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Many parts of his hands on the inside were chapped, and on the middle joint of the thumb of the right hand there was a small phagedenic ulcer, about the size of a large pea, discharging an ichorous fluid. On the middle finger of the same hand there was another ulcer of a similar kind.
Thus the catarrhal humour from the nostrils of some, who ride in frosty weather; and the tears, which run down the cheeks of those, who have an obstruction of the puncta lacrymalia; and the ichor of those phagedenic ulcers, which are not attended with inflammation, are all instances of this circumstance.
L. E. D. The expressed juice, or a decoction of these roots, has been recommended in calculous complaints, and as a gargle for infants in aphtous affections or excoriations of the mouth; and a poultice of scraped carrots has been found an useful application to phagedenic ulcers, and to cancerous and putrid sores. DELPHINIUM Staphis Agria. STAVES AGRIA. The Seeds.
All the ordinary forms of phagedenic ulcer yield to treatment, while malignant growths are rendered worse by them. Where ulcers are old, he suggests the removal of their thickened edges by the cautery, for this hastens cure and prevents hemorrhage. With regard to cancer, he quotes from Archigenes and Leonides. He says that these tumors are very frequent in women, and quite rare in men.
These symptoms, varying in their degrees of violence, generally continue from one day to three or four, leaving ulcerated sores about the hands which, from the sensibility of the parts, are very troublesome and commonly heal slowly, frequently becoming phagedenic, like those from which they sprang.
This required a daily puncture for the evacuation of subjacent fluid, for six days; it then remained adherent, and in about a fortnight it separated leaving the ulcerated surface healed. This patient was not at all confined. Mr. S. aged 30, had a sore two inches in length in the groin, the remains of a phagedenic ulcer.
In another similar case, I removed the elevated hard edges of the ulcer by the lancet, and then tried the caustic, without better success. The last case I have to give is one of great interest, as it clearly shows the influence of the lunar caustic in subduing the inflammation surrounding ulcerations, and in promoting the healing process, even in cases of phagedenic ulcer.
These symptoms, varying in their degrees of violence, generally continue from one day to three or four, leaving ulcerated sores about the hands, which, from the sensibility of the parts, are very troublesome, and commonly heal slowly, frequently becoming phagedenic, like those from whence they sprung.
These pustules arc of a much milder nature than those which arise from that contagion which constitutes the true cow-pox. They are always free from the bluish or livid tint so conspicuous in the pustules in that disease. No erysipelas attends them, nor do they shew any phagedenic disposition as in the other case, but quickly terminate in a scab without creating any apparent disorder in the cow.
In such cases its influence eminently deserves a still further trial. Mrs. H. aged 56, has had very extensive phagedenic ulcerations on the legs and thighs during three years, which began in little red spots and then spread rapidly, destroying the integuments.
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