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 accidents already enumerated are the most common ones which can be
considered as depending on the nature of the medicine itself. But,
besides these, a variety of others, although less frequently occurring,
might likewise be referred to this source. Independent of that affection
of the gums and mouth, which, for the most part, is the forerunner of
salivation, it sometimes happens, even where no particular exposure to
cold can be blamed as a cause, that the whole head is remarkably
swelled. Where this takes place, it is in general the consequence of
throwing in the mercury too suddenly, and may best be avoided by a more
sparing and gradual use of the medicine.
From continuing the use of mercury for a considerable time, in some
cases, febrile complaints will arise. These, if they admit of a cure,
while the use of the mercury is continued, will most readily be overcome
by the means commonly employed for the relief of hectic fever. But it
seldom happens, that these symptoms can be removed without omitting the
use of the mercury. In such cases, therefore, even although from the
remaining appearance of a venereal taint, the farther continuance of
mercury would seem adviseable, yet, when these febrile symptoms
supervene, it is for the most part necessary, to trust the cure to other
means.
The action of every medicine, and consequently the circumstances
claiming attention in its employment, are considerably varied by
peculiarities in the habit in which it is given. What, in this respect,
therefore, is chiefly to be attended to in the use of mercury, falls
next to be considered.
Although it has been observed, that the accidents already mentioned may
happen in any habit; yet it is certain, that in some particular habits,
they will much more readily take place than in others. Where
constitutions, therefore, naturally exposed to these accidents do occur,
it is necessary, that the means to be employed for preventing the
inconveniencies which would arise from thence, should be had recourse
to, more early than in patients of a different constitution.
Mercury, when introduced into the system, has always a tendency to
produce evacuation. At particular periods of life, evacuation is less
easily born than at others. Hence, the long continued use of this
medicine, or its employment in a considerable quantity, are always
particularly to be avoided with people much advanced in life, or with
infants.
During infancy, mercury may likewise produce inconvenience, from its
stimulant power. On this account, the more acrid preparations are,
during that period of life, to be avoided. If, however, their use should
be esteemed necessary, they are to be employed only in small doses.
Stimulants are not more dangerous in irritable habits than they are in
plethoric ones; or in those in whom the force of the circulating fluids
is very great. On this account, with patients in the vigour of life,
evacuation is often requisite previous to the use of mercury.
Public-domain text, read in full here on John Shaqi.
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