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Updated: June 3, 2025
Subsequently the injection of from four to six ounces of a mixture of tincture of iodin, one part to ten parts of glycerin, and gentle massage of the joint immediately after the injection has been made, serves to check the infective process in some cases. The subject should be cared for as has been previously suggested in arthritis proper provisions for comfort being made.
Except in nail pricks of the foot, occasioned by punctures, a five per cent tincture of iodin is injected into open joints, if the wound remains sufficiently open, and this treatment is continued so long as there is a discharge of synovia. Surgical drainage is established if it is considered practicable and the remainder of the treatment is about the same as for wounds which are open.
The first method is better adapted to the use of the average general practitioner and he would do well to keep the opening in the nonsensitive structures patent. By introducing equal parts of tincture of iodin and glycerin daily, good results will follow in most instances.
The margins of the wound were cleansed as heretofore described, a drainage was provided surgically, tincture of iodin was injected and the wound was covered with equal parts of boric acid and exsiccated alum. The horse was kept tied and a diluted tincture of iodin was injected into the wound once daily and the powder applied often enough to keep the wound covered.
By using a small and sharp curette, one is enabled to cleanse the average wound quickly and almost painlessly. In such cases, equal parts of tincture of iodin and glycerin are employed. The wound is filled with this preparation and a quantity of it is poured upon a suitable piece of aseptic gauze or cotton and this is contacted with the wound.
Ordinarily all tea, coffee and tobacco should be forbidden, and alcohol should be allowed only to the aged, if allowed at all. It has long been considered that iodin would inhibit abnormal connective tissue growth. Iodin most readily reaches the blood as sodium or potassium iodid. Large amounts of iodin are not needed to saturate the requirements of the system for iodin, from 0.1 to 0.2 gm.
A certain amount of negative evidence is supplied by a comparison of the response to a dose of toxins with the response to a dose of a standard drug. No drug in therapeutic dosage except the iodin compounds causes a febrile response; no drug causes a chill; on the other hand, all specific toxins cause febrile responses and many cause chills.
Sometimes improvement seems to follow such treatment; it certainly can do no harm. During convalescence, the skin over the heart may be painted with iodin, repeated often enough to cause stimulation without injuring the skin; it seems at times to be of value. Various iodin or iodid ointments have been used, but they probably have no more value than the administration of small doses of iodid.
The only difference in the treatment of these cases is that more time and care is taken in cleansing the wound, more curetting is necessary, and after cleansing the wound with peroxide of hydrogen, the joint is thoroughly washed out with equal parts of tincture of iodin and chloroform.
The swelling of the hand and arm gradually increased, showing the particular livid and yellowish tint following the bites of poisonous snakes. A blister was applied to the bitten finger, tincture of iodin used, and two ounces of whiskey given every two hours until inebriety was induced.
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