Boil (Furunculus).
- RUDDOCK.E.H,
DEFINITION.-- A boil is essentially the same as a Carbuncle, but differed in affecting the skin only, and not the subcutaneous tissue, and it discharges by a single instead of several openings. They are very frequently multiple and usually occur from the infection of a hair follicle or sweat gland by the micro-organism.
The term "furunculosis' is applied tom the disposition to repeated crops of boils.
SYMPTOMS.-- A small, tense, inflamed and painful swellings; this hardens, the red blush around its base changes purple. In a few days the swelling enlarges, owing to the formation of pus, and the pain becomes throbbing; the tumour bursts, discharges thick pus, and later the core.
Blind-boils do not suppurate, but slowly subside. Boils often appear in crops, or another appears as soon as the preceding one has healed. They generally occur in the thick skin of the neck, back, nates, or arms, especially in the young.
CAUSE-- Infection. Predisposing Causes-- A disordered condition of the blood, from unwholesome food, overwork, anxiety, diabetes, albuminuria, etc.
TREATMENT.-- Belladonna.-- Painful, hot, shining erysipelatous swelling, with Inflammation round the base. Dr. Hughes states that a Boil in the stage of inflammatory engorgement, before matter has formed, may almost always be blighted by repeated doses of Bell. (IX). Dr. Simon says the inunction first of a few drops of Tincture of Camphor, then of olive-oil, is equally abortive. Later still., states Dr. Madden, its progress may be arrested by Sil.(3x trit).
Hepar Sulphuris.-- To facilitate the suppurative process and, to a great extent, prevent its subsequent extension.
Silicea.-- Indolent and chronic Boils.
Ac.-Nit.-- In some debilitated person this remedy is required; it is very valuable in wounds which fester, and when fungoid excrescences form. An aqueous dilution may also be applied topically.
Sulphur, morning and night for eight or ten days,to prevent a recurrence. Hughes states that it Boils recur again and again, the constitutional tendency may be checked by a course of Sulph. that he finds no need for any other medicines for Boils than Bell. and Sulph.
GENERAL TREATMENT.-- Fomentations should be applied and renewed frequently, until suppuration is completed. When Boils are of an acute variety, and the skin covering them is very thick, a free incision with a sharp knife will do good service. For treatment of proud-flesh see Ac.-Nit. above.
A lotion of Carbolic Acid in water (I;50) is useful to bathe the surroundings parts and prevent further infection.
Boils may be prevented from coming to a head by gently rubbing the surface every three of four hours with the tips of the fingers wetted with Spirits of Camphor, and then covering the spot with flannel soaked in camphorated oil.
In order further to prevent a recurrence of Boils, attention must be directed to the constitutional cause in they arise from digestive derangement, abstinence from rich gravies, pastry, sweet-dishes, etc., is imperatively necessary. Correct diet, cleanliness, and healthy exercise and recreation in the open air, will do more towards eradicating a predisposition to Boils and other affections of the skin than any of the drugs we have mentioned. Vaccine treatment is often of great value.
DEFINITION.-- A boil is essentially the same as a Carbuncle, but differed in affecting the skin only, and not the subcutaneous tissue, and it discharges by a single instead of several openings. They are very frequently multiple and usually occur from the infection of a hair follicle or sweat gland by the micro-organism.
The term "furunculosis' is applied tom the disposition to repeated crops of boils.
SYMPTOMS.-- A small, tense, inflamed and painful swellings; this hardens, the red blush around its base changes purple. In a few days the swelling enlarges, owing to the formation of pus, and the pain becomes throbbing; the tumour bursts, discharges thick pus, and later the core.
Blind-boils do not suppurate, but slowly subside. Boils often appear in crops, or another appears as soon as the preceding one has healed. They generally occur in the thick skin of the neck, back, nates, or arms, especially in the young.
CAUSE-- Infection. Predisposing Causes-- A disordered condition of the blood, from unwholesome food, overwork, anxiety, diabetes, albuminuria, etc.
TREATMENT.-- Belladonna.-- Painful, hot, shining erysipelatous swelling, with Inflammation round the base. Dr. Hughes states that a Boil in the stage of inflammatory engorgement, before matter has formed, may almost always be blighted by repeated doses of Bell. (IX). Dr. Simon says the inunction first of a few drops of Tincture of Camphor, then of olive-oil, is equally abortive. Later still., states Dr. Madden, its progress may be arrested by Sil.(3x trit).
Hepar Sulphuris.-- To facilitate the suppurative process and, to a great extent, prevent its subsequent extension.
Silicea.-- Indolent and chronic Boils.
Ac.-Nit.-- In some debilitated person this remedy is required; it is very valuable in wounds which fester, and when fungoid excrescences form. An aqueous dilution may also be applied topically.
Sulphur, morning and night for eight or ten days,to prevent a recurrence. Hughes states that it Boils recur again and again, the constitutional tendency may be checked by a course of Sulph. that he finds no need for any other medicines for Boils than Bell. and Sulph.
GENERAL TREATMENT.-- Fomentations should be applied and renewed frequently, until suppuration is completed. When Boils are of an acute variety, and the skin covering them is very thick, a free incision with a sharp knife will do good service. For treatment of proud-flesh see Ac.-Nit. above.
A lotion of Carbolic Acid in water (I;50) is useful to bathe the surroundings parts and prevent further infection.
Boils may be prevented from coming to a head by gently rubbing the surface every three of four hours with the tips of the fingers wetted with Spirits of Camphor, and then covering the spot with flannel soaked in camphorated oil.
In order further to prevent a recurrence of Boils, attention must be directed to the constitutional cause in they arise from digestive derangement, abstinence from rich gravies, pastry, sweet-dishes, etc., is imperatively necessary. Correct diet, cleanliness, and healthy exercise and recreation in the open air, will do more towards eradicating a predisposition to Boils and other affections of the skin than any of the drugs we have mentioned. Vaccine treatment is often of great value.
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