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Ulcers Case Xxii

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

J. Copeland, blacksmith, aged 38, came to me with many deep
ulcerations, from the size of a horse bean to that of a pea, attended
with great pain, heat, itching and excoriations of the surrounding
skin, obliging him to rest at different times, for several days
together. These ulcers came without any apparent cause, have continued
for many weeks, and have only been a little benefitted by rest,
although he has applied many kinds of ointment, the last consisting of
equal parts of mercurial and of the tar ointment. I applied the lunar
caustic upon each ulcer, but not over the excoriation, and I enjoined
the patient to leave the whole exposed to dry.

On the following day, I was gratified to find that eschars had formed
upon every ulcer; upon examination, a little fluid was found to
subsist under several of the larger eschars; this I evacuated, and I
then applied the lunar caustic to the points from which it had issued
to make up the breach of continuity of the eschars over the surface of
the ulcers. There was far less inflammation and scarcely any pain, and
he has continued his occupation of blacksmith.

On the third day nearly all the eschars were adherent; three, however,
had unfortunately been removed by an accident; I renewed them by again
applying the caustic.

In four days after the last report, most of the eschars had separated
from the smallest ulcers leaving the parts healed.

In a day or two more, my patient took cold and was affected with
hoarseness and cough, and the skin round the eschar became excoriated
a little. I directed a saline purgative and applied the lunar caustic
to the excoriated parts.

On the succeeding day his cold was better and the eschars adherent. I
directed five grains of the Plummer's pill to be taken night and
morning, which he continued about a week.

Five days after this period, I again observed a disposition to
excoriate. I applied the caustic.

In two days more, the eschars were adherent, and there was no further
appearance of excoriation.

In ten more days, the eschars had separated and all the ulcers and
excoriations were completely healed.

This case occurred several years ago, and there has been no return of
the affliction whatever.

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