Calling one morning on an intimate friend of mine at _Paris_, I found
him involved in the deepest melancholy. On enquiring into the cause, he
acquainted me, that having been so long in the hands of _Daran_ for the
cure of a gleet, he at last thought himself free of it, when, on a
sudden, he was cruelly disappointed. Upon which he begged of me to give
him any advice in my power, his situation being extremely critical on
the point of marriage with a young lady of fortune whom he loved, and
with whom he could not bear the thought of engaging, while under so
cruel a circumstance. On this I said to him all that occurred to me just
then for his consolation.
After I had left him I could not help reflecting on his melancholy
condition, and thinking how possibly he could be extricated out of it.
The best way that offered to my mind was his cure.
I indeed considered suppuration as the only method to effect it. But not
accustomed indiscriminately to adopt a method as soon as it is extolled,
much less to follow it blindly, I enquired into the reasons of the
frequent inefficacy of the usual practice, and soon was made sensible of
them.
After mature consideration, I called upon my friend, and proposed to
attempt his cure. He readily agreed. The same day he took an apartment
next to mine. I immediately began his treatment, attended him closely,
and by suppuration properly conducted, was radically cured in seven
weeks.
Some months after, two of his acquaintances left incurable by _Daran_,
applied to me, requesting my assistance, and both were cured in eleven
weeks time. But here is not the place for enumerating cures performed by
my method; I therefore proceed to point out the defects of the actual
practice of preparing and using bougies to cure gleets, and shall
communicate the proper way to improve it, so as never to fail the
intention.
The actual method of treating gleets is frequently unsuccessful, because
defective.
The first defect is the hardiness of the suppurative, common bougies are
made with. This is obvious from the structure of the affected parts. The
internal tunic of the urethra, although ever irritated in a virulent
gonorrhœa, is seldom the seat of the disease. Its seat is commonly the
glandular tunic beneath the muscular, as is shewn by the abundance of
the suppuration, and more plainly by dissecting. In such case, it is
evident, that a common bougie introduced in the urethra, acting
immediately on the internal tunic alone, cannot cause but an imperfect
suppuration of the ulcerated parts, and consequently cannot perfect the
cure.
If so, when the ulcers of the glandular tunic lie at the entrance of the
lacunes in the internal tunic; how much more when the corroding virus
has extended its seat, and produced a kind of sinusses, as is always the
case in inveterate gleets!
Another defect in common bougies is a want of degradation in their
suppurative virtue.
Public-domain text, read in full here on John Shaqi.
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