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
Another complaint, which may be complicated with the venereal disease,
and during the existence of which particular caution is necessary in the
use of mercury, is hæmoptoe. That habit of body which particularly
disposes to hæmoptoe is well known, and, even where the disease has
never existed, can be detected by obvious marks. Many patients, after
having been once attacked with hæmoptoe, are seemingly cured, and have
every appearance of being restored to perfect health. Both these
situations may be considered as, in a great measure, the same: In
either, hæmoptoe will be induced from very trifling causes. Among
others, the use of mercury has frequently been observed to have this
effect. In all such cases, then, it is necessary that mercury should be
used in small doses, and introduced slowly into the system.
Notwithstanding every precaution, it sometimes will happen, that
hæmoptoe will arise from the use of mercury. When this is the case, it
is necessary not only to abstain from the use of the medicine, but to
have recourse to those means which are found to be most effectual in the
cure of so dangerous a symptom. For this purpose, bleeding,
refrigerants, and astringents, must be employed, as the circumstances of
the patient direct. While the hæmoptoe continues, the use of mercury is
not to be attempted. And although, by these means, it should happen to
be removed, this medicine, unless in cases where the venereal symptoms
are very urgent, is not to be ventured upon for some time, even in the
most gentle forms.
We have now pointed out the principal circumstances claiming attention
in the employment of mercurials, which depend either on the nature of
the medicine itself, or on the condition of the patient in whom it is
employed. It now only remains, then, to offer some observations with
regard to the necessary regimen. What is to be said on this subject will
respect either diet, temperature, or exercise; each of which may be
considered in order.
It has been alledged, that mercury operates in the cure of _lues
venerea_ by acting as an antidote to the virus which produces the
disease. If this is the case, it is difficult to see how any particular
diet can have the least tendency to promote its operation. In adapting
the diet to the medicine, then, the principal thing to be attended to,
in this case, is, to order such a one as will most readily counteract
those accidents which the medicine is apt to induce. The accidents
chiefly to be guarded against, from the use of mercury, are those
arising from its stimulant power. In diet, therefore, it is in the first
place requisite, that every thing stimulant should be avoided. And then,
if it can be done, such substances are to be employed as, when taken
into the system, have a tendency to counteract a stimulus.
Public-domain text, read in full here on John Shaqi.
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