nt the
abscess, it so far palliates the severe symptoms as to render the pain
but slight and keep the patient comfortable.
An application of the Tincture of Cantharides diluted with water and
applied to the breast by cloths wet in it, to the extent of producing
considerable redness and even eruptions, and the second dilution of the
same taken in drop doses every three hours, has proved successful in
subduing the inflammation after _Phos._ had failed, and it was supposed
an abscess would form in spite of any treatment.
I recently succeeded in giving perfect relief with _Apis Mel._
internally, applying it externally after the pain and swelling was very
great. I am of opinion that the _Apis_ is a valuable remedy.
_After abscess forms_ as soon as the pus can be felt at any point, soft
and fluctuating under the skin, _puncture_ and let it out, then poultice
it for a few days until it heals, giving _Phosphorus_ and applying it to
the sore. In _puncturing_, always be _very particular_ to have the
lancet or knife enter so that the edge will look towards the point of
the nipple, so as not to cut _across_ the milk ducts, which all run
toward that point, and if cut off will close up so that the milk which
may be secreted at any future time cannot get out, and swelling, pain
and severe inflammation, abscess and ulceration will be the consequence;
whereas, if the cut is made lengthwise of the ducts, very few, if any
will be cut off, and all future danger will be avoided. Apply an elm
poultice from the beginning to the end of treatment. For malignant
ulcers of the breasts, the _Cornus Sericea_ is a most potent remedy. It
is to be taken internally at the first dilution, and applied in strong
infusion or diluted _Tr._ of the bark to the sore.
Sore Nipples.
This affection of nursing women frequently comes on before the birth of
the child, but generally does not make its appearance until after the
suckling has continued for a week or more. It seems in some cases to be
connected with the aphthae (sore mouth) of the child, or at least to be
aggravated by contact with the sore mouth; on the other hand it
sometimes seems as though the sore nipples produced the sore mouth of
the child.
TREATMENT.
I treat both the nipple and the child's mouth with the same remedy
_Eupatorium aro._, applied at the strength of 6 drops of the tincture,
to a teaspoonful of water, the application being made by a soft cloth,
wet and laid over the
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