An American text-book of surgery : for practitioners and students / By Phineas S. Conner, M.D., Frederic S. Dennis, M.D., William W. Keen, M.D., Charles B. Nancrede, M.D., Roswell Park, M.D., Lewis S. Pilcher, M.D., Nicholas Senn, M.D., Francis J. Shepherd, M.D., Lewis A. Stimson, M.D., J. Collins Warren, M.D., and J. William White, M.D. Ed. by William W. Keen and J. William White.
- William Williams Keen
- Date:
- 1899
Licence: Public Domain Mark
Credit: An American text-book of surgery : for practitioners and students / By Phineas S. Conner, M.D., Frederic S. Dennis, M.D., William W. Keen, M.D., Charles B. Nancrede, M.D., Roswell Park, M.D., Lewis S. Pilcher, M.D., Nicholas Senn, M.D., Francis J. Shepherd, M.D., Lewis A. Stimson, M.D., J. Collins Warren, M.D., and J. William White, M.D. Ed. by William W. Keen and J. William White. 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.
![which it pro(hiees render it unsuitahle for loii<i;-coMtinnc(l use. Vapor hat/is of mercury may be taken in various ways, the simplest being the vohitilization by means of an alcohol lamp of a dram of calomel, the a])paratus being placed beneath a chair upon -which the patient sits, a blanket extending from his shoulders to the ground serving to retain the fumes in contact with his body. 5. By whatever method the mercurial influence is kept up, the dose should be temporarily raised whenever new symptoms make their appearance, and, after they have vanished, should be dropped to the standard dose for the particular patient. 0. The local treat- ment of symptoms is of secondary importance, and altogether subservient to the constitutional treatment. It may, however, be useful as an adjuvant. Mucous patches should be treated with sulphate of copper or nitrate of silver if on mucous membranes; when on cutaneous surfaces they sli.iuld be dusted with powder of starch and calomel or of calomel and lycopodium. The scaly and tubercular syphilides will be benefited by the application of a salve con- sisting of equal parts of citrine ointment and cosmoline, or by ammoniated mercury and cosmoline, two drams to the ounce, or by any other stimulating and absorbent ointment. Ulcers may be dressed with iodoform, or, when sluiTJzish, touched with nitrate of silver or acid nitrate of mercurv. Enlarged glands may be painted with iodine or let alone; they rarely run on to sup- puration. 7. At the end of two years small doses of iodide of potassium should be added to the mercurial, and this mixed treatment should be persevered in for six months longer. If during this period any symptom of syphilis makes its appearance, the six months of mixed treatment should be dated from that time. In other Avords, some such formula as this: I^ Hydrarg. biniodid., gr. ij ; Potass, iodid., sij ; Syr. sarsaparillae co. Aquae, da. fSiij- M. et sig. A dessertspoonful in water after each meal, should be administered for the last six months of the treatment, and should be recommenced and continued for six months if any symptoms appear later. Great care should be taken to give the mixture largely diluted, and so to vary it as to do away as far as possible Avith any irritation of the intestinal tract. In obstinate tertiary conditions the dose of the iodide may Avith impunity be run up to twenty, thirty, or sixty grains, or even more, four times daily. If this be done, the cases Avhich refuse to come under its control Avill be very rare. 8. At the end of two and a half years the patient should be kept under observation for another full year, and if during that time no symptoms are developed, he may consider himself as in all probability cured. If such symp- toms do appear, however, he sliould recommence treatment, and should con- tinue it for at least six months after their subsidence. CHAPTER XVIII. HEREDITARY SYPHILIS. The most important points bearing upon the general subject of hereditary syphilis may be enumerated as follows: I. Is syphilis transmissible in all its stages (a) to the wife or husband, or](https://iiif.wellcomecollection.org/image/b21217014_0212.jp2/full/800%2C/0/default.jpg)
