196 GEEASE. — CHAPPED HEELS. 



cause of irritation to the limbs: — 1st, the obstinacy of the 

 disease, or where it remains in spite of all ordinary treatment 

 of a local nature ; 2nd, unthriftiness of the skin ; 3rd, irregu- 

 larity of the appetite ; and 4thly, where the appetite is enormous, 

 accompanied with a gross state of the system. 



ExTEETTAL Eemebies. — Prior to the application of a 

 remedy externally, remove the hair carefully from the sores and 

 cleanse them well with tepid water and soap. The external 

 remedies comprise Poultices, hot water Bandages, Fomenta- 

 tions, Lotions, and the application of Balsam of Sulphur. 



Poultices. — Of poultices we have previously treated upon 

 at pages 149 to 155. The simple form of Grease wUl perhaps 

 require little else than the application of warm water bandages, 

 or warm bran poultices to the limb, together with the exhibition 

 of a mild purgative ball. 



During the ulcerative stage, however, yeast poultices are 

 indicated ; they are necessary when the fissures in the affected 

 limb are large, the fleshy growths angry looking, and the dis- 

 charge abundant and highly offensive.* Charcoal poultices are 

 also indicated at the commencement of the ulcerative stage of 

 the disease. 



fomentations. — "Warm water fomentations will be beneficial 

 at the commencement of the simple and ulcerative forms of the 

 malady. Place the affected limb once or twice a day in a 

 bucket of warm water, or soak a woollen bandage in the water 

 and fold it around the limb, and afterwards fold a dry bandage 

 above it, so as to retain the heat and moisture of the wet one 

 as long as possible. 



* For instructions with regard to the making of yeast and charcoal 

 poultices, see page 151. 



