70 ANTISEPTIC TREATMENT OF WOUNDS. 
a suitable nutritive medium for vegetable life substances. Be- 
sides, the iodoform, when coming into contact with granu- 
lation, produces vigorous antiseptic effects. 
Where it is necessary to dry up a wound surface effectually, 
that is, to restrict exuberant granulation, I do not know of 
a better remedy than iodoform sugar, considering the, de- 
mands of antisepsis. In case of necessity, I have used also 
pure sugar with the same result. ; 
The iodoform tannin I used for healing purposes under the 
dry scab only, for if the discharge has a synovial character, 
the sugar is not capable of coagulating and drying up the great 
quantity discharged. Here iodoform tannin is more effectual. 
(4) In all cases in which we can neither apply a bandage 
nor succeed in bringing on a scab healing, we have to resort 
to “the open wound treatment” in a closer sense of the word. 
However, as I mentioned above, I very frequently succeed in 
healing wounds under the dry scab, and only in such wounds 
of the trunk, which are either located in the vicinity of the - 
natural body openings or are bruised wounds, and as such 
have to cast off first all necrotic parts, or are such which, on 
account of strong unavoidable movements, do not permit scab 
formation, do I resort to open treatment of wounds. 
The antiseptic treatment of such wounds is as follows: The 
wound as well as vicinity is freely rinsed and carefully cleansed 
with a I per cent. sublimate water solution, and then the sur- 
face is thinly covered with powdered iodoform. For the latter 
manipulation I prefer to use rubber ball syringes such as 
are used for spraying insect powder. They are practical, and 
on account of their cheapness are preferable to the expensive 
iodoform sprays. 
Now there is only left for us to discuss the conditions which 
would indicate the adoption and use of any of the above meth- 
ods, but we have to restrict ourselves to the general indications 
which are mentioned before, when the different methods were 
separately discussed, as we are often compelled to transgress 
from the original to another mode of treatment during the 
process of healing of some wounds. 
