The Treatment of syphilitic diseases by the mercurial vapour bath

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Williams, 1874 - Всего страниц: 172
 

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Стр. 13 - The patient is placed on a chair, and covered with an oilcloth, lined with flannel, which is supported by a proper framework. Under the chair are placed a copper bath, containing water, and a metal plate, on which is put from one to three drachms of the bisulphuret of mercury, or the same quantity of the gray oxide,
Стр. 16 - Blaise), fastened round his neck. He thus becomes surrounded by calomel vapour, which he is generally directed to inhale for two or three separate minutes during each bath. In doing this the patient should not put his head under the cloak, but simply allow some of the vapour to escape from its upper part, and breathe it mixed with a large proportion of common air. At the expiration of a quarter of an hour or twenty minutes, the calomel is volatilized, and the water has boiled away. A portion of the...
Стр. 9 - The patient is thus exposed to the influence of three agents, heated air, common steam, and the vapour of mercury, which is thus applied to the whole surface of the body in a moist state. After the patient has remained in the bath from five to ten minutes perspiration generally commences, and by the end of twenty or thirty minutes, beyond which I do not prolong the bath, it is generally excessive.
Стр. 6 - ... weeks, according to circumstances. Many surgeons are in the habit of leaving off the mercury soon after the patient's gums are affected. According to the author's experience, this practice not only fails to cure the disease, but actually does harm. The patient's constitution is weakened to a certain extent, and the disease is not cured, but what is of more importance still, is, that the secondary symptoms, when they do appear, are often of a worse and more intractable character than if no mercury...
Стр. 8 - ... was found that the mode of treatment adopted induced debility, and that ptyalism was often excited rapidly, and at an early period. Mr. Pearson found that he was, consequently, obliged often to discontinue his course of treatment. Sir Benjamin Brodie's experience coincided with that of Mr. Pearson. He found that it was difficult to regulate the mercurial action ; and he observes that by using mercurial fumigation " you may affect the system too much or too little ; and you may be taken unawares...
Стр. 16 - Around this is a circular depression, which may be one-third filled with boiling water. The apparatus is then placed on the ground, and the lamp is lighted. The patient sits over it with an American cloth cloak, or a Mackintosh, or a moleskin cloak fastened round his neck.
Стр. 6 - ... not cured, but what is of more importance still, is, that the secondary symptoms, when they do appear, are often of a worse and more intractable character than if no mercury had been given. There are two principal objects in view in treating a case of syphilis ; the first is to remove the symptoms, and the second to cure the disease. Now a short course of mercury will often effect the former of these two objects, as will also, in almost all secondary cases, the iodide of potassium ; but neither...
Стр. 39 - ... an effect: the mixture and dilution of the vapours of mercury with common steam, and the sweating induced by the bath, entirely removes any fear of this kind, and I would stake my reputation that with proper management it cannot occur. I must not be understood to say that I consider or recommend the mercurial vapour bath as a specific remedy in all forms of constitutional syphilis, but I repeat that it is the most powerful therapeutic agent in the removal of disease, and the least harmful to...
Стр. 13 - ... system, softened the skin, and did not prevent the absorption of the mercury. Now, all the methods of applying mercurial fumigation above mentioned required the use of a complicated apparatus, which private individuals cannot command. In order to adapt this method to general use, it was necessary so to modify the apparatus that any one could use it in his own room ; and this has now been most effectually accomplished. Mr. Langston Parker recommends an apparatus, for the use of which the patient...
Стр. 4 - ... necessary time. Mercury introduced into the stomach and intestines produces, as is well known, a powerful effect upon the liver. This doubtless depends upon the blood, from these parts being directly conveyed through the vena porta to that organ. Sir Ranald Martin, in his admirable work on the influence, of tropical climates, observes, that mercury enters into intimate union with the elements of the blood, and that it must therefore modify its plasticity, and influence all the organic functions...

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