774 
REPORTS OF CASES. 
very sick* lee badly swollen, respirations accelerated, pulse rapid, 
tempeiatme io6>|°, skin around the ankle white, denuded of 
hair, and quite foetid. The skin could be scraped away from : 
the flesh with the thumb-nail with ease. He moved with dith- 
culty and stood with drooping head in one corner of his t)ox. 
I o-ave him a prescription, composed of quinine, tr. chlo. 
ferri whisky, tr. aconite, and fl. ex. belladonna. ^ Locally I ap¬ 
plied a lotion composed of raw linseed oil, containing 5 per cent, 
of carbolic acid and 2 per cent, of formaldine solution, to be 
repeated three times a day very lightly with the hand, as the 
entire skin covering the ankle could have been stripped from 
the flesh with the least pressure. 
August 25.—Patient in same position, remained standing, as 
he did during the entire course of the disease. The skin about 
the ankle was a little more firm, foetor disappeared, respirations • 
and pulse about the same, temperature 106°. Repeated the pre¬ 
scription of iron, quinine, and whisky, but dropped out the aco- ^ 
nite and belladonna, and substituted in a separate prescription i 
antifebrine in 3-dram doses, every four hours, dissolved in whisky. , 
Changed my local application to an aqueous solution of picric . 
acid, which tended greatly to dry up the secretions. I 
Aiio-ust 26.— Found the local affection better, but the Swell- i 
ing had increased daily until to-day it had invaded the axillary I 
region to quite an extent; temperature 104°, which demonstrated ■ 
the action of the antifebrine. The extreme tension in the axiha j 
led me to suspect that there was an abscess in the axillary glands, | 
and I so informed the owner; continued the same treatment, ^ 
other than adding a lotion, composed of acetate of lead and tr. j 
opii to be applied to the swollen tissues three times a day. 
August 27.—Temperature 105 general prostration more 
marked. I ordered the patient removed from his box, and with 
considerable difficulty got him out into the bright sunlight and 
o-ave him a bath of. tepid water over his entire body, which, com¬ 
bined with a dose of antifebrine, brought the temperature down 
in one hour to 103°. i 
August 28.—General appearance better, but temperature 
1 ^ 
August 29. —Temperature 102°, swelling decreasing through¬ 
out the^leg, but still remained tense and very tender to the touch 
in the axilla. o n f i 
August 30.—Appeared much better, temperature 102 , but | 
diagnosed axillary abscess,—but concluded it was not ready tor 
operation. 
