with fetid discharge, snivelling, exfoliation of the inferior spongy
bones, affections of the palate, &c., the nitrate of silver is also
very efficacious; or the affected parts may be occasionally touched
with a hair pencil, dipped in a liniment composed of lime-water, olive
oil, and the golden ointment. They ought to be frequently washed
with tepid water, and all sources of irritation must be removed. If
the patient be in the habit of taking snuff, the practice must be
abandoned, and the powder already impacted in the nostrils removed.
If there be carious teeth or stumps in the upper jaw, the sores can
scarcely be expected to heal till these be extracted, as constant
irritation is kept up by them. When the affection proves obstinate, a
recourse to mercury is recommended by some writers; but this will make
bad worse. Sarsaparilla in these cases, with attention to diet and
air, will always prove a better alterative than any form of mercury.
It may be combined, according to circumstances, with the nitric or
nitro-muriatic acids, or with the hydriodate of potass, in which many
practical men have great faith. This medicine is employed in cachexia,
following or not the use of mercury, and is directed against eruptions,
sore throat, and pains in the limbs.
The constitutional symptoms of the _scaly_ disease, or true pox, when
they occur, which is now but seldom, are decidedly benefited by a
prudent employment of mercury. It may be administered externally or
internally, though the latter method is the one generally adopted. It
may be introduced into the system under various forms, according to the
particular circumstances of the case, or the ideas of the practitioner.
The most common form, and the simplest, is the pil. hydrargyri; but
for this may be substituted hydrargyrum cum creta, Plummer’s pill, or
calomel with antimony. In painful affections of the bones, with or
without swelling, the muriate of mercury (bichloride) is the form which
I have found most efficacious; one-eighth of a grain of the muriate
being given thrice a day in a pill; or the medicine may be given in
solution. The iodide of mercury is also a very useful medicine in some
cases. It is impossible, and would be absurd, to lay down any precise
rules as to the quantity of mercury which is necessary for the cure
of pox: in some patients the system is with difficulty put under its
influence, whilst in others a single grain will produce salivation,
constitutional disturbance, and eczema. When the mouth becomes affected
the mercury ought to be discontinued: much harm and no good resulting
from the medicine being pushed to profuse salivation; the tongue swells
hideously, the teeth loosen, and portions of the jaw die and exfoliate.
It is sufficient that the system be under the influence of mercury;
and that circumstance is marked by the tenderness of the gums. If,
after the medicine has been disused, the disease does not appear to
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