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745 / 868

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flf (pi rits o( \Vin\: , oürervinj! in thcf.: c.tres where there is
nl~ 'h pain, -alwA}'s to apply gendc: mediCines ull it be re–
m :.H·ed,"
\ Vhen the pain ~ nd inA ImfTl:\tion are exrefTive. blecding
and othc:r CY,ICll:u ions . ¡JI oftt:n (" fCr\'1 ceable: and ..boye ,dI
t h,n~s. reH and íI. hOíll .)O( ti pClfi ,i un wlllC:h I..rt clrcunlll loce
is of lo R'o::itt i!üporlance 10 Ihe cure o( ulcers oi Ih e I ~g~,
th h unlefs Ihe p"ti(' nt \VII I confonn la il Ilri.:tly, Ihe 11(.11
of thl! furS!!"on \Vdl oftcn ¡¡v,u l nOlhin '; (ur d$ lhe inddpJli
, ion of thcre !..>H'S 1$ in funte OIe. fure o\V'ng lO lhe l,aVlld.–
t ion al' lhe hUl110u rs dvwnwarcts, it wd l be much .llore be
ndi::ldl lb he along th In fil ;pnght, thou!!h Ihe le$! be I..;d
00 d chalf ; finee \.. YI.'Oin ,h15 poftl.lre Ihey will defcend with
mOle force, than ir lhe body W.H rc:cltnerl
I n uleers of the leg! . ..tcco'1lp..tnit·d Wllh varices or tii l:H~'
l ;ons of (he ..eins . Ihe melhod of treatment wdl depend u!l0n
t he ,)Ihe r cl rcum!l.l nceo; or Ihe rore; for Ihe var;'( c~ n ool y
be :\ffi.h:d by lhe "I'lphcation o( b~nd .... ge. whl h I11:J H be con·
t mu ...d el con!iJerAble time arter Ihe cure. T he n.:-alen b ..n·
dage IS Ihe (tr~it I:orklng, wh ich is p:Hl icululy Ccrvlce,d>le
in this e Ce; though"Iro, ir [he leg~ be o:dc::m,¡, tous. or if. dfl er
, ht" he:.ling of the ulcers . tht>Yf\Vd! \Vhen Ihe patlent quils
llis b~rl , ji mtl.y be \vor o wilh C\fely an J :tdvdo:Age. T here
a re ¡n(Llnces of one v:in onl y being v.Hic .U<;, whieh \vhen it
h~ pp!ns m..y lJe dd lroyed hy t yll1~ il abovc and b;:low ' he
diIJt1on. as in an dnt'ullCm ; bUl Ihis oper:Hion fh JulJ onl y
be prtl.tliCI! 1 \Vh~ rc Ihe v....n » 15 btrge "od p.tin:·ul.
Ulcen of m my }'t';¡rs fla orling are vt:ry diffi":l1lt of cure j
and in old peoph: d\.C' cure is o(v: n da ngerous, frequendy
exclting 40 lfPun,l, a ctlilrrho: l. or " fever, W' Ich dd lrovs Ihe
p:Hlt.'nl. unlc(" the: ('He bre"k out o fo i1 is not aho·
gelher :dvtfcable lO Olu empt Ihe ilbrolu rc: cure in ruch cafes,
bUI only Ihe: reduélloo or them ¡mo u,:ltcr order, 2nd I ~rs
comp ....fs, whi, 11, if they be 0 01 m.llign:;nt , is gener.. lly doot:
Wilh tell "nel proper care , T h:: curcof lhofe in young pec.'ple
11HY he undert..¡keo with more f,rely ; bUI we oft en liod tt
necdr ..ry 10 r..ife a f..livat ion toeff't't'l it. thollgh, wht:n com
p lclt:d ir, d It'S nOI illwAyS Idn ; fo tha~ lhe prorpdl of cure
in fluh'lo rn old uleers, al any time of ). re, is bUI inlhffcrl'ot.
10 ::\11 thefe c"fes, howevcr, il is proper lO purge once: or twice
a·\Vcck widl call.n1l>I, if the paticO[ can il, and 10 m ke
;In ¡/Tue: whco Ihe {ore is ¡¡ Imon he:aled, In ord("r la COnuoue
a dircílrge Ihe conCbtution hJ5 beeo foJ Illo~ h",bil u;ued to,
20d pl cvcnt il! r ....ll iog rrom lhe cic:u rix , and burillng out
ag1in in that place.
Wheo ao u!c~r or abfcefs has any' (joures or ch:moe:ls o–
pcninc <tnd d,rc.h .. rgin~ themrd\'e5 iotu the: rore, [hey"re
callcJ (jr,ou t ul :~rs. Th('re (¡ntl reS, ir they contio'JCto drolio
:1 gre;u whdc, ~row hard in Ihe furf,lce of Iheif \ ..vity. an:1
t hen ílre tcrm ·d fiUnlx, 10d the ul.:er a F.nulous uleer ; al·
fo, if l11:ttter be dlrch,lq;ed fr om any C,., \'IIY, ,u Ihofe of che
j Olnls, ;¡bJom~n, &c. the opening is callcd a finous • leer, or
a fiIIuld.
T he trc:\tmcnt of ,hefe Illcer~ depenos upon a ?'.riety of
circum{lJ ncl"s. If ,he nlltt cr of Ihe finus be th:ck, fll ilt
b,lnd ...~e ;¡,n I com prefc:: will fl.nletimcs brin~ the oppo(j ·c
lides of rh~ Gons 10 ;¡ re-union: ir Ihe (¡ous grow turgid
in any pJrt. "ntl tht' 1l{1O Ihinnc r. fllt: winl'! " dlfpufilion to
hrc<.lk. the IIP llt r ",u(f be m 10 pun, more: !l.g"lnH I)¡;¡t
part o by plu.'!.~in~ il IIp wi:h a feOI; and Ih,..n a ea'lnter o.
pl ning mll{l he.: mMI!!. which proves o(lcn fuffi cieo[ for Jhe
who'c ;'thr~trs . ir il hl.! nut ..flerwíl rdo; 1011 much lenlro,
",,!.ieh IUlk; uj> ,ue m ller aod preveolS ,he hOJEog ; 01'
G E R Y.
lOO I,·tle, wh ;ch will have ,he r. me .fF~lt ; (:" d.rlTong
C] llite fupcrfi c,al:¡. does ~om~t¡mes r rovt.' iI$ 01 fc.hltVvu ... "$
Icnl~, ílnd for ne.trl y thc rime rt.'.dvn : IUf!C.rtl':g Ihe
ext, rn,¡,1 wound 10 C"llI r ..~l Into;¡ nH.u \V1I:'"'fic..! befo~t.' Ihe
in leloftl o/le bt.' inc.o rntd. lO('!'- dlll,OII ....s . lft.(lu..lly I<'l k up
Ihe m.. tler as " cen t : 10 pr.. f,:rvc: t!icn a médium 10 ,hrote
C;¡It:S, a hoHow 1c:0I of 1: ;uJ ur ¡dllcr m.:y bc kt'pl In lht' o.
r.lice, Wlll<:h, .H Ih e: L.nte: [Inle t .... 1 Il k~ t'p:¡ 11 01 en glves
vcnr 10 lhe IIlAtler. ~I he ;,¡h(t..dTe" \...hac: lile opeo.
¡ng .. le mc fl frt:qllf'ody, :.re: lhole 01 cOOlpound trdc–
tUles...nti Ihe brC:dfl; lJUI ¡he ¡.tUl r du oflner \\·ldJ Wllhout
dd.tI.l.I!OO Ih:.n the !oIOla , dlOlígh It m UII b~ p rf.•(Ille.d
in botll, if pn.éllc..bl ", dlc WIh.,11:! lenglll 01 ,he i:lbf...c:fs,
wh:n ci lter Jume trldl the:: m ~s no\ IdI :n In qll .... n:ity,
I nd {he (jdes 01 It ltru\V th1nnc:r ; anJ If the firt't:l les b..: 6-
HulC1U' , there 15 nn expl'\~~ a{ iun of cure willo!out d'IAtlan.
1 he re are alfo a gre ,t on ny fcrophul ous abtcdT ..s of lhe
ned.:. Ih,it fom\. (lmB communical e_by finuf-:s 1 unolOg ur.der
luge 10durallQnS; 10 which ¡n{l.mces, couñter openlngs ..re
ar1vlfe,ibfc:, ann J!,eocrally anfwer WI hl,U! lile ncceluly of di–
J.u lng the whoL: I:!nglh; and Indced d\~ re: .re re::w ..bfcclfr:s'
in 1hlS dtllC::rPper, wnich nll).dd be opt.oed bc:yond the thJo–
nefs of rht! P.e o. \Vh~ n ;\br...... lIe~ of lhe jlHnu dlfl..hílrge
thc.mlclvts, Ihtre is 00 lIlha method ot tredilD g ,he fillu l..,
bUl by kt'~ping, il ope'l wnh the c..uuons alrc:;¡dy la'd down,
,il! the cdruJagts ot lhe eXl n:milies 01 the t ones be,ng cor·
roded, the: lW " bont's fhoot iOlo one f.t.noth er, alld form an
aochyloris of the jon.t, wh lch IS lht: moH u[ual -cure: of ~l.
cers in ,h,u pil rt .
G un·fhot wound5 often b"come linuous uleer, . and then
~rt' 10 be confidered In lhe C ...me I.ght ..a, ILlOre al ead}' de.
fcribed ; though (urgeons haye bt'en always inclined lO con.
celge there is (ometh!ng more myflerious in Ihefe w'Jund,
Ih,m any others: bUl Iheir Icrrit:,lt'nefs j~ owiog (Q the V40·
It"ot contufion "nd I .... cer"tion o( lhe PdrtS. and oft en 10 the
adm¡{Tion 01' extr:lOeous bodies into tht'm . as tpe bulle:t,
fphnt e(s, clolhes, Oc. and were any othtr f9ree 10 do
, he. (ame th,ng, the IcfFc:él would be ex.élly ,he I. me
as \\hen dClne by h1e ·arms. The tre-alOlellt of Ihefe
wou nd~ confill., in remov ng Ihe extrsneous b\ldy u [oon
as poffiblc; to Wilich end Ihe p'atient nnlfl be pUf in:o Ihe
(.4mc p,.nu le as when he rccelVed the' wou nd : ir il car¡nOt
be exqaékd by cu!tlng UpOll \t, whlch fll'.uld íllw.J)' be
pra{tded whro ,he litu.llion 01 rhe lJlood \'df::: Js, éc . doe!
not torbld , It muti be leh t , nalure: lO work out. ~ o.i the
wourd dlelft.'d fupt'rficidlly ror \Ve murl 001expea, d, ..l ir
it bc kcpt Opl O ",·ith tents , lhe bullel, b e will return thólt
w~y; and there is :ty any cdle ",h('re t.:nts ale mor e
pern,ciftus lhan here. bc:c..ure oí the vwl~r.t tenlion anJ dlf·
pofi cion to g;¡ ngrene which preCendy t'nlu~. 1'0 ~udrd a–
g .ioll morllfic.aion 10 thlS, .l nd .dl other \'iolend y c('n' ufed
wuunds, 1( will pe proper to blt'ed Ihe p..ticoI Im n1t'dI3Tc- ly,
Olnd fono ;¡ftt r gif't a clylter ' Ihe.' pUl fh , u'd be drelft.'d wlth
(o(t di ~t:fl !ves, ~nd thc' comprels and roll.. r aprlt\ d 'fery
loore, b:inC firfl dipt in brarrdy ur Irintsot \"Ine. T he.' ntxt
time lhe woun\t IS up~ned. Ir lt be ci..ng"'rous , the rplllleo·tS
(olOenl"lion m"y bt: eOlployed, ~nd dfler Ih.n conl1oucd
t¡JI the dan¡:c:r is O\·cr. lf a. Illonificdtilln comes on. the
applic:ltions ((Ir Ihtlt olfordcf muO bt' ufe-d. I II ¡!un Ihut
wounds, il rddom h IPP' ns Ik\t there IS any e:fulion of
blood, uolds a 1;lIg: vdrd be lOro; bUI Iht' (.\ ILtm .k('s .lO
rrch:l r, \\hlch ufu ,lly -4I CS in ~ (e\~' J J\ <', ","\1 is fui·
lawed with a plc_ltiful ~hlcJ¡ílrge ; bUl whcn lhe woun~i is
come