ssary to go slowly and take out at each dressing only
what can be easily removed, It is not always possible to get the whole
mass away at once. Opening the carbuncle and giving free drainage afford
great relief from the fever and often general symptoms. When the part
feels as if it needed redressing, it should be done, for it then gives
much relief. The dressings frequently become hard and do not absorb all of
the material ready to be discharged. It is usually proper and prudent to
dress a carbuncle two or three times a day. There is no danger if the one
who dresses it is clean with the instruments, hands and gauze or cotton.

LIVER SPOTS, Moth Patch, Chloasma, etc.--This is a discoloration of the
skin of a yellowish to a blackish tint of varying size and shape.

Causes.--It may be due to external agencies, such as rubbing, scratching,
heat (tanning and sunburn) blistering; or due to diseases such as
tuberculosis, cancer, malaria, Addison's disease, disease of the womb,
pregnancy.

PHYSICIANS' TREATMENT for Liver Spots.--Remove all causes if possible.

Local.--This must be carefully used, find out first how sensitive the skin
is. Dr. Bulkley recommends this lotion:

Corrosive Sublimate 5 grains
Dilute Acetic Acid 2 drams
Borax 40 grains
Rose water enough for 4 ounces

Shake bottle, mix and apply to the part night and morning. If the skin
becomes too scaly, a mild soothing ointment should be substituted for the
above. White suggests the following:

Hydrarg. Ammon. Chlar 2 drams
Subnitrate Bismuth 2 drams
Starch 1/20 ounce
Glycerin 1/2 ounce

Mix and apply twice daily.

The application of peroxide of hydrogen has only a temporary effect.

BLACK-HEADS. Flesh Worms, Comedones, Pimples, etc.--This is a disorder of
the sebaceous glands in which the sebaceous (fatty, cheesy) secretions
become thickened; the excreting ducts, appearing on the surface, as
yellowish or blackish points. They appear chiefly on the face, neck,
chest, and back and are very unsightly.

Symptoms.--They are easily pressed out, and appear then as thread-like,
whitish masses which contain fatty material. The black point may be due to
pigment or to dirt from without. Comedones may exist with acne and
seborrhoea and excessive secretion of sebum.

Causes.--Want of tone to the skin, which performs its functions
sluggishly. Stomach-b