The treatment of venereal disease and scabies in the army : report.

  • Great Britain. Army Medical Department. Advisory Board for Army Medical Services.
Date:
1904
Catalogue details

Licence: In copyright

Credit: The treatment of venereal disease and scabies in the army : report. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    Two stage method. Soluble Salts. The object of this method is to avoid forcing the injection into a vessel and so causing a pulmonary embolism. After inserting the needle, as in the single stage method, detach the syringe and wait for a couple of seconds. If the needle has entered a vessel the contents of the former are pushed out. Should there be any doubt as to this re-attach the syringe and try gentle suction. If the needle has pierced a vein blood will flow freely into the syringe and another site must be chosen; if not the injection may be completed at once. Apply collodion to the puncture. Frequency of Injections.—Soluble salts are injected daily. A course consists of 20 to 30 injections. Insoluble preparations are injected at intervals of 7 to 14 days according to the case. A course of these varies between 5 and 10 injections. (Levy Bing.) Dosage.—This must vary with the preparation used, with the weight of the patient (important), with the resistance of the subject, and the object aimed at. Duration of Treatment:— Four courses in the first year. Three „ second and third years. Two „ fourth year. These numbers are only a guide, and not a fixed rule. Before commencing a mercurial course, the general precautions previously given should be attended to. Injection of Soluble Salts :— - 1. Alaninate of mercury. Does not keep well. Painful for about two hours. Causes nodules. 2. Asparaginate. Therapeutic action, nil. 3. Benzoate. Percentage of mercury 45’25. Formula:— Benzoate of mercury, 1 gramme. Pure chloride of sodium, O'75 gramme. Sterilized water, 100 grammes. Each c.c. contains 1 centigrm. of benzoate = 0*0045 grm, Hg.* The benzoate must be pure and freshly prepared. Daily dose must be 2 centigrm. of the benzoate. 20 to 25 injections form a series. For rapid effect the daily dose should be 4 centigrms. This preparation causes no local inflammatory reaction, but frequently leaves nodes. It does not cause diarrhoea or stomatitis. Injections are painful for one to four hours, and may sometimes be very painful, 4. Perchloride of mercury. Percentage of mercury, 73’8. Solutions in chloride of sodium do not precipitate either serum or hmmoglobin. Levy Bing’s isotonic formula :— Perchloride of mercury. O’20 gramme. Pure chloi ide of sodium, *075 gramme. Distilled water, 10 c.c. 1 c.c. contains 2 centigrm. of perchloride = 0 ’ 0148 grm. Hg. Give a daily injection of I c.c. of this solution for 20 days. Pain is considerable for one to three hours. Nodes are frequent. Stomatitis must be guarded against. Diarrhoea almost always occurs. Instead of a daily injection 5 centigrm. may be dissolved in I c.c and be injected twice a week. * For convenience when converting measures from metric to Imperial standard, and vice versa, the following table is inserted :— One cubic centimetre is equal to 17 minims (nearly). One sramrae is equal to 15’4 grains (nearly). One centigramme is equal to \ grain (nearly). One ounce is equal to 28’55 grammes (nearly). One grain is equal to O’065 gramme (nearly). One fluid ounce is equal to 28’4 cubic centimetres (nearly), fine minim is equal to O'06 cubic centimetres (nearly).