As to the _treatment_ of local venereal affections, it may be, in
the first place, remarked, that prevention is better than cure. The
means employed for accomplishing this end are very various: oily
applications, alkaline and spirituous washes, &c., with the view
either of preventing the matter from coming into contact with the
genitals, or of completely removing it, when it has been but a short
time applied. There is one certain method of avoiding disease, which
it is unnecessary to mention. In all affections of the penis, it
is of the utmost importance to keep its extremity bound up to the
abdomen, in order to prevent congestion or inflammatory swelling.
Celsus knew this well; “Sursumque coles ad ventrem deligandus est,
quod in omni curatione ejus necessarium est;” rest and quiet must
be strictly observed; the patient must be confined to the recumbent
position, particularly when the sore is irritable, when swelling or
bubo has occurred or is threatened; and when the system is excited,
and the eruption has commenced, the bowels must be kept gently open,
the patient’s diet must be low, and the parts surrounding the sore are
to be kept carefully clean. Whatever the nature of the ulcer may be,
it is safe and prudent, in the first instance, to change its action
by the use of the nitrate of silver, or to destroy the surface by the
free application of escharotics, as nitric acid, or solution of nitrate
of mercury: the morbid poison is thus got rid of, and the surrounding
parts stimulated to a proper degree of action. This is absolutely
necessary in the phagedenic form of ulcer, whether of an acute or
chronic nature. But, in most cases, the patient does not apply for
medical assistance till the sore has been of so long duration as to
preclude all hope of counteracting the virus by any local application.
The simple superficial sores, and those with elevated margins, must be
treated on the same principles as if they were totally unconnected with
any specific cause; and the applications must be varied according to
the peculiarities of the part affected, and the different appearances
which the surface assumes during the progress of cure. Lotion is the
form of application found preferable in most cases, and may consist
of calomel and lime-water, with mucilage, called the black wash; of
muriate of mercury, with lime-water, called the yellow wash; of a
solution of sulphate of zinc, with spirit of a solution of nitrate of
silver, or of sulphate of copper. The linimentum æruginis or Barbadoes
naphtha, are often useful in foul sores. Ointments, if at all, ought to
be used sparingly. The application of dry lint, or the sprinkling of
a little fine powder, is often all that is requisite. Of course these
applications must be varied, according to the particular circumstances
of each case.
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