QUITTOE. 953 



smarting is produced by the caustic agent ; but in a brief space of 

 time that j)asses, and signs of ease are manifest. On examining 

 the foot in as short a time as four hours after the operation, I have 

 found the tumor sensibl}^ subsided, and all the symptoms favorable. 

 We have been in the habit (members of my family used this excel- 

 lent remedy before me) of repeating the injection of the prepara- 

 tion a second time after the lapse of twelve to twenty-four hours, 

 and again, after a similar interval, a third time. And this general 

 rule seems to me to recommend itself, and admit of explanation in 

 this way: At first all the structures are so engorged that the agent 

 cannot be forced through the morbid deposit; but, in proportion as 

 the diseased structures are reached, they are destroyed, and shrink, 

 and in each succeeding application the fluid caustic is pressed 

 round the withered, wasted substance, until the whole comes aAvay 

 in the space of a week or little more, when the cure is far ad- 

 vanced, and thereafter rapidly effected. This represents the prog- 

 ress of a good cure. Sometimes the application has to be repeated 

 several times, at intervals of tAVO or three days ; but where delay 

 is essential, I diminish the activity of the preparation by adding a 

 double portion of spirit." 



The following- treatment for quittor, was given the writer by 

 one of the most successful practitioners in the country, who claims 

 it will cure any case, in fact, leaving nothing to be desired when 

 used properly: — 



•'In the first stage of quittor inject into every part carefully 

 two or three times a day the following lotion: — 



h ounce corosive sublimate, 

 2 drachms Goulard's extract, 

 4 ounces alcohdl. 



•'•'After the fourth day inject twice a day equal ])arts of the 

 following mixture: — 



2 ounces potassa chloras, 

 1 ounce potassa permanganas, 

 g ounce acid hydrocliloric, 

 8 ounces water. 



" This is a splendid thing for quittor, and also fistulas withers. 

 Of late, 1 have great success with it." 



A bar or three-quarter bar shoe, should be used for some time, 

 and the diseased quarter cut down to keep it from pressure ; and 

 in the course of time the foot will become useful, if not sound. 



