuly, apply Ihe beer

poultiec, and fomtol with the d,feUli eol 100leolalioo,

p. 569.

col.

l .

p,r. 3.

In Cealds, or buros from guo·polVder, Or any other

eaufe, wheo lhe n,io r. ouin, cnlire, b..he the pan lVell,

aod keep il fo, ked Wilh rags dipped io fpiril of wine.

campho, ated :

f.,1t

bouod thiek 00 the pUl has beenfound

verl' e[ e,qual for thi, purpofe: aod iodeed all falioe aod

fpirituous ;Ipplication, excel othcrs, while the OlÍo is yer

unbroke; bUI \Vhen Ihe fuioi, feparaled, aooint the part,

and keep it eonllantly fupple lVilh liofeed or f. llad.

oil, aod a plo1itler fpread with bees'IVax and oil; ir.

Ihe fi,io is fofeorched, Ihat floughs muR be digefhd OU1,

dr~fs

lVilh the 1V0uod:oiotmeol aod 011 of turpenlio., ando

finln, the cure \Vit', any dryiog

oinlm~ot.

Should the.

hode be fmrith from Ihe paio, bleed hihl, give eooling:

glyflers, aod tmt himas IVe have dircéteu io fimplefevers..

ULCERS

in Cmual,

fl,all 001here enter into a deferiplioo of eaeh par–

ticular fpeeies of uleers, but only lay dowo fome dirce–

tions for lheir geoeral trealment ; by wh,eh meaos IVe fhall

avoid the ulual proxllily of authors 00 tbis fubjea, and

yet give fo general 'n idea of Ihe oature of ulcers, as IVe

hope \ViII be fuffieicotlyiollruaire both of the applieatioD

aod of the proper remedy to eaeh.

may be oeeetrary lO obferve, Ihat IVe may often in'

vain porCue the befl methods of cure by external appliea–

lioos, uolefs IVe hat'e reeourfe to proper inlernal remedies ;

for as all ulcm, dillieult to heal, proeeed from a parti–

eul'ar iodifpofili oo oC Ihe blood aod juiees, before Ihe for–

Oler

can be brooghl inlO aoy order, the lalter muflobe

eorreaed by alteratives aod fweeteoing medicines.

The firfl ioteolioo io the cure of ulccrs is briogiog

Ihem to digefl, or difcharge a thick maller ; whieh lI'i 11,

in geoeral, be effeaed by the greeo oiotmeot, or lhat

lVith preeipilate; bUI OlOulJ the fore 001dlg"l kiodly by

thefe meaos, but difeharge a gleety thin mamr, and look

pale, you mufl then have reeourfe to warmer drellings,

fueh as balfam. or oil of lurpentioe, melled down IVllh

yoor eommoo digeflive, aod the f1rong beer poultiee ol'er

IheOl; il i, proper alfo in lhefe kiod of forel . wbere Ihe

eireulalioo is languid, aod lhe natoral heal abated, tO

\Vá!'m the pan, aod quiekeo the mOlioo of Ihe blood, by

fomentiog it weH al Ihe time of drelling;

~h,eh

method

IVill thiekeo Ihe maller, aod roufe the natll'e hea! of the

part, aod lheo Ihe former drellings may be re applied.

If the lips of the uleer grow bard or ealJuus, they

mofl be pared dowo lI'ilb a koife, and afterwards rubbed

wid, lheeau(lie.

Wherc .cOfl fungons

Adh

begios' to rife, it fhollld m e–

fully be fuppre{fed io t:me, olherwife Ihe cUre will go on

but flowly; if it has already fprouted abol'e lhe furfaee,

pare it dowo with a k"ife, ood

r~b tl~e remai~der

w!th a

bit of eau(lie ; and, to prel'enl ItSnfiog

~galo,

fpnokle

the fore ",ith cqual palls of burnt alum, and red preei–

pitate ; or walh lVil hthe fublimm waler, and drefs with

dry liot el'eo lOthefurfaee, and then roll overa eomprers

of lio:o as

ti~hl

as eao be borne

{or

proper degree of-

prc{f,Ire,