A New Method of Treating Syphilitic Bubo. By B. W. Haz-
lett, M. D., of Wheeling, Virginia.
To the Editors of the Medical Examiner :
Gentlemen,—Through the medium of your periodical allow
me to notice a method of treating Suppurating Syphilitic Bubo,
which I find not made mention of elsewhere. The rationale of treat-
ment is familiar to surgeons in chronic abscess, &c., &c., but no
use has been made of it in suppurating lymphatic of specific cha-
racter. My plan is simply to inject with the common ear-glass
syringe of the following formula :
Jt Argent nitrat. cryst. .	.	.	. gr. xxv.
Aquae distillat................................ gi.
Mix.
Some little tact is necessary to bring the fluid in contact with
the entire suppurating surface. This will be accomplished by
care in the position of the patient, permitting the injection to
gravitate to the extent of the bubo. If this is not effected easily,
pressure from behind will drive the cautery to all the sinuses and
interstices that exist. I am partial in opening (with the common
thumb lancet) the bubo as soon as pus is separated, and imme-
diately, on pressing out the virus, to administer the injection.
In this manner I have seldom used more than one injection, and
in cases where extensive sinuses exist, two are all-sufficient.
The advantage over the old method of destroying the skin with
the potassa fusa, or excising with the knife, and waiting the
tedious process of granulation, must be apparent, besides obviat-
ing the unpleasantness of confinement to bed.