268 Surgical Case^ in the Finslury Dispensary. 



ulcer was dressed with the una;, sahinx tor some clays, tlien 

 with {he ung. arscnicuni ; neither i;f which produced the 

 least effect. A small blister was then apphed bcKveen the 

 uloer and the axilla; and repealed tor fourteen successive 

 days J the paia from which was very trivial, and the dail.ng 

 pain, which had been verv severe in the beginning, was 

 nearly subsided, the appetite was much iniproved, and her 

 heaUh and spirits were greatly recruited. 



The old ulcer, and that produced by the blister, were 

 dressed with the ung. sabinae, and the thin ichorous 

 discharge was iiow succeeded by well digested purulent 

 matter. 



Al the beginning of September a stTiall blister was applied 

 from the ulcerated part nearest the axilla, around the upper 

 part of the breast, nearly to the sternum, and repeated for 

 many days, so as to form an ulcerated surface about an inch 

 wide. That part of this new ulcer between the breast and 

 the axilla was dressed with the ung. arsen. cum pulv. opii, 

 the upper part with the ung. sabinas. The si-ughs occa- 

 sioned by the caustic were trivial, and the pain inconsidera- 

 ble, but a free discharge of purulent i^ialter coniiiiucd from 

 every part of the ulcer. 



On the 8th of September she caught cold, and had a 

 troublesome cough with pain in the chest, which v^as re- 

 lieved much by taking a few doses of the lac ammou. cum 

 tinct. scillje. 



The caustic dressing was applied about every olher day, 

 sometimes to one and sometimes to another part of the ulcer, 

 and the whole covered with the ung. sabina}. This was at- 

 tended with very little pain., and the health of the patient 

 was much iniproved. The scirrhous tumour appca'-tu to 

 enlarge at the upper part till about the middle of October, 

 when it became stationary, and was greatly diminished iti 

 size by the beginning of November. 



The ulcer was now dressed wiih the ung. sabinos alone. 

 The discharge 'was good, and the breast eiuireiy free from 

 paiiV Some alterative povders, composed of hydrarg. cum 

 sulph. with nitre, were given, and one of the following pills 

 was ordered to be taken every night. 



l^t. Hydrarg. 



