. Minor and operative surgery, including bandaging . e skin andan air-pump is attached, and as the air is exhausted in thecup the congested integument is seen to bulge into thecavity of the cup. When the exhaustion is complete thestop-cock is turned and the air-pump is disconnected, thecup being allowed to remain in position for a few minutes,and is then removed by turning the stop-cock and allowingair again to enter the cup. This procedure is repeateduntil a sufficient number of cups have been applied (). 142 MINOR SURGERY. In cases of emergency, when the ordinary cupping-glasses and a
. Minor and operative surgery, including bandaging . e skin andan air-pump is attached, and as the air is exhausted in thecup the congested integument is seen to bulge into thecavity of the cup. When the exhaustion is complete thestop-cock is turned and the air-pump is disconnected, thecup being allowed to remain in position for a few minutes,and is then removed by turning the stop-cock and allowingair again to enter the cup. This procedure is repeateduntil a sufficient number of cups have been applied (). 142 MINOR SURGERY. In cases of emergency, when the ordinary cupping-glasses and air-pump are not available, a very satisfactorysubstitute may be obtained by taking a wineglass andburning in it a little roll of paper, or a small piece oflint or paper wet with alcohol, and before the flame isextinguished rapidly inverting itupon the skin; or the air may beexhausted by the introduction, for amoment or two, of the flame of aspirit-lamp into the cup. Appliedin this manner, cups will draw aswell as when the more complicated Fig. Cupping-glass and air-pump. Scarificator. apparatus is used; and when they are to be removed, it isonly necessary to press the finger on the skin close to theedge of the cup until air enters it, when it will fall dry cups do not remove blood directly, thereis often an escape of blood from the capillaries into theskin and cellular tissue, as is evidenced by the ecchymosiswhich frequently remains for some days at the seat of thecup-marks. Wet Cupping.—When the abstraction of blood as wellas the derivative action is desired, wet cups are resortedto, and here it is necessary to have a scarificator as well asthe cups and air-pump (Fig. 128). Before applying wet cups, the skin should be washedcarefully with bichloride or carbolic solution, and the LEECHING. 143 scarificator should also be sterilized by boiling. A cupis first applied to produce superficial congestion of theskin : this is removed, and the scarificator is appl
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