Categories: OF SOME CASES IN WHICH THE CAUSTIC IS INAPPLICABLE.
Sources: Application Of The Lunar
Caustic In The Cure Of Certain Wounds And Ulcers
Servant women, I suspect from much kneeling in scouring stairs, &c.
are subject to a species of inflammation of the knee which is
frequently extremely troublesome.
In one case suppuration of the integuments took place in the forepart
of the knee, and the patient was obliged to leave her situation and go
to her friends at a distance, although every antiphlogistic means was
tried for her relief.
In two other cases, after the application of twenty leeches and the
administration of an emetic and purgative medicine, I applied the
lunar caustic freely over the whole surface of the knee previously
moistened with water. In a few hours the cuticle was raised and
vesicated; I evacuated a viscid puriform fluid, and I directed the
constant application of the cold poultice and lotion.
In a few days all inflammation subsided and the patients remained
These three cases having occurred to me at the same time, and being
apparently equally severe, I was enabled to judge of the efficacy of
this use of the caustic, and I can strongly recommend it to a future
and further trial. Its application causes more pain than a blister,
but not so much as to form an obstacle to its employment.
It may not be unimportant, here, to suggest the trial of the caustic
in other cases of inflammation, in which a more than usually active
local remedy is required.
5. Of Tinea Capitis, &c.
In this place I have only to observe that I have in some cases
completely succeeded, in others completely failed, in the cure of
tinea capitis, by the lunar caustic. As I have not hitherto
distinguished these cases from each other; and as I could only offer
conjectures on the subject, I think it best to leave it for future
The same observation applies to some other cutaneous affections which
I need not specify more particularly at the present.