The principles of surgery . al evil is of another kind; mercurial, syphi-litic, or both. The sore is most frequently found in the limbs; especially the lower;and the patients are adults. There is a plu-rality of openings; and subcutaneous commu-nication may or may not exist. The ulceroussurfaces are usually of the weak character ;but may be, incidentally, irritable or discharge is thin and serous : the surround-ing skin is dusky, and slightly swollen; andoften, in the near neighborhood, there arecicatrices, perhaps extensive, where similarsores had formerly been. Pain is considera
The principles of surgery . al evil is of another kind; mercurial, syphi-litic, or both. The sore is most frequently found in the limbs; especially the lower;and the patients are adults. There is a plu-rality of openings; and subcutaneous commu-nication may or may not exist. The ulceroussurfaces are usually of the weak character ;but may be, incidentally, irritable or discharge is thin and serous : the surround-ing skin is dusky, and slightly swollen; andoften, in the near neighborhood, there arecicatrices, perhaps extensive, where similarsores had formerly been. Pain is considera-ble ; the limb is wasted and weak; and thecountenance wears the well-known expressionof that constitutional evil which is the root andorigin of the local malady. Treatment is simple; and mainly constitu-tional. The iodide of potassium is given infull and sustained doses; and ordinary stimu-lant treatment is applied to the weak sores. Under the internal remedy,rapid amendment and cure often take place. But, once healed, the. The cachectic sore. At a,cicatrices ot former ulceration 218 THE INDOLENT SORE. difficulty remains, as in the scrofulous sore—to prevent relapse. Andto meet this indication, constitutional management is again paramount. The principal points of difference between this and the precedingclass of sore, are—the absence of tubercular deposit; the initiatoryinflammatory process a simple one ; the originating presence of themercurial, syphilitic, or mercurio-syphilitic cachexy, instead of thestrumous ; and the absence of necessity for escharotic or otherwise activelocal treatment. 5. The Indolent Sore. This, perhaps the most common of all ulcers, is most frequently foundin the lower extremities, and at a somewhat advanced age. It isinvariably of secondary formation; this condition of confirmed deficiencyin reparative power having supervened on a state of matters widely dif-ferent. The sore may have been at first healthy, then inflamed, perhapsthereafter irritab
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