On the treatment of lupus / by J.L. Milton.

  • Milton, J. L. (John Laws), 1820-1898
Date:
1866
Catalogue details

Licence: Public Domain Mark

Credit: On the treatment of lupus / by J.L. Milton. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    19/34 (page 13)
    quantities, whereas one patient bears mercury well and another very badly—one person seems almost insensible to the action, of arsenic, while another feels the first dose, and that at one time arsenic is given where it is useless, and at another iodide of potassium where it is not needed. I resret that I must add to the list of remedies with which I failed, lemon-juice, so strongly recommended by Mr. Weeden Cooke, and of which I entertained great hopes, from reading the account of his success. I tried it fairly with several patients, not only in the doses given by Mr. Cooke, but in much larger quantities, using both the bottled and the fresh juice, squeezed from the lemons immediately before it was given. Iii no one instance, however, did I notice any particular effect from its employment. With regard to outward applications, I believe that their principal value is restricted to excluding the air, and that those are the best caustics which effect this most certainly and with the least pain. Perhaps the nitrates achieve this result more certainly than any other means. When the patient can remain indoors, and does not care about the dark stains caused by it, the nitrate of silver may be u,sed ; * it is an excellent remedy either solid or in saturated solution. In the lupus of children, previously spoken of, even a very weak solution can scarcely be borne. Here it is not a bad plan to use a solution of sulphate of copper f for some little time till the sensi- bility has become rather deadened. The acid nitrate of mercury is a very valuable prepai’ation, and has the advantage of not forming .so dark a crust j it is peculiarly suited for small, not very sensitive ulcers and tubercles. It may be brushed with a glass brush over the part, and should be used at first diluted with water till the fidl strength can be borne. When applied, a basin of water should always be at hand, and so soon as ever the pain begins to be felt, the surface should be freely washed. The yellow nitrate of raercuiy may also be used in tl.; form of ointment made with the lard as ]iro- pared by Mr. Squire it is chiefly adapted to those cases where there is only slight or superficial ulceration, and to the lupoid form of sycosis ; it .answers very well for those patients who cannot well have anything applied which produces a visible mark. * It w.os n fiivourito remedy with Eiiyor.— Tliooretic.al .and rMctio.-il Tre-atise,” p. G81. t It fhipri Suli)li. gr. vj. Aqntc Rosro Jij.