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Vol. 60, 1909 - University of North Carolina at Chapel Hill

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ORIGINAI, COMMUNICATION. 155<br />

diments like pepper and salts, sauces should which there is much tendency to moisture<br />

be absolutely interdicted. This is especially as in the pustular, and vesicular eczemas<br />

true in regard to alcoholic beverages. I Lassar's Paste is better than the zinc oxide<br />

don't suppose there was ever a case <strong>of</strong> Ungt. Being a paste it allows the discharge<br />

eczema cured where the p<strong>at</strong>ient indulged in to percle<strong>at</strong>e through it. It is made as folalcohol.<br />

I have seen cases <strong>of</strong> diffuse indu- lows:<br />

r<strong>at</strong>ed aczema <strong>of</strong> tlie scrotum get entirely R<br />

well, and one glass <strong>of</strong> beer cause it to return Zinc Oxide,<br />

in one night, with increased severity. So Amyli a 2 drachms<br />

alcohol is to be let entirely alone in tre<strong>at</strong>ing Vaseliuil 2 oz.<br />

this malady. Tea, c<strong>of</strong>fee, and chocol<strong>at</strong>e Ten or fifteen grains <strong>of</strong> salicylic acid added<br />

are best let alone. Tobacco is harmful in to the above gre<strong>at</strong>ly increases its anti-prusome<br />

cases. Constip<strong>at</strong>ion must be relieved, ritic quality. Ungts are generally objec-<br />

If we have to give medicine for this, a com- tionable on account <strong>of</strong> their greasiness, and<br />

bin<strong>at</strong>ion <strong>of</strong> aloin, Xux vomica, and bella- oleaginous character, and where possible it<br />

donna, the pills <strong>of</strong> iron and aloes, and ext. is much pleasanter to use lotions, especially<br />

<strong>of</strong> Rhamnus Purshiona, are good. Arsenic in refined people and around the genitals.<br />

is a time honored remedy whose cur<strong>at</strong>ive The following is very good,<br />

virtues are as old as the hills. It is good R<br />

only in some chronic scaly cases. In acute Calami 1 drachm,<br />

eczema it is very harmful. It is best not to Zinc Oxide /2 drachm,<br />

prescribe it <strong>at</strong> all. Sometimes phosphorus Glycerine M XV,<br />

one hundredth grain to one twenty-fifth Liq Amydlae 1 oz.<br />

grain either in pill or oil, is useful in long Where pustul<strong>at</strong>ion is marked Peroxide <strong>of</strong><br />

standing eczema. There are no internal Hydrogen exercises a beneficial effect,<br />

specifics for eczema. Wh<strong>at</strong> will cure one When the acute symptoms subside Diachyol<br />

case will actually aggrav<strong>at</strong>e another. in ungt is excellent. It is never advisable<br />

Local Tre<strong>at</strong>ment.—There is one iron-clad to begin tre<strong>at</strong>ment loo boldly. If after<br />

rule we can always follow with success in faithfully employing our protective, and<br />

the local eczema. It is as follows: In astringent agents in the subacute variety<br />

acute cases where we have he<strong>at</strong>, swelling, and yet no results are obtained, we should<br />

redness, &c., employ soothing remedies: begin a stimul<strong>at</strong>ing tre<strong>at</strong>ment. The most<br />

In subacute cases where the swelling has reliable one is tar, adding it <strong>at</strong> first in the<br />

subsided, and where papul<strong>at</strong>ion, vesic<strong>at</strong>ion, proportion <strong>of</strong> about fifteen drops <strong>of</strong> the oil<br />

pustul<strong>at</strong>ion, or exud<strong>at</strong>ion is more or less <strong>of</strong> Cade, to the ounce <strong>of</strong> ointment-base, such<br />

active, use astringent, and slightly stimula- as oxide Zinc Ungt. We alwa^'s need stimtiug<br />

remedies: In chronic cases where we ul<strong>at</strong>ion in the chronic squamous eczema to<br />

find thickening with scaling, stimul<strong>at</strong>e in whip up flagging circul<strong>at</strong>ion, and to proall<br />

cases, and protect the skin. This rule duce absorption <strong>of</strong> infiltr<strong>at</strong>ion <strong>of</strong> the skin,<br />

is infallible, and should always be kept in and to promote a return to health. Here<br />

mind. W<strong>at</strong>er must in all cases be kept tar is our sheet-anchor, and should be classaway<br />

from eczema. W^here it is desirable ed as the Prince <strong>of</strong> skin-stimulauts. It can<br />

to loosen the scales a little olive oil should be used in various strengths and ways. We<br />

be employed. Very hot w<strong>at</strong>er may be used may use the oil <strong>of</strong> cade, oleum cadini, the<br />

<strong>at</strong> times on chronic indur<strong>at</strong>ed types, then oil <strong>of</strong> birch, oleum rusci, or pixliquida.<br />

very sparingly. It appears to be quite irri- The oil <strong>of</strong> cade is most used. I prefer the<br />

f<strong>at</strong>ing. In acute eczema <strong>of</strong> course soothe, ungt:<br />

Llq Calcis, Plumbi Subacet<strong>at</strong>is dil, solu- H<br />

lions <strong>of</strong> borax and soda are good. Dust Ol Cadini Yi drachm,<br />

with corn-starch bismuth, Lycopodium, or Zinci Oxide '2 drachm,<br />

French chalk. Where there is severe itch- Ungt Aqua rosae q. s.,<br />

ing carboiic acid may be used, incorpor<strong>at</strong>ed or the cade may be added to the oxide <strong>of</strong><br />

in Ungt about Gtts X to the ounce.<br />

Starten recommends the following:<br />

Dr. zinc ungt in the proportion <strong>of</strong> a drachm to<br />

the ounce, orpix liquida may be substituted<br />

ft<br />

Zinci Ozide >2 drachm.<br />

Pulv Calamine prep 2 draciims.<br />

in about the double strength. Sulphur in<br />

my experience ranks next to tar as a stimulant<br />

in squamous eczema. It is not as re-<br />

Glycerine 1 oz.<br />

Liq Calcis 7 drachms.<br />

When the acute stage has about passed<br />

and a sub-acute condition is present a proliable<br />

as tar however. It is most useful in<br />

circumscribed p<strong>at</strong>ches, and may be used in<br />

vaseline or simplex ungt in the strength <strong>of</strong><br />

one to two drachms to the ounce. In some<br />

tecting and soothing Ungt is to be used and very sensitive skins it produces a good deal<br />

the best to be obtained is the benzo<strong>at</strong>ed <strong>of</strong> derm<strong>at</strong>itis. I have used green soap with<br />

oxide <strong>of</strong> zinc ungt. If the case is oue in varying success, but do not <strong>at</strong>tach much im-<br />

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