Leprosy : $b in its clinical & pathological aspectsHansen, G. Armauer (Gerhard Armauer)
Science
Leprosy : $b in its clinical & pathological aspects
Hansen, G. Armauer (Gerhard Armauer)
Leprosy
In the eighteenth century, Schilling tells us he treated leprosy with
success. For the first three months he ordered a rather sparing diet,
consisting of bread, vegetables and soup. The real treatment began
with purgatives, “not mineral ones, because these are dangerous for
lepers, and often produce dangerous diarrhœa,” and was followed by
warm baths, “with circumspection, when the disease is far advanced,
because they produce palpitation of the heart, convulsions and fainting
fits.” In addition to advising frequent exercise in the open air,
Schilling regarded it as important to dilute the diseased humours by
large quantities of purifying fluids, of which he used first emollient
decoctions, and later, powerful sudorific ones. As mild ones he used
barley water, infusions of herbs, Agrimony, Hedera terrestris, Fumaria,
Veronica, etc., to which were sometimes added other softening and
purgative remedies, such as Malva, Parietaria, Senna and Rhubarb.
Of these the patients took, for six weeks, 3 to 4 litres daily. He
then gave powerful resolvents and sudorifics, as Saponaria, Zedoaria,
Sassafras, Juniper, Fol. Scolopendrii, herb. Cardui benedicti, Pareira
brava, etc. The more the patient could take, the more rapid and
complete, according to Schilling, was the cure. Rich food and good
wine might be given. During the treatment the patient had to guard
himself from cold air. After three months the patient was bled, as much
blood being taken as his strength would allow. The external remedies
which were used when there were putrid ulcerations, and when fingers
and toes commenced to fall off, were tincture of aloes, myrrh, and
succini, which were dropped on lint and applied twice a day. Both the
pharmaceutical and the dietetic remedies were to be persevered with
until definite signs of cure were manifest, and the treatment was to be
continued for many months after apparent recovery. Many years ago this
method of treatment was carried out at the Lungegaard’s hospital, but
without success.
We shall next mention all the specific remedies which have been
recommended and have acquired any reputation as effective.
_Madar_ (Mudar) is one of the oldest. It is got from the Indian plant,
Caloptris gigantea (_Asclepias gigantea_). Only the powdered bark of
the root was used. Some of it was sent from India to the Lungegaard’s
hospital, and was given in large doses to many lepers. The effect was
absolutely _nil_; one might just as well have given them flour.
Dr. George Watt enumerates the following plants of which the oils have
been used in India in leprosy:--(1) Albizzea Libbek, (2) Anacardium
occidentale, (3) Gynometra ramiflora, (4) Dipterocarpus turbinatus, (5)
Gynocardia odorata, (6) Hydnocarpus Wightoni, (7) Hydnocarpus venenata,
(8) Pongania glabra, (9) Psoralea corylifolia, (10) Sunocarpus
anacardium, (11) Arachis hypogæa. Of these, only a few merit more
particular mention; the others have been mostly merely popular remedies.
Public-domain text, read in full here on John Shaqi.
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