I have no experience in Syphilisation, which, if all were true that is said of it, is too forbidding a practice ever to be employed as a therapeutic agent in this country.

20 COLMORE ROW, BIRMINGHAM,

October, 1860.

CONTENTS.

CHAPTER I.

ON THE SIMPLE OR NON-MERCURIAL TREATMENT OF SYPHILIS.

Modern history of syphilis-Doctrines of Hunter, Ricord, Mr Rose,

and Mr Carmichael-Objects of the simple or physiological

treatment without mercury-Diet in syphilitic diseases-

Cura famis, as practised in Sweden and Denmark-Cases

illustrative of the effects of diet in syphilis-Modification in

treatment necessary in relation to the age, habits, and consti-

tution of the patient-Position of the patient, rest in bed, the

warın bath-Local surgical treatment-Non-mercurial treat-

ment not always successful-Opinion of the congress of sur-

geons at Nantes in reference to it-Ferruginous treatment-

The Author's opinion and practice

PAGE

1-12

CHAPTER II.

ON THE MERCURIAL TREATMENT OF SYPHILITIC DISEASES.

Circumstances which indicate its employ-Particular indications

for the use of mercury-When not to be used-The nature

of the induration in which it is indicated-In what manner

mercury is to be employed-Treatment by internal adminis-

tration, by friction, by moist fumigation-Change of form

advised-When to be discontinued

13-26

b

CHAPTER III.

ON INOCULATION, AS APPLIED TO THE DIAGNOSIS AND TREATMENT OF

SYPHILITIC DISEASES.

Inoculation practised by Hunter-The practice revived by M.

Ricord Experiments of M. Ricord on the inoculation of

chancre, of the Author-Inoculation only of value when

positive-Phagedenic sores not to be inoculated-Inoculation

of buboes-Reason why not often successful-Inoculation

with the matter of gonorrhoea-The real position of inocula-

tion in reference to the therapeutics of syphilis-Inoculation

of secondary diseases-The Report of the Imperial Academy

of Medicine on the contagion of secondary syphilis-Illus-

trative cases-Opinions of M. Cazenave-Experiments of M.

Waller, of Prague, on the inoculation of secondary symptoms

PAGE

27-41

CHAPTER IV.

OF BALANITIS-INFLAMMATION OF THE GLANS PENIS-EXTERNAL OR FALSE

GONORRHOEA-CHANCROUS EXCORIATION, ETC.

Symptoms of balanitis-Causes-Occasionally of pure venereal

origin-Sometimes due to natural organisation of the penis

in the male, or various morbid conditions of the vagina and

os uteri in the female-Illustrative cases of both classes of

causes, treatment, complications, relapses

CHAPTER V.

OF GONORRHEA.

42-52

Varieties of Seats of Causes of-Experiments of Cullerier on

mediate contagion-Diseases which resemble gonorrhea-

A disease distinct from chancre-Pathology of-Symptoms

of-Differential diagnosis of-Stages of-First stage of-

Abortive treatment of, at this period - Second and third

stages of Antiphlogistic treatment of - Frequently more

than an urethritis-Specific remedies in, copaiba, piper

cubebæ--Particular forms for their exhibition-Other reme-

dies-Injections-How to be used-Forms for-Gleet-Local

symptoms of-Constitutional effects of-Complications of—

Microscopical examination of the discharges in-Treatment

of, by injections in diseases anterior to the bulb, by injections

in diseases of the prostatic and membranous portions of the

urethra, by bougies, by blisters, by internal remedies, by

surgical operation.

53-82

CHAPTER VI.

OF DISEASES WHICH SUCCEED TO OR COMPLICATE GONORRHOEA

IN THE MALE.

Alteration in the natural elasticity of the urethra-Stricture-

Abscesses in the perineum, and vicinity of the anus-Gonor-

rhoeal rheumatism-Its two forms-Gonorrheal diseases of

the eye-Gonorrheal ophthalmia-Treatment of Local

remedies-Specific remedies-Mercury-Restoration of the

urethral discharge-Gonorrhoeal iritis-Gonorrhoeal diseases

of the testes and their envelopes-Orchitis, how and at what

period it occurs-Causes-Differential diagnosis-Illustrative

cases-Treatment-Chronic enlargement of the testis-Gene-

ral weakness and irritability of the sexual and urinary

organs a consequence of gonorrhoea-General remarks on

the treatment of such diseases

CHAPTER VII.

OF GONORRHOEA IN THE FEMALE.

Its nature-Seat-Pathology-Use of the speculum-Internal

treatment-Local treatment-Treatment of the more chronic

forms-Forms for topical applications-Complications-Dif-

ferential diagnosis-Difficulties in treatment-Gonorrheal

ovaritis

PAGE

.83-101

102-108

CHAPTER VIII.

OF THE SECOND CLASS OF PRIMARY SYPHILITIC DISEASES-CHANCRES, ULCERS,

THEIR VARIETIES AND CONSEQUENCES.

Classification of primary venereal sores-Non-indurated chancre-

Phlegmonoid chancre-Indurated chancre-Their varied

aspect frequently dependent on their seat-Diagnosis of-

Is a primary venereal sore always a local disease?—Is a so-

called chancre ever the first evidence of a constitutional

taint?-Abortive treatment of primary sores, by escharotics—

Local treatment-Constitutional treatment - Diet - Mild

local treatment recommended-The Author's views on the

use of caustics-Those recommended-How to be used—

When their use is contra-indicated-Rodet's prophylactic-

Phymosis-Primary inflammation-Question of the pro-

priety of mercurial treatment considered-Local treatment

of the second stage of chancre-The indurated primary

ulcer-Its treatment-Persistent induration of the cicatrix

-Relation of buboes to the various forms of chancre.

109-132