M. Borelli. of Turin, proposes to treat these by the injection of a strong alcoholic solution of Iodine. He directs a small oblique opening to be made into the cyst; through this, he evacuates the contents, and then throws in the injection by means of a syringe. This is left in the cyst, the aperture being closed by plaster. The pain lasts about twenty-four hours, and inflammation may be reduced by poultices. The cyst becomes detached, and may easily be removed by the forceps.
1626. In Scarlatina, when the state of the urine or other circumstances indicate the extension of the disease to the kidneys, Mr. Erasmus Wilson found the compound Tincture of Iodine (Ph. L.), containing an additional 3j. of Iodine to the f j., used as a counter-stimulant, was productive of great benefit, and afforded great relief. " It possesses the advantage," he observes, "of ready application, and may be used without the slightest disturbance of the patient."
Graves§ found that, in some instances, he has derived benefit from the inhalation of the vapour arising from T. Iodinii and T. Conii, added to hot water in a proper apparatus. If the disease resists these means, he recommends Iodine in small doses internally, and change of air.
Stokes strongly recommends Iodine, internally and externally. He advises Oj. of Lugol's Mineral Water (No. 1) daily, and 3ij. of Ung. Iod. to be rubbed into the side. Dr. Williams|| prefers the Iodide of Potassium (gr. ij. - iij.) thrice daily, and, in very asthenic cases, the Iodide of Iron, in smaller doses. These medicines, he adds, seem especially calculated to promote absorption, and, when combined with the use of blisters, he states that he has found none so efficacious in hastening the removal of pleuritic effusions, especially when these partake of a purulent character.
Manson.¶ He relates a large number of cases which were either benefited or cured by it, even when other remedies had failed. The only other remedy employed was cathartics. He gave ex. - xv. of his Tincture (see Bronchocele) thrice daily.
* Lancet, Jan. 31, 1S63. Med. Gaz., Dec. 20, 1850. Diseases of the Skin, p. 74. § Clin. Lect., vol. ii. p. 3.
|| Lib. of Med., vol. iii. p. 124. ¶ Med. Researches on Iodine, &c, p. 187.
Dr. Gutbrod* has published several cases illustrative of its efficacy. He also employed the Iodide of Iron. In Diabetes in the horse, Dr. Dick obtained a cure by large doses of Iodine (3j. twice or thrice daily). Might not the same remedy prove serviceable in man? It deserves a trial, as Iodine has certainly a marked action on the organ which has much to do in the production of the sugar, viz. the liver.
1631. In Opacities and Ulcerations of the Cornea, especially when arising in scrofulous subjects, Iodine, externally and internally, proves highly serviceable. M. Lohsse relates a case where the opacity consequent on Syphilitic Ophthalmia was so considerable, as almost to destroy vision, but which yielded to a collyrium containing Iodine (gr. j., Pot. Iod. gr. ij., Aq. f3vj.).
M. Ludiche§ relates a case in which Iodine, externally and internally applied, was used with the best effect. The Tincture was applied to the mucous surfaces of the mouth and throat, and alkaline baths were employed at the same time. The disease reappeared at the end of four months, but rapidly yielded to the same remedies.
Of eleven cases mentioned by Mr. Norris,|| five were cured by Iodine. It may also be given internally.