d bleeding from the fungous flesh.
On the 14th the swelling had nearly subsided; the cuticle was
separating all over the finger. The lunar caustic was applied
extensively over the wound and abraded parts and induced little
bleeding or pain.
On the 15th the fungous was nearly removed; the wound presented an
appearance of slough over its surface.--The caustic was applied to the
remaining fungous.
On the 17th the wound was much smaller and the slough separating. The
caustic and cataplasm were applied as before.--A similar report was
made on the succeeding day.
On the 20th the slough was separating. The caustic and cataplasm were
applied.--A similar report was made on the 22d.
On the 24th the slough having separated the integuments over it were
flabby and loose; the caustic was applied to them.
By a continuation of this plan the wound gradually contracted, and, at
length, when there was no further use for the cataplasm, the eschar
became adherent and the sore healed underneath. It appeared highly
probable to me that, under ordinary treatment, the finger, in this
case, would have been lost.
* * * * *
I shall in this place, introduce a few observations on wounds received
during dissection.
It is not in my power to give any cases in illustration of the
treatment of the severer accidents resulting from these wounds; for
since I began the free use of the lunar caustic all the terrible
effects of such wounds have been invariably prevented.
I may here mention that in the years 1813 and 1819, respectively, I
was myself exposed to great danger from inoculation during the
examination of dead bodies. Since the latter period I have repeatedly
been exposed to the same danger from inoculation, but in every
instance, the danger has been completely averted by the prompt and
free application of the lunar caustic.
The following is the exact mode of treatment which I would adopt in
such cases.
In recent punctures the caustic should be applied in the manner
already described in cases of simple punctured wounds.
When the case has been neglected, a small tumour is usually formed
underneath the skin with smart stinging pain; this tumour should be
removed entirely by the lancet, and the caustic should be applied,
both to the surface of the wound and over the surrounding skin, to
form an adherent eschar.
When the case has been still longer neglected, and inflammation of the
absorbents
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