An Essay on the Application of the Lunar Caustic in the Cure of Certain Wounds and Ulcers   By: John Higginbottom (1788-1876)

Transcriber's Note: Inconsistent hyphenation and archaic spelling in the original document has been preserved. Obvious typographical errors have been corrected. For a complete list, please see the end of this document.

ON THE

LUNAR CAUSTIC.

AN ESSAY ON THE APPLICATION OF THE LUNAR CAUSTIC, IN THE CURE OF CERTAIN WOUNDS AND ULCERS.

BY JOHN HIGGINBOTTOM, NOTTINGHAM , MEMBER OF THE ROYAL COLLEGE OF SURGEONS OF LONDON.

LONDON: PRINTED FOR LONGMAN, REES, ORME, BROWN, AND GREEN, PATER NOSTER ROW . 1826.

T. WHEELHOUSE, PRINTER, NOTTINGHAM.

TO MY BROTHER IN LAW,

MARSHALL HALL, M.D. F.R.S.E.

&c. &c. THIS LITTLE WORK IS INSCRIBED WITH GREAT AFFECTION.

Nottingham, Jan. 6, 1826.

PREFACE.

The following pages are presented to the medical public with very humble pretensions. It is chiefly with the minor accidents or diseases that they have to do; but I shall not consider that I have laboured in vain, if I am enabled to mitigate even these little evils of human life.

In these prefatory observations, however, I would suggest the question whether the caustic may not be employed with benefit even in some of the severer diseases to which the human frame is liable. Indeed I consider the investigation as only just begun, and many other uses of the lunar caustic, besides those detailed in the following pages, have suggested themselves to me.

May not the caustic, for instance, be of greater efficacy, because of greater power and of quicker operation, than ordinary blisters, in some internal diseases?

It is repeatedly stated hereafter, that the application of the lunar caustic is a means, in certain circumstances, of subduing external inflammation. Might it not, on this principle, be of service in the treatment of some of the internal phlegmasiæ?

It may be observed, that the lunar caustic may be regarded, almost without further trial, as an effectual preventive of those cases of irritative fever which arise from local injuries, and probably of the effects of poisoned wounds in general. I would not, however, in the latter cases, fail to render "sure doubly sure" by free excision.

Might not an adherent eschar be easily formed in those cases of compound fracture in which the external wound is of moderate size, so as effectually to exclude the external air and prevent cutaneous inflammation, and in more respects than one, to reduce the case to the state of a simple fracture? This object, if attained, would be important indeed, and I hope the suggestion will be submitted to the most assiduous and cautious trial.

I can have no doubt that the use of the lunar caustic admits of being still further extended; and, as I intend to pursue the inquiry, I hope at some future period to publish something more worthy of the attention of the medical public. In the mean time, the plans hereafter suggested must not be adopted without that degree of care, attention, and perseverance, which are obviously necessary to render them successful.

CONTENTS.

CHAPTER I. PAGE ON HEALING BY ESCHAR 1

I. Of the Adherent Eschar 3 II. Of the Unadherent Eschar 14 III. On the Treatment by Eschar and Poultice 21