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
"But adults are not wholly exempted from this morbid affection, and it
is not easy in all cases, to distinguish the cancrum oris from a
cancerous or venereal ulcer in the mouth; since the uvula, tonsils or
fauces may be the seat of each disease. I have seen ulcerations on the
uvula and tonsils, with all the marks of a venereal sore, in patients
where the presence of such a virus could not be suspected; and by
treating them as canker of the mouth, they have been speedily cured.
"The canker of the mouth ought to be distinguished from aphthae, the
epulis and parulis, scurvy, cancerous ulcers, venereal ulcers and
exulceration from the use of mercury.
"_The mode of treatment._--It will be proper,
"1. To remove the diseased teeth, bone, &c. if possible.
"2. To prescribe a milk and vegetable diet, and to allow a prudent use
of fermented liquors.
"3. It will be adviseable to exhibit such remedies as, Peruvian bark;
sarsaparilla; elm bark; mineral acids.
"The external applications that I have generally found successful have
consisted of such as the following:
"_Preparations of copper_; a diluted mineral acid; burnt alum; decoction
of bark with white vitriol; tincture of myrrh, &c."[2]
Of the above articles, those which we have indicated by italics are
omitted in the last edition of COOPER'S Dictionary; and, in a former
one, they are directly prohibited with strong reprobation. Nevertheless,
it is among these that we have found, beyond comparison, the most
successful one.
Mr. PEARSON prefixes to the preceding article a list of synonymes, with
references to authors, in the manner of writers on natural history. They
are as follow: _Aphthae Serpentes._--SENNERTUS; Medicina Practica.
_Labrosulcium, seu Cheilocace._--ARNOLDUS BOOTIUS. _Oris
Cancrum._--MUYS. STALPAART VANDER WIEL. _Gangraena Oris._--VAN SWEITEN.
_Gangrene scorbutique des Gencives._--Auctores Gallici.
Of these, SENNERTUS[3] merely mentions, under the article aphthae, that
the latter sometimes spread around the fraenum and tongue, occasionally
corroding the subjacent parts. He is so far from giving a clear
description, under the head of Aphthae Serpentes, of any affection
analogous to that we are about to record, that he quotes GALEN as
remarking, very properly, that these are not aphthae at all, but putrid
ulcers.
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