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The use of styptics may be called for. Wet-cupping has almost entirely been superseded by the use of Klapp's suction bells. It is seldom used in the treatment of surgical forms of inflammation. Counter-irritants. In deep-seated inflammations, counter-irritants are sometimes employed in the form of mustard leaves or blisters, according to the degree of irritation required.
Massage, passive movement, hot and cold douching, and other measures, may be necessary to get rid of the chronic œdema, adhesions of tendons, and stiffness of joints which sometimes remain. In situations where a constricting band cannot be applied, for example, on the trunk or the neck, Klapp's suction bells may be used, small incisions being made to admit of the escape of pus.
The induction of passive hyperæmia, by Bier's or by Klapp's apparatus, should also be used, either alone or supplementary to other measures.
The skin of the affected area should be painted with iodine, and a Klapp's suction bell applied thrice daily. If pus forms, the skin is frozen with ethyl-chloride and a small incision made, after which the application of the suction bell is persevered with. The further treatment consists in the use of diluted boracic or resin ointment.
The primary source of infection is dealt with on the usual lines. If the lymphangitis affects an extremity, Bier's elastic bandage is applied, and if suppuration occurs, the pus is let out through one or more small incisions; in other parts of the body Klapp's suction bells are employed. An autogenous vaccine may be prepared and injected.
In cases in which a constricting bandage is inapplicable, for example, in cold abscesses, tuberculous glands or tendon sheaths, Klapp's suction bell is employed. The cup is applied for five minutes at a time and then taken off for three minutes, and this is repeated over a period of about three-quarters of an hour.
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