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
It is alledged, that mercury cures _lues venerea_ by the evacuation it
occasions; because the good effects derived from its employment are
observed to be more in proportion to the stimulant power of the
preparation which is used, than to the quantity of mercury taken. The
data, however, here assumed by no means lead to the conclusion deduced
from thence. The most stimulant preparations of mercury, by their action
on the _primæ viæ_, are in general immediately expelled from the system.
When this happens, they have no influence in the cure of venereal
complaints. When they are not thus expelled, their nature is such that
they most readily enter the system. Their superior action, then, may be
accounted for without supposing that it depends on their producing the
most considerable evacuation.
From the facts as here stated, it indeed follows, that the good effects
obtained from mercury are greatest in those cases in which the mercury
enters the system in most considerable quantity. The evacuation, it is
true, is then likewise greatest. But this will unquestionably follow as
the necessary consequence of the presence of active mercury in the
system, and can by no means be concluded to be the cause of the cure.
The evacuation which occurs in this case, then, as was observed in the
objections adduced against the last argument, can be considered only as
an index of the quantity of active mercury which is present in the
system. The superior activity, therefore, which some stimulant
preparations possess, when compared with those of a milder nature, is by
no means a proof of the supposition that mercury cures _lues venerea_ by
means of the evacuation which it produces; and this argument, as well as
the former, may be set aside.
The third argument mentioned in favour of this theory, and the last
which we proposed to consider, is, that the same good effects, in the
cure of _lues venerea_, may be obtained from the employment of other
evacuants, as from that of mercury; and particularly, that the venereal
disease is cured in a similar manner by the use of guaiac.
This argument, if well founded, would indeed be a conclusive proof of
the theory, in support of which it is here adduced. Evacuation may be
occasioned by a great variety of other means besides mercury. The
influence of any discharge, as tending to cure _lues venerea_, will fall
more particularly to be considered in stating the objections against
this theory. A full answer, then, to the first part of this argument,
would at present be superfluous: But it may be observed, that it is by
no means a common practice to attempt the cure of _lues venerea_ by the
safest and most effectual evacuants now in use; and that, when evacuants
are employed for the cure of other diseases, while a venereal infection
at the same time exists in the system, it is never found to yield to
them. This first part of the argument, then, may be shortly answered, by
denying it to be true.
Public-domain text, read in full here on John Shaqi.
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