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Punctures Case Iv

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

The present case is somewhat more severe than those which have been
already given, and what is of great importance, the caustic was not
applied immediately after the accident.

William Chantry, aged 50, received a stab in the wrist with a hay-fork
yesterday and applied a poultice; to-day there are great pain and
swelling, and the wounded orifice is very small. I applied the lunar
caustic within the puncture, and directly a cold poultice to be worn
over it; the arm was kept in a sling.

The next day the swelling and pain were diminished, and a little lymph
flowed from the wound. I again applied the caustic and continued the

Two days afterwards, the swelling and pain were nearly gone. The
poultice was merely continued, the caustic not being requisite from
the subsidence of the inflammation. The patient came to me again in
four days more quite free from pain and swelling. The poultice was
discontinued, and the caustic was then applied in order to form an
adherent eschar, in which I was successful.

This case illustrates many important points; 1. it shows the efficacy
of the caustic with the poultice as a remedy against inflammation; 2.
it presents an instance of a labouring man returning to work on the
sixth or seventh day after a severe accident, even when the
application of the caustic had been unfortunately delayed; 3. it
points out the proper treatment, when all hope of the treatment from
the first by adherent eschar is lost from such delay,--for had this
been attempted in this case, suppuration would doubtless have taken
place from the closed state of the puncture by the swelling;--our
objects must therefore be, to open the puncture and to subdue the
inflammation, and these objects are admirably attained by means of the

The following case is not less instructive.

Next: Punctures Case V

Previous: Punctures Case Iii

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