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Updated: June 22, 2025
He has been long subject to ulcers of the legs, and he had a similar ulcer to the present one in the same situation, some years ago, which proved extremely difficult to heal under usual remedies. The veins are varicose. From the small size of the ulcer, I applied the lunar caustic and protected the eschar by the gold-beater's skin.
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.
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.
During the night he had much pain, and to-day there is much inflammation round the wounds. I applied the lunar caustic over both wounds and covered the eschar with gold-beater's skin to prevent the contact of the stocking. On the following day the eschar was found to be perfect. The pain had entirely ceased. There was a little vesication round one of the wounds.
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