Porneiopathology: A Popular Treatise on Venereal and Other Diseases of the Male and Female Genital System; With Remarks on Impotence, Onanism, Sterility, Piles, and Gravel, and Prescriptions for Their TreatmentCulverwell, Robert James
Science
Porneiopathology: A Popular Treatise on Venereal and Other Diseases of the Male and Female Genital System; With Remarks on Impotence, Onanism, Sterility, Piles, and Gravel, and Prescriptions for Their Treatment
Culverwell, Robert James
Genitourinary organs -- Diseases; Sexual health; Sexually transmitted diseases
Our plan, however, is as follows: in the first place, I take into
consideration the appearance of the patient; if he be strong, robust,
sanguine, or of full habit, and youthful—if it be his first attack, and
if the symptoms be ushered in with any degree of severity, I invariably
and rigidly (where I choose not the surgical) pursue the antiphlogistic
course of treatment; if the case be in a person of phlegmatic
temperament, of mature age, and the disease be but a repetition of the
past, and there be no evidence of physical excitement, I fearlessly
adopt the specific. Where, in the third place, I encounter a patient
with no very prominent peculiarity, nor with symptoms demanding
extraordinarily active measures, experience has taught me the propriety
of cautiously combining the two methods—a mild aperient had best always
a precede a tonic or a stimulant, in cases where there is a doubt of
inflammation lurking in the system; and, recollecting the tendency our
complicated organization has, when assailed by a distemper, to become
irritable, it is always as important to know when to withhold a remedy
as when to prescribe one.
The three following imaginary cases will serve as no inapt illustration
of the principles laid down:—
A. B. A man twenty-six years of age, five feet six inches in height,
weighing eleven stone six pounds, of a full rounded form—florid
complexion, of what is termed a sanguine temperament, and harassed
with the following symptoms: profuse discharge in large yellow clotted
lumps of gonorrhœal virus—intolerable scalding on passing water—great
pain at the rectum at the close of micturition—redness and swelling of
the orifice of the glans penis, puffiness of the prepuce, a _vicious_
chordee—inclination to headache—a bounding pulse—hot skin, and an
anxious mind. Treatment: say first bleeding, then purging; warm
bath, saline powders or mixtures, cold lotions to the part, rest,
abstinence; the following eve, symptoms will be less severe. Continue
the powders, temperance and quiet. In a few days, the discharge will
be lessened, the scalding mitigated, the chordee gone, and the fever
exchanged for the cool skin of health. The resuscitative powers of
nature await only the fillip of some gentle stimulant, and the sick
man throws off his mantle for the coronal of health.
B. C. At twenty-three, dark countenance, marked features, well
developed muscular form, pulse 66, bilious temperament, accustomed
to late hours, hard drinking, and seldom still, and _subject_ to
clap. Symptoms: plenteous discharge with but little scalding, and
no inconvenience beyond the suspension of ordinary sensualities.
Treatment: cleanliness, cubebs or copaiba, injections, a black
draught, and half a dozen days’ rest, release him from his quarantine.
Public-domain text, read in full here on John Shaqi.
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