The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
Inunction should be practised at least once every twenty-four hours,
until either the gums become tender or swollen, with an offensive odor
of the breath, or until the skin is irritated. The mouth should be
protected by use of an astringent antiseptic mouth-wash, such as the
following: Carbolic acid 10 parts, oil of wintergreen 1 part, tincture
of myrrh 50 parts. A little of this solution in a tablespoonful or more
of water makes a serviceable wash, which should be used several times
a day. There are sanitaria and springs, or health resorts, in this
country where a specialty is made of this manner of treatment. At these
resorts inunction is practised freely and thoroughly, but the benefit
which is obtained comes rather from the attention which patients give
to the treatment, and their abstention from business or dissipation,
than from any inherent medicinal features either in the mineral water
or climate.
Under the influence of mercurial ointment alone, if a patient is
willing to persist in its use, many cases of syphilis may be conducted
to a successful termination; but its use is disagreeable to some
people, and it may be impossible to resort to it for any great length
of time. It has its inconveniences and disadvantages, but it should be
applied in at least the first stages of the disease.
When mercurial ointment is seen to have made a distinctive impression
upon the constitution of the patient it may be discarded and the
treatment changed to the internal administration of the drug.
Mercurials may be given internally in any one of several different
preparations. Hutchinson has recommended _gray powder_, in doses of
¹⁄₄ to ¹⁄₃ Gm. three or four times a day. _Corrosive sublimate_ is a
reliable form in which to administer mercury in doses which can be
tolerated, from 1 to 2 Mg., three or four times a day. The red iodide
may be given in similar doses, or the green iodide may be administered
in doses of 0.15 to 2 Cg. These preparations sometimes irritate the
intestinal tract and produce a certain amount of colic or looseness
of the bowel. For the latter some astringent may be combined with the
mercury, while intestinal pain may be checked by the use of extract of
conium.
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