Modern surgery, general and operative . aper wet with alcohol is placed in the bottomof the tumbler and lighted. After a brief period the glass is inverted and placedupon the skin, which has been dampened with warm water. As the air in theglass cools the tissues rise into the partial vacuum. Wet cups draw blood, and the skin should be cleansed before they areapplied. In wet cupping apply a cup for a moment, remove it, incise orpuncture the skin, and replace the cup to draw the requisite amount of may be made by an ordinary scalpel, a lancet, or a scarificator, a cupbeing then a
Modern surgery, general and operative . aper wet with alcohol is placed in the bottomof the tumbler and lighted. After a brief period the glass is inverted and placedupon the skin, which has been dampened with warm water. As the air in theglass cools the tissues rise into the partial vacuum. Wet cups draw blood, and the skin should be cleansed before they areapplied. In wet cupping apply a cup for a moment, remove it, incise orpuncture the skin, and replace the cup to draw the requisite amount of may be made by an ordinary scalpel, a lancet, or a scarificator, a cupbeing then applied. An excellent scarificator is shown in Fig. 50. In thisinstrument concealed blades are thrown out by touching a spring. BaronHeurteloup devised an instrimient (Fig. 51) in which the incision is made by ascarificator. The blood is drawn out by a pump, the tube being placed uponthe cut area and the withdrawal of the piston creating a vacuum. This instru-ment is the artificial leech. After scarification and the application. Cold in Treatment of Inflammation 97 of the cup. the partial vacuum draws blood into the cup: when the woundscease to bleed the cup is removed, and if further bleeding is thought desirable,the clots are wiped away and the cup is again appUed. and after its removalwarm fomentations are used. Wet cupping is of value in pleuritis. pericarditis,and nephritis. Cold is a powerful and useful agent if used judiciously and appliedat the proper time. It is valuable because of its reflex effect upon the vesselsof the inflamed area rather than becaiise of direct action upon the cells of apart. It shoifld only be used early in the case, that is, before stasis occurs. Itis not to be used in the later stages of inflammation, for it vriti. then only ag-gravate the existing state; in fact, when there is considerable exudation colddoes actual harm. Cold acts by constricting the vessels of a h}-peremic area, thus lesseningthe amount of blood sent to the part
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery