Excerpt from The Hahnemannian Monthly, Vol. 35: January to December, 1900
Bichloride of mercury has no other virtue than that of being a powerful antiseptic, but is for this purpose so much more effective than all other solutions, that it should be used for cleansing all traumatic wounds, and even those made by the surgeon's knife, as well as a dressing afterwards, unless there are contra-indications for its use. A hot bichloride dressing, changed every two hours, day and night, is one of the best means of controlling the inﬂammation of an infected part. In this way a sutured wound which shows redness, indu ration, and a cor responding risc in temperature, can frequently be made to heal by first intention. Sublimate solution has its contra-indications, however, and must often be substituted by another less toxic drug. In susceptible patients the toxic effects are manifest locally by a fine vesicular or pustular rash, with or without an erythematous condition of the skin; by constitutional symptoms, such as diarrhoea, nausea and salivation. I have in mind a case of breast amputation in which a 1-2000 solution was used only during the operation, and a dressing of wet bichloride gauze put on. The patient suffered with persistent nausea for two days, and on the third day the characteristic erosions about the teeth appeared. The patient improved rapidly under hepar sulphur and an alum mouth-wash.
The bichloride rash is a frequent and not at all alarming symptom the erythema may, however, be taken for beginning infection, but a close watch of the temperature will differenti ate between the two.
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