fume, employed in the manner and with the modifications I have already detailed, is all but certain in its effects. The patient soon begins to amend; the evils caused by the internal administration of mercury soon pass off; the appetite, strength, and general health rapidly improve, whilst the symptoms of constitutional taint are quickly and, in most cases, permanently eradicated.
Bubo, indolent indurated, 132
varieties of, 155
primary, or bubon d'emblée, 156
inoculation of, 156 causes of, 157
abortive treatment of, 158 suppurating treatment of, 159 mode of puncturing, 160 open virulent, treatment of, 161
sloughing and chronic indo-
lent, treatment of, 162 fistula and sinuses after, 165
secondary symptoms after, 165
Cachexia, syphilitic, 292 Caries, 281
Carmichael, Mr, doctrines of, 2 Causes of secondary syphilis, 172 Caustics in the destruction of chan- cre, 119
when indicated, 121
not always successful in the destruction of a chancre, 121
objections to the use of, 121 when not to be used, 122 forms for, 120, 121 cautions in the use of, in diseases of the throat, 237 Cazenave, M., on constitutional vene- real ulcers, 216 Ceeley, Mr, on the absorption of lymph, 117
Cellular tissue, syphilitic tumours of,
produced by, 139 treatment of, 138
mercury in, 138
Chancrous excoriation, 42
Change in the form of mercurial remedy employed very frequently successful, 23
Chlorate of potass in mercurial stomatitis, 24
Chlorosis, syphilitic, 292 Cicatrix of indurated chancre, per-
sistent induration of, 130
Clare's method of treatment, 326 Classification of primary syphilitic ulcers, 110
Colles, Dr, on the period of discon- tinuance of specific treatment, 24 Condylomata, 224
primary forms of, 211 secondary, 211
treatment of the consti- tutional forms of, 217
Congenital syphilis, 304 Constitution, state of, to be watched during a mercurial course, 21 Constitutional syphilis, 167 Contagion, mediate, in syphilis and gonorrhoea, 56
Contagious character of secondary syphilis, 34, 41, 175
Copaiba, particular forms for its ex- hibition, 71
Cubeba piper, particular forms for the exhibition of, 72
the four stages of-first stage of, 62 abortive treatment of, how to be employed, 63
strong injections of nitrate of silver con- demned-fatal case from the use of, 64 second and third stages of, 62, 65 antiphlogistic treatment of, more than an ure- thritis, 68
alkaline treatment of, 66, 67
revulsive treatment of, 68
specific remedies in- copaiba, 69
piper cubebæ, 72 various remedies in, 71,
Gonorrhoea, injections in, how to be
employed, 73, 74 injections, various, forms for, 75, 76
urethral plug in chronic gonorrhoea, 77 secondary symptoms from, their nature, illustrative cases of, 86 ill-effects occasionally
due to the sudden or partial arrest of, 84 treatment of such symp- toms, accidents, 85 retention of urine from suppression of, 85 use of the catheter, 86 rheumatism from, its two kinds, 86, 87 ophthalmia from, 87 its causes, general treat- ment, local treat- ment, 87
cubebs and copaiba in, mercury in, restora- tion of the urethral discharge in, 90 iritis from, 91 swelled testicle from, 92 pathology of, 93
at what period it occurs,
causes of, 94 differential diagnosis of,
95 treatment of, 97 strapping in, 98 enlargement of the testis from, 99 weakness and irrita- bility of the sexual organs from, 100
of the rectum, 101 in the female, seat of, pathology of, 102, 103, 107
varieties of, 103 speculum in, 105
internal treatment of,
local treatment of, 105 complications of diffe- rential diagnosis of, 103, 107
difficulties in treatment, 108
Grassi, M., on the state of the blood in constitutional syphilis, 197
of primary sores, 27 of bubo, 30
why frequently uncer- tain in bubo, 30 in gonorrhea, 33, 34 in sympathetic bubo, 82 in secondary syphilis, 34 Report of the Imperial Academy of Medicine on, in secondary sy- philis, 34, 38
Integuments, various conditions of, in open bubo, 160
Iodide of potassium, its use in the treatment of syphilis-inert in primary diseases-when most useful, 331
frequently suspends symp- toms, but does not cure disease, 332
its combination with mer- cury, 333
its use and dose as a tonic
and prophylactic, its use and dose as an anti-syphi- litic, 333
Iodide of sodium, its use and admi-
nistration in secondary syphilis, 834
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