Practical podiatry : . chronic ulcer of the foot(before operation) bichloride of mercury (varying in strength from 1 to 3,000to 1 to 10,000); (7) lead and opium wash (); (8)Dakins solution (hypochlorite of soda). After the reduction of the inflammation, the next stepis the cleansing and sterilization of the ulcer. Beforehealthy granulations can form, the removal of sloughs andthe cleansing of the base must be accomplished as thor-oughly as possible. Many means toward this end may beeffective, A one-half to two per cent, creolin or lysol emul- ULCERS 319 sion is very useful for those dirt
Practical podiatry : . chronic ulcer of the foot(before operation) bichloride of mercury (varying in strength from 1 to 3,000to 1 to 10,000); (7) lead and opium wash (); (8)Dakins solution (hypochlorite of soda). After the reduction of the inflammation, the next stepis the cleansing and sterilization of the ulcer. Beforehealthy granulations can form, the removal of sloughs andthe cleansing of the base must be accomplished as thor-oughly as possible. Many means toward this end may beeffective, A one-half to two per cent, creolin or lysol emul- ULCERS 319 sion is very useful for those dirty ulcers from which a pro-fuse, foul discharge escapes. A one per cent, solution offormalin is of great value for smaller ulcers, especiallythose due to tuberculous disease. The destruction and re-moval of sloughs may be hastened by cauterization with thesolid stick of nitrate of silver. The use of certain ferments,. chronic ulcer of the foot(after operation) such as brewers yeast, papoid, or protonuclein, may help toclean up a chronic ulcer. The most frequent means em-ployed for the cleansing and sterilization of the ulcer, pre-vious to the application of some stimulating dressing, iswashing the part with tincture of green soap and of hydrogen can next be used, then sulphuricether, and finally ninety-five per cent, alcohol. Where thereis an accompanying eczematous condition, the scales canbest be removed with benzine. Having reduced the inflammation and succeeded incleansing the ulcer, the next thing to consider is the meansby which granulations may be stimulated. This may beaccomplished by applications in the form of powders, solu-tions, ointments and grafts. Dusting powders are employed either as antisepticsor as astringents or for both purposes. Their use in this 320 PODIATRY instance is limited, and they are employed only where thesecretion is scanty. Among the various powders
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