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
In this enlarged and improved edition of his work, several subjects have
not been treated of so copiously by the author, as was requisite to
render it acceptable as a book of reference; but the judicious notes of
Dr. EMERSON, whose attention has been profitably directed to the
investigation of venereal diseases, have well supplied the deficiency.
A brief outline is here presented of the contents.
The author describes the various symptoms in plain and intelligible
terms; rejecting such unmeaning appellations as syphiloidal,
pseudo-syphilis, &c. as designating no particular phenomena, and
therefore of no use in describing a disease.
He thinks there is a plurality of venereal poisons, and has divided the
disease into four classes, from their different primary and secondary
symptoms; making the eruptions on the skin the most certain criterion of
distinguishing them from each other. These classes are:--the papular
venereal disease; the pustular; The phagedenic; and the scaly venereal
disease. The latter is the true syphilis.
First, the Papular. This is the most common disease, and the most easily
cured. Its primary symptoms are, a simple ulcer without induration,
without elevated edges, and without phagedena. Sometimes there is a
patchy excoriation of the glans penis, attended with a purulent
discharge. This disease and gonorrhoea are caused by the same poison.
The constitutional symptoms are:--fever; pain in the head, shoulders,
and larger joints, pain in the chest; dyspnoea; a papular eruption on
the forehead, chest, and back, sometimes extending in a more scattered
way over the extremities. It is often attended with iritis. It never
gives rise to nodes. The sore throat is different from that of syphilis;
the latter having deep excavated ulcers. If buboes accompany it, they
are mostly of an indolent nature. The eruptions do not all appear at
once; but follow each other. When on the decline, they are of a pale red
or copper colour, not scaly, as in syphilis, but papular; disappearing
and recurring repeatedly, and ending in desquamation.
_Remedies._--Venesection; cathartics; antiphlogistic regimen;
antimonials, combined with decoction of sarsaparilla. Alterative does of
calomel and antimonials, when the eruption declines.
The local treatment consists in astringent washes and simple dressings.
Iritis is to be cured by venesection, cathartics, mercury, blisters, and
belladonna.
This disease will yield to the powers of the constitution. Mercury is
always injurious in the early stage.
Second, Pustular venereal disease.
Public-domain text, read in full here on John Shaqi.
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