56 THE ARMY IIOKSE. 



grow out higher than the skin, causing the condition Knows as 

 proud flesh. 



The treatment of proud flesh consists in the removal of the 

 unheahhy tissue by the use of the knife or by the application of 

 a red-hot iron; burnt alum or salicylic acid dusted upon the 

 surface of the Avound will also destroy the unhealthy granules. 



Punctured ivounds. — Punctured wounds (except those around 

 joints) should be explored Avith a probe to ascertain if any 

 foreign bodies are in the channel; if so, they should be re- 

 moved, and if necessary a dependent opening be made to allow 

 perfect drainage. The parts should then be syringed out 

 thoroughly with a solution of creolin. 1 to 50: carbolic acid, 

 1 to '20 or 30 ; or, bichloride of mercury, 1 to 1,000, and the out- 

 side opening sprinkled wit|i iodoform. This treatment should 

 be applied twice daily. 



Wounds of the lips, nostrils, and eyelids heal very rapidly ; if 



of several days' standing they should have their edges scraped 



and then be sutured, and iodoform or acetanilid dusted over the 



surface twice daily, 



.An excellent antiseptic solution for the treatment of wounds 



during fly time is made by dissolving 8 ounces of gum camphor 



in 3 ounces of carbolic acid. Apply with a clean swab several 



times daily. 



Punctured wounds around joints. 



Open joint is a wound situated on a joint and extending 

 through the capsular ligament, allowing the joint oil to escape. 



Treatment. — Remove the hair and thoroughly clean the parts 

 around the wound ; unless a foreign body is known to be lodged 

 in it do not probe or explore, as the introduction of any instru- 

 ment, even if thoroughly clean, will be the means of setting up 

 considerable inflammation. Wash thoroughly with a solution 

 of bichloride of mercury, 1 to 1,000; then sprinkle with iodo- 

 form, and, if possible, bandage as before recommended ; sutures 

 may be used, provided movement of the joint and tearing can 

 be prevented. When the wound is not likely to heal quickly, or 

 simple treatment has failed, a l)lister of biniodide of mercury 

 1 part, cosmoline 4 parts, may be applied, for the purpose of 

 closing the opening, limiting motion, and relieving pain. 



CAUSE AND TREATMENT OF SPRAINS, , 



Sprains affect muscles, tendons, and ligaments. The fibers 

 of which they are composed are severely stretched, sometimes 



