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Updated: May 27, 2025
The ulcers had now spread to the size of a seven-shilling gold coin, and another ulcer, which I had not noticed before, appeared on the first joint of the forefinger of the left hand, equally painful with that on the right. I ordered him to bathe his hands in warm bran and water, applied escharotics to the ulcers, and wrapped his hands up in a soft cataplasm.
The next day he was much relieved, and in something more than a fortnight got well. He lost his nails from the thumb and fingers that were ulcerated." The sudden disappearance of the symptoms in this case after the application of the escharotics to the sores is worthy of observation; it seems to show that they were kept up by the irritation of the ulcers.
Nitric acid and escharotics generally in this crowded atmosphere, loaded with noxious effluvia, exerted only temporary effects; after their application to the diseased surfaces, the gangrene would frequently return with redoubled energy; and even after the gangrene had been completely removed by local and constitutional treatment, it would frequently return and destroy the patient.
Nitric acid and escharotics generally in this crowded atmosphere, loaded with noxious effluvia, exerted only temporary effects; after their application to the diseased surfaces, the gangrene would frequently return with redoubled energy; and even after the gangrene had been completely removed by local and constitutional treatment, it would frequently return and destroy the patient.
Very small nævi may be destroyed by a fine pointed Paquelin thermo-cautery, or by escharotics, such as nitric acid. The extensive port-wine stains so often met with on the face are best left alone. The subcutaneous nævus is comparatively rare. It constitutes a well-defined, localised tumour, which may possess a distinct capsule, especially when it has ceased to grow or is retrogressing.
The whole secret of his surgery seems to have consisted in the application of bland oils, and leaving nature to operate, without the employment of the ancient barbarous methods of cure, by tents, escharotics, cautery, and heating inflammatory applications; which in modern times, abandoned by surgeons, have been adopted by farriers.
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