Often complexions become pale, assuming yellowish or ashen hue, accompanied by starchy or watery leucorrhoeas, palpitation of the heart, faintness and loss of vitality generally; later general weakness, flushing in the face, vertigo, ringing in the ears, hoarseness, dry tickling spasmodic cough and finally a true tubercular condition develops. Often they are very sad, gloomy anxious full of fanciful notions, forebodings with much fear; extreme sensitiveness, nervous irritability and inclination to weep.
Menses flow bright red, or light coloured and watery. We sometimes see nausea and vomiting, extreme purging of the bowels with diarrhoea or dysentery, fainting, cold sweat on forehead, but flow is seldom if ever clotted; being usually fluid-like, profuse, light red, watery and seldom offensive, and not infrequently it has the odour of fresh blood.
Leucorrhoea usually purulent but may be watery mucus.
Patient often debilitated and worse before flow or immediately after it begins.
Deep, thick yellow, or yellowish green. Sometimes lumpy, thick, albuminous or purulent.
Retroversions and retroflexions and malpositions of uterus.
In marked cases of this diathesis uterus is retroverted or retroflexed and many sufferings date from puberty.
Relaxed muscular system throughout, easily exhausted easily tired, menses copious, too early and long lasting, accompanied with backache, reflexes of all kinds, etc.
Labours at childbrith are often difficult, severe and prolonged and exhausting and many are unable to feed their children.
UPPER AND LOWER EXTREMITIES
Neuralgia pains either PSORIC or PSEUDO-PSORIC usually better by quiet rest and warmth. often worse motion and better rest and warmth.
Tubercular joint troubles have increased in osseous tissue, nodular growth similar to syphilis. Bones are soft, rickety and curved. SYPHILITIC element – feet become deformed because legs cannot take weight of body.
The periosteal difficulties are due to periosteal inflammations or tertiary or tubercular changes in the bones themselves.
The TUBERCULAR and SYPHILITIC bone pains are very similar both as to their character and times of aggravation.
In nails we have many inflammatory changes due to SYPHILIS & TUBERCULOSIS. We have in both, true onychia though not of such specific character in the TUBERCULAR process as in the tertiary SYPHILIS. Paronychia is tubercular as met with in pale-skinned, anaemic tubercular subjects. Pustules form often on lower extremities or about fingers or hands.
The nails of these patients are brittle, break or split easily, often hang-nails. Nails thin as paper, bend easily and are convexity is reversed.
Spotted nails, show white specks sometimes anterior edges are serrated or slightly scalloped. Often pustular inflammation about the nail. Often nails drop off and grow again.
Perosteal inflammation commonly known as felon or periphalangeal cellulitis.
Fingers are long and do not taper gradually are blunt or club- shaped at “extremities.” This long-fingered individual with the lengths so irregularly arranged is characteristic. Often hand is thin, soft and flabby and easily compressed, usually very moist or often cold, damp perspiring profusely.
The same re feet : Coldness of hands and feet is very marked but the patient is not always conscious of it.
We see types in remedies such as Calc, Carb., Baryta. Carb., Baryta. Iodium, Iodine and silica.
Warm air very annoying, cannot endure much cold neither can they endure much heat.
Chilblains are based on all the miasms- we have the PSEUDO- PSORIC taint, with SYCOTIC element as a basis- that is why they prove such a dreadful disease producing agent when suppressed by local measure.
Boils-they may depend on both PSORIC and PSEUDO-PSORIC influences.
Boils with much suppuration.
Paralytic disease, edematous swellings anasarca & such as SYCOTIC, SYPHILITIC and PSEUDO-PSORIC.
General muscular weakness and loss of power in ankles.
Clumsy-awkward, lack co-ordination- they are always falling. They drop things. They tire easily when walking and especially when climbing a height.
This patient is short-winded, climbing stairs tires out the patient.
White swelling of joints or idiopathic synovitis even rheumatic forms have this tubercular element very marked.
Drop wrist-weakness or loss of power in tendons about joints. In children and young people ligaments about joints easily sprained. ankles turn easily from the slightest mis-step, wrists show the same weakness; playing the piano or operating a typewriter causes swelling, soreness or pain in wrist joints. Lack energy as well as strength.
Weakness of the ankle joints is a sure indication of the presence of a SYPHILITIC taint in combination with the PSORIC stigma. (R)
Skin affections with glandular envolvement will necessarily have the SYPHILITIC or TUBERCULAR element to conform with the glandular envolvement.
In varicose veins the TUBERCULAR taint predominates, and it is in these patients that we see the varicose ulcers, the last skin lesion to make its appearance in a case of ancient or hereditary syphilis that has already become, and now is, largely PSEUDO- PSORA.
In ecchymosis or any form of purpora there is a PSEUDO-PSORIC basis.
Hyperidrosis and Bromidrosis.
Abscess and ulcers.
Fine, smooth clear skin.
(Nat., Murex, Hepar and Silicea good examples).
Abscess and ulcerations after injuries. Bee or bug affect these patients badly, Impetigo.
The patients often have benign or malignant tumours.
In TUBERCULAR and SYPHILITIC patient we see much scarring and increase in cicatricial tissue.
In the lymphatic temperament we see the malignancies-we find here rich soil for Gonorrhoea and Syphilis. In tubercular patients we have so much difficulty in eradicating acquired syphilis or gonorrhoea.
Gonorrhoea runs to gleety discharge and strictures, pockets and metastasis forms, or we have metastasis to ovaries, broad ligaments, tubes, uterus, rectum, and all such complications. It is the tubercular diathesis that complicates all our skin diseases and makes them so difficult to remove.
Suppress any form of Ringworm and there often follows tubercular diseases. (Burnett)
In Ichthyosis (fish skin) we find all the chronic miasms and where we find them all present, we usually find an incurable skin diseases especially if hereditary.
In Ichthyosis we see the dryness of PSORA, in the squamae of SYPHILIS and often the moles and warty eruptions of sycosis.
All miasms are present in erysipelas -carcinoma- epithelioma- lupus.
In nerves or congenital marking of the skin we have all the miasms as in Elephantiasis.