Blackheads & boils
                            Acne (Pimples) 

    The cause of acne is not known, but there seems to be a strong hereditary tendency. Acne appears during the adolescent
period and leaves in the twenties. For some it is a serious probIem, not only medical but also psycholo. Gical, disturbing even the
personality. Sometimes these pimples are very deep and leave scars somewhat like those of smallpox, Along with acne there
are generally a number of comedones (blackheads).

Treatment : Diet is a significant factor in treating acne. One troubled with this complaint should avoid sweets and fats. READ more.

Fried foods, rich desserts and gravies are especially harmful.
Chocolate is one of the worst offenders.
      Proper and frequent washing is also important.Wash the face thoroughly every morning and evening with a soap
containing hexachlorophene. This will remain on the face for hours and destroy bacteria that try to enter the pores. In washing the face it is best to use cotton-wool (unspun cotton). Besides being
soft it tends to prevent the spread of any infection that may be in the skin. Do not rub hard but work up a good lather. Do not
rinse off the skin. Rather dry the soap off with a towel.
     Drainage of pustules is another part of the treatment for
acne. when one of the pimples develops a "head," wash it and the area around it carefully. Sterilize a needle by holding it in
the flame of a candle or match. Puncture the outer layer of skin and gently express the pus. Do not try to get pus out of the
deep red ones. There is usually none there anyway,-and there is a tendency to squeeze the skin too hard. If too much pressure
is put on the skin one may break the pustule under the skin and spread the infection.
     Sunshine and exercise are vital. It is well to exetcise in the sunshine. Exercise causes the blood to flow freely and helps to
build up the general resistance. The sun on the skin destroys bacteria, and a little perspiration washes out the pores.

     Regular elimination is to be carefully maintained. Be sure that the bowels move daily. If one becomes constipated, acne
becomes worse. Plenty of fruit and vegetables in the diet will ensure adequate movements.
     The medication to be administered is as follows : Sometimes antibiotics are helpful but since the condition lasts for years, the use of these miracle drugs must be limited to the time when the acne condition has become especially troublesome.
One can take sulpha drugs or the so -called"mycin"drugs, but while they should be taken four times a day at first, the final
dose should be reduced to a minimum. This treatment is not too well recommended. The most promising medication now is the
use of one of the tablets used to control diabetes. One tablet a day will reduce the blood sugar, and whereas eating sugar will
increase the blood sugar and make the condition worse, this medicine reduces the blood sugar and improves the condition.
These drugs are called tolbutamide or diabinese. One tablet daily is all that is used, but the. Results are promising.

Acne of Menstruation 

     Some young ladies have trouble with the skin breaking out at the time of the menses. Tolbutamide may be of help at this time and would be worth trying. Thyroid tablets also will often help this condition, and if there are other factors that need regulation the use of this medication is justified.

Blackheads (Comedones) 

     Blackhead are an abnormality of the skin in which the sebaceous or oil glands become dilated and filled with cheesy, dry, oily material called sebum. At the surface of the skin they become black, giving the lesion its name. People having an oily
skin are more likely to be troubled with this problem.
     The treatment for blackheads is first to steam the face. This will open the pores and often the skin. The sebum can then be expressed, care being taken not to injure the skin by squeezing too hard. Lotia alba is useful in drying up the oil glands and shrinking the pores. It is applied to the affected areas at night and washed off in the morning. It will dry the skin
and should be used often enough to make the skin definitely dty.


      Boils differ from pimples in that they are in the deep layers of the true skin. Pimples are superficial. The organisms that cause boils are called staphylococci. These organisms reach the deeper layers of the skin by following down a hair follicle. As
the infection develops the skin reacts by building a protective wall around the point of inflammation. This is called a pyogenic
membrane, and prevents the spread of the infection to adjacent areas of the skin.
    Early in the process the infection may be aborted by antibiotics. Later the infection may develop to the place where the
tissue within the membrane is so badly injured that it breaks down to form pus. To open a boil before this takes place does
more harm than good. The best treatment is to apply hot fomentations until the boil comes to a"head. " If there is a white pustule at the top, clean the area around it with soap and water and puncture it with a flamed needle. Do not worry about how much it drains. Avoid squeezing it. If there is only scant drainage, continue the hot compress or put on a sulpha


       Pimples, boils and carbuncles are all staphylococcus infections, but they differ one from the other in depth. Pimples are in
the superficial layers of the skin. Boils are in the deep layers of the skin and carbuncles are under the skin.
     Being so deep, they are in loose, fatty tissue that is not able to wall off the infection well and thus the condition may become very serious. Early in the infection heavy doses of antibiotics
are indicated and sometimes X-ray therapy is used. When the carbuncle is ready to be opened the doctor will make an incision
in the form of a cross and lay back the flaps of skin so that thorough drainage is effected.

Sores and Ulcers of the Skin 

      Children who are kept clean seldom have sores,To prevent
sores, slight wounds should be cleansed with soap and water or
washed with a solution containing some kind of disinfectant.
     Persistent sores should be cleansed with warm soapy water until the scabs can be removed. An ointment such as bacitracin
should be applied. Healing will be greatly hastened if the sore is then covered with a piece of cotton cloth and bandaged. This
holds the medicine on the sore and prevents the formation of scabs which may seal over an old sore and prevent healing.
      For a large, open, raw sore, a good treatment is to apply to the sore two or three layers of clean cloth wet in a solution that is made by adding a large spoonful of salt or Epsom salt to a cupful of water. Place a piece of oiled paper over this wet cloth
and then apply a bandage over the oiled paper. Re-wet the cloth with the salty water every hour. This treatment is very eftective.
     Many of these ulcers are deeply infected and respond well to antibiotics. Sulphadiazine or one of the triple sulphas, four times a day, will help to abort the infection. Penicillin or one of
the broad-spectrum antibiotics will also be effective.

Tumours of the Skin 

       Often tumours occur under the skin. They are usually benign but should be removed. The same is done for sores on the
skin which do not heal in 4 to 6 weeks. If they are malignant, surgery will easily cure them, but do not wait too long before
having them removed.




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