The Treatment of Carbuncle in the Out-Patient Department
نویسنده
چکیده
The introduction of autohsemotherapy in the treatment of carbuncle has given very good results in my hands, much better than the old method of surgical treatment. The technique consists of injection of the patient's own citrated blood, the amount depending on the area affected, usually about 10 to 20 c.cm. each time, starting about half an inch within the extreme margin of induration and injecting gradually as the needle is pushed towards the centre of the carbuncle till some blood wells out of the small openings over the carbuncle. About four lines are so treated each time. The patient gets about two to four such courses. In addition ordinary boric or saturated magnesium sulphate compress is applied to keep the part free from the foul pus discharge. This method of treatment is usually done on Patients who can be kept under control in the judoor wards or in private houses. But it can be carried out on out-patients who probably visit twice or thrice a week, and in this fact the 1]iterest of this article lies. / This method has been tried with very good ' results on many patients who consented to be treated as out-patients. After one injection the induration becomes less, the swelling localized and discharge of pus free and thin and not like thick sloughs. The pain is much less or disappears entirely and one can sleep well. After two or three injections the whole part becomes covered with red granulations underneath and in most cases the overlying skin is not dead. It was found that this method certainly cuts short spread of the disease and also lessens very much the period of convalescence. Carbuncles of various sizes from 10 inches in diameter to 2 inches in diameter were treated.
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