Grease. Seborrhcea of the Digital Region. . 527 



acid, tincture of iodine and glycerine may be employed. When 

 one agent seems to be losing eifect, it is well to change for an- 

 other and never to neglect the regular dressing, until full recovery 

 has been secured. 



In case of grapes the actual cautery is the most efficient 

 measure. Heat a blacksmith's fire shovel to a bright red and 

 use this to cut through the pedicles, a cool shovel being kept 

 constantly beneath it and in contact with the pedicles, so as to 

 protect the adjacent skin from injury by the radiated heat. The 

 lower shovel must be dipped in cold water at very frequent in- 

 tervals to cool it and prevent cauterization of the skin between the 

 pedicles. This not only removes the diseased and infected 

 masses, but leaves the stumps of the pedicles aseptic. Another 

 method is to cut off the ' ' grapes ' ' and staunch the blood with 

 the acutal cautery at a dull red heat. Still another is to tie the 

 pedicle of each excrescence separately so as to cut off circulation 

 and secure sloughing. This is, however, a long, tiresome pro- 

 cess, and entails prolonged contact with much infecting dead 

 tissue. After any method the parts must be dressed with an- 

 •tiseptics, and dealt with generally like cases in which the ex- 

 crescences had not formed. 



