The Indianapolis journal. [volume] (Indianapolis [Ind.]) 1867-1904, 1885-05-14

marked intermission in the fever which was
nearly always of . low grade am we'll aware
that writer's have regarded milk-sickness as only
| modification of our malarial fevers, but from
my experience think IL arises from some cause
entirely different from that Of malaria.
assisted in making three post-mort-
ems: In each we found infiam-
| nation Of the pyloric portion Of the stomach;
also Inflammation of the mucous membrane Of
| the duodenum. The remainderof the aimentary
canal-the liver. spleen and kidneys, presented
no remarkable appearance OF disease. For the
| last twenty years / have not heard of o we'll
marked case Of milk sickness in this section,
where at one time the disease was common
Neither have heard of any cattle dying OF the
trembles-" The country has since been cleared,
the ground cultivated, and ilksickness and the
"trembles" have entirely disappeared. The land
which was once deprecated in value on account
ditonal evidence that the removal Of the forests
in many localities, so far from being an evil, is
conducive 10 health.
Dr. Catch, Of Lawrenceburg, read q brief
account OF an epidemic Of spotted fever and
diphtheria. Papers were read by DR. L. II.
Dunning, OF South Bend, on "Emmetts Opera
ton for Laceration of the Cervix Uteri;" By Dr.
Mary Thomas, of Richmond, on Post Parteln
Hemorrhage," and Drs j. F. Hibberd, Of Rich
| mond, and Moses Baker of Stockwell. on the
same subject. DR.. George J. Cook, Of Indian.
apolis, on Excelsior of Cancer OF the Rectum.
EVENING SESSION.
At the opening of the evening session DR.. W.
Fl. Myers, of Fort Wayne read practical and
exceedingly interesting paper on "Ganglions'
DIR. George F. Chittenden, of Anderson,
read paper describing the treatment
Of recent case Of compound dislcca-
ton of the knee joint-a very meritorious paper.
DR.. Joseph Eastman. Of Indianapolis, read
paper on Abdominal Surgery" citing the treat
ment Of number of interesting cases. This
was valuable contribution to the branch of
surgery of which it treated
Under suspension of the rules, DR.. j. F.
Hibberd, of Richmond. presented paper on the
Local Treatment of Carbuncle." The Doctor
said that at the recent meeting OF the American
Medical Association at New Orleans he had
heard Dr. L. ID. Buckley, of New York, read q
paper on the treatment of carbuncle without
incision. He had listened with pleasure and
profit to the dissertation which, in its general
features, was in accord with his own views long
entertained, as to the value of treatment by
incision, but as he (Dr Hibberd, had had new
experience in the local treatment of these pain
full and exasperating tumors within the last
twelve months. with a preparation to which DR..
Buckley had made no allusion, although exactly
in line with his advanced views of
| the best management he ventured
| to make plain statement of this
experience. 'The application 1 desire to call
attention TO is the oeate of morphia. On the
L.
man of general good health about sixty years
| old, applied to me for painful swelling on his
| neck to the left of the ligamentum nucha, lit
| tie below the line of hair. 1t had begun an
| irritable pimple, but had enlarged and for about
| four days mad been very painful, rendering all
| motion Of the head matter Of suffering The
swelling was now an elevation of over an inch in
diameter of hard, DOGGY feel and dull purpish
color-in short, carbuncle apparently approach
| ing suppuration. There were also three smaller
ones in forming stage near its lower and outer
| border, and there was already considerable
constitutional disturbance. Telling my patient
| that he had a carbuncle, and was likely to have
| several weeks of great local suffering and much
general depression, gave him some oleate of
morphia, with careful instructions how to apply
| it, expressing the hope that it would do some
| thing to mollify the pain if nothing more. This
did because of my experience in alternating the
| painful conditions of the skin, and simultaneous
tissue with this prepar alton of morphia. 1t was
| also to be applied to the noduies forming near
the principal swelling. The patient returned
| the next day and quite to my surprise and graft
| fication said that nearly all pain had ceased in
the larger tumor, all was gone from the smaller
| ones, and the soreness and stiffness of
| the neck had greatly diminished On ex-
| animation the smaller tumors were shrunken
and no longer irritable, and the larger one had
Lost something of its DOGGY feel, was apparently
smaller, was but slightly sore and the skin over
| it was more natural in appearance. The appli
cation was continued and at the end of three
1
| the smaller tumors had disappeared and the
| larger one had the characteristics OF q callous
/ indurated swelling under the skin, about half
| the dimensions of the original tumor, and this
/ absorbed In about q week more. Two or three
months afterward the patient had another dis
| turbance near the same spot beginning in an
| irritable pimple as the former one had begun,
| but o few applications of the Same remedy,
applied by my direction, arrested all further
/ development" The doctor detailed another case,
that man eighty six years old. Mr. g., to which
| similar treatment was given, and which resulted
| in cure.
| The paper concludes: mo constitutional treat
| ment has been mentioned in connection with
! my cases of carbuncle. Not because such sreat.
| ment is deemed unimportant, but because in the
| first place, my cases recovered SO rapidly there
| was little room for general treatment and Sec
ondly, am only calling attention to a special To-
cal treatment, and prefer to leave every practi-
! toner to his own ideas of constitutional rene
| dies. The oleate used is 10 per cent. of morphia
and the direction was to take drop on the bulb
| of the finger and spread over the surface of the
earbuncle, as far as it would 60, and then take
| another drop and apply to the additional
surface. In the case of Mr.. G. two drops COW
| cred the surface and little circle around the
margin. This should then be rubbed in by
/ gentle, by increasingly firm friction, until the
| oleate disappears into the skin. This process
| should be repeated every three hours until relief
| or the constitutional effect of the morphia is
| apparent. Each minim. of the oieate contains
the tenth of grain of morphia, aud in the case
! of the last patient he rubbed in the fifth of a
| grain of morpha every three hours with local
| relief from pain and general constitutional COM
| fort"
After brief discussion of this interesting
paper the convention adjourned to meet at $50
| o'clock this morning
ECLECTIC DOCTORS.