An important object to be furthered by the addition to the galvanic bath
of chemicals, is the elimination from the system of certain metallic
substances. It will be found here that in practice we have to deal
chiefly with two substances, viz: mercury and lead. That the elimination
of these bodies by means of the galvanic bath is feasible, I shall
endeavor to demonstrate further on. At present I have simply to consider
the chemicals adapted for the purpose, and the manner of using them.
To facilitate the extraction from the system of mercury, nitric-acid has
been recommended by those who have heretofore instituted this treatment.
While I cannot positively deny that this substance may aid in the
elimination of the metal, I am compelled to state, after its trial in
several cases, that I have obtained equally good results from the simple
galvanic bath. In the light of my own limited experience, therefore, I
cannot insist on the necessity of adding any chemical to a galvanic bath
which is administered for the purpose of extracting mercury from the
body.
Where the elimination of lead is the object aimed at, I am, on the other
hand, satisfied of the utility of adding certain chemicals to the water
of the bath. Sulphuric acid has been suggested and used for this
purpose. I can say nothing respecting its usefulness, as I have never
tried it. Indeed, the results with iodide of potassium added to the bath
have been so satisfactory, that I have had no occasion to try any other
chemical, although almost any other of the preparations of iodine would
probably answer equally well. The chemical affinity of iodine for lead
affords a ready explanation of its usefulness in this respect. One ounce
of iodide of potassium to each bath appears to me a suitable quantity.
I have had no personal experience with any other cases of chronic
metallic intoxication than those with lead and mercury.
The absorption of morbid deposits (plastic exudations, etc.) can be
materially furthered by adding to a galvanic bath some resolvent—above
all, iodine.
I have said above (page 26) that I had found no perceptible benefit from
the addition of this substance to the galvanic bath in cases of
rheumatism or gout. The contrary holds good however with respect to the
frequent sequence of these diseases—articular deposits. When the acute,
and to a great extent the subacute symptoms have subsided—and in
chronic cases especially, and the disease has left effusions in various
joints, iodine, which when employed in this manner, appears to have
little or no influence on the pain accompanying these complaints, is a
powerful adjuvant in promoting the absorption of the deposits. In
chronic synovitis and all other articular affections accompanied by
exudation, the same holds good.
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