The surgical diseases of the genito-urinary organs including syphilis / by E.L. Keyes ; a revision of Van Buren and Keyes's text-book upon the same subjects.

  • Keyes, E. L. (Edward Lawrence), 1843-1924.
Date:
1889, ©1888
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Licence: Public Domain Mark

Credit: The surgical diseases of the genito-urinary organs including syphilis / by E.L. Keyes ; a revision of Van Buren and Keyes's text-book upon the same subjects. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    tion of these phenomena. Fonrnier's observations include over a hun- dred cases. Iritis conchiucs the group of concomitant symptoms. It will bo described later. CHAPTEK V. OENERAL TREATMENT OF SYPHILIS. Hygienic, Tonic, Specific Trentineiit.—Syphilization.—Treatment of Early Syphilis.—Bad Efifects of Mercury.—Method!? of administering Mercury.-Treatment of Late Syphilis.—Mixed Treatment. —Treatment by the Iodides.—Methods of administering Iodine in Syphilis.—Quantity of Iodide which may be required.—Duration of General Treatment. The general * treatment of syphilis is hygienic, tonic, and specific. The latter is often inelfective unless aided by the former. Neither should be depended upon alone. They form component parts of one rational system. Hygienic Treatment.—The hygienic treatment of syphilis includes all the ordinary laws of health. Eegularity of the habits—especially of those of eating and sleeping, and of those involved iu the perform- ance of intestinal functions—is all-important. No deviations need be made from ordinary diet. Excesses of any kind are bad, even emo- tional (fear, anger), and especially excesses in strong drink, in work, in venery. The function of the skin should receive attention through scruiDulous cleanliness. Warm baths are more cleanly and relaxing to the skin than cold. If baths be too hot early in the disease, they are apt to call out a more plentiful crop of eruption. Catching cold should be avoided. It is apt to induce and prolong mucous and ulcerative patches about the mouth, nose, and throat. Singing, and loud and continuous talking, are objectionable in subjects having weak throats. Experience has taught that tobacco in all forms, and even highly- seasoned food, is certainly injurious, in irritating and keeping up an outcrop of mucous patches. Air, exercise, and light, essentially neces- sary to all animal well-being, are particularly so in the case of obsti- nate chronic or advancing disease. Change of air in some of these cases is essential to the success of treatment, as a trip to the country, change from tiie seaboard to the mountains, or from inland to the shore, and then perhaps back again, six weeks being usually long enough in any locality to obtain its maximum effect for good. I have more than once observed, when I could not so manage it with a patient in New York that his stomach could be made to toler- * The local and special means rcfiuircd for the difTercnt manifestations of the disease will be detailed under the heads of the symptoius requiring them.