It is of great consequence in most cases, in conducting a course of
mercury, as much as possible to prevent its running off, and as we
cannot wholly confine it, our plan is to direct it to that channel
thro’ which it passes off most slowly; for it is well known that
this and some other medicines, while they particularly excite any
one excreting organ, are not apt to pass off at the same time in
considerable quantity by any other. Now the channel by which mercury
passes off most slowly is the glands of the mouth, and fauces. Our
view, therefore, is generally to direct it to this channel, and the
degree in which it increases the secretion from these glands is a
sufficiently accurate measure of the quantity of mercury in the body,
as we generally find that the effects of mercury in removing disease
are proportioned to the degree in which it affects the mouth. Besides
the discharge, and consequently the debility, occasioned by the same
quantity of mercury, is less when it excites these glands, than when it
acts on the skin and bowels.
While it increases the secretion from the glands of the mouth and
fauces, it irritates and inflames them, and the inflammation it excites
when the quantity which passes in this way is great, often becoming
considerable and spreading to neighbouring parts, much uneasiness is
sometimes occasioned.
The symptoms of salivation form the chief of the bad effects, which
are peculiar to this medicine. They are indeed unpleasant, but they
are unattended with danger. It is rarely proper to induce them. A
physician may practice for several years without meeting with one
instance in which salivation is necessary; and the extent to which the
older practitioners were accustomed on every occasion to carry the use
of mercury, may be regarded as one of the greatest abuses which have
opposed the beneficial employment of this medicine. It has certainly
more than any other tended to confirm the prejudices against it. All
its good effects can in most cases be obtained by slightly affecting
the mouth, and keeping up this affection for a longer or shorter time,
according as the complaint proves more or less obstinate.
In certain formidable cases which, we have reason to believe, if left
to themselves would prove fatal, and in which more gentle means have
failed, it is proper to induce salivation. But may not a similar
objection be brought against the use of most other medicines? There
are few whose operation, is not attended with some inconvenience. How
alarming would be the operation of an emetic were we not accustomed to
see it! Violent vomiting is a symptom occasioned by some of the most
fatal poisons, yet we are easily reconciled to it when assured of its
beneficial tendency.
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