Saturday, July 2, 2016

If the fluid poured into the perinæum be excessive

If the fluid poured into the perinæum be excessive

If the fluid poured into the perinæum be excessive



Hitherto, however, nothing has been said about any treatment of the part which is the immediate seat of the disease. If the fluid poured into the perinæum be excessive, the part must be laid freely open by two or three incisions being made along the entire length of the swelling. After this has been done, the liquid will not escape as from an abscess; for being held within the cells of the membrane that lies immediately under the skin, comparatively little of it is released from the knife. A fine pair of scissors will be required to snip the separate bags or bladders; but that operation must be performed with caution, else injury may possibly be done. The business being concluded, let the parts be afterwards dressed with the tincture of iodine, or a tincture of the iodide of potassium, of the strength of a drachm to the ounce of proof spirit; this being preferable to water for a solution in these cases. Into the rectum also injections should be thrown at least three times a day, and all of these ought to be of a tonic and stimulating kind, being used perfectly cold. Either of the following may be administered:

1.
Tincture of cantharidesOne drachm.
Camphor mixtureOne pint.
2.
Tincture of nux vomicaOne drachm.
Tincture of toluOne drachm.
WaterOne pint.
3.
Tincture of cubebsOne drachm.
Liquor potassæOne drachm.
Camphor mixtureOne pint.
4.
Solution of nitrate of silverOne drachm.
Distilled waterOne pint.

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