Notes on principles of surgery / from lectures by Stuart McGuire.
- Hillsman, Blanton L.
- Date:
- 1897
Licence: Public Domain Mark
Credit: Notes on principles of surgery / from lectures by Stuart McGuire. Source: Wellcome Collection.
Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.
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![Iodine is not an antidote for syphilis, it has no effect on syphilis, but acts entirely on the products of syphilis. It is not used or does no good except in the tertiary stage. It causes disintegration of the gummata and restores the tissues to their normal condition. Appreciating the above facts, never give Iodine until the incipiency of the third stage, and then continue the drug as long as symptoms crop out. The preparations used are Tinct. of Iodine (in emer- gencies), Iodide potash, soda and ammonium. Iodide of Potash is the most popular preparation. The drug should be commenced with small doses and increased steadily to the point of tolerance. Order a saturated solution, commence with 5 minims after meals and gradually increase the dose until 40 or 60 minims are being taken or until untoward manifestations are noticed. It is well to know that in a saturated solution of Iodide of Potash, as usually prescribed, that each measured minim contains 1 grain of the drug, but each drop of the solution does not; that is, when the medicine is dropped the ounce contains 960 drops and when measured only 480 minims, therefore tell your patients to either measure the dose or double the number of drops ordered, when the medicine is sim- ply dropped from the bottle. The evil effects of the Iodides are coryza and skin eruptions. General Treatment. —While treating the disease locally aud fighting the virus with mercury, don't forget the general treat- ment and therefore administer tonics, and such drugs that will assist the assimulation and digestion. Stop the use of tobacco, chewing causes irritation and the formation of raucous patches. Smoking also favors the f9rn]ation of these patches, irritation be- ing caused by the pipe stem or cigar. Whiskey must be withheld, as syphilis and alcohol give bad results, but in an old man who is used to his morning dram, let him have it. Care should be taken vpith the diet, a liberal supply of food may be allowed, but it should be easy of digestion. Plenty of outdoor exercise should be advised. Care should be taken in regard to the clothing; flannel or silk should be worn next to the skin, and cotton or linen pro- hibited, as the skin is depended on to assist in the elimination of the virus and mercury, and must therefore be kept warm. A hot bath should be taken three times a week, and a Turkish bath once a week. If the patient is full of malaria, give him quinine; if](https://iiif.wellcomecollection.org/image/b21218808_0207.jp2/full/800%2C/0/default.jpg)
