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

17.8 Carbuncle

Carbuncle. Anthrax

THIS is like a boil, only much larger and more painful. Instead of one of the little cellular elevations being inflamed, as in the case of the boil, the carbuncle begins with the inflammation of several. Its surface is more flat than that of a boil; its inflammation more violent; and the constitutional symptoms excited more severe. It has the breadth, sometimes, of the top of a quart bowl. Like the boil, it appears most often upon the neck, the shoulders, the back, the buttocks, the thighs, etc. It goes through the same process as a boil, and ends in the same way, only discharging a vastly larger core.
Carbuncles most often appear in persons above middle age, and indicate an impaired and broken constitution. They occasion great suffering, and sometimes prove fatal. Upon the head or neck, they are more dangerous than in other situations. They are now considered to be of bacterial origin.

Treatment. Apply, constantly, during the formation of the carbuncle, either fomentations and poultices, or cold water dressing. I prefer the latter. To stop both the local and the constitutional disorder, make two incisions in the form of a cross, cutting entirely through the dead mass. Then apply a fermenting poultice, or one of oatmeal, for two or three days, after which use the basilicon salve, or apply daily a weak solution of lunar caustic, or the nitric acid lotion (314). During recovery, tonics are useful, such as quinine, tincture of peruvian bark. Immediately on formation of carbuncle take Succus Alterans (Lilly), and continue three months. It will purify the blood and prevent another forming.

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