Treatment. — If the bleeding be traced to some derange- ment or congestion of the liver, it should be treated according to the directions laid down for vomiting in bilious disorders, and the treatment directsj^d for chronic biliary disorders. If it have been preceded by dyspepsia, pain in the pit of the stom- ach, or other signs of disorder of that organ alone, without much general derangement of the health, it is to be feared that the bleeding, may proceed from an ulcer within the stomach perforating a blood-vessel. In this case, ice should be given, and very little else, at the time, except it be some astringent medium — e. g., fixe or six grains or gallic acid or tannin every four hours, with a drachm of epsom salts, since an aperient may be useful to clear away what blood may have passed into the bowels. In these cases of bleeding from the stomach the curative treatment is dietic. Milk alone should be allowed for a few days. After four or five days, some white of egg may be stirred up in the milk, and this should constitute the sole diet for two or three weeks. At the end of this time, small quantities of whiting, or some other white fish, may be allowed. The longer this diet can be maintained, the more 302 MEDICINAL. sure the result. A return to ordinary diet must be very gradual, and by taking carefully of poultry or well-cooked mutton. Boils and Carbuncles. — Symptoms. — Boils are distinguish- able from carbuncles by their smaller size, by their conical shape, inflamed base, and tendency to form matter at the point. Be- neath the matter is a portion of dead tissue or " core." Carbuncle is a large and flattened compound boil, without the tendency to present a conical point. A carbuncle tends to form matter, and opens at various parts of its surface. At these points the skin gives way, presenting a riddled aspect, gradually running into one sore. The inflamed base of a carbuncle extends wider than that of a boil, and has a harder feel, resembling, indeed, the consistence of brawn. Treatment. — A small boil requires no treatment beyond protection from friction, by diachylon or soap plaster. If, how- ever, it be large, inflamed, and painful, water dressing or warm poultices should be applied, until the core has sloughed out. It should then be dressed with zinc ointment. A carbuncle should, in the first instance, be kept well covered with the water dressing protected by oil silk, until the surface begins to give way, and presents numerous small, yellow points of matter; it should then be dressed with strips of lint smeared with the yellow basilicon ointment, covered outside with linen, mois- tened with Condy's fluid or carbolic oil, if there be any offen- sive odor. After the slough of dead tissue beneath the skin has separated, the sore may be dressed with zinc ointment. The diet should be full and nutritious, with a moderate allow- ance of stimulants. The medicines that will be useful will be quinine, compound tincture of bark, muriated tincture of iron, etc.

AI-modernized reading of the original text

Treatment. — If the bleeding be traced to some derangement or congestion of the liver, it should be treated according to the directions laid down for vomiting in bilious disorders, and the treatment directsj^d for chronic biliary disorders. If it have been preceded by dyspepsia, pain in the pit of the stomach, or other signs of disorder of that organ alone, without much general derangement of the health, it is to be feared that the bleeding may proceed from an ulcer within the stomach perforating a blood-vessel. In this case, ice should be given, and very little else, at the time, except it be some astringent medium — e.g., five or six grains of gallic acid or tannin every four hours, with a drachm of epsom salts, since an aperient may be useful to clear away what blood may have passed into the bowels. In these cases of bleeding from the stomach the curative treatment is dietic. Milk alone should be allowed for a few days. After four or five days, some white of egg may be stirred up in the milk, and this should constitute the sole diet for two or three weeks. At the end of this time, small quantities of whiting, or some other white fish, may be allowed. The longer this diet can be maintained, the more sure the result. A return to ordinary diet must be very gradual, and by carefully taking of poultry or well-cooked mutton. Boils and Carbuncles. — Symptoms. — Boils are distinguishable from carbuncles by their smaller size, by their conical shape, inflamed base, and tendency to form matter at the point. Beneath the matter is a portion of dead tissue or " core." Carbuncle is a large and flattened compound boil, without the tendency to present a conical point. A carbuncle tends to form matter, and opens at various parts of its surface. At these points the skin gives way, presenting a riddled aspect, gradually running into one sore. The inflamed base of a carbuncle extends wider than that of a boil, and has a harder feel, resembling, indeed, the consistence of brawn. Treatment. — A small boil requires no treatment beyond protection from friction, by diachylon or soap plaster. If, however, it be large, inflamed, and painful, water dressing or warm poultices should be applied, until the core has sloughed out. It should then be dressed with zinc ointment. A carbuncle should, in the first instance, be kept well covered with the water dressing protected by oil silk, until the surface begins to give way, and presents numerous small, yellow points of matter; it should then be dressed with strips of lint smeared with the yellow basilicon ointment, covered outside with linen, moistened with Condy's fluid or carbolic oil, if there be any offensive odor. After the slough of dead tissue beneath the skin has separated, the sore may be dressed with zinc ointment. The diet should be full and nutritious, with a moderate allowance of stimulants. The medicines that will be useful will be quinine, compound tincture of bark, muriated tincture of iron, etc.

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