Soot Ointment in Scalds

1840 Boston Medical and Surgical Journal  
a regular course, and terminated favorably. The family consisted of four adult persons and one infant. The mother of the patient and the infant had not been vaccinated previously to the sickness of the patient, but they were soon afterwards, and the other members were re-vaccinated at the same time. Now it is the 25th of May, and none of them have suffered any sickness, except what is consequent to kinepox. I was called to a child the 8th of April, in a neighboring town, about six months old,
more » ... t six months old, with an eruption which proved to be the smallpox of the distinct kind, and which run a favorable course. The parents of the child and other children of the family had been vaccinated. The mother nursed the child to the close of the disorder, and none of them suffered any inconvenience from contagion. I think, in the above stated cases, the evidence adduced must convince the doubting part of the community, and amply testify to. the efficacy of cowpox as a substitute for smallpox. The people in this vicinity have dismissed their doubts which formerly existed, and have full confidence in the virtues of vaccination. . of the Journal, refers to a case related in a recent New York paper, of extensive scalding which was cured by the use of soot ointment. This application to burns is not entirely new to the profession, although it may not be mentioned as one of the medical uses of soot in any treatise upon medicinal remedies. Several years since, whilst in the service of the Massachusetts Hospital, I employed the soot ointment in a number of cases of severe scalds and burns, by the direction of the visiting surgeon. Upon referring to my notes, I do not find any evidence that it had a peculiar good effect upon the cases in which it was used, most of which were of a very severe character, and one of which afterwards terminated fatally. It was used as the sole application in some cases ; in others, only a portion of an extensive granulaing surface was dressed with this ointment, whilst the remainder was dressed with some other application, that its effects might be better appreciated. The conclusion which we came to, after a trial of it during six weeks or two months, was, that it did not promote the healing of the burn so rapidly as the creosote ointment, for which it was thought it might be a substitute ; and that as compared to some other applications commonly used in injuries of this character, it possessed no superiority. I mentioned above, that the cases upon which the soot ointment was tried were of a very severe character ; it should also be remarked that they were, with not more than one exception, cases which had already been a considerable time under treatment when this application was commenced.
doi:10.1056/nejm184006100221804 fatcat:kngbfb3pj5dddh46shd4jeel2u