. The principles and practice of modern surgery. sthat they are syphilitic. Treatment.—In the first place, if avenereal eruption and sore throatare ushered in with pain in the chest and other fehrile or inflammatorysymptoms, it will be necessary to give aperients, and saline medicineswith antimony, and to restrict the diet, and confine the patient to thehouse. The warm-bath will also be highly useful. When the febrile state has vanished, if the patient has never taken acourse of mercury,—or if he has been subjected to an imperfect courseof it for the primary symptoms,—and his constitution is s
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. The principles and practice of modern surgery. sthat they are syphilitic. Treatment.—In the first place, if avenereal eruption and sore throatare ushered in with pain in the chest and other fehrile or inflammatorysymptoms, it will be necessary to give aperients, and saline medicineswith antimony, and to restrict the diet, and confine the patient to thehouse. The warm-bath will also be highly useful. When the febrile state has vanished, if the patient has never taken acourse of mercury, —or if he has been subjected to an imperfect courseof it for the primary symptoms, —and his constitution is sound, he maytake mercury after the manner directed in the fifth section. If, under itsuse, the strength and general appearances are improved, so much thebetter;—but if the patient gets thinner, weaker, and haggard, and suf-fers from chills or feverishness, or if his ulcers become irritable andphagedenic, it must be given up. The corrosive sublimate in very * This cut shows the ravages of syphilitic caries. From the Kings College Museum.. 200 TREATMENT OF SECONDARY SYPHILIS, small doses, and not carried to the extent of affecting the mouth, willoften be of great service when a full course of the mineral is inapplica-ble, F. 30. The iodide of potassium is the remedy next in efficacy to mercury, andshould be administered when the former is deemed inexpedient. F. 39, 106. Sometimes it is useful to combine it with iodine, F. 74. Sarsaparilla, F. 56, 57, is a remedy that may almost always be usedwith advantage. It may be combined with corrosive sublimate or theiodide of potassium ; or may be administered after a course of those reme-dies to restore the flesh and strength. The mineral acids, especially thenitric ; F. 29 ;—sedatives, especially hyoscyamus and conium; F. 93 ;—tonics, F. 1, 2, 3, 26, 31;—and tartar emetic in minute doses, F. 103, will be all of service in protracted cases. In these the surgeon will findit necessary to change and vary his remedies repeatedly.