102 
E. H. SHEPHARD. 
original shape, the line of lymphatics to the shoulder were 
terribly enlarged, and the hand and lower arm had assumed a 
leaden hue which, with the constitutional symptoms, indicated 
the probability that amputation might soon be necessary 
to save his life. However, it "was resolved to use the 
hyposulphite, and note its effect if any. Gr. xv were adminis¬ 
tered every four hours and by the following day a preceptible 
change for the better could be seen, and on the second day 
considerable hope was given that the arm could be saved. 
The fourth found him to all appearances out of danger and he 
rapidly made a complete recovery. 
Another, still more serious, was the case of a man 
whose foot had been crushed down at the instep by the 
wheel of a heavy wagon and in hopes of saving it am¬ 
putation had been delayed until almost before they 
realized the fact, it had become putrid. The limb was 
terribly swollen and pressure upon it, even as high as the 
thigh, would cause a fetid discharge to issue from the opening 
below. And after amputating just above the ankle, two large 
pus cavities were tapped above the knee and three below, to 
get sufficient drainage fo'r the purulent matter that was fast 
accumulating. Every one who saw it thought there was 
little chance for the remainder of the leg or the patient’s life, 
as he was much wasted and very weak. However, my friend, 
who was called in consultation, persuaded them to rely on the 
soda, which they did with very gratifying results, saving the 
patient’s life and the remainder of the leg. 
In numerous cases of wounds large and small where there 
was much discharge I have used this agent, and cannot com¬ 
pute the good it has done me. In the results of a runaway 
accident one horse had a wagon-tongue thrust into his neck 
just beneath the third cervical, passing through to the skin of 
the opposite side and in his efforts to escape, muscles, trachea, 
oesophagus, arteries and veins were stripped of their attach¬ 
ments and hung dangling like so many sections of slack rope ; 
one wing of the atlas was fractured and a large pocket opened 
below along the lower surface of the vertebras and behind the 
inferior cervical muscles. The depression of the head parti- 
