1835.] Erysipelas by Pressure. 453 



able pain and heat affecting the whole of the back of the 

 right hand, extending about three inches above the wrist, 

 which is much swelled and reddened, pits on pressure, and 

 presents every appearance of phlegmonous erysipelas. Be- 

 came affected with a rigor and headache yesterday forenoon, 

 shortly after which the back of the hand became painful 

 and swollen. Pulse 100 firm ; tongue white ; bowels con- 

 fined ; appetite bad ; skin dry. 



The hand, wrist, and forearm, the two first particularly, 

 were tightly bandaged and supported in a sling. She was 

 directed to take Magnes . sulph. half an ounce, with the same 

 quantity of Infus. sennce every four hours, till the bowels 

 were freely acted on, and requested not to remove the ban- 

 dage till I should see her again. 



Ten hours after. Has scarcely felt any pain these last 

 eight hours ; bandage removed ; swelling and redness nearly 

 gone; bowels have acted freely from two doses of the 

 mixture. Bandage applied as before, but rather tighter, 

 and the arm supported in a sling; the mixture to be 

 discontinued. 



— 6th. Has passed a comfortable night, having felt 

 only slight pain occasionally. Redness has entirely disap- 

 peared ; swelling scarcely perceptible ; pulse 80 ; tongue 

 white and moist ; skin moist. Bandage re-applied, and a 

 mixture similar to that ordered before to be taken every 

 four hours till the bowels become relaxed. 



— 1th. Pain and swelling entirely gone ; experiences a 

 slight degree of weakness and stiffness in the hand, the 

 back part of which and the wrist are in some places of a 

 livid, in others of a yellow colour. The bandage to be 

 continued a few days longer. 



— 9th. Feels quite well ; desquamation of cuticle going 

 on over the back of the hand. I saw her two days after, 

 when the hand was quite well. 



Case 2nd. Nov. 16, 1832.— Mr. H. aged 46, of a melan- 

 cholic temperament and spare habit, was seized with a 

 rigor four days ago, which lasted nearly two hours. Com- 

 plains now of headach, thirst, pain and swelling of the right 

 foot and ancle, which are in a high state of inflammation, 

 and on which there are several vesications; redness extends 



