REMOVAL OF CALK-BOIL BY LIGATURE. 
123 
pears bluish-red, soft and flexible. Adjacent tumefaction dimin¬ 
ished. The movement of the extremity stiff. 
Jan. 27.—Gait still impeded. The remainder of the connect¬ 
ing medium of the tumor and its abode is about one-fourth, 
around which the cord is drawn closer. 
Jan. 29.—The one-inch pedicle on which the abnormal growth 
now hangs is cut in two, after giving it another and last strangu¬ 
lation with a silken cord. 
The separated compact tumor weighed 2J pounds. The 
wound surface, measuring fully eight inches in diameter, was cov¬ 
ered with a protuberance of about inches or more of super¬ 
abundant granulations, which developed in less than thirty-six 
hours, and was not very promising for a speedy cure, so that the 
owner intimated that the second crop would not fall short of the 
first. However, the most sanguine hopes were realized. A con¬ 
centrated solution of carbolic acid was applied every four hours 
on the fungoid formation. 
Feb. 5.—The luxurious growth was under control. The rest 
of that auconseous appendage was cut off, which bled a trifle. 
Swellings on some of the pectoral muscles subsided ; gait normal. 
March 1.—The wound surface was even with the skin. The 
circumference diminished to about one-third. Phenylic acid and 
liq. ferri. sesquichlor. had thus far been applied alternately. From 
now on until cicatrization was accomplished, some time in May, 
villate solution was used. 
Now that the hair is long, no one would notice the insignifi¬ 
cant smooth and soft scar, unless attention was called to it. 
I am not prepared to determine the effect of the cold fermen¬ 
tations, but the inflammatory reaction was not as severe as ex¬ 
pected. 
Whether there is any advantage in taking an elastic ligature 
for this purpose, I do not risk to judge from this single experi¬ 
ment. Reliable authorities—Prof. JDieckerhoff and G. W. 
Schrader—in giving their experiences on this special subject, rec¬ 
ommend the common hemp string, by whieh they attained excel¬ 
lent results. 
As soon, however, as opportunity offers (1 have been looking 
