Why then do we take the long and disagreeable route to our object by
giving Iodide? Thyroid feeding acts here just as it does in myxœdema.
We have to take into consideration the comparative failure of the other
endocrine glands, but that only adds to the charm and attractiveness of
the problem. The suprarenal and the pituitary are the most important,
but one must not neglect the sexual glands. I feel strongly that
thyroid treatment alone or in combination is the rational method to
adopt in sclerosis: personal experience confirms this every day. We
purposely side-track the worn-out thyroid of sclerosis and senility,
and, by thyroid feeding, restore to a great extent the whole endocrine
harmony, thus giving a new tone and stimulus to existence. We shall
have to use more or less thyroid feeding for the remainder of life, but
we must show our patients that it is not a medicine but a necessary
food. As in myxœdema, so in sclerosis, thyroid feeding is the only
means, as yet known, of producing absorption of those thickenings that
characterize both diseases.
I have had lately the opportunity of watching and treating a thorough
case of myxœdema in a lady about forty years of age, a very intelligent
and educated woman. She weighs her symptoms and knows exactly when she
needs more or less thyroid; she judges by her head feelings, vertigo,
the sense of fatigue, etc., and by her hair falling out. But thyroid
in sufficient doses produces a quick, irritable heart action; this she
can quiet by taking suprarenal extract. Under sufficient thyroid her
blood pressure comes down to normal and the suprarenal does not raise
it. With this balanced combination she can lead a useful and enjoyable
life. The same thing happens more or less in later life, where there is
high pressure and other signs of arterial thickening.
Suprarenal by the mouth seems to me to have the power of raising low
pressures to the normal--a most valuable property in the asthenia of
pneumonia and diphtheria--but there comes in some check action which
prevents its causing hypertension.
Dr. Sajous, the well-known scientific physician of America, at the
annual meeting of the American Therapeutic Society in May 1920, said:
“With regard to the adrenals, in his opinion, clinical experience with
the human subject did not bear out the statements of physiologists
that therapeutic doses of adrenalin had any inhibitory effects on the
functions of the gastro-intestinal canal; in fact, the effect was quite
the opposite. The supposed blood-pressure raising power of adrenalin
also proved misleading; indeed, one of his workers found that, if
there was one thing that adrenalin did not do, it was to raise blood
pressure.”
Public-domain text, read in full here on John Shaqi.
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