A practical treatise on venereal disorders: and more especially on the history and treatment of chancre ... In a series of articles from the Edinburgh Medical and Surgical Journal, nos. 135, 136, and 139 / [by George Bell].

  • Philippe Ricord
Date:
1840
Catalogue details

Licence: Public Domain Mark

Credit: A practical treatise on venereal disorders: and more especially on the history and treatment of chancre ... In a series of articles from the Edinburgh Medical and Surgical Journal, nos. 135, 136, and 139 / [by George Bell]. Source: Wellcome Collection.

    14/66 (page 10)
    Gonorrhea.—Many years have not elapsed since the doctrine prevailed, that chancre and gonorrhea are the same disease, dif- fering only in form. Hunter maintained this opinion, and accounted for the difference of form by the difference of seat; but that these diseases are distinct in nature, and very different in importance, was first taught by Sigwart, John Clement Tode, and Dr. A. Duncan, Senior, and afterwards demonstrated by Benjamin Bell, in his Treatise on the Venereal Disease. Although this doctrine now prevails, daily observation furnishes cases which puzzle the practi- tioner, and cause him to waver in the faith which he professes. Some men contract chancre from intercourse with females who exhibit only symptoms of gonorrhea; while others are seized with symptoms of gonorrhea after connection with individuals who are affected with chancre, and in whom this symptom may or may not be apparent. It is by no means rare to meet with cases of consti- tutional syphilis in persons who refer the symptoms to a previous gonorrhea, or who disclaim having ever been affected with any primary venereal disease. But these cases can be explained ina manner confirmatory of the doctrine established by M. Ricord, that chancre alone can produce chancre. Every experimenter is satisfied of the fact, that, in the vast majority of cases, the inoculation of gonorrheal matter is innocuous; but it is equally true, that the secretions furnished by the urethra of the male and vagina of the female are sometimes inoculable, and give origin to true chancres. Superficial observers would conclude from this, that the matter of gonorrheea is sometimes inoculable; but M. Ricord has demon- strated the contrary, and shown that the matter of gonorrhea per sé never gives origin to chancre. We here insert the table of his researches on this subject. Table of Inoculations performed with the secretions of venereal ' symptoms not syphilitic, 1831-1837. Symptoms, the inoculation of whose secretion was succeeded by no positive result :— Buboes occurring as the first symptom (d’emblées), . wang 38 ——— sympathetic, ‘ ‘ d ; 249 of the glans and prepuce,—Balanitis, _oeee urethral, : , P ; 29] vaginal, . ‘ ‘ , 1 $82 ee vulvular, ‘ , / F 31 uterine, . ; ’ i . 27 anal, . , ; 4 ; 36 ophthalmic, ; ; 4 - 6 Chronic gonorrhea of different seats, . ; ‘ 112 Suppurated Epididymitis, . ; : 3 ; 3 Symptoms not characteristic, which may succeed venereal affections, either simple or virulent. Vegetations, ulcerated and not ulcerated, of different forms and localities, . ; : - ; : 28