FISTULA OF THE WITHERS
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FISTULA OF THE WITHERS

FISTULA OF THE WITHERS




      

FISTULA OF THE WITHERS


FISTULA OF THE WITHERS, or Winding Ulcer. The above named injury, although it derives its origin from the severe pressure of the fore part of the saddle, and, if taken in time, would be easily cured, is, from neglect and repeated bruises, extended to a dangerous inflammation of the spinous parts of the joints of the hack bone. The result is that an internal abscess is formed, and searches in various directions inwards, until at last it appears on the surface in form of a violent inflamed ulcer. In this advanced stage of the disease a moderate incision must be made to allow the suppurated matter to pass off. If upon examination the seat of the disease cannot be discovered, tents of tow, steeped in solution of blue vitrol, must be forced into the wound as far as possible; and, in about a week, when the coat or core of the pipes or channels has been removed, the probe must be used in order to determine the winding direction of those pipes, and the extremity of the diseased part. When it is found that the pipes are not destroyed, and the seat of the wound is ascertained, if it appears from the feel of the probe that the bare bone is sensible to its touch, in such case the bone should be well scraped, and afterwards a few dressings of Friar's balsam, or tincture of myrrh, will effect a speedy and perfect cure. In some cases, wbere the caustic application has, in the first instance, destroyed those pipes, any further operation of scraping the bone will be unnecessary, and the wound may be perfectly healed by dressings of Friar's balsam, or tincture of myrrh, and sprinkling a little of the following powder on the part before dressing it every second day: Take white vitriol and burnt alum, of each three drachms ; white lead, yellow rosin, bole armoniac, of each one ounce and a half. Mix well together.

Harewood, Harry. A Dictionary of Sports. London: T. Tegg and son, 1835.

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