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
The three preparations of mercury which have already been treated of,
when compared with many others, may be esteemed mild. There are a
different set, which, in opposition to these, may be termed _acrid_. Of
the acrid preparations, not a few have likewise been used in the cure of
_lues venerea_, and for this purpose introduced into the system in
different forms. To treat of all of these would not only be deviating
from our first intended plan, but would lead to many unnecessary
repetitions, and needless inquiries, with regard to medicines which are
now by no means in common use. Calomel and corrosive sublimate may be
esteemed the two extremes of the acrid preparations; the first being the
mildest, the last the most stimulant, which is, in the present practice,
ever used internally. These two are, at the same time, the acrid
preparations which are perhaps most frequently employed in the cure of
_lues venerea_. To treat of these therefore will be sufficient.
Calomel, it has been observed, may be considered as the mildest of the
saline preparations of mercury. In this preparation, the basis of which
is the corrosive sublimate, the mercury is reduced to the form of a
saline compound, by means of the muriatic acid. But it is afterwards
rendered less acrid, from the addition of fresh mercury in repeated
sublimations. It has by many been esteemed the most useful of the
mercurial preparations, not less for other purposes for which mercury
may be employed than for the cure of the venereal disease. The good
effects which may be obtained from its use in this complaint are
confirmed by undoubted experience. And, when it is introduced into the
system, there can be no question with regard to its efficacy in
destroying the venereal virus.
Calomel acts as a more general stimulant in the system than the milder
preparations of mercury. And it discharges itself by the different
excretories, when present in the mass of circulating fluids, in no very
considerable quantity. Hence, it can be less accumulated in the system
than the other preparations formerly mentioned. To this circumstance it
is probably owing, that it less frequently excites salivation than these
do. If, indeed, it be given in large doses frequently repeated, and does
not at the same time affect the intestinal canal, it will excite
salivation. From this, it may be concluded, that then the active mercury
is present in the system in a very considerable quantity. But, when in
this way, even such an accumulation can be obtained, it is to be
considered only as on the same footing with the milder mercurial
preparations, in those constitutions which are readily salivated. Here,
therefore, as in habits naturally disposed to salivation, the presence
of any quantity of mercury in the system will be very transient, and a
salivation occurring will often frustrate the cure to be expected from
it.
Public-domain text, read in full here on John Shaqi.
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