A treatise on gonorrhœa virulenta, and lues venerea

Front matter

TREATISE

ON

GONORRHOEA VIRULENTA,

Preface

AS many of the symptoms of Gonorrhoea and Lues Venerea become frequent objects of the surgeon's attention, I at one time meant to have introduced a treatise on these diseases in the System of Surgery published some years ago, but I was prevented from doing so, by different publications upon the same subject being announced about the same period.

As these works have since made their appearance? and, as some of them have been very favourably received, it may be imagined, that farther writings upon this subject can scarcely at present be required. It must indeed be admitted that many valuable publications have come forth within these few years upon this branch of the profession ; particularly one by Mr. John Hunter of London, intitled, A Treatise on the Venereal Disease ; and another intitled, Practical Observations on Venereal Complaints, by Doctor Swediaur. But although much information may be obtained from both of these works, as well as from some other late publications upon this subject, there is still much left for others to elucidate. Such is the effect of experience and observation, that farther advantages are daily accruing from the labours of individuals in the treatment of this as well as of almost every other disease ; and as this I hope will in some degree appear from the present publication, so I shall still expect to find that the future endeavours of others will prove yet more successful.

Among other points which I have more particularly attempted to elucidate, the treatment of Gonorrhoea by injections, and the quantity of mercury to be exhibited in Lues Venerea, are, perhaps, the most important ; and I flatter myself that I have given views concerning them, which, in practice will be found to merit attention. The cure of Gonorrhoea by injections is, no doubt very universally practised ; but while in a great proportion of cases it proves successful, in till PREFACE.

others it fails entirely : The cause of this, so far as I know, has never hitherto been explained. Whether I may have conveyed an adequate idea of my opinion upon this point I cannot positively say ; but the observations upon which it is founded are such, that all who pay attention to the subject may be enabled readily to ascertain such cases as will yield to injections, as well as those in which no advantage is to be expected from them.

The opinion which I have ventured to support, of the difference between the matter of Gonorrhoea, and that of Lues Venerea, will no doubt be censured by many. They ought, however, to recollect, in matters of opinion, which cannot be proved by demonstration, that some unceriainty must always take place ; and before censuring with severity the opinions which others may suggest, they should consider whether their own may not be equally liable to objection. To me it appears that the reasons which! have adduced in support of my opinion are very conclusive, but I shall make full acknowledgement of my error, if sufficient reasons shall ever be given to show that it is ill-founded. In the mean time, it will be perceived, that the theory which I have adopted does not lead to any deviation from the practice which now generally prevails upon this point, while it serves to explain more clearly than the opinion which has commonly prevailed, several of the phenomena of the two diseases, as well as the cause of different remedies being necessary for each of them.

I do not expect that practitioners of experience and observation will derive much information from this publication, but I am hopeful that beginners will derive some advantage from it ; for it has been equally my desire to exhibit a correct view of the different symptoms of which I treat, and to point out the method of cure in a manner that will be clear and intelligible. Where theory isever admitted, it is chiefly with a view to explain, upon rational principles, such points as the ingenuity of some speculative writers have tended to render intricate.

Contents

VOLUME I.

Chap. I

Consideration of the Question, Whether Gonorrhoea and Lues Venerea originate from the same Contagion, - Page 1?

CHAP. II. Of Gonorrhoea Virulenta

SECT. I.

General Observations on the Symptoms, Causes, and Seat of Gonorrhoea Virulenta, 37

SECT. II.

Of the Prognosis in Gonorrhoea Virulenta, 48

SECT. III.

General Observations on the Cure of Gonorrhoea, ■> - 50

SECT. IV.

Of the First Stage of Gonorrhoea, 57

SECT. V.

Of the Second Stage of Gonorrhoea, - - 70

SECT. VI.

Of the Third Stage of Gonorrhoea, - - * - 77

SECT. VII.

Of the Fourth Stage of Gonorrhoea, 85

SECT. VIIL Of Chordee, - - - - 9}

SECT. IX.

Of Haemorrhages from the Urethra, 94.

SLCT. X.

Of Gonorrhoea in Women, - * ' - - - 95

X CONTENTS.

SECT. XL

Recapitulation, ---„-.. Page 10 1

CHAP. III. Of the Consequences of Gonorrhoea Virulenta

SECT. I.

General Remarks on the Consequences of Gonorrhoea, - 104

SECT. III.

Of Impotency from Seminal Weakness, - 136

SECT. IV.

Of Obstructions in the Urethra from Gonorrhoea Virulenta 134

§ I. Of Tumours in the Urethra and contiguous parts, - 135 § Z. Of Spasmodic Obstructions in the Urethra, - - 137 § 3. Oi Caruncles in the Urethra, - - - 144

§ 4. Of Obstructions in the Urethra from Strictures, properly so called ; of Bougies, and Fistmse in Perineo, - - 146

SECT. V.

Of Deranged Sensations in the Bladder, Urethra, and contiguous parts, --------- igt

Of Swellings of the Testicles, 194

SECT. VII.

Of Swellings of the Spermatic Cord, <- 208

SECT. VIII.

Of Swellings of the Lymphatic Vessels of the Penis, - 210

SECT. IX.

Of Swellings of the Glands of the Groin, - - . - 214

SECT. X.

Of Excoriations of the Glans and Prepuce, * - 217"

CONTENTS. Xi

SECT. XI.

Of Excoriations in the Parts of Generation in Women, Page 252

SECT. XII.

Of Phymosis and Paraphymosis, - - - - 223

SECT. XIII.

Of Warts on the Glans and Prepuce, and Labia Pudendi, - 23!

SECT. XIV.

Of Gonorrhoea Simplex, - 236

VOLUME II.

CHAP. IV. On Lues Venerea

SECT. I.

General Observations on Lues Venerea,

SECT. IL

Symptoms of Lues Venerea, - - - - 12

General Observations, ------ ib.

Of Chancres, ------- ib.

Of Buboes, 20

Of the Venereal Sore Throat, 37

Of Venereal S >res in the Nose and Mouth, 42

Of Venereal Blotches, ------ 50

Of Venereal Ulcers, 55

Of Nodes, and other Swellings of the Periosteum,

Bones, and Tendons, 62

Of Venereal Excrescences about the Anus, - - 70

Of the Venereal Swelling of the Testes, - - 72

Of Alopecia, 75

Of Blindness, as a Symptom of Lues Venerea, - 77

■ Of Deafness, 80

. Of Anomalous Symptoms, 81

SECT. III.

Of the

§ 1.

§ 2

§ 3.

§ 4.

§5.

§ 6.

§7.

§8.

§9.

§ 10

§ 11

§ 12. § 13. § 14

Of the Venereal Virus.

Xll CONTENTS;

SECT. IV.

Of the Remedies used in Lues Venerea, * - - Page 0g

§ 1. General Observations, ib„

§ 2. Of Mercury, - ~- 99

1. Generai Observations upon Mercury, - - - ib.

2 Of the Effects of Mercury upon the Human Body. - 100

3. Of the Operation of Mercury in the Cure of Lues Venerea, 102

4. Of the Preparations of Mercury, - 130

5. Of the different Methods of exhibiting Mercury, - ' 137

6. Of the Duration of a Mercurial Course, and the Quantity

of Mercury to be exhibited, ----- 152

7. Of the Regimen to be observed during a Course of Mercury, - - - - - - - - -167

8. Of Profuse Salivation und some other Effects of Mercury, 169

9. Does Mercury ever faii in the Cure of Lues Venerea ? 188

§ 3. Of Guiacum, - - 192

§ 4 Of Sarsaparilla, 196

§ 5. QfMezereon, 198

SECT. V.

Of the Cure of Lues Venerea, - 208

§ 1. Of the Cure of Chancres, ib.

§ 2. Of the Cure of Buboes, 223

§ 3. Of the Cure of Venereal Ulcers, - 236

§ 4. Of the Cure of Venereal Blotches, - - - 243

§ 5. Of the Cure of Nodes, Swellings of the Periosteum, he. 244 § 6 Of the Cure of Venereal Excrescences about the Anus, 247 § 7. Of the Cure of the Venereal Swelled Testicle, - 248

§ 8. Of the Treatment of Alopecia, Venereal Blindness and

Deafness 250

§ 9. Of the Cure of some Anomalous Symptoms of Lues

Venerea, - 254

SECT. VI.

Of Lues Venerea in Infants, ---*-- 257

SECT. VII.

Of iome Peculiarities of Form under which Lues Venerea has

appeared in Scotland and Canada, - 268

SECT. VIII.

Of Prophylactics, -* - - - 282

SECT. IX.

Of Lues Venerea as inducing other Diseases, - - - 284 Appendix, - - - - - - - «■ -313

A

Treatise

ON

GONORRHOEA VIRULENTA,

AND

LUES VENEREA.