Gangrene, or death of the tissues, is frequently a very formidable condition, and one which requires prompt and efficient treatment. The danger is not only from extension of the disease, but from absorption of the elements of the dead tissues. In order to prevent infection of the system through absorption, bathe the parts frequently in carbolic acid solution, twenty drops to the ounce, and apply a charcoal poultice. Prof. Frank Hamilton, of New York City, recommends as the most efficacious remedy for gangrene, continuous immersion of the affected part in water as hot as can be borne. When other remedies do not succeed, pure carbolic acid may be applied to the sloughing parts.

Senile Gangrene

This is a form of gangrene which occurs in elderly persons, and after low fevers, or great loss of blood, in consequence of deficient circulation. It affects most frequently the foot, and generally appears first as a small black or purplish spot upon the inside or end of the great toe, sometimes without pain or sign of inflammation, at other times with slight redness, which gradually extends until the death of the affected parts occurs with separation from the sound tissues, or until a large portion of the body is involved, and the patient dies.

In some cases, the affected part seems to shrivel up until it resembles a piece of dried beef. In a few cases, the beginning of the disease is indicated by an unnatural white and shriveled appearance of the affected part.

If there is much inflammation, apply cool solutions of carbolic acid, a dram to the pint. If the parts are cold, and white or blue, with no evidence of inflammation, apply heat. Prolonged immersion of the affected part in hot water is an excellent remedy.