MEDICAL HINTS. 203 
of the bowels, five grains of Dover’s powder may be added to each 
dose. 
In some cases, the addition of three grains of the iodide of potash to 
each grain of calomel does good from the very first. 
For the later symptoms, continue the mercurial treatment, and give 
at least five grains of the iodide of potash three times a day. 
Gonorrhoea. 
Gonorrhoea, or clap, is an acute inflammation of the urethra or pipe, 
attended with a discharge of more or less matter. It is nearly always 
due to direct contagion. 
Symptoms .—-At first there is some itching about the end of the pipe, 
which is followed by a yellowish-white discharge. This lasts from three 
to five days. Then great pain is noticed on passing water, and the 
discharge becomes thick and yellowish-green in colour, with redness 
and swelling about the lips of the opening of the pipe. After a time 
the pain on making water disappears, and the discharge becomes thin and 
watery, a condition known as gleet/’ 
Treatment .—Forbid alcohol in any form. Give large quantities of 
liquid—water, weak tea, or milk—to thoroughly flush the system. Light 
diet and as complete rest as possible. Keep bowels well open with saline 
and other purges. Give sandal wood oil or copaiba, twenty drops three 
times a day, and urotropin, ten grains twice a day. 
If there is much pain in the acute stage, a mixture containing fifteen 
grains of bicarbonate of soda, and five drops of chlorodyne or laudanum, 
in an ounce of water, may be given twice a day. 
When the acute symptoms have subsided, the pipe must be syringed 
out with a very weak solution of permanganate of potash; later on, a 
lotion containing four grains of sulphate of zinc to one ounce of water 
may be used as an injection. 
If the glands in the groin become tender and inflamed, they should be 
painted with tincture of iodine. If, in spite of this, the pain and swelling 
increase, they should be poulticed frequently, and treated as ordinary 
abscesses. 
