72  SYPHILITIC   DISEASES.
zling  complication,  and  one  which  would  render  the  operation
extremely  embarrassing.
134.  If  gonorrhoeal  epididymitis  occur  with  any  degree  of
intensity,  the  disease  soon  involves  the  neighbouring  tissues  of
the  testicle ;  and  hence  we  observe  speedily  succeeding  to  it,
or  complicating  it,  diseases  of  the  tunica  vaginalis,  or  testicle
itself,   and  very  commonly  inflammatory  hydrocele,   oedema,
erysipelas,  or  phlegmon  of  the  scrotum.
135.  This  disease  is  prevented  by  the  antiphlogistic  treatment
of  gonorrhoea,  the  use  of  the  suspender,  and  the  early  employ-
ment of  specific  anti-gonorrhceal  remedies,  as  copaiba,  cubebs,
&c.     When  once  set  up  we  must  employ  general  bleeding,  if
circumstances  require  it,   or  local  bleeding  from  the  region  of
the  spermatic  chord,  or  perineum  ;  the  patient  must  keep  the
testicle  suspended,  and  remain  in  the  horizontal  position.    To
relieve  the  pain,  which  is  sometimes  very  acute,  frictions  upon
the  testicle  with  oil,  opium,  or  belladonna,  &c.,  may  be  em-
ployed.1    When  the  acute  symptoms  have  in  some  measure
subsided,  the  most  efficacious  practice  is  compression  of  the
testicle,   strapping   it  with    plaster  of  mercury,  and  ammo-
niacum.2     This  practice  generally  succeeds  in  curing  most

1       R.     Olei  camphorati,  ^j.
Tinct.  opii,  5J.     M.  ft.  liniment.
or,

R.     Adipis,  3J.
Ext.  opii,  5ij.     M.
R.     Adipis.
Ext.  Belladonnas,  aa  Jj.     M.
2  The  emplastrum  "  de  Yigo,"  is  generally  employed  for  this  purpose
in  the  French  Venereal  Hospitals ;  it  resembles  much,  though  is  in  some
points  superior  to,  the  Emp.  ammoniaci  cum  hydrargyro  of  the  London
Pharmacopoeia.  The  form  is  as  follows :

R.     Hydrargyri,  95  parts.
Styracis  liquids,  48  parts.
