ON MONESIA. 
61 
tre was ulcerated, and covered with a thick crust, which, ac- 
cording to the patient's report, was renewed every two or 
three days. 
I began by sprinkling the acrid principle of monesia on the 
small sores of the finger. After some days' dressing, the 
swelling of the soft parts began to diminish, and at the end of 
about twenty days, the fistulous openings entirely closed. The 
diseased tissues at the back of the hand then ulcerated, and 
the acrid principle being employed as above mentioned, in a 
few days a cure was effected. There remained only the sore 
upon the elbow, which had been purposely dressed with ce- 
rate. It continued to suppurate, and to be covered from time 
to time with a fresh crust. 
The patient was in this state when I presented him to Dr. 
Bailly, who had been commissioned by the Academy to re- 
port on the effects of monesia. The affection appeared to him to 
be evidently scrofulous, and the result obtained to be very satis- 
factory. The disease, however, soon reappeared; the fistula 
of the finger began to suppurate again; there was swelling and 
livid redness of the soft parts, with engorgement and indura- 
tion of the back of the hand; the sore on the elbow became 
larger and deeper. The patient now entered the hospital of 
St. Louis, where he had internal medicines as well as fumiga- 
tions, sulphurous baths, &c. In a month, he came out, with 
the diseased parts in a worse state than ever. I now pre- 
scribed the internal use of monesia — namely, twelve pills, each 
containing 20 centigrammes (3£ grains,) and two spoonfuls of 
the tincture. The sores were dressed with common cerate. 
Under this treatment, the patient was cured in thirty-five 
days. Nevertheless he continued to take five pills a-day, till 
the fiftieth day. 
Since July, the diseased parts have been constantly improv- 
ing, and a lasting cure may be hoped for. It is right to state, 
that in this case the preparations of monesia did not cause 
tenesmus or constipation, although the patient did not employ 
any purgative; the only thing he complained of, was too 
much appetite. 
