Subcuticular abscess

 Deep palmar abscess/ Subcuticular abscess

Definition

  • Deep Palm Abscess/subcuticular abscess  includes
  • An abscess can occur in any of the deep palmar compartments and spread between the metacarpals, from the midpalmar space to the dorsum, manifesting as an infection on the dorsum of the hand. Intense throbbing pain occurs with swelling and severe tenderness on palpation.
  • X-rays should be taken to detect occult foreign bodies.

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Homoeopathic remedies for deep palmar abscess & subcuticular abscess

  1. Belladonna
  2. Hepar suphuris calcareum
  3. Silicea
  4. Mercurius solibus
  5. Rhustoxicodendron
  6. Hydrogenum
  7. lachesis
  8. Echinacea
  9. Nitric acid
  10. Calendula
  11. Myristica
  12. pyrogenum

Belladonna

Characteristic particulars

  • Is the remedy most often indicated for the initiatory symptoms of abscess.
  • The parts swell rapidly, become bright red,
  • there is intense throbbing which is painful,pus develops speedily the swelling increases and the redness radiates
  • it is indicated in earlier case of abscess.
  •  In abscesses about the alveolar processes, the so called gum boils,
  • Belladonna is often the first remedy and Mercurius follows here in most cases.
  • In acute glandular abscess Belladonna is often indicated and is a beginning remedy.

Modalities

< - touch, jar, noise, after draught

> - cold application

 Hepar sulphur 

Characteristic particulars

  • Is the great homoeopathic remedy for suppurations where the pus is not decomposed.
  • It suits especially lymphatic, phlegmatic individuals.
  • Excessive sensitiveness of the parts is a leading indication.
  •  It is further indicated by these symptoms:
  • chilly sensations, throbbing in the parts, or sharp, sticking pains which are worse at night and from
  • If given low in threatening suppuration it will favor the formation of pus.
  • The suppurative process will often be aborted by Hepar if given in the higher potencies.
  • Such abscesses as felon or whitlow generally do well under Hepar.
  • The last remedy has been found useful in cases of abscess where the suppuration seems to continue indefinitely.
  • The presence of pus with a vent has been considered a good indication;
  • it comes in after Silicea, and suits painful abscesses about the anus, and is a most useful remedy in gum boils.
  • Dr. W. E. Leonard claims that in the 12x it will abort felons and furuncles.

Modalities

< - dry cold winds, cool air, slightest draught

> - damp weather, from wrapping head up, warmth, after eating

Silicea 

Characteristic particulars

  •  Is the remedy where the suppuration continues and the wound refuses to heal, no matter where the suppurative process is located;
  • The pus is apt to be thin,watery,and the process is sluggish and indolent one.
  • Under Silicea the suppurative process takes on a healthy action , the pus becomes benign, granulation appear.
  • It is then time to stop the remedyFluoric acid ,will have to be given. This remedy antidotes the overuse of Silicea.
  •  Silicea is usually prescribed after an abscess has been lanced or opened by means of poultice.
  • Warmth is very grateful to the Silicea patient.
  • Abscesses having much cellular infiltration in their vicinity call for Silicea.
  • There is often considerable foetor to the discharge of Silicea cases. Scrofulous and tubercular abscesses especially call for Silicea.

Modalities

< - new moon, morning, from washing, during menses, uncovering

> - warmth, wrappin up, summer, wet humid weather

Mercurius 

Characteristic particulars

  • Mercurius, which is one of our good remedies in abscess. It comes in after Belladonna, when pus has formed.
  • It favors the formation of pus especially in the lower potencies, and is especially indicated in glandular abscesses
  • the pus is greenish in tint, and quite thin and fluid.
  • There is intense, shining redness with throbbing and stinging pains.
  • It does not follow Silicea well.
  • From Hepar it is to be distinguished by general symptoms; then, too, the suppurative process is slower, and all the pains are greatly aggravated at night.
  •  In abscesses at the roots of the teeth it is one of our best remedies, and it is often efficacious in toothache due to this cause.
  • It will often abort suppuration when used in the highest potencies, as in tonsillitis, where it is a most valuable remedy. 
  • It is a remarkable remedy in pyorrhoea and will make extraction of teeth unnecessary.

Modalities

< - evening , night

> - rest

Sulphur

Characteristic particulars

  • Is also a remedy which may be used with the greatest benefit in abscesses and suppuration
  • especially is it useful in chronic cases where the discharge is profuse, accompanied with emaciation and hectic fever.
  •  Abscesses in scrofulous persons, where there is a marked psoric taint and a tendency to boils, correspond to Sulphur.
  • The pus is acrid and excoriating.
  • Crops of boils in various parts of the body indicate the remedy well.

Modalities

< - bathing , morning 11 am , warm

> - open air , cold application

Arnica 

Characteristic particulars

  • It is the remedy where abscesses and boils do not mature
  • they shrivel up, then another crop comes
  • Arnica will often develop the abscess, carrying it on to a discharge of the pus and a cure of the trouble.
  • Boils coming in crops call for Arnica
  • Arnica as a remedy to prevent suppuration, and particularly to hinder the absorption of pus and so prevent pyaemia.

Modalities

< - touch , motion , covering , warmth

> - rest

Rhus toxicodendron 

Characteristic particulars

  • It is a very useful remedy in acute suppuration; especially has it been found useful in suppurative conditions about the eye.
  • It has proved curative in abscesses about the parotid and axillary glands
  • the pus is bloody and serous, the pain is intense, and the swelling is dark red.
  • Rhus corresponds very closely to septicaemia.

Modalities

< - sleep, cold , wet rainy weather , after rain

> - warm, dry weather , walking, change of position

Echinacea

Characteristic particulars

  •  Homeopathic medicine for abscess has achieved a well merited reputation in suppurative conditions, especially where symptoms of blood poisoning are present.

Nitric acid

Characteristic particulars

  • Nitric acid may also come in suppurations about the glands, especially the inguinal or axillary, in syphilitic subjects
  •  and when the discharge is offensive, excoriating and of a dirty, greenish yellow colour.
  • Suppurations is mastoid process

Modalities

< - evening , night , cold climate, hot weather

> - while riding in carriage

Calendula 

Characteristic particulars

  • Homeopathic medicine for abscess when pus is thick and yellow without inflammation.

Modalities

< - damp , heavy , cloudy weather

Myristica Sebifera

Characteristic particulars

  • It is a remarkable remedy for this condition where abscess on ends of fingers and phalanges.

Pyrogenium 

Characteristic particulars

  • It is a good medicine for abscess.
  • Where pyrogenium for recurring abscess conditions, it acts well to stop the recurrence.

Modalities

> - motion