Carbolic acid, 3 grains.
Vaselin, Lanolin, of each, 225 grains.—M.
If there is active inflammation, the preferable treatment is with an ointment containing lead salts, such as the follow ing:— 4 Lead subacetate, 30 grains.
Carbolic acid, 8 grains.
Zinc oxide, 225 grains.
Vaselin, Lanolin, of each, 300 grains.
When chilblains resist these topical applications, ointments containing silver nitrate, or painting with 50-per-cent. solution of silver nitrate or with the tincture of iodine, often hastens their resolution. If blisters form they should be opened aseptically and covered with a dressing of vaselin and boric acid, or with freshly-prepared carron-oil to which has been added 2 per cent. of carbolic acid. If these blisters have been ruptured, or the chilblains are ulcerated, after bath ing the parts with a weak solution of cor rosive sublimate they should be covered with a dressing of vaselin and boric acid, or with non-irritating plasters, such as zinc oxide, simple boric acid, and matol plasters, or Vidal's red plaster. If the ulcerations do not disappear they should be touched every two days with a silver-nitrate stick, or with tincture of iodine, and dressed with camphorated brandy, with Van Swieten's solution di luted one-half with water, or with matic wine. These dressings should be carefully applied, particularly on the toes and between the fingers, where, cording to M. Besnier, it is well to place small tampons of absorbent cotton. Boeck states that resorcin is efficacious in treatment of chilblains, especially when associated with ichthyol and tannic acid, as follows:— Resorcin, 1 part.
Ichthyol, 1 part.
Tannic acid, 1 part.
Water, 5 parts.
The affected parts are painted with this liquid every evening, the bottle being well shaken before using. When the oc cupation of the patient is such as to solutely preclude the use of substances which blacken the hands, recourse may be had to the following preparation, less efficacious than the above, but which gives very good results. Resorcin, S parts.
Powdered acacia, 5 parts. Water, 15 parts.
Talcum, 2 parts.
A layer of this mixture is applied to the affected parts every evening, the bot tle being well shaken before using.
The following formula of value in re bellious chilblains:— H. Solution of lead subacetate, Tincture of iodine, Tincture of opium, of each, 5 parts. Starch, 10 parts.
Glycerin, 140 parts.
Cheron (Jour. de Med. de Paris, Mar. 28, '97).
For treatment of chilblains the electric bath applied in the following manner advised: An induction-coil is used and the wires are attached to 2 metallic plates placed at the two ends of an ordi nary earthenware foot-bath filled with warm water. This bath should be used at bed-time for ten or fifteen minutes, whenever the slightest threatening of chilblains is noticed. The current is em ployed as strong as can he borne with out discomfort. The procedure should be repeated for eight or ten consecutive nights. H. Lewis Jones (Lancet, Jan. 14, '99).