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
If, from this test, it appear, that the want of obvious action after the
use of mercury proceeds from its not having entered the system, a very
different treatment is necessary from what was proposed in the former
case. Here it is requisite, without loss of time, to have recourse
either to a different preparation of mercury from what was formerly
used, or to a different method of introducing the medicine.
The circumstances already mentioned as claiming attention, regard
peculiarities of constitution where no other disease except _lues
venerea_ can properly be said to exist. But it often happens, that the
venereal disease exists in patients who are, at the same time, affected
with other complaints. This affords a very extensive field for
particulars to be attended to in the employment of mercury. To treat of
the variety of diseases which may, in any degree, be affected by it,
would be an almost endless task. In some, the mercury will be of
service, as tending to a cure; many others, on the contrary, are by its
use rendered evidently worse. Its influence in aggravating complaints
has been said to hold, among a variety of other diseases, in cases of
epilepsy, gout, and rheumatism. But on this subject attention is chiefly
requisite to scurvy and hæmoptoe.
In scurvy, mercury very generally occasions a quicker progress of all
the complaints. Hence, when, in such circumstances, it easily can be
avoided, it is a medicine never to be employed. Cases, however, will
occur, in which, although scurvy actually does exist, the use of mercury
will be adviseable. In such cases, if the mercury is used slowly and
cautiously, a cure of the venereal symptoms may be obtained, without
rendering the scorbutic complaints much worse; but, if the mercury be
suddenly thrown in, disagreeable symptoms will often arise. Of these,
the principal are fœtid gangrenous ulcers, affecting the inside of the
cheeks, the tongue, the palate, or the gums. It may farther be observed,
that, although these are in general the consequences of the imprudent
use of mercury; yet they will sometimes arise where it has been used
even with the greatest caution. When they do happen, let their cause be
what it will, there is, in every case, so much danger as to make it
necessary to discontinue the use of mercury. Recourse is then first to
be had to the employment of such means as are best calculated for the
removal of scurvy. If this can once be effected, the removal of the
venereal complaints may be attempted, either by the employment of other
means of cure, or even by resuming the use of mercury.
Public-domain text, read in full here on John Shaqi.
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