Excerpt from The Monthly Abstract of Medical Science, Vol. 1: A Digest of the Progress of Medicine and the Collateral Sciences; Being a Supplement to the Medical News and Library; July to December, 1874
In hyperplastic granular synovitis (white swelling) of the knee, the injections are made at the most central part of the joint, so that the needle touches its surfaces. The result is abatement of the pain, falling of the evening tempera ture, which had been persistently high, and distinct reduction of the swelling. The injections must be repeated at intervals of two or three days, according to the chronicity of the disease.
In subacute glandular swellings having a tendency to suppuration, and in inguinal and femoral buboes, the injection leads to abatement of the pain, redness and oedema; while the glands become reduced in bulk. It is some times necessary to repeat the injections several times before the cure is complete.
In acute phlegmon of the subcutaneous and subfascial connective tissue, the injection is made at the periphery, as it may be calculated that the lymphatics will carry the remedy towards the centre when the phlegmon is extensive, two injections are made at different points. The result is to produce contraction of the tissue in a few hours, with cessation of the pain. Recovery takes place without suppuration, even if this, though imminent, have not already appeared.
In traumatic erysipelas, Dr. H'uter makes an injection at different points along the edge, so as, for instance, to prevent the erysipelas from spreading from the forehead to the hairy scalp. He has, however, not yet ventured to treat the. Entire circumference of the erysipelas with numerous injections, so as to cut it short. Dr. Wilde of Plan has also recorded some successful cases of treatment of subcutaneous erysipelas by the injection of sulphocarbolate of soda.
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