J. J. BELL, M. D by J. J. Bell

Review and Herald Publishing Association · Washington, D. C. · Feb 16, 1911

J. J. BELL, M. D

By J. J. Bell

Chilblains

J. J. BELL, M. D

CHILBLAINS are local congestions of the skin, caused by exposure to damp and cold. They usually occur on the toes, fingers, and sides of the feet, less often on the heels, ears, and tip of the nose. Local swellings of a pink or purplish color, with much itching, especially when warm, are the chief characteristics. In more severe cases, the formation of small blisters occurs.

A frequent abuse of chilblains is to sit with the hands or feet before the fire after exposure to cold.

To prevent chilblains when the extremities are cold, the parts must be warmed by exercise. This causes a quickening of the circulation of the blood through the tissues. A brisk walk or run in the open air, or gymnastic exercises with the feet and hands, will also accomplish this.

Persons suffering from chilblains should avoid chilling the extremities, (1) by active exercise, and (2) by wearing loose, warm garments. Tight-fitting boots and gloves and the use of garters should be avoided. It is a good plan to change the stockings frequently.

One of the most effectual remedies for chilblains is the dipping of the parts alternately into hot and cold water. The hot water must be kept as hot as can be comfortably endured by the patient, and the cold may be as cold as can be obtained. The affected parts may be kept from thirty to forty-five seconds in the hot water, and about ten seconds in the cold. This may be kept up for ten minutes at a time, and repeated at least three or four times daily. Always finish with the cold water, dry the parts thoroughly, and give friction. The alternate hot and cold acts in a manner somewhat similar to exercise. It brings to the parts a large supply of blood, which promotes healing.

If the skin is broken, the parts should be kept clean, and some mild antiseptic ointment applied after the use of the water.

Natal, South Africa.