Not only in Scrofulous Ulcers (see ante), but in others, it has proved highly successful in the hands of Dr. Davies. He says that he has used it in several cases of Chancre, and that he has found the ulcer heal much quicker than under the usual mercurial application, or the Nitrate of Silver. The Tincture has likewise been used by him in Ulcers of Carcinomatous character and in Malignant Ulcers of the Lips, Tongue, and Tonsils. He speaks in the highest terms of its efficacy. Dr. Brainard advocates the use of Iodine vapour in these cases. He dresses the ulcer with simple Cerate, and places the Iodine (gr. j. - iv.) in folds of lint over the wound. Oiled silk and bandages are placed over these to prevent rapid vaporization.
1597. In Phagedenic Ulcerations, the Tincture of Iodine has been extensively employed by Ricord. § He found it very efficacious, and prefers it to all other applications. Mr. Key || regards it as one of the most powerful remedies we possess for arresting the threatened destruction of the soft parts. It should be given internally, combined with other remedies. In Hospital Gangrene, its local application proved effectual in the hands of Dr. Surdun.¶ Opium was given internally at the same time.
Acton** states that the best local treatment consists in painting the affected parts every night and morning with the Tincture of Iodine. To indolent Bubo, it is also a valuable application. Syphilitic Eruptions improve under its internal use.
1599. In Pruritus Pudendi, the local application of the Tincture occasionally affords great relief. In a case of Pruritus Scroti which resisted every other treatment for ten days, I witnessed almost immediate benefit from the application of the Tincture. In Pruritus Senilis, it is also productive of excellent effects, according to the experience of Mr. E. Wilson,
Davies states that he does not remember a case in which the local application of the Tincture has failed to subdue the disease. It should be applied twice or thrice daily, in the form of a strong alcoholic solution (gr. xl. ad Spt. Vin. Rect. fl. oz. j.).
* Selections, &c, op. cit. Op. cit., p. 127. Ranking's Abstract, xxxi. p. 139, 1860. § Bull. Gen. de Therap., Feb. 1841. || Med. Chir. Trans., vol. xix.
¶ Gaz. Hebdom. de Med., Jan. 12, 1857.
** Lectures, Lancet, Jan. 17, 1846. On Diseases of the Skin, p. 271. Op. cit.,
1601. In Lichen, Psoriasis, Impetigo, Porrigo, Ecthyma, and Scabies, Iodine, internally and externally, has been found successful by Dr. Kennedy.* In Sycosis, Eczema, and Tinea Capitis, it has also been found of great service. In Pityriasis, it is highly spoken of by Prof. Graves, who advises the Tincture to be well rubbed into the scalp with a strong brush. In Favus, the local application of the Tincture is advised by Mr. E. Wilson, he having in some instances derived benefit from it.
Sacheon § (U.S.) applied the Tincture once or twice daily in 30 cases. The result of his observations was that, although pitting was not absolutely prevented, the marks and cicatrices were much less evident than those in the same individual to which it had not been applied. It was first proposed by Dr. Crawford, of Montreal, in 1844; and after nine years' experience in its use, he adduces further evidence of its efficacy. II
Dr. Stuart.¶ of the Leper Hospital at Calcutta, relates four cases which improved much under the use of Iodine. In one instance, complete cure followed its exhibition. I have tried it in some cases, but with no apparent benefit whatever; in others with disadvantage. It deserves, however, further trial.
Patterson ** strongly advises the internal and external use of Iodine and its salts, as affording the best chance of restoring the natural colour.