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 — John Shaqi
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
Science
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
[7] I have seen, in the hospitals of Naples, the most
decided and unquestionable effects produced by mercury used
in this manner, I have since used it frequently in my own
practice in the same way; and I believe that the mercurial
ointment, thus used, is exempt from much of the inconvenience
occasioned by rubbing. I have seen several persons use it in
this manner with ease, who could not rub in mercury without
much suffering. Scattigna asserts that it is also much more
efficacious than when rubbed in by the common method. His way
of using it is, to extend a scruple of mercurial ointment over
the skin of the axilla before the patient goes to sleep. In
the morning, the whole of it will be found to be absorbed,
and in this way he calculates that as strong an effect is
produced as by a drachm of the ointment. I have used, in a
case of hydrothorax, an ointment of squills in the same way,
which has caused an increased flow of urine, which I had
vainly endeavoured to effect by means of the same medicine
given by the mouth. These statements are at variance with the
experience of Mr. Pearson, which must be allowed to be of much
weight in this matter. Will the difference of climate account
for the discrepancy?
It is a more important question to determine the proper method of
using this medicine internally. From my own experience, I am inclined
to give a decided preference to the solution over the tincture. It is
prepared by dissolving thirty grains of the hydriodate _of potass_ in
an ounce of distilled water. I have generally begun this preparation by
a dose of ten drops, and augmented it gradually to twenty, and, very
seldom, to twenty-five. This preparation can dissolve an additional
dose of iodine; a formulary, however, to which I seldom, if ever, have
recourse. I have found that the deleterious action of the medicine
on the bowels was more marked, in proportion to the quantity of free
iodine it contained. For this reason, also, I now seldom have recourse
to the tincture, a form much used, because it is less expensive.
Practitioners will, in general, find an advantage in confining
themselves to the external use of iodine for the cure of bronchocele,
and tumors, which do not arise from any vice in the constitution. In
a few cases of bronchocele, however, it is necessary to have recourse
to its internal use, especially when the disease exists in a strumous
habit. By the use, either of the ointment, or of the solution in the
way we have recommended, a soft bronchocele will be discussed in a
month or six weeks. Those which are hard, and of old growth, generally
take a little longer time, and many of these latter cases cannot be
altogether reduced. I have seen two cases, however, in which the
tumors gradually disappeared some weeks after the medicine had been
altogether discontinued. Dr.
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