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
The first case of scrophula in which I made use of this medicine, was
that of a young lady eighteen years of age, who had been affected by
glandular swellings of the neck for nearly eight years. She used the
solution of hydriodate of potass for a month; the dose varied from
ten to twenty drops three times a day, with occasional intermission
of a day when the absorption was going on rapidly. At the end of this
time she had got perfectly rid of her swellings, and she now (two
years since she took the medicine) remains perfectly well. When she
discontinued her drops, so far from having been incommoded by them,
her health was certainly much improved. There remained several little
fistulous sores, which required the assistance of the knife to heal
them. The iodine is not equally efficacious in all cases of this kind.
Great numbers, however, yield rapidly under its use; but many of them,
also, resist its operation. I have never been able to assign even a
plausible reason for this difference of its action in scrophula. In
general, I have found such cases yield more readily to the internal
than to the external use of iodine. The scrophulous glands of children
are not so easily affected by iodine as those of persons who have
attained the age of puberty, and they are also more liable to a relapse.
A female servant in one of the public hotels of Paris, aged
thirty-three, married, who had born several children, shewed me a tumor
of her right breast she had had about two years. It was not attended
with any pain, but had lately somewhat increased, which gave her alarm.
About a year before she had been advised by a surgeon to have it cut
out. This advice gave her so much uneasiness, that she presented
herself at the clinical consultations of M. Dubois. That eminent
surgeon immediately distinguished the tumor to be scrophulous; and
during three months’ treatment, all the usual remedies of this disease
were exhausted without the least effect. A scruple of the ointment of
the hydriodate of potass, placed in the axilla at night, completely
removed the tumor in about six weeks. This is the only case of a
similar kind in which I have used iodine. I have never yet employed it
in scirrhus of the breast.[9]
[9] My friend Mr. Maunoir, of Geneva, informed me that a
little boy from one of the interior towns of Switzerland, was
brought to him on account of a swelling of the knee-joint. He
had already been under the care of several eminent surgeons,
who had all declared the tumor to be a white swelling, and had
recommended the amputation of the limb. Such, also, was the
opinion of Mr. Maunoir; but finding the friends and the boy
himself extremely averse to the operation, he tried the effect
of iodine. In the course of a few weeks the tumor, pain,
and stiffness of the joint were dissipated, and the boy was
running about as formerly.
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