Genito-urinary and venereal diseases : a manual for students and practitioners / by Charles H. Chetwood ; series edited by Bern B. Gallaudet.

  • Chetwood, Charles Howard, 1866-
Date:
[1892], ©1892
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Licence: Public Domain Mark

Credit: Genito-urinary and venereal diseases : a manual for students and practitioners / by Charles H. Chetwood ; series edited by Bern B. Gallaudet. 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 small doses of mercury during the whole period of the syphilitic era. What is the best method of starting the patient on the career of the tonic treatment of syphilis ? The protiodide of mercury is the best form to begin with, com- mencing with 1 centigram (gr. -i-) at a dose, and ordering this to be taken three times a day, to be increased 1 centigram every day until the physiological effects of the drug are felt, such as colicky pains, diarrhoea, and pains in the mouth experienced in eating. After such symptoms appear what is the proper method to pursue ? By halving the dose which has procured such uncomfortable symptoms the tonic dose may be determined, and in most cases will be found to be the proper amount of mercury to be taken through- out the disease. If a case of syphilis appears for treatment later in the career of the disease, and the tonic treatment is not chosen or not home, what general plan of treatment may be laid down ? Early in the secondary stage some preparation of mercury may be given, either alone or combined with a preparation of iodine. Later in the secondary stage the iodine preparation has its special indication, and later still in the disease, where the lesions are deep and serious, the iodine preparation alone is to be relied upon for rapid and active work, the mercury to be taken up after decided effect has been produced by the iodide. What are the different methods of administering mercury ? By the stomach, locally, by inunction, fumigation, and by hypodermic injection. By the Stomach.—It is given in pill form as the protiodide. This is sometimes not well tolerated on account of producing pain and diarrhoea. The bichloride is generally well borne, and may be given in solution with a preparation of iodine. The gray powder (hydrargyrum cum creta), or blue mass (massa hydrargyri) is also used, or the biniodide may be given in place of the bi- chloride in combination with an iodide. In selecting a preparation different cases will be found to have individujil peculiarities. Locally.—Mercury is used for the treatment of local lesions, and its use often spares excessive internal dosing, and is a decided adjuvant to the latter measures. The superficial cutaneous lesions require no treatment unless appearing where they may be seen, as