Coca and its Therapeutic Application, Third EditionMariani, Angelo
History
Coca and its Therapeutic Application, Third Edition
Mariani, Angelo
Coca -- Therapeutic use; Cocaine
According to Dr. Colombe[15], Coca is a potent factor in the treatment
of syphilis.[16] "It is demonstrated that potassium iodide and
potassium chlorate undergo double decomposition in the system, and thus
interfere with each other's action. Coca, substituted for the chlorate
under such circumstances, would not be open to the same objection. It
would find its application, therefore, when the mixed treatment is
found necessary."
DISEASES OF THE THROAT, PHARYNX AND THE LARYNX.
As regards the _anginæ_, the acute inflammations of the larynx and
pharynx, we might repeat what has been said about inflammations of the
mouth. In particular, the pain, so violent in certain _anginæ_, calls
for this method of treatment. The same is true of the dysphagia which
accompanies them.
Charles Fauvel first recognized the virtues of Coca in the tingling of
follicular _angina_ and the laryngeal pains of tuberculous subjects. In
those cases he specifies Mariani's extract of Coca leaves in preference
to solutions of Cocaine, which sometimes give rise to symptoms of
poisoning.
Dr. Rouquette[17] relates a case of tubercular laryngitis in which
symptoms of poisoning showed themselves as early as the third day; the
parts had been painted twice a day with a five-per-cent solution of
Cocaine.
Dr. Paul Legendre has quite recently mentioned anew the danger that
may result from a too free use of Cocaine[18]. The case was that of
an interne of the hospitals attacked with diphtheria who, in order
that he might the better bear the spraying with caustics, had his
throat painted with a solution of Cocaine. Toward the seventh day he
experienced very grave symptoms of poisoning, and the painting had to
be suspended.
It is better, in cases of this sort, to prescribe extract of Coca,
which answers the same purposes without the attendant danger of Cocaine.
One of the greatest triumphs of extract of Coca is assuredly its action
in dysphagia and in the vomiting of consumptives, as also in the
vomiting of pregnancy. The first two complications are of the gravest
kind, for they condemn to starvation patients whose only chance of
safety lies in the activity of the digestive organs (Ch. Fauvel and
Coupard).
DISEASES OF THE STOMACH.
Authors who have given attention to Coca speak very highly of its
employment in gastralgia and tardy and laborious digestion.
Demarle says on this subject: "Personally, I have found the use of
Coca, either before or after eating, excellent for gastrodynia and
pyrosis, to which I am subject; hardly have I swallowed the first bit
of saliva when the whole unpleasant feeling disappears."
Mantegazza speaks of its use in the same strain. The cephalic
congestion which accompanies his digestion is relieved; he can work
after eating without feeling any uneasiness.
Public-domain text, read in full here on John Shaqi.
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