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On the succeeding day, I learnt that my patient had been intoxicated, and I found the ulcer attended by inflammation. The eschar was by no means complete; some part of it was in a detached state. I removed the loose portions and repeated the application of the caustic. This sort of treatment was continued for a fortnight without my being able to effect the formation of a complete eschar.
On the succeeding day the eschar had been removed by washing the hand, and the puncture was unhealed but free from pain and irritation. The caustic was reapplied. From this time the eschar remained adherent, and at length gradually separated leaving the part perfectly well.
On the next day I removed the slough entirely by means of a pair of scissors. The subjacent ulcer had a healthy granulated appearance. I applied the lunar caustic to it to form an eschar. From this time it was necessary to evacuate a little fluid from under the eschar for ten successive days. It then became adherent, and in about a fortnight it separated, leaving the ulcer healed.
On the ensuing day, the eschar was adherent and there was little pain; but there was more swelling than usual after the prompt application of the caustic, owing to the mobility of the part. On the third day the swelling remained as before, and there was a little sense of heat. On the fourth day the swelling and heat had subsided, and the eschar remained adherent.
There remained a superficial ulceration of the size of half-a-crown. I applied the lunar caustic lightly over the surface of the sore, and then the gold-beater's skin. On the following day, an adherent eschar had formed, and in five days more it dropped off leaving the ulcer quite healed. Mr. C. aged 51, scalded his leg ten days ago on the instep. He applied ointments and poultices.
The smaller eschar had dropped off leaving the ulcer quite healed. In a week more the last portion of eschar separated from the larger sore, leaving it also quite well. The following case occurred in the person of a lady with varicose veins and far advanced in pregnancy. Its speedy cure by the caustic was, therefore, the more remarkable, and saved her much trouble and suffering. Mrs.
But if this inflammation be not severe, and if the eschar remain adherent, all inflammation, both that induced by the application of the caustic, and that existing previously, entirely subsides.
This mode of treatment was continued daily for about a week, the inflammation gradually subsiding and the eschar becoming adherent and corrugated. In about three weeks, the patient thinking the sore quite well detached the eschar; there was still, however, a minute ulcer left, which was touched with the caustic.
In some cases, however, there is an increase of inflammation in a day or two, which requires the caustic to be again applied. When the inflammation has subsided, the loose cuticle may be removed, and the caustic must be applied to form an eschar.
Back again to the Privy Seal; but my Lord comes not all the afternoon, which made me mad and gives all the world reason to talk of his delaying of business, as well as of his severity and ill using of the Clerks of the Privy Seal. In the evening I took Mons. Eschar and Mr. Moore and Dr. Here I met with Mr. Mage, and discoursing of musique Mons.
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