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
It is however but too true, that mercury is frequently employed in cases
where its use might readily be dispensed with. And this holds not more
of its employment in other diseases, than in some venereal complaints.
When, indeed, the venereal virus has actually entered the system,
perhaps a cure, by means of mercury, is in every case at least to be
attempted. And a cure without it, by any medicine at present in use, is
seldom, if ever, to be depended on. But, where the matter occasioning
the affection is still in a state of topical application only, as
happens in the case of gonorrhoea, the introduction of mercury into the
system is totally unnecessary. And a cure may be effected by other
means, not only with greater safety and ease, but likewise with more
expedition.
Mercury, in an active state, when introduced into the system, has, in
every case, more or less a tendency to affect the intestines. This
action, while it seldom co-operates with its other effects in curing the
disease, frequently produces the most mischievous consequences in the
constitution. When it occurs, therefore, it is but natural to think of
checking it. This may often be successfully done, by the employment of
means fitted to promote a determination to the surface. Where this
method fails, it may frequently be obviated, by giving opium at the same
time with the mercurial.
Another consequence which often arises from active mercury, when
introduced into the system in any considerable quantity, is its exciting
salivation. This discharge is attended with numberless inconveniencies,
and it is at the same time no farther necessary to a cure, than as it is
a proof of the quantity of active mercury which is in the system. But,
where mercury in the greatest quantity is requisite to a cure, to keep
the patient upon the verge of a salivation is all that is necessary.
Salivation, then, on its first appearance, is always to be restrained.
For this purpose, it is necessary, that the use of the medicine should
for a little be intermitted. Where that is insufficient, determination
to the surface, by means of diluent diaphoretics, has a tendency to
restrain this discharge as well as the former, and may often, for this
purpose, be used with advantage. But, in general, salivation will be
most successfully checked, by increasing the determination to the
intestines by means of cooling purgatives.
As well as other discharges, that by sweat may likewise, from the use of
mercurials, take place in a degree not to be wished for. Although this
discharge is attended with much less inconvenience than either of the
two already mentioned, yet it may often be proper to restrain it. This
may be done by keeping the patient more thinly clothed, and in a cooler
temperature than before, and by a cautious exposure to open air.
Public-domain text, read in full here on John Shaqi.
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