Observations on the Operation and Use of Mercury in the Venereal DiseaseDuncan, Andrew
History
Observations on the Operation and Use of Mercury in the Venereal Disease
Duncan, Andrew
Mercury -- Therapeutic use -- Early works to 1800; Sexually transmitted diseases -- Early works to 1800
This argument may be answered in the same manner with the preceeding. It
is indeed true, that different preparations of mercury, when used in
equal quantities, have by no means equal influence in the cure of _lues
venerea_. There is seldom an opportunity of observing what would be the
effects of the most stimulant preparations, as, in the venereal disease,
they are by no means in common use; and as, from their action on the
alimentary canal, they exert very violent effects, without entering the
circulating system. They, in general, operate very roughly, both as
emetics and purgatives; but it is not clear that, in the venereal
disease, any benefit has been obtained from their effects in either of
these ways. It can therefore by no means be allowed, that the foundation
of this argument, in its full extent, is strictly true. It cannot indeed
be denied, that some preparations of mercury, which possess a
considerable stimulant power, have a greater influence in the cure of
_lues venerea_, than several others which are less stimulant. So far,
then, the foundation upon which this argument is built, must be allowed
to be just, and its weight, as tending to establish this theory,
requires a refutation.
But, even admitting it to be just, without any reserve, still, no more
than from the former, can any conclusion be drawn from this in favour of
the theory which it is meant to support. It has already been observed,
that, in whatever way mercury operates in the cure of _lues venerea_,
its good effects may always be supposed to be proportioned to the
quantity of the medicine which enters the system in such a state as to
become active there. But the quantity of active mercury entering the
system can in no case be judged of from the quantity of the preparation
which is employed. One preparation of mercury much more readily admits
of a mixture with the animal fluids than another; in consequence of
this, it will find a more ready entrance into the system. And further,
this variety in the facility of access into the system, not only holds
in different preparations, but even in the same preparation at different
times.
In proof of the first of these propositions, we have a convincing
example in the difference which is observable between the effects
arising from the use of crude mercury, and of this metallic substance,
when no other means are used to render it active than simple
trituration. It is well known, that even a very inconsiderable quantity,
taken in this last way, will soon shew its effects at the most remote
excretories of the body; in the other, although swallowed to the
quantity of many pounds, it is a very rare occurrence that any effects
can be observed from which it can be concluded, that it has, in any
degree, entered the mass of circulating fluids.
Public-domain text, read in full here on John Shaqi.
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