A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Science
A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Medicine -- Practice
Of the general remedies, not a single one is comparable to bromide of
potassium, which not only diminishes the reflex excitability of the
cord and suspends sexual desires and the power of erection, but
corrects the acidity of the urine and exerts an anæsthetic effect upon
the mucous membrane of the urethra. I am in the habit of administering
from three to four scruples of the salt at bedtime, and if I find that
it sets up signs of bromism I diminish it for a time, and afterward
promote its excretion by the kidneys by combining with it about fifteen
grains of bitartrate of potassium. Should the patient be anæmic, the
dose should be reduced to one drachm, and three grains of quinine along
with twenty-five drops of the tincture of the chloride of iron should
be ordered every eight hours. When, on the other hand, the patient is
robust and plethoric or in full health, I frequently add to the bromide
ten drops of veratrum viride or tincture of gelsemium, or administer
the bromide in half an ounce of the infusion of digitalis.
Another remedy which diminishes the reflex mobility of the
genito-spinal centre, at the same time that it reduces the secretion of
the seminal fluid, is the sulphate of atropia. Given in the average
dose of the one-sixtieth of a grain on retiring, so that the patient
may sleep through its disagreeable action, it will be found to be an
invaluable addition to the treatment.
When the bromide of potassium and atropia do not agree with the
patient, I substitute the monobromide of camphor and extract of
belladonna in the proportion of ten grains of the former to one-third
of a grain of the latter. In the remaining anaphrodisiacs, such as
lupulin, camphor, and conium, I have not the slightest confidence.
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