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'Treatment'. Hot fomentations to the part affected, together with purging balls and bleeding, if there be great tenderness and swelling of the limb. When the inflammation and tumefaction have disappeared, rub the parts with opodeldoc, or other stimulating mixtures.
At last, three days after, Hippolyte being unable to endure it any longer, they once more removed the machine, and were much surprised at the result they saw. The livid tumefaction spread over the leg, with blisters here and there, whence oozed a black liquid. Matters were taking a serious turn.
The inflammation and tumefaction of the parts continued for a considerable time, and when ultimately reduced by the application of tepid fomentations, the skin appeared greatly relaxed; and the muscular fibres having lost their power of support or contractility, owing to their long quiescence, seemed no longer able to keep their lids in their proper situation; the edges therefore remained in the abnormous position previously assumed.
The inflammation of the cecum and appendix is similar to inflammations elsewhere; the capillary blood vessels become engorged, the circulation becomes sluggish, and this causes swelling; the tissues then grow dark from the congestion. This condition is similar to tumefaction in general. which is favorable to abscess formation.
With these words he drew a clasp-knife from his pocket, and, advancing to a glass, applied it so vigorously to the leathern straps of his headpiece, that the gordian knot was cut, without any other damage to his face than a moderate scarification, which, added to the tumefaction of features naturally strong, and a whole week's growth of a very bushy beard, produced on the whole a most hideous caricatura.
B. Unwin, aged 40, washerwoman, applied to me on July the 10th, 1820, with severe inflammation and ulceration of the middle finger, arising from a puncture by a pin or needle some time before; there was much painful tumefaction, and the integuments had burst along nearly half of the length of the finger, on the ulnar side, and over the middle joint on the radial side; the probe did not however pass to the bone or into the joint.
On the third day all tumefaction had subsided and there was no complaint whatever. I hoped that this case would have required no further attention or remedy.
A whitish tumefaction almost immediately surrounded the two pricks; and the circumference, within a radius of about an inch, was coloured an erysipelas red, accompanied by a very slight swelling. In an hour and a half, it had all disappeared, except the mark of the pricks, which persisted for several days, as any other small wound would have done. This was in September, in rather cool weather.
Her labor was easy enough; she flowed a good deal, seemed exceedingly prostrated, had ringing in the ears, and other symptoms of exhaustion; the pulse was quick and small. On the second and third day there was some tenderness and tumefaction of the abdomen, which increased somewhat on the fourth and fifth. He had cases in midwifery before and after this, which presented nothing peculiar."
That it cannot flow in by the veins appears plainly enough from the fact that the blood cannot be forced towards the heart unless the ligature be removed; when this is done suddenly all the veins collapse, and disgorge themselves of their contents into the superior parts, the hand at the same time resumes its natural pale colour, the tumefaction and the stagnating blood having disappeared.
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