The treatment of syphilis / by F.J. Lambkin.

  • Lambkin, F. J.
Date:
1908
Catalogue details

Licence: In copyright

Credit: The treatment of syphilis / by F.J. Lambkin. Source: Wellcome Collection.

    82/84 page 334
    At the same time, it will require to be given with much circum- spection and care, and the rule of giving it in intermittent courses of increasing doses, each course not exceeding fourteen consecutive days, should never be departed from, ever bearing in mind, that if continued beyond this time the drug appears to lose its beneficial effects, and then only acts as a constitutional depressant, which is the very last thing to be desired. Given in the way described, iodide of potassium is most valuable in these virulent cases of syphilis, and mitigates in a very marvellous way the various bone and skin lesions, to say nothing of the later syphilitic affections. Iodi'pin. It is in these cases that I have derived the best re- sults from iodipin, which, from the slowness both of its absorption and elimination, has the very best effects. I have seen very many cases which, although they had shown no change for the better under iodide of potassium, have responded almost at once to subcutaneous injections of iodipin, given as already described by this method in 15 c.c. doses every day for ten consecutive days, the courses to be repeated every three months if necessary. As I have already said (p. 321), I am in the habit of giving in addition the 25 per cent, solution in 30 gr. doses thrice daily, either in milk or made up in gelatine capsules. Local lesions. The local treatment of these is of course very important in virulent syphilis. For chronic affections of the mucous membrane nothing is better than touching with either chromic acid 10 to 20 per cent., either alone or followed by the application of the solid stick of nitrate of silver, which forms chromate of silver. In the more severe forms of ulceration the curette should be employed at once, and it should be freely used after applying the chromic acid. For phagedaenic sores in all situations I find the application of crude chromic acid best; this may require to be done more than once ; after the sloughs have separated iodoform should be dusted over the surface. Some sores do best by continually bathing in hot boric or sublimate solutions, but all large chronic ulcers should be treated on general surgical principles, i.e. rest, cleansing,
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