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
We shall first consider the use of iodine in the treatment of
bronchocele, the disease for the cure of which it was introduced into
practice. All the physicians who have employed it bear unequivocal
testimony to its efficacy. It seldom fails of effecting a complete
cure, and when it does, it almost always reduces the swelling
very considerably. The promptitude of its action is at times very
extraordinary. Decarro states, that one of his patients, thirty-eight
years of age, after taking the remedy for seventeen days, had the
circumference of his neck reduced from one foot seven inches and a
half, to one foot three inches and three-quarters. Dr. Coindet relates
a case of a man, fifty years of age, in which this medicine, taken
internally, reduced a very large goître considerably in size, after
six days’ treatment only. An old woman, aged sixty-five, who took this
medicine under my care for a goître, with which she had been affected
nearly forty years, had the circumference of her neck reduced from
twenty-two inches to eighteen, on the twenty-fifth day. Such rapid
diminution in the size of the tumor is not to be always expected. In
some cases a whole month, and even more, elapses before any effect is
visible. In general, however, the powers of the medicine are manifest
at the end of the second week and considerable progress towards cure
has been made at the end of a month. I have endeavoured to find out
whether there was any thing in the constitution of the different
persons under my own observation, or in their state of health, which
rendered them more or less apt to be affected by this medicine. I
have not been very successful in this inquiry. But I found that in
two cases of women afflicted with extensive and very painful varix of
the veins of all the extremities, the effect of iodine was produced
with great difficulty. This fact seemed to coincide with the result
of Mr. Magendie’s very interesting experiments on absorption, and I
accordingly desired one of the persons, to whom I have just alluded, to
lose a little blood from the arm. The effect of the medicine was very
much accelerated by this treatment, but a consequence I did not look
for was also the result of it, viz. the total and sudden disappearance
of the varix, which had commenced during uterine gestation twelve years
before. The goître succeeded the varix after her delivery. I merely
mention the facts of this case, which may suggest useful hints to those
who may meet with a case similarly circumstanced. Since its occurrence,
whenever the medicine is slow in its operation, provided the vessels
be full and plethoric, I desire a little blood to be taken away from
the arm, and I almost invariably find the action of the medicine much
quickened. I have sometimes, also, thought that the cases, in which
blood was taken away, were cured more easily and with less suffering
than the others.
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