The principles of surgery . atory disintegration of a part previouslyunbroken in its surface (pp. 177 and 190). The discharge is thick,creamy, easily detached from the granulations, almost inodorous, nottoo profuse ; in fact it is laudable pus. The granulations are numerous,small, acuminated, florid, sensitive, vascular ; if touched at all rudely,they bleed and are pained; the blood is arterial, neither profuse, norabnormal in quality; and the pain is but the just appreciation of injurydone to a healthy part, not the extreme and persistent nervous impres-sion of morbid irritation. The general
The principles of surgery . atory disintegration of a part previouslyunbroken in its surface (pp. 177 and 190). The discharge is thick,creamy, easily detached from the granulations, almost inodorous, nottoo profuse ; in fact it is laudable pus. The granulations are numerous,small, acuminated, florid, sensitive, vascular ; if touched at all rudely,they bleed and are pained; the blood is arterial, neither profuse, norabnormal in quality; and the pain is but the just appreciation of injurydone to a healthy part, not the extreme and persistent nervous impres-sion of morbid irritation. The general sensation in the part, when notinjured, is slight tenderness, or a feeling of rawness, rather than actualpain ; not unfrequently, a sensation of itching is present, to an extenteven troublesome. The granulations, when brought to a level with thesurrounding skin—partly by subsidence of this from the state of inflam-matory engorgement, partly by their own elevation—remain at that TREATMENT OF THE SIMPLE SORE. 209 Fig. The healthy sore; in pro-cess of cicatrization. Pelli-cle of new skin representedround the margin. level; and the process of cicatrization is forthwith begun. At this stage,the integument surrounding the granulating sur-face has a slight tumescence ; and is a little morered than in ordinary health, being more free margin is fringed by the growing pellicleof the advancing cicatrix; usually paler than theoriginal skin. If the granulations are long un-covered, except by pus—whether on account ofthe large extent of granulating surface, or anyother circumstance tending to protract cicatriza-tion—the almost inevitable result is a degenerationin the character of the ulcer; which comes moreor less to resemble the second class, whose cha-racteristic is debility. This circumstance is verymuch affected by situation ; the nearer to the centreof circulation, the more rapid is cicatrization, andthe less the tendency to degenerate. A sore on the leg is sl
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