Adeps PrAeparatus. Axungia. Fat of Sus Scrofa, the Hog. Hog's Lard purified by heat.
Med. Prop. and Action. Lard is emollient; it is extensively employed in making ointments and cerates Medicinally, it is never given by mouth; but, occasionally, it forms an ingredient in laxative enemas.
Offic. Prep. Ung. Simplex. Prepared by melting on a water bath White Wax oz. ij.; Prepared Lard oz. iij. in Almond Oil fl. oz. iij. and stirring the mixture till it becomes cold.
In Scarlatina, inunction of the surface with lard was first proposed by Dr. Schneemann, || of Hanover, and has since been adopted successfully by Dr. Mauthner,¶ of Vienna, Mr. Taylor,** of London, and others. The treatment has been further tested by Prof. Ebers. of Berlin; the number of cases were in all twenty-two, eleven of which presented one or more of the severe complications, of whom six died. Of the total number, inunction with lard was tried in thirteen, and the usual remedies in nine. Of the latter, five died; of the former, only one was fatal, and this was beyond hope when the treatment was commenced. The remainder recovered. The conclusions arrived at by Dr. Ebers are as follows: -
1. The inunction with lard did not, in any way, interfere with the development of the disease, as might, a priori, have been expected. The eruption came out on the third day, and declined on the fourth or fifth.
2. The treatment was not contra-indicated by the presence of complications; on the contrary, these disappeared more favourably than under the ordinary treatment.
* Edin. Med. Journ. Aug. 1861.
§ Philadelph. Med. Examiner, Dec. 1851.
|| On Scarlet Fever, translated by Mr. Milton, Lancet, Sept. 15, 1849.
¶ Revue Medico-Chir. Jan. 1849.
Revue Medico-Chir. Aug. 1851 (R).
In no case was Anasarca known to follow.
The lard requires to be diligently rubbed in, over the whole surface of the body, every morning and evening, and, if the weather be cold, it should be done before a fire, to ensure the fat being absorbed.
57. Inflammatory and Typhus Fevers, in Measles and the Exanthemata generally, inunction with lard is strongly advised by Mr. Taylor.* He relates numerous instances in which inunction of an ointment, composed of equal parts of lard and suet, was attended with the best effects. No internal remedies were employed. He states that it reduces the force and frequency of the pulse, and that when employed at an early period of the disease, it wards off a typhoid condition. The dry and brown tongue becomes clean, the patient falls into a sound sleep, and delirium subsides; in fact, all the symptoms improve with a steadiness and rapidity not seen in other methods of treating fever. Inunction should be performed twice or thrice daily. The treatment, as an adjunct to other measures, is worthy of a further trial.
Erasmus Wilson considers that inunction with lard is in every way superior to all fluid applications. He first, at the suggestion of Mr. Grantham, relaxes the skin with hot water or steam, and then saturates the surface with hot lard, which is afterwards covered with wool. He also speaks highly of thevalue of lard inunctions in the treatment of Violent Sprains.
Bennett employed lard inunction in four cases, and in each a cure was speedily effected. From these and other cases, he states that he is satisfied that the efficacy of Sulphur Ointment mainly depends on the unctuous matter which it contains. It is of importance that the parts should be kept moist, and, for this purpose, oil silk, so as completely to envelope the parts, should be used. The same treatment has been found successful by Mr. Bazin, § who found that six frictions during three days were sufficient to effect a cure. It requires a more extensive trial, in order to determine the real value of this treatment.