The Secrets of Specialists/Chapter 20
Goiter, or "big neck," as it is popularly advertised, has been isolated as a specialty by some physicians and there is one medical company in Cincinnati who claim to have the names of two-thirds of the goiter patients in the United States. This list has been secured by persistent advertising for several years.
The treatment used by this company is an ointment composed of iodosyl incorporated in a base of lard and lanoline, applied three times a day. The internal treatment consists of iodide of potassium. Some years ago Dr. Hale devised a treatment by hypodermic injection, which has been used by several physicians with excellent success. The treatment is as follows:
Carbolic acid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
⅓ | dr. | |
Tinet. iodine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
2 | dr. | |
Glycerine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
⅓ | oz. | |
Aqua dis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
1 | oz. | |
Mix the carbolic acid and water, add the tinct. of iodine and glycerine and filter through absorbent cotton.
Iodoform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
40 | gr. | |
Glycerine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
3 | dr. | |
Mix by triturating in a glass mortar and keep the solution in a colored bottle.
Tartar emetic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
⅓ | dr. | |
Tinct. benzoin comp. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
2 | dr. | |
Tinet. iodine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
3 | oz. | |
Aqua . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
½ | oz. | |
Dissolve the tartar emetic in the water and add the tincture of benzoin and iodine, and filter.
Injections No. 1 and 2 should be alternated by first injecting from 1 to 5 minims of No. 1 and in three days inject from 2 to 10 minims of No. 2. In this way a patient receives about two hypodermic treatments a week. The amount of medicine used will depend somewhat upon the extent of the growth and the age of the patient. It is always best to commence with a minimum amount and increase the amount of medicine used as the treatment progresses. It is not necessary to inject deeply into the tissues, as you are dealing with a glandular substance and the medicine is readily diffused. The patient is also requested to apply the local application two or three times a day.
If you wish to remove the discoloration caused by the iodine, you can readily do so by applying a concentrated solution of hyposulphate of soda.
Zine sulphate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
2 | dr. | |
Salicylic acid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
2 | dr. | |
Boracic acid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
3 | dr. | |
Iodoform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
3 | dr. | |
Oleic acid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
8 | oz. | |
Mix and keep at boiling heat for four hours, then pour off the liquid and after cooling, bottle and cork and keep in a dark colored bottle.
This preparation should be applied to the enlarged gland by using slight friction twice a day until slight desquamation occurs, then it may be applied only once a day until the enlargement has been entirely reduced. It has been stated that this is a permanent cure for goiter.