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(ome: lo tllis period, it is m.nageable by the rules already
laid ¿own.
Whc:n ttO ulcer with loore rotteo Odh dir~harges more
than th.e ¡iZC: of I[ fh nuid y.cld; an¡:i the dirch~rJ.!e is oily
and Cb nking. in a!l prob"uilllY lhe bone 1$ canco,.., "hlch
may . be d. fting ..tlh ,rl by lunnir.g the prube thruugh
the BAh : i:lnd it lo, It (S ca lled a car·nus ulc;,er. TI~ elOre
of thtdt: UIcCIS dert:nds prtnclptdiy upon (he removal of the
rOllen p.. n of th bon~t w!lhoUl whlch n w,1I be impoffi
ble lO heftl. ít$ we fc:c'fometimes (Ven in hUle rores 01 l ile
Jower j .. v. wh,ch t ,k 'lg u.eir rife frvrn a r.oUtO rooth, \Vd!
nOI ad run of cure uH {he tout h be d· elwn. Th"Ce c.t,ies
w hi;h h.'ppon (,0m rhe mmer of abf err<s Iying ' 00 IMg
llpOfl the bone, ioIre roan likely to re~ over : tholc' of the pox
very Orlt O do wdl, becilufe that dtllemper lix~s 0 (( H,!anly
u~on the middle and out.fide of the denfdl bones. wh,ch
admir of exfol1ation; Ihofe produced by the evd.
w hcre the whole extremiries uf rpongy parts of the bone are
:¡ffté}ed, are excel'dlngly dangtrou$, tl10ugh _. 11 enl .. rged
bones he nO( oe eff...rdy cariou$ ; and there are.ulcels (om,_
times on 1ht fkin that ' covers them . WhLCh do not commu–
nicdle with lhe bone and con:equeotly' 00 weJl wllhoUI ~x­
foJ i.uion : nay, ¡t- fom-'times happens. Ihough the caCe be
rare, thac) in yovng Cubj eéls p:trticula(Jy . Ihe bones wdl be
carious 10 a d("grec-, as to admit a probe almoll thro'
the whole fubllanee o( ihem. and yet alterward• •dnut oU
cure, withoot any oot04 ble exfoltation. . ,
The m.ethod of treating an ulccr wilh a caries. is by ap–
plying , e.ullick 'Qf the fize of th< '/eale o( the bune ,ha! i.
t~ bc ex(oliated, anu a(le-r naving laid tI bare, tO wan tdl
{uch t'm~ as Ihe carious p U l ColO, wi thout violence. be fe–
parated; an9 Ihen he...l lhe wound . In order tO qui. kt'n rhe
exColiatlon, therc have befn rever~1 apphcatlons dc:,nfed: "but
th. t which hasbeen mon u(ed in all :tgcs, 15 the a(tual cautery,
with whích furgeons burn lhe D~k~d bODe every day, orevery
o,haday, to dry up.. as they fay, the mo,lIllre. aod by rhat
m eans prncure the repararíon : bUI "S lhis praéltce 15 nc:ver
of gr('at len ice. and always cruel anrl p... inful. il Ü now
p retty much ex ploded Indeed. from eonfidering the appear–
ance ofa wound, when a (cale o( bone is laken out 01 it,
t here is hardly any quefiion lO b·e made, but (hat burning
rt lards rathH than h .. ttens th~ feparation ; Jor as every rcale
of a !: bone 15 Bung off hy new IIdh generated oetweeo
it and che Cound bone, wh~tcv~r '.ould preven: the growth
o( rheft" gf"anulations, would ..Ifo in a de-gree prevellt the ex ·
foli Ilion: whieh mull ec¡talnly be the .11'. 8 o( • red hot
iron applied 'Co cloCe 10 ir; Ihougb the ci rcumfhnées of
carious hones. and their di(pofit on 10 ftp Jnuc. are fu dif~
ferenr from one antlther. tha t it is hardly lO be g"thered
(rom expe-rienc-e, \\'hether lhey wllI roof'Le r exfoliAre w¡(h
or without thl! Olffillance of fire for lornt-Time~, in b(JTh
methpds. an exfoh"lion is not pro('ured in a twdve ,
and at other times lt h .. ppen5 in th) ee weeks or a month :
howevr r, ir it be only uncen"in .... htther the a8ual cAUte–
ry he beneficlal or nOl, ,he crudt)' Ihat A1Teods Ihe uf~ of
it fhould entire1y ti out of pr.lélice. lt is oheo
~kewire, in ,hef e cafes, emplop!d tO tt~p do""n the r. nguous
lips-I'-'at Coread upon Ihe booe: out il IS much more rainful
than rheerchnotick mC'dicines; t~ough ,hefe ",¡JI be no need
of e¡ther, I( a regular comprers be k"pl oro Ihe dn ffir.g~· ('Ir
at \Vorfl. ir a fl;\! piece 01 .he p, "ed fporg-, o( tht: fi'l.e
of the ulcer, be rdled on wi,h a , ~ h, b• , it \Vil! f\Vel!
C)O every fideo aod .dilalc lbe ulecr withoJlt aoy paiD.
E R Y.
Some earies of the bones are fo very 1l"lIow, ,bat they
erumbl< in(cnúbly 'u ay, and ,he wouod, fil1s up; but wheD
the bone wd) ncither ex(oljate Dor ;¡dmit oC granulations, it
wdl be proper to fcrape il wilh a rug;ne, or pcrforaut"it in
n)3ny points witb a convenienl inHrument down tO the quick.
1., the l vil; tbe bones of the carpuJ and larfuJ ' are oftcn
.fFc(ted, bUI their Cponginefs is~the realon lit"",, they arc\fel·
'dum cured : .fo that wbt n theCe, or inde-cd the exvcmitie~
oC .ny of the buces, are Cd( ous tnruugh their fubflílnce, it is
ad"IC\:í!.blc= tO amputare .:. ,hou~gtr Ihere are infiances in the
tvd, bUI mor~ efpeclally in tritic;1 abCcdTesJ w~t're after
long drtCIing down, the Cpllnt~rs. and JomcumeJ, the whole
fubltance of lhe fmal! tones, have workcd away. and a
he. lthy habit of body coming on, the ule r h.. h..l,d ¡ bu'
th~fe :.re 1'0 rare, that no great dl pendc:nce 15 to be Idld on
fuch an evento Thc drt'fIings of CHI,OUS bones, il the-y drc
lllnkio-g, may be doirilsolp, ¡n rhe c¡nflure or myrrh ; olhé"r–
wde thufe ot dry hnt are eafie U, and keep down the .edges
of che ulcer beuer th ..n any olher gende appltc..uoos .
B uros are .gene! a!ly eUrtmod a dúlloa'kind 01 ulcers, and
have been treitted wuh a &reit.tcr variety of appltcauoas lbiln
aoy other fp<cres of fore.
·When burns a.~e very ruper6ei.I, DOt fuddenly.
an y VtÚc3uon. fpirits of WlOe aro- (aid [Q be che qUlckClt'
relie(; but w)lelhe r theybe more fervlceable than embroca-
1I00S umh J.nfetd oi!. IS uncertí!.in, thoúgh they are ufcd very'
múch by (ome perfons whofe , rade lubj<.éls them Oh t.'D ro thi~
mislollune. :f the bura ~xconates, 1t is eafÍdl lO roH lhe
p.trt up g~ntl y with b.iodages dipt 10 fweet 011, or a mix1ure
o( ltngpenl .flor fath¡'u. Wilh che 011: wheo the excoria_
tion~ ~re vny It nder, dropping wum m,llk upon Ih~m eve–
ry drdli:~ is very comfortable ; or il the p}Uenl can bear
co hitv~ fi dnnels wrung OUt of it, applied hot, it ma.y be
lldl bener : i(Ihe burn hótve (ormed elcholT9. the) m.y be
dl. rred with hojillCM, ,hough g<neral!y oil . Ione is eáfi er; '
and lO Ihefe for:.~s. wha.tever 15 the ealie(i medicine
the beIt d'gdlive There is great (~re nt'(!tÍfdIY tO bep
down.the fungul 'o( burns, and heal the wou~ds fn.ooth : '0
wh'ch t od, rhe . dg<s IhOuld be drorred wíth Imr dipr irtogu.
vi/ r i!)! . . ¡md dned attt:'fwards; or th<.y t1);sy be touchcd WItJ:r
the ont, and che dr~ffings bé repeated Twice a. day.
Th re i~ allo a gredtlf d.lOger of cont ratlions from burns
after (he I:ure, thao from other wouncs ~ 10 obr i,Ht' which .
entbrOcal1oDs 01 oeats·foot 011, and band.lge wilh ' p.tfte–
boar~s. to ket'p the parl ~Xtendéd, are"b(oJutely accdfary,
where thq can be app!icd.
EXPCAN A TION o( Plate CLVlI. 6g. t.
A a oirebor by " hich to gu,de the knife in the opening
of abfctlTe. !hot are buril 0 1 themfelves. or " rll pun!\urcJ
with a lancet. T hts in!h ument fhould be made ~jthc:r of"
lI~eI . filver, or iron : but fo tt"mptreo. that It may be bent
and accommoriatcd tO the dlrdhon of the c4fVi~. I t 1S u–
(ually made quite fir~ighf; bUI lh,u (orAl prev. nts tbe ope–
rator (rom holdíng it firmly- whrl< he is cutl,ng. · T he
manner o( ufing " 'ís, by palling the thUOlb through rhe'
ringo ~nd fupportin¡: ir \IOit), the fore.6nge<, whiJe thellraight–
edged koife is ' tO fhde along the groo't'C with its edge up"
wards, towards the extremitY' of lhe abfcefs.
B, T he llraight.edged kn,fe, proper for opening abrctlTcs
with ,fiC' affilt"nce oF a direl1or; but which, io few otber
" fpe8s, is preferable ro th, round.edg' d kni(e.e, A croDked needle, witb itS CODvex aDj concav< fider
Ibarp•• :