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Cutaneous

acid, carbolic, grains and solution

CUTANEOUS DISORDERS.—In parasitic skin diseases carbolic acid may be ap plied in to 2-per-cent. solution: Scabies, favus, tinea tonsurans, tinea circinata, pityriasis versicolor, etc. In most of these diseases other remedies are preferable. In subacute eczema when there is a great amount of weeping and itching, a cerate of 10 grains of the acid to 1 ounce of simple cerate has been recommended.

Case of leucoderma treated by carbolic acid. There were numerous white patches, surrounded by zones of brown pigmentation in the groins, on the abdo men, and the legs. Over the sacrum, the nape of the neck, and in the armpits were patches of brown discoloration only. Patches on nape of neck and sa crum were painted with pure phenol. Skin resumed its normal pink color after three weeks. Savill (Brit. Jour. of Derm., Mar., '9S).

A good dressing for burns consists of carbolic acid and carron-oil (4 grains of acid to each ounce of oil). B. F. Gard ner applies the pure acid to burns and then cleanses with sterilized water. Erysipelas has been treated by sub cutaneous injections of a 2-per-cent. so lution of carbolic acid. These have also been used in actinomycosis.

Good results obtained from carbolic acid especially in erysipelas, from the subcutaneous injection of a solution containing equal parts of glycerin and carbolic acid. A dose of TI, grain is em

ployed and has been found satisfactory as an analgesic and antithermic. Faivre (La Sem. Med., Aug. 17, '95).

An ointment containing carbolic acid and camphor has been used to mitigate the severe pruritus accompanying vari ola and to prevent pitting.

In two cases of variola, as soon as the papules developed into vesicles the sur face was scrubbed with soap and water, followed by solution of hydrogen diox ide. The vesicles were then opened, the fluid allowed to escape, and the cavity touched with pure carbolic acid; the surface was again washed with solution of hydrogen dioxide, oiled, and covered with cloths wrung out of carbolized water. No pitting resulted. F. S. Pur mann (_lied. Rec., Sept. 5, '9G).

In many pruritic diseases, as papular eczema, psoriasis, lichen, and urticaria, or nettle-rash, J. V. Shoemaker advises: Carbolic acid, 5 to 10 drops; sublimed sulphur, drachm; camphor, 10 grains; zinc ointment, 1 ounce. This is to be applied frequently to the irritable surface.

Lotions containing carbolic acid allay the itching which accompanies jaundice. Hare recommends: Carbolic acid, 10 grains; olive-oil, 4 drachms. This to be applied frequently.