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December 1, 1906


Author Affiliations


JAMA. 1906;XLVII(22):1828-1829. doi:10.1001/jama.1906.25210220054002

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In the treatment of gonorrhea we must recognize two or three important facts and govern our treatment accordingly, otherwise we will find it well nigh impossible to complete a cure at all.

First.  —Gonorrhea is caused by the presence of the gonococci, which set up a rather violent inflammation.

Second.  —The inflammation begins just within the meatus urinarius and extends, if left without proper treatment, rapidly into the deep urethra.Recognizing these two important factors, the rational treatment of gonorrhea is to begin treatment at the earliest possible moment, and to commence at once with local applications, by injection of a remedy that will kill, or at least inhibit the development of the gonococci, and at the same time heal and soothe the inflamed membrane. Many high in authority advise doing practically nothing until the acute symptoms have subsided, which usually takes from two to three weeks. They advise bland

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