Chapter 17 - Surgical Diseases
Modern Surgery
Inflammation
Suppuration and Abscess
Mortification
Pyaemia
Ulceration and Ulcers
Boils
Carbuncle
Malignant Pustule
Burns and Scalds
Frost Bite
Chilblains
Mechanical,Injuries
Septic Wounds
Incised Wounds
Rules for Examining and Dressing Wounds
Antiseptic Dressings
Way Wounds Unite
Punctured Wounds
Lacerated Wounds
Granulation and Scarification
Gunshot Wounds
Poisoned Wounds
Fractures
Way Broken Bones Unite
Dislocations
Different Diseases of Bones
Pereostitis
Necrosis
Coxalgia
White Swelling
Bunions
Whitlow
Stiff Joint
Tumors
Cancer
Polypus
Piles
Wens
Aneurisms
Bronchocele
Water in the Scrotum
Blood in the Scrotum
Phlebitis
Varicose Veins
Hernia
Varicocele
Deformities and Irritations of the Spine
Wry Neck
Foreign Bodies in the Eye
Stye
Inflammation of the Edge of the Eyelids
Disorder of the Lashes
Ptosis
Chronic Inflammation of the Lachrymal Sac
Opthalmia
Inflammation of the Cornea
Inflammation of the Iris
Weakness of Sight
Imperfect Vision
Short and Long Sight
Squinting
Affections of the Ear
Inflammation of the Meatus
Wax in the Ear
Earache
Inflammation of the Tympanum, Deafness
Bleeding from the Nose
Ingrowing Toe Nail
Chafing and Excoriation
Foreign Substances
Bleeding from Wounds
Proud Flesh
Ambrine
Compression of Arteries to Stop the Flow of Blood
Anesthetics
Care of the Teeth
Rotting of the Teeth
Tooth-Ache
Filling Teeth
The First Teeth
Cleaning the Teeth
Ulcer of the Stomach
Glanders
X-Ray
Radium
Trachoma
Arterio-Sclerosis
Flatfoot
Riggs' Disease
Bandages

17.7 Boils

Boils. Ferunculus.

UNDERNEATH the skin is a layer of tissue composed chiefly of cells. From this tissue there are small elevations, in the shape of cones, which rise up into the substance of the true skin. Like those papillae of the skin which become inflamed and produce corns, these elevations are subject to an inflammation, which causes boils.
At first, a tender knot or hardness is felt just under the skin, which soon begins to look red. A painful tumor now begins to show itself, of a dusky red or purple color, which acquires the size of a pea, a hazel nut or a walnut. Some time between the fourth and eighth day it becomes pointed and white at the top, when the scarf skin gives way, and lets out a little pus mixed with blood, and exposes to view a mass of dead matter, called a core, which is too large for the opening, and is not ready to come away, if it were not. This core is a mass of mortified or dead flesh; and nature is cutting a space around it, that it may be thrown off. In two or three more days, it comes away, leaving a cup like cavity, which gradually fills up, and the boil is over.
Some constitutions yield boils in successive crops. Men this hap pens they are a terrible affliction. There are not many Jobs who can bear them with patience.

Treatment. A boil will generally run its course. A five grain blue pill, taken at bed time, when the boil is first showing itself, is about the only thing I know that will blast it. And yet, my unwillingness to encourage a general use of mercurials makes me hesitate to recommend it. One pill, not to be repeated, can do no harm, however, and may safely be taken.
Boils may sometimes be stopped by touching them with lunar caustic. Water dressing, if used early, and persevered in, will sometimes prevent their growing, larger than a pea. After the boil has opened, apply poultices for a day or two, then some simple, stimulating ointment, as basilicon salve, or Turner's cerate, or nitric acid lotion (314). If boils continue to come out in successive crops, give alterative medicines, or sulphurous mineral waters, or liquor potassae or bicarbonate of soda. General tonic treatment, with iron, quinine, etc., is usually required (65), (75).
A pill containing 1/2 grain of sulphide of calcium three times a day and continuing for several months, while not able to cure the boil which is forming, will in a great measure prevent the appearance of others.

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