Ulceration and Ulcers.-
[In all cases the constitutional state must be attended to, and the hygienic surroundings of the patient.]
Bell. 3, 2h. When the skin is red and erysipelatous-looking, and feels hard.
Lach. 6, 2h. Skin about the ankle dark and painful.
Ham. 3, 2h. Varicose patches.
Kali Iod. gr. ii. 4h. Nodular swellings in syphilitic subjects. [In all cases the limb must be supported by suitable bandages, and rest enjoined.]
Sil. 6, 4h. Simple ulceration; perforating ulcers ; locally, Sil. 6, zii. in zzvi., to be kept applied as a lotion.
Sul. 3, 4h. In chronic cases, begin with Sul. ; locally, Calend. Q zii.-zzvi. for a lotion (or, zii.-zzi. of Cetacean ointment for an ointment).
In atonic ulcer on legs,
(1) Hydrast. 1, 3h.; locally, Hydrast. Q, zii. in zziv. for a lotion; or, zii.-zzi. of Unguent cetac. for ointment;
(2) Kali Bichr. 3x, gr. iii. 4h.; locally Kali Bichr. gr. i.-zzviii. for lotion.
Nit. Ac. 3-30,4h. Ulcers bleed when touched; stinging pains; feeling of a splinter; hard, everted, irregular edges; fungating; carious, mercurial or syphilitic; locally, Nit. Ac. 1x, zii.-zzviii. for lotion.
Ast. Rub. 6, 4h. Chronic ulcers on the left side; ulcers with sensitive edges and fetid discharges; locally, Calend. Q, zii.-zzvi.
Lach. 6, 2h. Irritable ulcer; locally, Calend. Q, zii.-zzvi. for lotion.
Ham. Q 3h. Varicose ulcers with great sensitiveness of the part; locally. Ham. Q, gtt. xx.-zzi. for lotion; or Ham. q, zi.-zzi. of Ung. cetac. for ointment.
Card. M. Q, 4h. Large varicose ulcers; with enlarged liver and spleen.
Ars. 3, 4h. Painful burning ulcers; locally, Ars. 3, zii.-zzvi. for lotion.
Phos. 3, 3h. Punched-out ulcers, ulcers that bleed readily, especially at catamenial periods; ulcers surrounded by smaller ulcers; locally, Calendula ointment or lotion.
Mez. 3, 3h. Ulcers with an areola, sensitive and easily bleeding, painful at night; pus has tendency to form an adherent scab, under which more pus collects; locally, Mez. q, zii.-zzvi- for lotion; or zii.-zz1. of Ung. cetac. for ointment.
Mere. Sol. 6, 4h. Weeping ulcers; locally, Calend.
Paeon. 3, 3h. Painful and fetid ulcers; locally, Paeon. Q zii.-zzvi. for lotion; zii.-zzi. of Ung. cetac. for ointment.
Comocl. 3, 3h. Deep hard-edged ulcers; locally, Comocl. Q zii.-zzvi.of Ung. cetac. for ointment.
"Constitutional" and syphilitic ulcers-
(1) Kali I. gr. iii.-30, 4h.; locally, ointment of Acid Nitrate of Mercury, dilute; (Ung. hydrarg. nit. B. P. zii., Ung. cetac. zzi.).
(2) Nit. Ac. 6, 4h.; locally, Nit. Ac. 1x, zii.-zzviii. for a lotion.
Sloughing or phagedaenic ulcer, as from bed-sores-
(1) Crot. H. 3, 2h.; to be kept constantly clean; if necessary, in a continual water-bath in which Condy's fluid (z!.-Oj.) has been mixed, the water being kept flowing through the bath in a constant stream.
(2) Nit. Ac. 6, 2h.; locally, Nit. Ac. 1x, zii.-zzvi. for a lotion (with frequent cleansing).
(3) Ars. 3, 2h.; locally, Ars. 3, zii.-zzvi. for a lotion.
Carb. V. 6, 2h.;When there is much prostration, with coldness and vital depression; locally, Nit. ac. 1x, zii.-zzvi.
See also Bed-sores. [As an alternative for the Hydrastis or Calendula ointment, the Resin ointment of
the B.P. is often of service; also Boracic acid ointment.]