fully convinced me, that in no forms of chancre, nor in any other
stages of the venereal disease, is it proper to exhibit mercury in
the unmerciful quantity, and for the prodigious length of time, which
custom, ignorance, and prejudice, used to sanction in former days.
Violent salivations ought, at all events, to be for ever exploded. When
I was an apprentice at St. Bartholomew’s Hospital, most of the venereal
patients in that establishment were seen with their ulcerated tongues
hanging out of their mouths, their faces prodigiously swelled, and
their saliva flowing out in streams. The wards were not sufficiently
ventilated, and the stench was so great, that the places well deserved
the appellation of _foul_. Yet, notwithstanding mercury was thus
_pushed_ (as the favourite expression was), it was then common to see
many patients suffer the most dreadful mutilations, in consequence
of sloughing ulcers of the penis; other patients, whose noses and
palates were gone; others who were covered with nodes and dreadful
phagedenic sores.” This woful picture is not exaggerated, and cannot
be too strongly impressed on the minds of young practitioners. A small
quantity of mercury will affect violently some constitutions; as of
those who have been in warm climates, or who have taken much of the
drug, even in this country.
_Eczema Rubrum_, a disease resulting from external causes, but which
may also be produced by mercury, often arises from but a very small
quantity of that medicine even applied externally. It most frequently
affects the scrotum and upper and inner parts of the thighs. It is
preceded by heat and itching in the part; a diffused redness appears,
and the affected surface is rendered rough by the eruption of numerous
minute vesicles. In a short time, these vesicles, if not ruptured,
attain the size of a pin’s head, and the included serum becomes opaque
and milky. The affection soon extends over the rest of the body in
successive large patches, and is accompanied with considerable swelling
of the integuments, tenderness of the skin, and itching. The vesicles
burst, and discharge a thin acrid fluid, which renders the surrounding
surface painful, inflamed, and excoriated. The discharge becomes
thicker, adhesive, and fetid, and by its drying, partial yellowish
incrustations are formed. The disease terminates in desquamation, and
in some cases, the hair and nails are also lost. It is preceded and
accompanied with smart fever, and general disorder of the system.
_Erethismus_ is another occasional consequence of mercury,
characterised by remarkable depression of strength; small, quick, and
often unequal pulse; anxiety, sighing, and trembling; a pale contracted
countenance, and occasional vomiting. While in this state, sudden
exertions are apt to prove fatal.
OF SCALDS AND BURNS.
Public-domain text, read in full here on John Shaqi.
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