Essay on the effects of iodine on the human constitution: With practical observation on its use in the cure of bronchocele, scrophula, and the tuberculous diseases of the chest and abdomenGairdner, William
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Essay on the effects of iodine on the human constitution: With practical observation on its use in the cure of bronchocele, scrophula, and the tuberculous diseases of the chest and abdomen
Gairdner, William
Iodine -- Therapeutic use
It is a much more difficult task to discover a probable explanation of
the manner in which iodine disturbs the actions of the nervous system.
The rationale of diseases, even when we are best acquainted with their
history, is obscure and unsatisfactory. Here it is better at once to
stop short, and confess our ignorance, than, by adventurous speculation
and daring theory, lay a foundation for mistakes in practice. This
subject certainly presents a fine field for hypothesis, and a tempting
one to a theorist. But we leave our readers in possession of the facts,
and trust they will not use them with less caution than ourselves.
One thing only seems probable, that is by its operation on the brain,
either immediately, or through the agency of the nerves, that the
effects we are considering are produced. The similarity of this
effect of iodine to the mercurial erethismus, so well described by
Mr. Pearson, will be evident to all, and is an analogy deserving of
attention and study. I have seen many instances of gilders in Paris
and Geneva affected with mercurial erethismus, closely resembling the
erethismus from the use of iodine.
* * * * *
Our most important consideration is the cure of these painful
affections. In the choleric disease the first remedy of all, and
that without which we can have little hope of subduing the disease,
is opium. If called early to the patient, before the bowels have yet
thrown off their acrid contents, I have generally waited a little
before exhibiting opium. I have done this for two reasons: First, that
I might be certain of all acrid matters having been removed from the
alimentary canal before the prescription of a medicine to quiet its
irritation; and, secondly, because it is with great difficulty that the
opium is retained while the extreme irritation of the disease is going
forward. Emollient and diluting injections will in these cases be found
most useful auxiliaries, both by washing out the inferior portion of
the gut, and by quieting the violent action of the stomach. Hemlock
and hyoscyamus sometimes succeed when opium fails. The case related
at page 7 was much relieved, indeed I may say that the young lady’s
life was saved, by a quarter of a grain of acetate of morphium given
every half-hour. Every other form of opium was tried without effect;
they were not even retained an instant on the stomach. The acetate
of morphium alone could be taken, and it effectually restrained the
disease, which must otherwise have very soon terminated the life of
the patient. This medicine has not, however, answered my expectation
in other cases. I have tried various bitter and astringent medicines
in union with opium, but have found them uniformly injurious during
the first stage of excitement and exacerbation. Afterwards, when the
disease has in some degree abated, this class of medicine will be found
useful. I cannot too strongly caution my readers against the use of
purgatives in such cases.
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