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Updated: June 8, 2025
On the eight the eschars had separated and the breast was quite well. Mrs. U. aged 60, has been subject to ulcerated legs for several years.
At this period, the inflammation having somewhat abated, I applied the lunar caustic to form eschars and protected the parts with gold-beater's skin. On the following day there was a slight increase of redness round the eschars. Upon making an incision into their centre some fluid was evacuated. The same report was made on each of the two following days.
On the seventh day, the eschars having been neglected, fluid had escaped from beneath the eschars at their edges, and my patient complained of more pain. A little more fluid escaped in the same manner on the following day on making a little pressure upon the eschars. I applied the caustic to make up the breach. Subsequently to this day there was an increase of inflammation.
There was far less inflammation and scarcely any pain, and he has continued his occupation of blacksmith. On the third day nearly all the eschars were adherent; three, however, had unfortunately been removed by an accident; I renewed them by again applying the caustic. In four days after the last report, most of the eschars had separated from the smallest ulcers leaving the parts healed.
Several very irritable sores were produced with some swelling. I applied the lunar caustic to form an eschar. On the following day, the eschars were adherent, the swelling had subsided, and he had slept well for the first time of several nights.
The lunar caustic was well applied in half an hour after the accident to each of the wounds, and the eschar was covered with gold-beater's skin. On the next day the eschars were adherent. There was some swelling from the severity of the bruise; but the child made little complaint. On the third day, the swelling remained as before and the eschar adherent.
On the following day, I was gratified to find that eschars had formed upon every ulcer; upon examination, a little fluid was found to subsist under several of the larger eschars; this I evacuated, and I then applied the lunar caustic to the points from which it had issued to make up the breach of continuity of the eschars over the surface of the ulcers.
These ulcers were caused by a fall which bruised the part but made no wound at the time; two small spots, which she compared to the pustules of small-pox, formed, broke, and gave rise to the ulcers. I applied the lunar caustic to form eschars.
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.
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