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The fungus is to be completely removed by a pair of scissors, and when the bleeding has quite ceased, the lunar caustic is to be applied, and the part defended by the gold-beater's skin and kept carefully from any moisture. In one of the cases mentioned above the eschar was accidentally separated twice and required to be renewed; but both cases were cured in the space of a few days.
In many cases too, in which the patients are usually rendered incapable of following their wonted avocations, this mode of treatment saves them from an inconvenience, which is, to some, of no trifling nature. It has already been stated how important it is that the eschar should be preserved adherent.
Back again to the Privy Seal; but my Lord comes not all the afternoon, which made me mad and gives all the world reason to talk of his delaying of business, as well as of his severity and ill using of the Clerks of the Privy Seal. In the evening I took Mons. Eschar and Mr. Moore and Dr. Here I met with Mr. Mage, and discoursing of musique Mons.
The skin surrounding the wound is simply moistened with a drop of water, and the gold-beater's skin is then to be applied over it and over the eschar, to which it soon adheres firmly, but from which it may be removed at any time, by again moistening it for a moment with water; the same bit of gold-beater's skin admits of being again and again reapplied in the same manner.
The eschar separated in a fortnight. Mrs. C. aged 40, was detained on a journey by a bruised wound on her knee, received a fortnight before, which was healing very slowly under the usual mode of treatment. The inflammation was subsiding but the sore was extremely irritable and painful, and she was prevented from moving.
"Nonsense," I replied therefore to this senseless entreaty. "That question has already been sufficiently discussed. Bah! that caustic burns." It was necessary to wait three or four days before renewing the caustic to deepen the eschar made by the first application. I was finally obliged to resume the direction of affairs, and order him to proceed.
So by coach home, and to supper, and to bed, having staid up till 12 at night writing letters to my Lord Sandwich and all my friends with him at sea, to send to-morrow by Mons. Eschar, who goes tomorrow post to the Downs to go along with the fleet to Portugall. 10th. To Whitehall, and there finding Mons.
In two days afterwards the eschars began to separate round the edges, and in a few days more, it was necessary to remove the separating portion by the scissors. In the course of time the eschar separated completely, leaving the ulcers healed. Mrs. Butcher had no pain after the first four days from the application of the caustic, and in a week was able to attend to her household affairs.
James Joynes, aged 12, was bitten by an ass, on each side of the middle finger; the wounds were severe, and almost immediately followed by swelling and great pain. The lunar caustic was well applied within half an hour after the accident. On the succeeding day, the eschar was found to be quite adherent, and the pain and swelling had subsided.
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