780 CHRONIC INFECTIOUS DISEASES. 



rosive sublimate, and especially by the very injudicious method of 

 Dzondi. If we employ this article, it must not be given on an empty 

 stomach, and is best administered in the form of pills ; but they should 

 not be made up with bread-crumbs and sugar, according to DzondVs 

 formula, but with powdered extract of liquorice ; and the dose should 

 not be raised, as is done in DzondPs treatment, from the fifth of a 

 grain to a grain and a half, but from half to three-quarters of a grain 

 should be given daily, in divided doses. In order to protect the gas- 

 tric mucous membrane from the corrosive action of the sublimate, it 

 has been proposed to give the albuminate of mercury, and thus at 

 once to furnish the combination which, when the pure bichloride is 

 used, eventually forms in the stomach, at the expense of the gastric 

 mucous membrane, and experience shows that double doses of this 

 preparation can be tolerated without detriment. If it were not that 

 [ am already perfectly satisfied with the medicines already spoken of, 

 [ should have recourse to the albuminate. Barensprung proposes 

 the following formula: 5 Hydrarg. bichlor. corrosiv. gr. ij, ovum 

 unum, aqua destillat. vj, ammon. muriat. 3 j, misce exactissime. 

 Filtra. D. S., a tablespoonful every two hours. The dietetic rules Lo 

 be observed during internal mercurial treatment must be regulated 

 according to the condition of the patient. As a general rule, it is ad- 

 visable to restrict his diet, without going so far as to let him suffer 

 from hunger ; but now and then it may become desirable to feed the 

 patient upon the most nutritious food, under conditions already de- 

 scribed in treating of the chancre. The common practice of administer- 

 ing large quantities of " decoction of woods " is superfluous. Finally, 

 while we subject the patient to an active treatment, in order not to 

 expose him to other prejudicial influences, we must regulate his habits 

 and carefully watch over his general health. For this reason it is ur- 

 gently advised that syphilitic patients, who are undergoing a course 

 of mercury, should keep then* room, particularly in winter, and that 

 they should be visited daily. 



We have said above that the primary ulcer and primary sore would 

 heal without the use of mercury ; but that under such treatment the 

 recovery was slower, and the secondary attacks came on more fre- 

 quently and earlier. This is equally true of the privation-cure (En- 

 tziehungs-cur), and the hunger-cure, the methodical use of cathartic 

 salts, and of Zittmanri's decoction, and other compound decoctions, the 

 object of which is to throw the skin, kidneys, and intestine, into a state 

 of increased activity, the supply of nourishment, meantime, being re- 

 duced to a minimum. If this kind of treatment be very energetically 

 conducted, and if the state of nutrition be depressed by a severe course 

 of simple or double Zittmanrfa decoction, we may, no doubt, succeed 



