922 GREASE. 



limb may be bat lied several days in succession with lukewarm 

 chloride of lime solution, or with carbolic or sublimate lotion, and 

 the diseased spots repeatedly washed during the time the limb is 

 in the bath. 



A surgical dressing is afterwards applied, containing a mixture of 

 creosote and spirit (1 — 6), chloride of zinc (1 — 10), or creolin (5 per 

 cent.). 



Lies, of Brunswick, claims to have had excellent results from the 

 use of sulphuric acid. The parts are carefully cleansed, the diseased 

 surface painted with a mixture of sulphuric acid and spirit (1 — 10, 

 or i — 20), and a dressing, moistened with the same fluid, applied. 

 A little exercise should be given every day ; rest favours the disease. 



Dollar commences treatment with a dose of physic, and restricts 

 the diet to bran, linseed, chaff, and green foods. After applying a 

 very large warm bran poultice containing 2 to 3 per cent, of creolin 

 for twelve hours he recommends washing the parts thoroughly with 

 2| per cent, creolin solution, and carefully drying. The application 

 of water is afterwards carefully avoided, unless thick crusts form. 

 Cleansing is effected with a large handful of clean cotton-waste 

 vigorously applied, and the parts are thoroughly saturated twice a 

 day with a lotion of zinci sulph. and alum varying in strength from 

 5 per cent, up to saturation point. Severe cases with the formation 

 of " grapes " are vigorously cauterised with a hot iron, and the above 

 lotion applied twice daily. Dilute sulphuric acid is only employed 

 in very old standing cases. With this treatment Dollar has had 

 most excellent results. Success depends on regular and vigorous 

 treatment. 



Large " grapes " are removed with scissors, knife, or, better, 

 with the hot iron. The whole surface may then be freely powdered 

 with an astringent substance like iodoform -tannin, dermatol, glutol, 

 amyloform, thioform, or a mixture of zinc sulphate, alum and boric 

 acid, and covered with a surgical dressing. The dressing must be 

 applied with moderate pressure, and renewed daily. Ointments 

 are to be avoided until the surface becomes dry, when it may be 

 beneficial to apply a little red oxide of mercury and paraffin or lanolin 

 ointment. 



Treatment should be continued until the last trace of discharge 

 has disappeared ; the lower parts of the limb must then be kept 

 as dry as possible, and any relapse treated in the above manner. 



Dalrymple recommends a hot poultice of wheat-flour and linseed-meal, 

 to which acetic acid is added as the poultice becomes firm. This is applied 

 for twenty-four hours, the surface of the skin cleansed with a dry cloth, 



