See Sprains.
Buboes.
Often subside under a non-stimulant diet, perfect rest in the recumbent posture, and the continued application of Sal Ammoniac Lotion (332), the bowels being at the same time carefully regulated. Should matter form, treat as Abscess (which see). Should ulceration result, apply Borax Lotion (59), Resin Ointment (372), &c., as advised for ulcers. "Buboes, especially of the groin, when not in an inflamed condition, are often immensely benefited by having a smooth stone of two pounds weight or thereabout, laid over them; this rapidly causes absorption." (Dr. Aitchison.)
Burning of the Feet in Natives.
Apply Henna or Mhíndí Poultice (197) locally, and try Bromide of Potassium, 5 to 10 grains dissolved in water, twice or thrice daily.
Burns and Scalds.
As soon after the accident as possible, apply freely to the whole of the burnt surface Lime Liniment (229), or in its absence Jinjili Oil (337), or any other bland oil, dusting thickly over with Rice Flour; or even with simple Rice Flour without any oil as directed in paragraph 322. The object in each case is to prevent, as far as possible, the access of air to the burnt surface. These first dressings should remain undisturbed for at least twenty-four hours, and should then be repeated in the same, or in a modified form. Subsequent ulcerations should be treated with Ceromel (167) or Resin Ointment (372). Carbolised Oil or Liniment is advocated by Dr. Aitchison. Dr. A.'s directions are as follows: "Employ a Liniment of Carbolic Acid, one part Acid to 15 of a sweet Oil, carefully mixed; apply this freely over the burnt or scalded surface, cover the whole with a thick piece of cotton wool, and apply a bandage over all. On no account change the cotton dressing unless there is any disagreeable odour. If the dressing is becoming dry and thus causing irritation, take off the bandage and moisten cotton wadding thoroughly with the same Liniment without moving it. On no account allow water to come in contact with the injured part." The treatment of very extensive burns of the lower limbs with carbolic acid is considered to be prejudicial, but not so of the upper extremities. Should the injured surface be extensive, the constitution should be supported by liberal diet, tonics, and stimulants, as Brandy Mixture (426) at stated intervals. Any great restlessness or excessive pain may require a dose of Opium at bedtime (283). N.B.—Whenever the burn is in the neighbourhood of the joint, or in the neck, it is important that the parts should be kept in a straight or stretched position, otherwise contraction is apt to result during the healing process.
Cancer.
To relieve the pain and restlessness, give Opium (283) or Tincture of Datura (128). To correct the fœtor of the discharge, apply relays of Charcoal Poultices (91), cleansing the ulcer each time the poultice is changed with Borax Lotion (59). N.B.—On the smallest suspicion of a cancer forming, no time should be lost in placing the case under regular medical care.