North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
"With too many practitioners, it is the practice to employ
mercury freely in every case of abdominal dropsy, under the
vague notion of there existing some mechanical obstruction in
the liver or other viscus, as a cause of it; and under the
equally vague notion, that mercury so employed will remove it.
The practice, however, to speak of it in the mildest terms, is
founded on erroneous views of the pathology of these diseases;
and employed, therefore, as it is by some, on all the occasions
in which they meet with them, must be frequently very
injurious. For, independently of the injury to be inflicted by
it, when given freely in some of the forms of liver disease,
there is an effect produced by it on the urine, when given to a
person in health, resembling that which arises from the
specific excitement of dropsy. Under a salivation, the urine
becomes charged with serum. Any condition of the system,
therefore, approaching even to a state of salivation, must be
injurious, by the tendency it must have to increase that morbid
state of the body, which is nearest allied to the hydropic one.
Hence the mercurial salivation has been numbered amongst the
remote causes of dropsy; and the resemblance between the
dropsical and mercurial excitement, thus established by the
common resemblance of the urine in these states, goes far to
prove this connexion; and it is not improbable, that the
mercurial inflammation, when considerable, may survive its
specific cause, and degenerate at length into the purely
hydropic state. When, however, mercury is given in minute
doses, so that these its specific morbid effects are not
produced, it is capable of becoming highly useful, as we shall
presently have occasion to notice."
Public-domain text, read in full here on John Shaqi.
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