.AND FAMILY DISEEN SATORY, 183 
when : a wound 4 is joined to the brite, It may be : renewed. two or three timtes aden, ; 
As the ftructure of the veffels is totally deftroyed:by a violent bruife, there often 
| enfues a great lofs of fubftance, which produces an ulcerous fore very difficult ro 
cure. If the bone be affected, the fore will not heal before an exfoliation takes 
place; that i is, before the difeafed part of the bone feparates, and comes out through ‘ 
the wound. This is often a very flow operation, and may even require feveral years 
to be completed. Hence it happens, that thefe fores are frequently miftaken for the 
king? s evil, and treated as fuch, though, in faét, they proceed folely from the injury 
which the folid parts received from the blow. Patients in this fituation are peftered 
- with different advices. Every one who fees them propofes a new remedy, till the 
fore is fo much irritated with various and oppofite applications, that it is often at 
length rendered abfolutely incurable. The beft method of managing fuch fores i isy 
to take care that the patient’s conftitution does not fuffer by confinement, or im- 
proper medicine, and to apply nothing to them but fome fimple ointment fpread 
upon foft lint, over which a poultice of bread and milk, with boiled camomile- 
flowers, or the like, may be put, to nourifh the part, and keep it foft and warm, 
Nature, thus affifted, will generally in time operate a cure, by throwing off the dif- 
eafed parts of the bone, after which the fore foon heals, _ | 
OF UE CBR 'IGS  oltodinom ts 
_ ULCERS may be the confequence of wounds, bruifes, or so ip oe impro- 
perly treated ; they may likewife proceed from an ill {tate of the humours, or what 
may be called a bad habit of body. In the latter cafe, they ought not to be hattily’ 
dried up, otherwife it may prove fatal to the patient.. Ulcers happen moft com- 
monly i in the decline of life ; and perfons who neglect exercife, and live grofsly, are 
moft liable to them. They might often be ieyellicd by retrenching fome part of 
the foli d food, or by opening artificial drains, as iffues, fetons, or the like. It re- 
quires confiderable fkill to be able to judge whether or not an ulcer ought 1 to be 
dried up. ‘In general, all ulcers which proceed from a bad habit of body fhould 7 
fuffered to continue open, at leaft till the confticution has ‘been fo far changed by 
proper regimen, or the ufe of medicine, that they feem difpoiec ‘to heal of their re 
accord. Ulcers which are the effect of malignant fevers, or other i difea Fe 
may generally be healed with fafety after the health has been reltored for vi = 
The cure ought not, however, to erg tempt rte edt | ae ice nor at any time without the 
, ufe of purging medicines and a roper reg 
wrong treatment, degenerated into” ule Hs: 
generally be healed with fafety. “When ‘lear either accompany chronical d 
or oe in their ftead, they rae be cautioully healed. If'an ulcet conduces oie 
