Domestic medicine : $b or, a treatise on the prevention and cure of diseases by regimen and simple medicines. With an appendix, containing a dispensatory for the use of private practitionersBuchan, William
Science
Domestic medicine : $b or, a treatise on the prevention and cure of diseases by regimen and simple medicines. With an appendix, containing a dispensatory for the use of private practitioners
Buchan, William
Medicine, Popular -- Early works to 1800
If it should be found impracticable to clear the testicle by the cooling
regimen now pointed out, and extended according to circumstances, it
will be necessary to lead the patient through such a complete
antivenereal course as shall ensure him against any future uneasiness.
For this purpose, besides rubbing the mercurial ointment on the part, if
free from pain, or on the thighs, as directed in the gonorrhœa, the
patient must be confined to bed, if necessary, for five or six weeks,
suspending the testicle all the while with a bag or truss, and plying
him inwardly with strong decoctions of sarsaparilla.
When these means do not succeed, and there is reason to suspect a
scrophulous or cancerous habit, either of which may support a scirrhous
induration, after the venereal poison is corrected, the parts should be
fomented daily with a decoction of hemlock, the bruised leaves of which
may likewise be added to the poultice, and the extract at the same time
taken inwardly[170]. This practice is strongly recommended by Dr. Stork
in scirrhous and cancerous cases; and Mr. Fordyce assures us, that by
this method he has cured diseased testicles of two or three years
standing, even when ulcerated, and when the scirrhus had begun to be
affected with pricking and lancing pains.
OF BUBOES.
Venereal buboes are hard tumours seated in the groin, occasioned by the
venereal poison lodged in this part. They are of two kinds; _viz._ such
as proceed from a recent infection, and such as accompany a confirmed
lues.
The cure of recent buboes, that is, such as appear soon after impure
coition, may be first attempted by _dispersion_, and, if that should not
succeed, by _suppuration_. To promote the dispersion of a bubo, the same
regimen must be observed as was directed in the first stage of a
gonorrhœa. The patient must likewise be bled, and take some cooling
purges, as the decoction of tamarinds and senna, Glauber’s salts, and
the like. If, by this course, the swelling and other inflammatory
symptoms abate, we may safely proceed to the use of mercury, which must
be continued till the venereal virus is quite subdued[171].
But if the bubo should, from the beginning, be attended with great heat,
pain, and pulsation, it will be proper to promote its suppuration. For
this purpose the patient may be allowed to use his ordinary diet, and to
take now and then a glass of wine. Emollient cataplasms, consisting of
bread and milk softened with oil or fresh butter, may be applied to the
part; and, in cold constitutions, where the tumour advances slowly,
white lily-roots boiled, or sliced onions raw, and a sufficient quantity
of yellow basilicon, may be added to the poultice.
When the tumour is ripe, which may be known by its conical figure, the
softness of the skin, and a fluctuation of matter plainly to be felt
under the finger, it may be opened either by a caustic or a lancet, and
afterwards dressed with digestive ointment.
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