Southern Medical and Surgical Journal - Georgia Regents University

——;1867] Dunn on Syphilid. 495very little difference to be observed between them ;theywere often of the same size, and presented very much thesame character. I frequently observed that the supposedaperture of exit healed more rapidly than the other. Theaccount of the patient could rarely be trusted, and I foundthe holes in the clothing to be the best guides, as here theaperture of exit was invariably the larger and moreregular of the two.In one case, where a bullet had penetratedboth thighs, it was only by examining the trousersthat we could determine the direction it had taken, thepatient's account proving incorrect.Reporter.Medical and SurgicalNon-Mercurial Treatment of Syphilis.Mr. R. W. Dunn, in a pamphlet on the mercurial andnon-mercurial treatment of syphilis, gives the results ofexperience ot many authorities, as well as of his ownand from these draws the following deductions. 1. Theprimary sore can be healed without mercury. 2. Mercurydoes not prevent secondary symptoms. 3. The secondarysymptoms that follow the non-mercurial are slighter thamthose that follow the mercurial treatment. 4. Secondariesare more frequent after themercurial than after thenon-mercurial treatment. 5. If the patient be of a strumousdiathesis, mercury ought to be avoided. 6. Rupiaand bone-disease seldom follow the non-mercurial treatment.7. Perhaps the disease disappears more rapidlyunder the mercurial treatment, but the result is not effectiveor lasting;and by avoiding the use of the drug altogether,we do not damage the constitution, and nature,with a little help, will cure the disease. 8. In hereditarysyphilis, the rate of mortality islower, and the durationof treatment is shorter, when treated without mercury.Brit. Med. Journal.