In short, the objections to the use of mercury by the skin, seem all
to resolve themselves into the two above treated of, the debility
occasioned by an increase of some of the excretions, and a greater
susceptibility to the effects of cold.[B] While there are the same
objections to the internal use of mercury, there are far more weighty
ones, which are not the less so, because we cannot with the same
precision define them. All that we know of them is, that they chiefly
consist in a debility of the stomach and intestines, which gives rise
to the various dyspeptic complaints, flatulence, acidity, diarrhœa, and
dysentery, effects which I have so often witnessed from the internal
use of mercury, that I have for some years almost wholly abandoned it,
except in the cases above alluded to.
[B] It is unnecessary to notice a variety of groundless opinions,
respecting the effects of mercury, which prevail among the vulgar, that
it remains for ever in the system, causes a rottenness of the bones,
&c. These are similar to the prejudices which prevailed respecting the
bark for a long time after its introduction into practice, that it was
formed into masses in the stomach and bowels, from which it could never
be expelled; that nobody survived the use of it more than seven years,
&c.
The precautions suggested by what has been said will, I believe, in
every instance, prevent the bad effects of mercury, with the exception
of the symptoms of salivation, which it is now and then necessary to
induce. It will be proper to take a cursory view of these precautions.
* * * * *
As by promoting the excretions, mercury tends to debilitate, it must be
used with caution in weak habits, and its debilitating effects should
be counteracted by the use of such strengthening medicines as are
adapted to the case in which we employ it. The debilitating effects of
mercury, however, are not such as many suppose. In a habit of ordinary
strength, a moderate course of mercury, properly conducted, produces
little debility, and I have seen many under such a course recover both
their strength and flesh. The mercury gives vigour, by removing the
cause which impairs it. With caution there is no danger in making a
trial of mercury in the most debilitated habit. In such the quantity
first employed should be too small to produce any effect whatever. Let
it be gradually increased; if, as often happens, the strength improves,
let it be continued; if the strength be much impaired by it, it should
be laid aside.
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