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
That these assertions are true, at least of the obvious discharge
produced by mercury, will not be refused by any advocate for its action
as an evacuant. To this, indeed, they may think it a satisfactory
answer, that the influence of mercury as an evacuant cannot be judged of
from the apparent discharge. It may be alledged, and indeed with some
appearance of reason, that the greatest discharge produced by mercury is
by insensible perspiration; that mercury, in consequence of this, is a
more powerful evacuant than many other medicines by which a greater
obvious evacuation is produced; and that it has the effect to increase
perspiration in a more remarkable degree, when it increases no other
discharge than when it induces the greatest obvious evacuation. But
although it cannot be denied, that the use of mercury does increase
insensible perspiration; and that evacuation in this way may, on some
occasions, be greater than what would arise from salivation or any other
obvious discharge; yet these facts by no means tend to any conclusion
which will remove the difficulty formerly stated. Nor can it from thence
be supposed, that mercury always evacuates most powerfully in those
cases where it produces the most successful cure.
The degree of evacuation which takes place from the employment of any
medicine cannot indeed, in every case, be ascertained by the obvious
discharge. But, where the judgment formed from this test would be
fallacious, the marks of inanition consequent upon the use of any
medicine are always certain tests for determining the degree of
evacuation. From these it is evident, that the suppositions here
advanced, that mercury operates more powerfully as an evacuant than any
other medicine, and that it always produces a greater discharge when it
acts by the skin, than when it affects the salivary glands, or any other
excretory, are entirely without foundation.
From the marks of inanition appearing in the system, it is
demonstratively proved, that, from a variety of other means, a greater
evacuation can be produced than from mercury. In such circumstances,
however, by mercury the venereal disease is cured, by these other
evacuants it is not. And farther, where the cure of _lues venerea_ has
been retarded by a salivation occurring early, or where no cure has
taken place after salivation has been continued for a considerable time,
there is every mark of a much higher degree of inanition than when the
disease has been removed by mercury without any sensible evacuation.
There can remain no doubt, then, that the cure of _lues venerea_ is by
no means in proportion to the evacuation which it produces. This,
however, should necessarily be the case, were the cure effected by
evacuation.
Public-domain text, read in full here on John Shaqi.
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