Observations on the Operation and Use of Mercury in the Venereal Disease — John Shaqi
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
These preparations seem to contain a very large proportion of mercury;
and certainly, in their composition, a considerable quantity is blended.
But it by no means follows, that the whole of that quantity is in an
active state, or is in such a condition as to be capable of an union
with the venereal virus. From late observations, it appears, that by
much the greatest part of the mercury, although here rendered invisible,
is still in its crude state. The effect, therefore, to be expected from
them is by no means to be judged of from the quantity of mercury which
has been employed in making them. And they are in reality much weaker
preparations than might be imagined.
These are often employed as dressings to open sores. But the oily nature
of the substances with which the mercury is here conjoined, prevents it
from admitting of a ready union with the venereal virus. On this
account, their power will be still farther diminished than from the
cause formerly mentioned. Hence it may be concluded, that they are not
the most proper mercurial applications for open ulcers. And indeed an
examination of the state of the fact confirms this conjecture. For, upon
inquiry, it will be found, that in such circumstances greater benefit
may be reaped from other mercurial applications.
Mercury is often meant to act in the venereal disease, without any
general affection of the system, or without entering the mass of
circulating fluids, where it cannot come into immediate contact with the
affected parts. These parts are often deep seated, and, at the same
time, the integuments above them are unbroken. In such cases, mercury,
applied in a form capable of penetrating, or of being absorbed, promises
to be of service. That mercury, in the forms here mentioned, is in this
situation, cannot be denied. And, in such cases, these forms have the
peculiar advantage, which many others want, of admitting of an easy,
gradual, and long continued application. Hence it is, that singular
benefit is obtained from them in the resolution of nodes and buboes.
It may not be improper here to observe, that, for these intentions,
particularly the last, which is an affection of the lymphatic glands, it
is a very effectual mode of using the mercury, to apply it in the form
of unction to those places from which the lymphatic vessels passing
through the diseased gland take their rise. In this way, equal if not
greater benefit will, in general, be reaped, than from immediately
applying it to the tumor itself. By this means, the mercury will be
carried with more certainty, and in greater quantity, to the affected
gland, than it would be from pervading the substance of the integuments.
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