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Treatment (Confine the patient to bed)

Confine the patient to bed, purge him occasionally, let his diet be low, and apply a soft bread and milk or linseed poultice to the ulcer. When healthy yellow matter is formed, omit the poultice, keep the sore very clean, and apply a plaster of simple ointment.

Fungous Ulcers.

Symptoms. The presence of large round granulations, rising above the level of the adjoining parts, or what is commonly called proud flesh, marks this species of ulcer.

Treatment. Sprinkle red precipitate over the proud flesh, or touch it with lunar caustic, apply dressings of simple cerate to the sore, and pass a bandage tightly over the whole. Burnt alum and blue vitriol may also be used to destroy the proud flesh. Pressure by adhesive plaster or a bandage will often succeed when all other means fail.

Sloughing Ulcer.

Symptoms. The death of parts of an ulcer which mortify and fall off, generally attended by fever and pain.

Treatment. The diet should be generous, laudanum must be taken to relieve pain, and bark, wine, porter, etc., to strengthen the system. The carrot poultice is the best local application. The sore may also be washed with a solution of bromine, or of nitric acid, fifty drops to the pint of water. When the dead portions have all fallen off, treat it as a simple ulcer, paying attention, however, to the state of the system. Indolent Ulcer.

Symptoms. The edges of the skin are thick, raised, smooth and shining. The points of new fiesb are glossy, and the appearance of the whole ulcer is that of an old one in which the healing process is at a stand.