1606. To Varicose Veins, the external use of the Tincture or Ointment of Iodine has been advised. Bandages equally applied to the whole length of the limb should be used at the same time. Much benefit is doubtless due to the latter measure.
In Diseases of the Prostate Gland, Iodine is a valuable application. The following mode of using it is advised by Mr. Stafford: - A bougie is to be charged with Iodine or Iodide of Potassium, after which it is to be dipped into melted tallow, so that a complete coating
* Med. Gazette, May 8, 1840.
Med. Times, 1846-7.
On Diseases of the Skin. p. 472.
§ Amer. Journal Med Sciences, April 1849 (R).
, II Montreal Med. Chronicle, Nov. 1863.
¶ Quart. Journ. of Med. and Phys. Sciences, Aug. 1836.
** Dub. Med Press, Aug. 24, 1842.
Lancet, April 8, 1840.
See Coulson on Dis. of the Bladder, 3rd Ed., 1843.
may be formed upon it. This effectually prevents the Iodine touching any part of the urethra during its passage. Having reached the prostate, the point of the bougie is to rest upon it, when the tallow gradually melts, and brings the Iodine in contact with the diseased part, and, by gently moving the bougie gradually backwards and forwards, the necessary amount of friction is produced. The ointment should be very weak. Mr. Stafford never commenced with it stronger than Potas. Iod. gr. j. - Ung. Cetacei j., and even this caused much irritation. The strength may be cautiously increased. Prof. Walther* advises friction of the gland with Ung. Iodinii, by means of a finger introduced into the rectum. He found it very efficacious.
Iod. Co. (L. Ph.) may be used with decided advantage. The ointment should be steadily rubbed in for fifteen or twenty minutes every night and morning. Sir B. Brodie speaks highly of it in these cases. In subacute Ovaritis, Dr. Kennedy, of Dublin, employs frictions of Iodine ointment to the roof of the vagina. The advantage of the practice is very questionable. In these cases, Iodine may advantageously be given internally. Employed externally and internally, it occasionally appears to be of service in incipient Ovarian Dropsy. The question of the propriety and safety of Iodine injections in the treatment of Ovarian Cysts has been much discussed. M. Boinet has collected the results of forty-five cases, of which thirty-one were cures and fourteen failures, and amongst the latter nine deaths. From a consideration of all these cases, he draws the following conclusions: -
1. That the operation of injecting Iodine into these ovarian cysts was unattended by any kind of danger, and that equally, whether the cysts were simple or complicated, unilocular, or multilocular.
2. That the operation has frequently brought about a radical cure (two in three), and that it has always produced some remarkable amelioration, even when a cure was not to be hoped for.
3. That simple unilocular serous cysts, even when very voluminous, have usually been cured by a simple operation.
4. That a great number of punctures and injections have been practised upon the same cyst without any inconvenience whatever.
5. That it is desirable to operate at an early period, before the cyst has become multilocular, and before the general health has suffered; that it is expedient to operate as soon as the cyst can be detected, if the cyst is making any progress; and that the operation ought to he repeated as soon as the liquid begins to re-accumulate.
6. That the canula ought to be retained in exceptional cases, and where the operation has frequently been repeated without success.
* Med. Chir. Rev., No. Ivi. p. 550. Med. Gaz., vol. v. p. 750.
Gaz. Hebdom. de Med et Chir., Nov. 21,1850.