INDEX TO VOLUME II 



;8i 



Pus {continued) : 



pent up in abscess the stimulus which maintains 

 suppuration, 42. 



formed by granulations, 49. 



author's researches on, in case of pyaemia, 515, 

 516. 

 Pus corpuscles : in pyaemia, not ordinary leuco- 



c^'tes, 541. 

 Pus formation : not exclusively due to emigration 

 of leucocj^cs, 542. 



often caused by proliferation of cells, 542, 



PUTREFACTION AND FERMENTATION, AN 



INTRODITCTORV LECTURE ON THI-: 



CAUSATION OF (1S69), 477. 



Putrefaction: germ theory of, 54, 172, 479; the 



guiding principle of antiseptic system, 172, 479. 



evil effect of, on tissues of wound, 2. 



due to living germs in atmosphere, 2. 



vibrios chief agents in, 47. 



acrid salts resulting from, multiplied and 

 intensified by self-propagating ferments, 49. 



experiments illustrating germ theory of, 54. 



complete exclusion of air not in itself securitj^ 

 against, 54. 



not produced by access of air if germs have been 

 filtered or killed, 54. 



experiment on urine in flasks with bent necks, 

 illustrating germ theory of, 55, 173. 



and equivocal generation, 57. 



in amputation stumps cannot always be avoided 

 even with antiseptic treatment, 130. 



and suppuration, reply to criticisms, 146. 



not held by author to be sole cause of suppura- 

 tion, 146. 



products of, excite superficial suppuration in a 

 sore treated with water-dressing by chemical 

 stimulation, 149 ; often cause death by irrita- 

 tion and blood poisoning before suppuration is 

 estabhshed, 149. 



Pasteur's experiment of boiling putrescible 

 liquid in flask with attenuated and contorted 

 neck, 173; author's repetition of experiment in 

 modified form, 173. 



caused not by atmospheric gases, but by dust in 

 atmosphere, 175, 178 ; this the guiding prin- 

 ciple in antiseptic treatment, 178. 



decomposition without, illustrated by stench of 

 discharge under vulcanized caoutchouc pro- 

 tective, 1 84 ; and by foul smell of serous 

 discharge soaked into antiseptic gauze, 188. 



prevented, not corrected, by antiseptic treat- 

 ment, 216. 



occasional occurrence of, owing to application of 

 antiseptic gauze dry, 260. 



in wounds not treated antiseptically due rather 

 to septic matter in concentrated form than to 

 diffused condition in which it exists in air and 

 water, 279 ; this suggests question whether 

 spray is necessary, 279. 



in blood-clot in hving bodv, experiments on, 282, 

 283, 284. 



diffusion of chemically irritating products of, 

 beyond limits of septic process, 284. 



in wounds, a general occurrence in prc-anaesthetic 

 ])eriods, 340 ; possibility of preventing, by 

 destruction of microbes, 340. 



prevented by i)hagocytosis, 514. 



caused by growtli of micro-organisms, 340. 



not induced by mere inflammation, 481. 



Putrefaction (continued) : 



similarity in process to vinous fermentation, 482. 



author's experiments on cause of, in urine, 486 

 (and footnote), 487, 488. 



experiment previously performed by Pasteur, 

 486 (footnote). 



caused by growth of micro-organisms, 494. 



a great evil in surgery, 497. 



prevention of it liopeless while thought to be 

 caused by atmospheric oxygen, 497. 



shown by Pasteur to be fermentation caused by 

 growth of microbes, 497. 



not the only evil of microbic origin to wliich 

 wounds are liable, 501, 542. 



and fermentation of sugar, parallel between, 480. 



Schwann's researches into causes of, 479. 



See also Germ. 

 Putrefactive changes : caused by air dust, 47. 

 Putrefying material : must act for three or four 

 days on tissues before suppuration is set up, 1 50. 

 Putrescent organic matter : induces suppuration 



by acting as chemical stimulus, 40. 

 Putty, carbolic acid : method of preparing, 33. 



in treatment of compound fracture, 36, 39. 



in antiseptic treatment of incised wounds, 36. 



in treatment of large wounds, 38. 



as a dressing, 68. 



its inconvenience, 68. 



maintains constant antiseptic action, 70. 

 Pyaemia : frequency of, in Glasgow Royal In- 

 firmary before introduction of antiseptic 

 treatment, 45, 541. 



in 'New Surgical Hospital' (Glasgow Royal In- 

 firmary), 1 23 ; most prevalent in ground-floor 

 wards, 124. 



used to occur principally in cases of compound 

 fracture and major amputations, 126. 



sulphites administered internally in cases of 

 compound fracture as prophylactics against, 

 126 ; no distinct evidence of advantage from 

 this practice, 126. 



no case of, in compound fracture since introduc- 

 tion of antiseptic system, 127. 



mortality from, in major amputations before 

 antiseptic period, table of cases, 128 ; during 

 antiseptic period, table of cases, 12S; com- 

 parison of results, 129, 130. 



occurrence of, in case of injury^ of hand through 

 neglect of antiseptic precautions, 132. 



no case of, in author's wards in Edinburgh Royal 

 Infirmary (1870), 159. 



prevalence of. in Munich General Hospital, 248 ; 

 banished by antisej^tic treatment, 248. 500. 



practically banished from Surgical Hospital at 

 Leipzig, since introduction of antiseptic 

 system. 249. 



banished from Volkmann's clinique at Halle, since 

 introduction of antiseptic system. 250. 



practically abolished in Bcrhn Charite Hospital, 

 since introduction of antiseptic system, 252. 



almost entire disappearance of. in Magdeburg 

 Surgical Hospital, since introduction of anti- 

 septic treatment, 252 (and footnote). 



case of. after excision of wrist, 430. 440. 



author's researches on pus in case of, 515, 516. 



author's expeniuiMits showing that introduction 

 of septic material into vein causes pus forma- 

 tion, 541. 



relation of suppuration of blood clot to, 541. 



