Punctures Case I

Sources: Application Of The Lunar Caustic In The Cure Of Certain Wounds And Ulcers

A.B. received a severe punctured wound by a hook of the size of a

crow-quill, which pierced into the flesh between the thumb and

fore-finger on the outside of the hand; scarcely a drop of blood

followed, but there was immediately severe pain and tumefaction. The

lunar caustic was applied without loss of time, deep within the

orifice and around the edge of the wound; and the eschar was left to

dry. The smarting pain induced by the caustic was severe for a time

but gradually subsided.

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. 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


From this time the eschar remained adherent, and at length gradually

separated leaving the part perfectly well.

It is quite certain that under any other mode of treatment this severe

puncture would have greatly inflamed and have proved very painful and

troublesome; and it is not improbable but that suppuration and much

suffering might have ensued. All this is effectually and almost

certainly prevented if the caustic be applied promptly, as in this

case. When time has been lost, the case is very different as will

appear hereafter; but even in these cases, the caustic proves an

invaluable application.