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Excerpt from The London Medical and Physical Journal, 1827, Vol. 57
The treatment best suited to this formidable affection, (which, if adopted in time, seldom fails to arrest its progress) is the one which has been recommended by Mr. Copland Hutchison, in a paper published in the medico-chirurgical Transactions; to the real merits of which I can bear most ample and satisfactory testimony. This treatment consists in making very free longitudinal incisions, if possible before suppuration has taken place, through the swollen in¿amed integuments down to the fascia or muscles. The vessels of the skin should be allowed to bleed freely, and even encou raged by warm fomentations; the limb should then be enve loped in a warm bread-and-water poultice. A large dose of calomel, antimony, and Opium, should be administered; and after some hours the patient should be freely purged with senna and salts, or some other active aperient. If the inci sions be made sufficiently large and deep, the relief is very speedy, and it is seldom requisite to repeat them. In a few hours I have witnessed the subsidence of tension and pain, the nervous system tranquillised, and the secretions restored.
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