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
Calomel, from its general stimulant power, may readily be supposed to
affect the intestines more considerably than the milder mercurial
preparations; and, in fact, it is found, that, in many cases, it much
more readily excites looseness than they do. From this circumstance, it
can be less easily introduced into the system, especially if the
alimentary canal possess uncommon irritability.
If these assertions with regard to this mercurial preparation be well
founded, it will be easy to determine in what cases calomel is
preferable to other mercurials, and in what it is to be considered as
less proper. It cannot be considered as well adapted for those
inveterate and obstinate cases in which a long and gradual use of
mercury is requisite, and to overcome which it is necessary that a
considerable quantity of mercury should be accumulated in the
circulating system. On the other hand, if the intestines are not very
irritable, it will be particularly serviceable, in many recent cases, in
which a speedy action of mercury is adviseable; and, in those where the
venereal virus has not yet made its way into the circulating system, but
is detained in the lymphatic, or in the mucous glands. From its sudden
evacuant power, it may likewise be of great service where mercurials in
the venereal disease are intended to be conjoined with an antiphlogistic
course, or to make a part of it.
What has been said of calomel may be considered as sufficient, with
regard to the milder part of the saline preparations. It now only
remains, then, that some observations should be offered on corrosive
sublimate, which is the most acrid of these that is usually employed
internally.
Corrosive sublimate, it has already been observed, is the basis of the
preparation last treated of. But, in this preparation, the mercury, from
the proportion of muriatic acid which is united with it, is in a very
acrid state. When taken in substance, even in a very inconsiderable
quantity, it proves a virulent poison to the human frame. To this
circumstance it was probably owing, that, for a very long time, it was
used only for external purposes, and even then, from its high stimulant
power, not without the greatest caution. But the many inconveniencies
attending salivation, which was at the same time found to be by no means
absolutely necessary to a cure, induced practitioners to make trial of
preparations less apt to have that effect, than those which had formerly
been used. As every preparation of mercury, in proportion to its
acrimony, has a greater tendency to act upon the surface, and less to
affect the salivary glands, it is not surprising that corrosive
sublimate should at length have been proposed.
Public-domain text, read in full here on John Shaqi.
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