1835.] Erysipelas by Pressure. 455 



and a sensation of burning in the left foot and leg, extending 

 from the toes to nearly the knee, accompanied with violent 

 headache, debility, and restlessness. Disease commenced 

 with several rigors two days ago. Pulse 122, small and 

 firm ; tongue dry ; skin hot and dry ; bowels confined ; the 

 foot, ancle and leg are very red, much swelled, and pit on 

 pressure ; three small vesications on the instep. 16 oz. of 

 blood were taken from the arm, a bandage tightly applied 

 from the toes to the knee, and a saline aperient given. 



— 20th. Feels greatly better ; pain and swelling nearly 

 gone ; pulse 90 ; bowels open ; tongue still dry ; heat of 

 skin much diminished ; bandage again applied and aperient 

 to be repeated. 



— 21st. Is nearly well, a very slight degree of swelling 

 continuing ; pain and redness gone. 



— 23c?. Feels quite well ; no redness, pain, or swelling ; 

 bandage to be. continued. 



The subject of this case has been for some years occasion- 

 ally affected with oedema, arising from disease of the heart. 

 I saw her about a month ago, when she informed me that 

 she had experienced no return of erysipelas of the leg, and 

 that her health had been considerably improved since that 

 attack. 



I might have added a considerable number of analogous 

 cases, but I consider it superfluous, as all of them have 

 been precisely similar in their results, having treated every 

 case that has come under my care during the last twelve 

 years on the same principle, with uniform success. 



It may not be amiss to state, however, that I was led to 

 employ bandages for the cure of Erysipelas in consequence 

 of observing the effect produced by the pressure of my 

 hand continued a few minutes on an erysipelitic surface. 



In the case I allude to, I saw the disease after several 

 days standing. Leeches had been repeatedly applied and 

 the part kept cold with saturnine lotion ; notwithstanding, 

 the disease extended, the back of the hand became enor- 

 mously swelled, and began to present a sloughing appear- 

 ance. The acute stage had evidently passed. I applied my 

 hand with considerable force, and on its removal a few 

 minutes after, the swelling of the part covered with my 



