ys be kept perfectly at rest; and when it is very painful,
and the skin about it red, swollen, hot, and shining, at the same time
that the patient has general feverish symptoms, such as great thirst and
headache--leeches, and when they drop off, warm poppy fomentations, are
to be applied; the No. 1 pills above-mentioned are to be given (two are
a dose for a grown person) with a black draught three hours afterwards.
Give also two tablespoonfuls of the fever-mixture every four hours, and
keep the patient on low diet. When the injury and swelling are not very
great, warm applications, with rest, low diet, and a dose of aperient
medicine, will be sufficient. When a joint has received a penetrating
wound, it will require the most powerful treatment, and can only be
properly attended to by a surgeon. The patient's friends will have to
use their own judgment to a great extent in these and in many other
cases, as to when leeches, fever-mixture, &c., are necessary. A
universal rule, however, without a single exception, _is always to rest
a joint well_ after it has been injured in any way whatever, to purge
the patient, and to keep him on low diet, without beer, unless he has
been a very great drinker indeed, in which case he may still be allowed
to take a little; for if the stimulant that a person has been accustomed
to in excess be all taken away at once, he is very likely to have an
attack of delirium tremens. The quantity given should not, however, be
much--say a pint, or, at the most, a pint and a half a day. Rubbing the
joint with opodeldoc, or the application of a blister to it, is of great
service in taking away the thickenings, which often remain after all
heat, pain, and redness have left an injured joint. Great care should be
observed in not using a joint too quickly after it has been injured.
When the shoulder-joint is the one injured, the arm should be bound
tightly to the body by means of a linen or flannel roller, and the elbow
raised; when the elbow, it should be kept raised in the straight
position, on a pillow; when the wrist, it should be raised on the chest,
and suspended in a sling; when the knee, it should be kept in the
straight position; and, lastly, when the ankle, it should be a little
raised on a pillow.

2617. BRUISES, LACERATIONS, AND CUTS.--Wherever the bruise may be, or
however swollen or discoloured the skin may become, two or three
applications of the _extract of lead_, kept to the part by means of