NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
346
REPORT OF THE LEPROSY COMMISSION :
tion high up will often save life, and the patient will regain
flesh and strength in a remarkable manner.
Dyspnoea, due to invasion of the larynx by tubercles, is
not uncommon in leprosy, and sometimes necessitates tracheo-
tomy. Life may be greatly prolonged after this operation.
Dr. P. S. Abraham, 27 after a visit to the Norwegian Leper
Asylums in 1888, writes: "I was shown numerous cases of
amputations and tracheotomies. One patient at Bergen had
worn a tube for three years, another for seven years, another at
Trondhjem for ten years, and a great many others in all
the asylums for shorter periods. In one case at Trondhjem
the larynx subsequently became functionally useful, and the
tube was discarded and the opening closed."
Lastly, reference must be made to the ophthalmic com-
plications so common in leprosy. Leloir 28 noted during his
visit to Norway that of sixty-four lepers at Molde, forty-one
had ophthalmic lesions, in thirty-seven both eyes were affected,
while six were absolutely blind.
The two commonest affections of the eye in leprosy are
invasion of the cornea by tubercles, and paralytic ectropion,
the former occurring in the tuberculated, the latter in the
anæsthetic form of the disease.
To arrest the progress of tubercles across the cornea
various methods of treatment have been adopted. Kaurin
has attained considerable success by the performance of
keratotomy. Danielssen and Hansen have produced similar
results by cauterizing the conjunctiva or cornea round the
tubercle. In the Trinidad Asylum ligature of the vessels
supplying the tubercle has arrested its growth for a time.
Iridectomy will in some cases temporarily avert total blind-
ness, though it cannot affect the progress of the disease. It
must, however, be undertaken before the iris becomes involved
( 27 ) Epidemiological Society's Transactions, Vol. VIII, page 135.
( 28 ) Traité Pratique et Theorique de la Lépre, page 316.
The Treatment of Leprosy.
347
in the leprous growth, otherwise it will be found impossible
to excise sufficient to produce any appreciable effect.
For paralytic ectropion Kaurin practises tarsoraphy with
good results. Epiphora is greatly reduced, and closure of the
lids is effected.
Enough has now been said of the surgical treatment of
leprosy to show that in any well-organised asylum no operation
need be refused. Indeed the leper may be treated like an
ordinary surgical patient in a general hospital.
This chapter will be concluded by the following table
showing the medical and surgical treatment adopted in various
Indian stations with the results obtained:—
Results of Treatment of Leprosy in India*
Station or Asylum.
Assam,
Sylhet
Bengal.
Balasore .
Backergunge
Bankoora .
Bhagalpur.
Beerbhoom
.
Medical Officer.
Dr. T. 0. Part-
ridge.
Assistant Surgeon
Moti Lal Muker-
jee.
Surgeon G. Jame-
son.
Dr. Umes Chunder
Mukerjee.
Surgeon-Major W.
Beatson.
Dr. W. Forsyth .
Treatment.
Gurjun oil and Lime-
water. Liquor arsen-
icalis.
Gurjun and Carbolic
oils.
Gurjun oil internally
and
externally ;
Ichthyol and Resor-
cin internally and
externally.
Gurjun and Neem
oils ; also Gurjun
oil and Lime-water.
Gurjun oil locally,
Chaulmoogra oil
internally and ex-
ternally.
Arsenic .
Result.
Not satisfactory.
Slight relief, but no cure.
Anæsthetic patches dis-
appear and ulcers heal.
Temporary relief.
No permanent benefit.
No effect.
* Several stations have been omitted, as the answers to the questions sent out by the Commissioner
arrived too late tor the press,
348
REPORT OF THE LEPROSY COMMISSION:
Results of Treatment of Leprosy in India—continued.
Station or Asylum.
Bengal—contd.
Burdwan .
Calcutta .
Chittagong
Chittagong Hill
Tracts.
Cooch Behar
Dacca
Eastern Bengal
State Railway.
Gya .
Hooghly .
Lohardugga
(Leper Asylum)
Medical Officer.
Surgeon-Major G.
Price.
Dr. T. Nath Bose :
Surgeon-Major W.
Flood Murray.
Assistant Surgeon
Kali Nath Baner-
jee.
Dr. J. L. Hendley.
Surgeon-Major F.
C. Nicholson.
Dr. C. C. Bose
Surgeon-Major P.
D. Murray.
Surgeon-Mujor B.
Gupta.
Reverend F. Hahn
Treatment.
Ichthyol and Resorcin
Chaulmoogra
oil
internally and ex-
ternally ;
Madar
powder, Neem oil,
Salol and Dr. Un-
na's treatment.
Gurjun oil
Chaulmoogra
oil
internally and ex-
ternally ; Cod-liver
oil, Iron, Iodine and
Arsenic with local
antiseptic treatment
of ulcers.
Gurjun, Carbolic and
Chaulmoogra oils.
Gurjun, Chaulmoogra
and Carbolic oils.
Gurjun and Chaul-
moogra oils.
Gurjun oil and Arse-
nic.
Gurjun oil.
Liquor
arsenicalis,
Chaulmoogra and
Gurjun oils.
Result
Improvement, but no
absolute cure.
No permanent benefit
Beneficial.
Improvement in several
cases.
Tubercles appear to fade
away ; and relief to
ulcers.
Temporary improvement.
Progress of the disease
arrested and sensibility
restored.
Some improvement, but
never cure.
Improvement in general
health and healing of
ulcers.
The ulceration stops, the
sores heal up, and gene-
ral condition of patient
improves.
The Treatment of Leprosy.
349
Results of Treatment of Leprosy in India—continued.
Station or Asylum.
Bengal—contd.
Malda
Midnapore
Monghyr
Mozufferpore
Mymensingh
Patna
Pooree
Medical Officer.
Apothecary
J.
Kelly.
Surgeon-Major R.
L. Dutt.
Assistant Surgeon
Upendra Nath Sen.
Surgeon F. S. Peck
Surgeon-Major D.
Basu
Surgeon-Major E.
G. Russell.
Surgeon E. H.
Brown.
Treatment.
Gurjun oil.
Arsenic Potassium
iodide where there
is
constitutional
syphilis ; Neem or
Gurjun oils with
Lime-water.
Iron, Strychnia, Qui-
nine, Cod-liver and
Neem oils internal-
ly ; Perchloride of
mercury
lotion
(1 —1000), Carbolic
oil (1—40), Gurjun
and Neem oils ex-
ternally.
Hydrochloric acid in-
ternally ; Ichthyol
Resorcin,Pyrogaliic
acid, Chrysarobin,
Salicylic acid, and
Neem oil externally.
Gurjun and Chaul-
moogra oils with
Lime-water inter-
nally; and Gurjun
and Chaulmoogra
oils externally.
Aristol
externally.
Gurjun,
Chaul-
moogra and Cashew
nut oils and Liquor
arsenicalis.
Chaulmoogra
and
Gurjun oils; Unna's
treatment (Resorcin
and Ichthyol).
Result.
No permanent relief.
The eruptions, tubercles
and ulcérations disap-
pear in most cases and
in some great improve-
ment, but not a radical
cure.
Improvement of general
health, healing of ulcers
and in some cases the
disease checked and the
symptoms ameliorated.
No perceptible improve-
ment.
Much improvement, but
no cure.
Amelioration in many
cases.
Temporary relief,
35°
REPORT OF THE LEPROSY COMMISSION :
Results of Treatment of Leprosy in India —continued.
Station or Asylum.
Bengal—concld.
Purulid
Sealdah(Campbell
Medical School
and Hospital).
Shahabad
Sonthal Pergun-
nahs.
Tipperah .
24-Pergunnahs .
Bombay.
Ahmedabad
Belgaum
Broach
Medical Officer.
Surgeon-Major H.
W. Hill.
Surgeon-Major R.
Cobb.
Assistant Surgeon
Nritto
Gopal
Mittra.
Assistant Surgeon
Gopal Chunder
Dey.
Surgeon R. R. H.
Whitwell
Surgeon-Major J.
F. P. McConnell.
Surgeon-Major M.
L. Bartholomeusz.
Surgeon-Major J.
P. Greany.
Surgeon K. H.
Mistri.
Treatment
Pyrogallic acid oint-
ment ; Ichthyol pill
and ointment ; Re-
sorcin
ointment;
Aristol, Iodoform
dressings, Carbolic
oil.
Arsenic, Potassium
iodide and Gurjun
oil
internally ;
Cashewnut, Chaul-
moogra and Gurjun
oils and Carbolic
acid externally.
Gurjun oils internally
and
externally.
Fowler's solution,
Denovan's solution,
Iron preparations,
Resorcin and Ich-
thyol.
Gurjun and Chaul-
moogra oils inter-
nally and externally ;
also Arsenic and
Potassium iodide.
Gurjun oil internally
and externally.
Potassium iodide or
Arsenic, or both in-
ternally, and Gurjun
ointment externally.
Ichthyol, Aristol and
Resorcin ;
also
Chaulmoogra and
Gurjun oils.
Chaulmoogra
and
Gurjun oils, also
Unna's treatment.
Chaulmoogra
and
Gurjun oils, both in-
ternally and exter-
nally.
Result.
Ulceration is arrested.
but it breaks out again
if the individual partake
of fish diet.
Temporary and local im-
provement.
Little or no effect.
No permanent relief
None..
Marked, but temporary
amelioration of symp
toms.
No permanent benefit.
Slight relief.
Effects not noted.
The Treatment of Leprosy.
351
Results of Treatment of Leprosy in India—continued.
Station or Asylum.
Bombay—contd.
Dharwar
Dhulia
Hyderabad (Sind)
Jamsetjee Jejee-
bhoy Hospital.
Kurrachee
Mahableshwar
Matoonga
Poona
Rajkot (Kathia-
war Agency).
Ratnagiri
Medical Officer.
Surgeon-Major W.
McConaghy.
Surgeon-Major K.
A. Dalai.
Surgeon-Major J.
F. Keith.
Surgeon-Major W.
K. Hatch.
Surgeon-Major J.
McCloghry.
Surgeon H. P.
Dimmock.
Dr. N. H. Choksy
Surgeon W. H
Burke.
Surgeon-Major F
C. Barker.
Surgeon-Major H
McCalman.
Treatment.
Chaulmoogra oil,both
internally and exter-
nally, Cashewnut oil
externally, Arsenic,
also Gurjun oil.
Gurjun oil, both inter-
nally and externally.
Dhaulmoogra oil.
Chaulmoogra
and
Gurjun oils.
Gurjun oil.
Arsenic.
Chaulmoogra
and
Gurjun oil.
Chaulmoogra
and
Gurjun oils, inter-
nally and externally
Antiseptic dressing
to ulcers.
Tonics, Alteratives
Chaulmoogra and
Gurjun oils inter-
nally ; Gurjun oil
and other ointments
to the ulcers.
Gurjun, Chaulmoogra
and Cashewnut oils
recently Resorcin
Ichthyol, Fish oil
and Pyrogallic acid
Local antiseptic and
stimulating dress
ings to ulcers, also
Carbolic oil, Iodo
form, Eucalyptus
Iron, Arsenic and
Cod-liver oil.
Result.
No permanent relief.
Mo effect.
No effect.
Beneficial in anæsthetic
form.
None.
Marked improvement.
Too early yet to obtain
any appreciable results.
Improvement in general
health and temporary re-
lief to ulcers.
No specific effect on the
disease.
No specific effect.
352
REPORT OF THE LEPROSY COMMISSION :
Results of Treatment of Leprosy in India —continued.
Station or Asylum.
Bombay—concld.
Sawantwadi
Thana
Yerrowda Prison
Central
Provinces.
Damoh
Narsingpur
Chhindwara
Sambalpur
Medical Officer.
Dr. D. G. Dalgado
Surgeon-Major K.
R. Kirtikar.
Surgeon-Major S.
M. Salaman.
Surgeon A. C.
Deare.
Brigade-Surgeon
P. Cullen.
Surgeon W. L.
Pnce.
Assistant Apothe-
cary D. O'Con-
nell Murphy.
Treatment.
Arsenic pills inter-
nally, Chaulmoogra
and Gurjun oils
externally.
Chaulmoogra, Gurjun
and Kowti oils, in-
ternally and exter-
nally, Hydrocotyle
Asiatica,
Aristol,
Tonics, Massage.
Alteratives, Tonics,
Cooling lotions to
the face, Chaul-
moogra and Gurjun
oils, internally and
externally.
Gurjun oil internally
and
externally;
Carbolic oil.
Chaulmoogra
and
Gurjun oils ; Qui-
nine and Iron, An-
tiseptic dressing to
ulcers.
Chaulmoogra
oil ;
Iron and arsenic.
Internally — Tonics
and
Alteratives,
Liquor arsenicalis,
Bitter
Infusions,
Chaulmoogra
oil
and
Lime-water.
Externally—Before
ulcerative
stage
Chaulmoogra oil,
after Carbolic oint-
ment and oil and
Antiseptic dressings
Result.
Invariably improvement
in general health and
partial subsidence of the
disease in many cases,
but no cure.
In many cases diminution
of size of tubercles, and
some return of sensation
in anæsthetic patches.
No absolute cure.
No effect. .
Temporary benefit.
Benefit in a small number
of cases.
Slight improvement.
Some of the ulcers healed,
but no visible effects
were noticed on the con-
stitution.
The Treatment of Leprosy
353
Results of Treatment of Leprosy in India—continued.
Station or Asylum.
Madras.
Anantapur.
Calicut »
Chingleput
.
Chitoor
Coimbatore
Coonoor
Cuddapah
Kistna
Kurnool
Madras
Madura
Medical Officer.
Assistant Surgeon
B. F. Gonsalves.
Surgeon-Major L.
Beech,
Surgeon S. C. Sar-
kies.
Assistant Surgeon
A. J. Hesterlow.
Surgeon-Major H.
J. Hazlett.
Surgeon-Major F.
C. Smith.
Surgeon A, T.
O'Hara.
Assistant Surgeon
C.Munisawmy.
Brigade-Surgeon L
C. Nanney
Surgeon-Major H.
D. Cook.
Surgeon W. B
Browning.
Treatment.
Arsenic, Chaulmoo-
gra and Gurjun oil,
Potassium iodide,
Tonics,
Gurjun and Carbolic
oils for ulcers.
Gurjun oil and Ton-
ics,
Gurjun oil internally
and externally.
Gurjun oil
•
•
Gurjun and Chaul-
moogra oils.
Gurjun and Carbolic
oils.
Gurjun and Chaul-
moogra oils, Arse-
nic, Cod-liver oil,
Blood tonics.
Gurjun oil
.
.
Chaulmoogra oil in-
ternally and exter-
nally.
Gurjun and Chaul-
moogra oils.
Result.
Temporary] benefit.
Temporary relief.
Relief, but no permanent
cure.
It ameliarates the symp-
toms, but no cure has
been noticed.
It certainly has a cura-
tive effect, but probably
this is not permanent.
Unknown.
Only temporary relief
after continued treat-
ment.
Symptoms abate, but no
single case cured.
Prolonged treatment with
good food and hygiene ;
if it does not cure, it at
any rate checks progress
of disease.
No effect whatever on
the disease.
Any good results due to
increased
cleanliness
and improvement in
nutrition under better
hygiene and diet.
2 A
354
REPORT OF THE LEPROSY COMMISSION:
Results of Treatment of Leprosy in India—continued.
Station or Asylum.
Madras -contd.
Nellore
Palliport
Tanjore
Tellichery
Trichinopoly
Vellore
North-Western
Provinces and
Oudh
Agra
Aligarh
Allahabad ,
.
Almora
Medical Officer
Surgeon-Major G.
L. Walker.
Surgeon-Major D.
Elcum
Surgeon-Major A.
F. Nailer.
Assistant Surgeon
C. A. Lafrenais.
Surgeon-Major H'.
Hyde.
Surgeon-Major T.
]. H. Wilkins.
Surgeon-Major A.
Willcocks.
Surgeon-Major W.
H. Cadge.
Surgeon-Major J.
McConaghey.
Reverend G. H.
Bulloch.
Treatment.
Internally—A mixture
of Potassium iodide,
Liquor arsenicalis
and Liquor strych-
niæ, also Gurjun
and Chaulmoogra
oils externally. For
ulcers Carbolic oil
dressings, Iodoform
and Mercury oint-
ments.
Gurjun,Chaulmoogra,
and Carbolic oils.
Fumigation
with
Carbolic acid.
Chaulmoogra oil
Gurjun and Chaul-
moogra oils.
Chaulmoogra oil in-
ternally and Gurjun
oil externally.
Sodium salicylate and
Arsenic internally
with Chrysophanic
acid
externally,
Chaulmoogra oil.
Gurjun oil, Aristol,
Resorcin and Ich-
thyol.
Chaulmoogra oil
Ichthyol and Resor-
cin, Chaulmoogra
oil.
Gurjun and Chaul-
moogra oils, Car-
bolic acid, Potas-
sium iodide, Resor-
cin, and Ichthyol.
Result.
Under treatment and
good
food . disease
markedly ameliorated,
general health much
improved, the ulcers
heal, the raised macular
patches became much
less prominent, but no
case was cured.
State of ulcers improved
slightly.
No other re-
sult.
Improvement in general
health.
Very little benefit.
Progress
of
disease
retarded in some cases.
In two cases disease
appeared to be almost
cured, but in others the
symptoms did not seem
to be relieved.
More or less improvement
but nothing approaching
a cure.
Slight relief.
Nothing beyond what
might be expected after
good diet and cleanliness.
Ulcers were healed, but
only for a time.
The Treatment of Leprosy.
355
Results of Treatment of Leprosy in India—continued.
Station or Asylum.
North-Western
Provinces and
Oudh - contd.
Bahraich
Ballia
Banda
Bareilly
Benares >
Budaun .
Dehra Dun
Etawah
Fyzabad
Medical Officer
Sugreon W. Deane
Assistant Surgeon
Sheoraj Misra.
Surgeon-Major J.
Moran.
Surgeon-Major J.
Anderson.
Brigade-Surgeon
W. R. Hooper.
Surgeon-Major J.
C. C. Smith.
Surgeon-Major G.
G. MacLaren.
Surgeon-Major E.
S. Brander.
Surgeon J. Sykes.
Treatment.
Chaulmoogra
and <
Gurjun oils, Ich-
thyol, Resorcin, and
Aristol.
Gurjun and Chaul-
moogra oils inter-
nally and externally.
Tonics, Arsenic, and
Cod-liver oil inter-
nally and dilute Ci-
trine ointment lo-
cally.
Ichthyol internally
and Aristol exter-
nally (since October
1890).
Gurjun oil
Chaulmoogra
and
Gurjun oils, Resor-
cin, Ichthyol, and
Arsenic.
Chaulmoogra
oil,
Aristol, Gurjun oil,
Sodium phosphate,
Resorcin, and Ich-
thyol.
Gurjun oil
.
Arsenic and juice of
Madar internally,
Gurjun oil internally
and externally, Car-
bolic oil to ulcers.
Result.
Chaulmoogra oil kept the
sores healed, but Gurjun
oil appeared of no use.
No cure has been ob-
served.
Relief, but no complete
cure.
No satisfactory result.
Ulcerations rapidly heal,
but no change for the
better in the constitution
has been observed.
Only temporary benefit.
Ulceration in several cases
cured and anæsthesia
often relieved, but the
thickening of skin and
other symptoms do not
yield to treatment.
Chaulmoogra oil gave
general relief.
Aristol in many instances
has proved a useful and
rapid healing agent in
external ulceration.
No lasting good effect
from Gurjun oil, Phos-
phate of soda, Resorcin,
and Ichthyol.
Results negative.
Temporary relief.
2 A 2
356
REPORT OF THE LEPROSY COMMISSION:
Results of Treatment of Leprosy in India —continued.
Station or Asylum.
North-Western
Provinces and
Oudh—contd.
Ghazipur
Gonda
Hardoi
Jaunpur
Jhansi
Kheri
Lalitpur
Mainpuri
Meerut
Medical Officer.
Surgeon J. F. Mac-
Laren.
Surgeon-Major C.
Cameron.
Dr. G.D. McReddie
Surgeon-Major F.
C. Chatterji.
Surgeon C. P.
Lukis
Surgeon-Major M.
D. Moriarty.
Dr. G. T. Leopold
Surgeon-Major G
M. Nixon.
Brigade-Surgeon
W. Moir.
Treatment.
Arsenic internally,
Chaulmoogra and
Gurjun oils inter-
nally and externally.
Gurjun oil
Arsenic, Gurjun oil,
Carbolic acid.
Chrysarobin exter-
nally and Ichthyol
internally are now
being tried on a
prisoner.
Gurjun and Chaul-
moogra oils, Liquor
arsenicalis, Tonics,
Nerve-stretching.
Chaulmoogra
oil,
Tonics,
Nerve-
stretching.
Gurjun and Chaul-
moogra oils, Ar-
senic, Iron.
Gurjun ointment and
Chaulmoogra oil.
Chaulmoogra
and
Gurjun oils.
Donovan's solution,
Tonics.
Carbolic acid inter-
nally and exterally
with Arsenic and
Donovan's solution
Gurjun oil more re-
cently.
Result.
In primary stage tubercles
decreased after the use
of Gurjun oil, but in
advanced stages where
there was ulceration, no
benefit was observed.
Ichthyol and Restrain
had no effect.
Temporary benefit, but no
cure.
No cure. Carbolic acid
arrests ulcerations only.
Tubercular appearance of
skin decreased.
General improvement, but
no cure.
None. Nerve-stretching
for anaesthetic leprosy is
a complete failure.
Slight improvement.
Gurjun ointment seems to
check the disease a
little.
Marked improvement in
many cases, but no com-
plete cure.
Any tonic treatment pro-
duces some temporary
improvement, but there
is no permanent cure.
No success.
The Treatment of Leprosy.
357
Results of Treatment of Leprosy in India—continued.
Station or Asylum.
North-Western
Provinces and
Oudh—concld.
Naini Gaol
Partabgarh
Roorkee
Sitapur
Unao
Punjab.
Baba Lakhan .
(Sialkot.)
Hoshiarpur
Jullundur .
Ludhiana
Medical Officer.
Surgeon-Major G.
C. Hall.
Senior Apothecary
S. Bond.
Surgeon-Major J.
Young.
Surgeon-Major D.
F. Barry.
Senior Apothecary
F. W. Saunders.
Assistant Surgeon
Mehta
Duni
Chand.
Dr. N. P. Dutta .
Surgeon-Major M.
O. Dwyer.
Assistant Surgeon
Bhagwan Das.
Treatment.
Arsenic,
Mercury,
Strychnia, Phos-
phorus,
Chaul-
moogra and Gurjun
oils, Ichthyol, and
Resorcin.
Gurjun and Chaul-
moogra oils, Liquor
arsenicalis, Mer-
cury,
Potassium
iodide, Tonics.
Gurjun oil
•
.
Nerve-stretching
.
Arsenic, Chaulmoog-
ra oil, Tar oint-
ment.
Liquor arsenicalis in-
ternally, Carbolic oil
for ulcers, Gurjun
oil both internally
and
externally,
Tonics and Stom-
achics.
Gurjun oil
No specific remedies.
Carbolic oil and
various ointments
for ulcers.
Tonics, Chalmoogra
and Gurjun oils.
Result.
No effect whatever from
any special treatment.
Considerable relief after
prolonged treatment and
care.
No curative effect.
Improvement in the area
supplied by the nerve
operated on. General
progress of the disease
unaffected.
Ulcers begin to heal and
the symptoms are pal-
liated.
Symptoms relieved, but
no case has been cured.
Temporary relief. Ul-
cers begin to heal more
quickly than before the
use of the oil.
No effect.
Result not known.
358
REPORT OF THE LEPROSY COMMISSION :
Results of Treatment of Leprosy in India —concluded.
Station or Asylum.
Punjab—contd.
Peshawar •
.
Shahpur .
Subathu
Tarn Taran
Umballa •
NATIVE
STATES.
Mysore.
Bangalore
Punjab,
Kashmir .
Medical Officer.
Surgeon H. Hendley
Assistant Apothe-
cary C. J. Maher.
Reverend J. W. J.
Wylie.
Assistant Surgeon
Gulam Mustafa.
Surgeon G. W. P
Dennys.
Brigade-Surgeon
T. J. McGann.
Dr. A. Mitra.
Treatment.
Gunjun oil internally
and
externally,
Chaulmoogra oil,
Arsenic, Calcium
sulphite, Tonics, Ar-
senic and Potas-
sium iodide inter-
nally, Sulphur and
Carbolic Acid exter-
nally..
Gurjun oil and oint-
ment, Chaulmoogra
oil and earth baths,
Electricity.
Tincture of Iodine,
Carbolic acid.
Chaulmoogra
and
Gurjun oils, Ca-
shewnut oil exter-
nally, Liquor arseni-
calis,
Potassium
iodide, Iodoform,
Carbolic acid, Lini-
ments,
Resorcin
and Ichthyol oint-
ment
externally
Ichthyol internally.
Chaulmoogra and
Gurjun oils, Ich
thyol,
Resorcin
and Aristol.
Gurjun oil, Carboli
acid, Iodine, Ho
angnan, Ichthyo
internally and Re
sorcin externally.
Nerve-stretching i
largely practisec
Gurjun oil lately
Creolin for leprou
ulcers.
Result.
Little or no effect.
No result.
Pain temporarily relieved.
No cure.
No marked effect. No di-
minution of anaesthesia
of the benumbed part
of the body. No change
in the appearance of
tubercles. When using
these remedies, how-
ever, the skin remains
soft and supple and pa-
tients become a little
stronger.
No case is ever cured.
Diminution of tubercles.
Cessation of several
symptoms.
Temporary improvement,
but in no case has there
been a cure.
Nerve-stretching checks
the progress of disease
in its early stage in a
large number of cases.
Appendix I to Chapter VII.
359
APPENDIX I.
SURGEON-MAJOR H. D. COOK'S REPORT ON SALOL IN THE
TREATMENT OF LEPROSY.
OFFICE OF THE SUPERINTENDENT, GOVERNMENT LEPER HOSPITAL,
Madras, 31st August 1891.
From—SURGEON-MAJOR H. D. COOK, M.B., Supdt., Government Leper
Hospital,
To—A. A. KANTHACK, Esq., F.R.C.S., Member of the Leprosy Commis-
sion.
I have the honour to inform you that, in compliance with your
request, I began the treatment of twelve patients, selected for the
purpose, with Salol on the 26th ultimo and continued it up to date (a
period of five weeks), strictly adhering to your instructions.
According to directions I administered 3 doses, a dose after each
meal daily, beginning with 20 grains and increasing it to 30 grains.
A careful diagnosis was made of each case, and duly registered prior
to the treatment, and critically scrutinized from time to time during
the treatment, and any perceptible reaction duly noted.
So far as can be seen from observation of the twelve cases under
treatment Salol has a mitigating effect, ulcers heal and tubercles
ulcerate and subside, fresh tubercles crop up and burst, subside, and
are followed by another lot, and so on. I am of opinion that sufficient
time has not been allowed to enable me to form a correct estimate of
the value of salol as a therapeutic agent in leprosy, and that a steady,
unremitted course of three months' treatment with it would at least be
required. So I will keep up these cases and send you the continua-
tion of the treatment, even after you go home, if you should so wish.
DETAILED REPORT OF TWELVE CASES OF LEPROSY TREATED
WITH SALOL.
CASE I.—Hindu, male, aged 25 years ; suffering from MIXED
LEPROSY for last four years.
Present condition.—Borders and lobes of both ears tuberculated ;
minute tubercles on the nose and chin ; forehead and cheeks slightly
thickened. Minute tubercles on the little fingers of both hands, the
remaining fingers slightly thickened. Discoloration of the skin of