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
Another form in which mercury was very antiently used, and still
continues to be applied with an intention of acting immediately upon
affected parts, is, its being reduced into a state of vapour, by which
means it acquires a very high degree of activity. This mode of applying
mercury is attended with many inconveniencies, and, in this form, its
application, while it is very sudden, can at best be but temporary. It
must, however, be allowed, that the active form which the mercury here
assumes is a very subtile one. By this means, it becomes capable of
penetrating and resolving hard and indurated tumors, which cannot be
pervaded by mercury in other forms. On this account, in such tumors,
especially if they have been of long standing, and in obstinate ulcers
which have resisted other mercurial preparations, the form of vapour may
often be tried with peculiar advantage. For this purpose, cinnabar has
commonly been employed. From its being resolved into fume, the mercury
and sulphur are disunited, and the activity of the medicine totally
depends upon the former arising in a state of vapour.
Mercury, in whatever way it is used, is most active in these forms in
which, from the addition of acids, it is reduced to a saline state. Some
of these are in their nature so extremely corrosive, that they can
scarcely, with safety, be used even as external applications. This
peculiarly holds of those preparations which are formed by a combination
of mercury with the nitrous acid. That they may be fitted for use,
therefore, various means are employed to render them milder. Among other
methods, one frequently practised, is, the abstraction of acids by
calcination. In this manner are prepared the _mercurius corrosivus
ruber_ of the London college, and the _praecipitatus ruber_ or
_calcinatus_ of the Edinburgh. These are forms of employing mercury
which are every day in use, for application to the part immediately
affected.
These preparations, even after having their action in this manner
diminished, still possess a very considerable degree of corrosive power.
On this account, they become particularly useful in many cases of
venereal complaints, where corrosives are required. And hence it is easy
to learn the foundation for the frequent and advantageous employment of
these preparations in cases of fungous edged ulcers, of warts, and other
such tumors.
That these preparations may be applied more commodiously, they are
frequently mixed with different ointments, particularly with basilicon;
but, by this means, their power of action is greatly diminished. Where
it is intended they should act as escharotics, it is perhaps in every
case most proper to employ them in the form of dry powders. Such
dressings may then be applied above them as are best fitted to the
nature of the complaint.
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