Leprosy : $b in its clinical & pathological aspects — John Shaqi
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
Even before Dr. Beauperthuy’s remedy had lost its reputation, a new
specific remedy appeared in the East Indies, viz., _Gurjun oil_,
introduced by Surgeon-Major Dougall, of the Andaman Islands. The oil is
procured from several species of Dipterocarpus, principally D. lævis,
D. tuberatus, and D. trinervus. Dr. Dougall’s method of treatment was
the following: good nourishment, fresh air, and a mixture of gurjun
oil and lime water internally and externally. For internal use he
gave a mixture of equal parts of oil and lime water, which forms a
tolerably thick emulsion, 15 grains morning and evening. Externally,
he used an ointment of oil 1 part, and lime water 3 parts. With this
the patients rubbed the whole body for two hours both forenoon and
afternoon. The body was thus covered with a sticky layer, to which dust
and dirt adhered. To remove this, the patients rubbed themselves every
morning with dry earth, and afterwards took a bath in running water,
before again applying the oil. The prolonged rubbing he considered not
only beneficial to the skin, but useful as a gymnastic exercise. Of
twenty-four lepers whom he treated in this way for six months, all,
without exception, improved; all ulcerations healed without again
breaking down; and, what is most remarkable, the anæsthesia almost or
completely disappeared.
According to his description of the patients, some of them evidently
had syphilis, some chronic eczema, and some psoriasis. Their
ulcerations had been so neglected that flies laid eggs in them, and
it is little wonder that they healed under the cleanliness which Dr.
Dougall induced. That old anæsthesia should disappear within six
months, is, to any one who knows leprosy, absolutely incredible.
In the summer of 1887 the Lungegaard’s hospital got a sample of the
oil, and nine male lepers underwent Dr. Dougall’s treatment, the only
difference being that they took a warm bath instead of a bath in
running water, which Dr. Dougall probably ordered because he had no
bath-rooms at his disposal. Every morning and evening the patients
took 15 grains of the mixture of equal parts of oil and lime water. In
the forenoon, from 9 till 11, and in the evening from 5 till 7, they
rubbed each other in a room at a temperature of 26 to 28° R., with oil
1 part and lime water 3 parts. In the morning they rubbed themselves
with dry earth, and took a warm bath before re-applying the oil. The
treatment led to no results. In some of the patients the disease
advanced very little, but, nevertheless, the gurjun oil had no effect.
As leprosy, so far as we know, is the same disease in the East Indies
as in Norway, it was surprising that the gurjun oil should cure it in
the one place and not in the other. Later trials of the treatment in
India have had the same negative results as in Norway.
Public-domain text, read in full here on John Shaqi.
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