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Septic

creasote, pure, applied and puerperal

SEPTIC DISEASES.—The value of the drug in the management of all forms of sepsis cannot be too highly extolled. It is one of the very few agents that make an impression on glanders in the human subject, and it is even more effective in anthrax, puerperal fever, carbuncle, etc., and may be employed both internally and topically.

It has also been employed, locally and internally, in erysipelas, including the phlegmonous form, in phlegmasia dolens, and puerperal fever. In idiopathic ery sipelas it should be applied pure, or suf ficiently strong to render the cuticle white immediately it is touched, and pen ciled over the whole of the inflamed sur face, even beyond it. In the phleg monous form the applications should be more frequent, and compresses soaked in weak alcohol (in which a little creasote may be dissolved) kept constantly ap plied.

SKIN DISEASES.—Creasote long en joyed considerable celebrity as a remedy for lepra, psoriasis, impetigo, acne, pru rigo senilis, ephelis, tinea in all its forms, sycosis, and scabies, but of late years it has been little employed, owing, in part, to its disagreeable odor and the difficulty encountered in securing a pure product, and partly to the fact that its place has been usurped by carbolic acid. The stronger creasote ointment (creasote, 1 druhm; yellow wax, 30 grains) is more especially intended for use in lepra, pso riasis, and tinea tricophytina, but should never be applied to the face, the neck-, the abdomen, or the flexor surface of the limbs.

ULCERATIONS.—Non-specific slough ing and phagedenic ulcerations are often greatly benefited by the stronger oint ment of creasote, or even by pure crea sote, locally applied; they become clean, and long-standing ones heal rapidly. To indolent and mild ulcers, weak solutions, or the elixir may be applied; the same -appears efficacious in the manag,ement of bed-sores, and it has even been claimed that sponging with a 1 to SO lotion will prevent their formation.

IP As stimulants, antiseptics, and escha rotics, applications of creasote are often made which range in strength, according to the severity of the case and the sensi tiveness of the part, from 1 drop to 1 ounce of water, up to the pure drug. Thus are treated a large number of morbid conditions, among theni indolent and sloughing ulcers, fistulw, gangrenous surfaces, leucorrhcea, puerperal metritis, fcetid otorrhcea, diphtheria, burns with excessive suppuration and redundant granulations, and chilblains, and to wash eut the pleura in cases of empyema.

Ulcers of the larynx, whether tuber cular or not, may be treated by the appli f cation of creasote, and a solution con taining 1 or 2 drops of creasote to 1 ounce of water is useful as a stimulating and disinfecting gargle.