Constitutional symptoms do not often occur, taking place scarcely in
one case out of a hundred of all the forms of sores which present
themselves. In the _papular_ form mercury is hurtful, as already
remarked; it interferes with the natural and mild progress of the
affection, frequently gives rise to iritis, and produces pains of the
joints and bones. The powers of the constitution, aided by simple
remedies, are sufficient: the cure may be tedious, but cannot be
destructive. Whereas, if mercury be considered as the only specific,
its use will be long continued; it will frequently be resumed after it
has been dispensed with on the supposition that the virus is destroyed;
and by the effects of excessive mercurial irritation, combined with
those of the disease, tampered with and aggravated, the patient may
ultimately perish. The fever, which precedes and attends the eruption,
must be moderated by depletion, antimonial medicines, and purgatives;
but depletion ought not to be carried far, lest the eruption be thus
checked and disappear; and the patient ought to be carefully removed
from external circumstances which might produce a similar effect. After
the eruption has come fully out, and the febrile symptoms subsided,
it will be sufficient to attend to the general health, and employ the
decoction of sarsaparilla, a medicine which excites the secretions, and
more especially promotes diaphoresis. In short, the treatment may be
said to consist in allowing the disease, in a great measure, to follow
its own course, taking measures to prevent it from being interrupted,
and merely moderating such violent symptoms as may precede or accompany
it.
In the _pustular_ form of eruption the general treatment is the same
as in the papular. Mercury is hurtful, and increases the tendency to
burrow. When the surface is nearly covered with pustules and ulcers in
all stages, desquamation may be hastened by fumigations of sulphur, the
general sulphur baths, lotions of sulphuret of potass, nitro-muriatic
baths, vapour baths, or by smearing the affected surface with equal
parts of tar and sulphur ointment.
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