Jobert employed with success in three cases the injection of the Tincture of Iodine into the Hernial Sac. The Tincture is not allowed to remain permanently in the sac, but is withdrawn by means of a syringe. This mode of treatment was first proposed by Velpeau in his "Annales de Chirurgie."
Clay, of Manchester. He relates one case of long standing cured by its use. A glass syringe should be used. Other cases successfully treated by this means are related by Dr. Boinet.§ A case of Spina Bifida successfully treated by Iodine injections is recorded by Dr. Brainard.|| The strength of the solution employed was Iodine gr. 5/8, Iod. of Potassium gr. 1/2, to Water f 3j.
Dorvault.¶ but it is inferior to many other remedies. Dr. Copland considers it calculated to prove useful in obstinate Chlorosis. In cases of Amenorrha, Dr. Riget** advises frictions of Iodine over the abdomen.
In Chronic Peritonitis, occurring in scrofulous subjects, Iodine occasionally proves useful. Dr. M'Adam states that he has employed Lugol's formula; in several instances, and found them valuable auxiliaries. The Ioduretted Ointment (No. 5) was applied by friction on the abdomen, and the Mineral Water (No. 1) was given internally. In the Vomiting of Pregnancy, Dr. Eulenberg speaks highly of the Tincture of Iodine in very small doses. He found it likewise useful in relieving the Cardialgia.
1618. In Chronic Diseases of the Liver, the value of Iodine has been the subject of much difference of opinion. Dr. Aber-crombie mentions that, in several cases of chronic affections of the liver, accompanied by jaundice, he has seen very good effects from the external use of Iodine as an ointment (3ss. ad Ung. j.). A favourable statement of its efficacy has also been given by Dr. Milligan and others. Mr. Twining, on the contrary, has found it remarkably unsuccessful, and he points out an effect resulting from its administration in other complaints, which renders it necessary to be cautious in employing it in affections of the liver. Of twenty-three Europeans to whom he had prescribed it internally, for the cure of various diseases not considered hepatic, five became affected with pain in the right side. "The observations of our professional brethren in Europe," observes Mr. Twining, " afford reason to believe that Iodine, administered in large doses, is liable occasionally to excite pain in the region of the liver; and, in some instances, the existence of Hepatitis in such cases has been proved by post-mortem inspections." Dr. Christison alludes to two instances in which Hepatitis occurred in persons who had recently taken large doses of Iodine, and thinks it not improbable that Iodine possesses the power of inflaming the liver. On the other hand, chronic enlargement of the liver to such an extent that the organ extended below the umbilicus, the sequel of remittent fever in a youth of seventeen, was entirely removed by frictions with strong Iodine ointment, and a course of purgatives. (Dr. "W. Thompson.*) I cannot but think that the evil consequences of Iodine, as alluded to by Mr. Twining, are overrated. I have given Iodine in a very large number of cases, without seeing it induce pain in the side, or any other ill effects; and I have seen it, in the form of Iodide of Potassium, given in chronic diseases of the liver with evident benefit. Dr. Gravest regards Iodine as a valuable adjuvant in enlargement of the liver after fever. He considers that it gives vigour to the constitution, and tends in a very remarkable manner to promote the absorption of the morbid products on which the enlargement depends. In Hydatid Cysts of the Liver, the injection of the cavity with Iodine has been practised by M. Boinet.
* Chelius's Surgery, trans, by South.
Med. Times and Gaz., Sept. 1854.
i Med. Gaz., Sept. 1843.
§ Gaz. Med, de Paris, Dec. 1853.
|| Banking's Abstract, xxxiii. p. 191, 1861. ¶ Med. Gaz., Jan. 10, 1851. ** Med. Times, Dec. 1, 1860, p. 540. Cyc. Pract. Med., vol. iii. p. 308. Banking's Abstract, xxiv. p. 181.
1619. In Enlargements, and Chronic Affections of the Spleen, Iodine, externally and internally, may be used with advantage. One of the largest enlargements I have met with yielded to its use. Sir R. Martin§ observes that where there is mucous intestinal irritation, attended by a hectic form of fever, he has found benefit from the following mixture: - ℞. T. Iodin., T. Ferri Sesquichlor. aa fss., Aq. fj., M. gutt. x. ter in die ex aq. sumend. He advises frictions with Croton Oil; but the Ung. Iod. (L. Ph.) is preferable. In the tuberculated condition of the Spleen, which is met with in children, Dr. Bigsby strongly advises small and long-continued doses of Iodine.