From what has been said, the reader will readily perceive, why a sudden
salivation is often the effect of taking cold under the operation
of mercury. We have no means of immediately checking a salivation.
Discontinuing the use of the mercury, employing gentle laxatives, and
avoiding every thing which tends to irritate the inflamed surface of
the mouth and fauces will lessen the inflammation and discharge, and by
degrees remove them.
When the mercury instead of falling on the glands of the mouth and
fauces, is thrown on the bowels in consequence of taking cold, it
is more in our power to regulate and restrain the discharge. For
the most part this affection of the bowels is a mere diarrhœa. The
griping pains which sometimes attend it seem to arise from the copious
secretion from the intestines washing off the mucus which is the
natural defence against the irritation of their contents. When this
affection is allowed to continue, and no care is taken to defend the
bowels, dysenteric symptoms sometimes shew themselves; these are most
frequently the consequence of mercury taken internally, as I shall
presently have occasion more particularly to observe.
This affection of the bowels may be induced in another way. It will
have nearly the same effect, whether the fluid, which should pass by
the skin is thrown on the bowels in consequence of the action of the
skin being checked by taking cold, or in consequence of this fluid
being directed to the bowels by any cause of irritation applied to
their surface. Hence it is, that indigestible and irritating food will
often produce such a change in the distribution of the fluids, that the
increased secretion by the skin or salivary glands, occasioned by the
mercury, shall be exchanged for that by the bowels.
When the mercury is thrown on the kidneys it passes off, as by the
skin, without uneasiness of any kind; and as in this case also, the
only bad consequences are, that the mercury, instead of acting on the
system for the cure of the disease for which it is given, is drained
from the body, and the patient is sometimes weakened by the increased
discharge. Mercury may, to a certain degree, be diverted from the
kidneys by the use of certain astringent medicines. Those which direct
it to the skin, by increasing the action of this organ, will divert it
from the kidneys; but by this we should lose, not gain, as it is thrown
off by the former more rapidly than by the latter.
In many cases the action of mercury on the kidneys is salutary, and
our aim is as much as possible, by the use of diuretic medicines, to
direct it to this channel; for it happens with respect to the kidneys,
as with respect to the bowels, that whatever tends to irritate and
increase the discharge from them, solicits the mercury to them. It is
partly in this way that it often proves a cure in various species of
dropsy.
* * * * *
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