Tertiary Lesions


J.H.Allen in his book chronic miasm, described when tertiary lesion does not manifest itself on skin can cause malignancies….


Usually the first tertiary lesions to manifest themselves are skin symptoms, and this is in agreement with Hahnemann’s theory of disease,”that disease is evolved from above downwards, and form within outwards.” This is the natural order of things, which is co-operative with the saving of life and the protection and relief of the internal organism. When tertiary developments do not come out as skin lesions malignancies are almost certain to follow, as there is no other was (except by reflexes through the nervous system) of preventing the centralization of the tertiary forces upon the internal organs, When I speak of malignancies I refer to cancer, carcinoma, lupus, epithelioma and a tendency toward diabetes mellitus, Bright’s disease and tuberculosis; all of these may be developments from the sycotic taint, for fibrous changes are quite often malignant in their outcome, especially if internal organs like the uterus, kidneys, liver, or heart are involved.

The first skin lesions that we meet with are warty eruptions or warty growths. These appear in the form of verruca filiformis, verruca vulgarius and verruca plana. The acuminate form belongs to the condylamotos family, and therefore no doubt partake of both the venereal miasms, Syphilis and Sycosis.

Warts are of diagnostic value to us in distinguishing between he different stages of he diseases. The verruca vulgaris is found in children who are suffering with hereditary Sycosis; they appear at or about the second dentition. The verruca filiformis comes as a tertiary lesion in an acquired form of sycosis. The verruca plana juveniles is another hereditary form found more or less upon the backs of the hands and faces of children and young people. They are usually pigmented, disseminated, and in irregular unilateral groups.

The filiform variety appears in adults, who have acquired Sycosis, and who have had the disease suppressed in some way, although they may appear after secondary in some way, although they may appear after secondary inflammations have subsided. I have met with them frequently after operations upon internal organs, especially after extirpation of organs such as the ovaries, or uterus. They are more apt to appear on the about the sexual organs, or on the trunk of the body, quite frequently in groups of a dozen or two, closely run together in fields or patches. They re small in diameter, often an eighth or patches. they are small indiameter, of an inch long, although frequently much shorter, slightly colored, brownish or grayish brown, pointed at the end with spindle-like attachments; when they appear in children or young people we find them about the eyelids and on the neck. Occasionally these disappear spontaneously and some other tertiary lesion takes their place. I recall now three cases where they made their appearance of after operations. Case I. May B., married, two children, was suffering with Sycosis for many years in the he form of a secondary inflammation for the uterus. There was a marked subinvolution of the organ with severe catarrh of the cervix. The cervix was severely lacerated and it was thought best to repair it, which as done. The surgeon who performed the operation, curetted the uterus also. She got immediate relief from her womb troubles, but in about thirty days the whole trunk of her body was covered with little pendulous warts which were cured with Thuja.

Case 2. Mrs. R., age 31, was compelled to have the uterus removed at the fourth month of pregnancy on account of cystic growths and sycotic changes of a fibrous character. After recovery, or about the fourth week after the operation, the same warty eruption appeared. No treatment was given in her case and they disappeared in about one year. She died about give years later of diabetes.

Case 3. Mr. Chas. B., contracted gonorrhoea, which as treated with injections; within a year a sycotic eruption of warts appeared on the sexual organs and on different parts of the body. He was treated for them for over a year, before they disappeared.

I believe it may be said with some certainty that when a tertiary eruption makes its appearance, that a suppressed discharge, in other words, a suppressed gonorrhoea, cannot be reproduced, so that the disease Sycosis then becomes a slow and difficult thing to cure, just as we find is the case in the tertiary state of Syphilis, which is so closely boned with he life force and with Psora, that it becomes very difficult to separate. As long as the disease is suppressed in the primary or secondary stage, and has remained in the latent state, we have very little difficulty in reproducing the discharge. With the use of such remedies as Medorrhinum, Nux vomica, Psorinum, Sulphur, Calcarea carb, and others of that class, we have an armamentarium at our command, that makes the treatment of the disease comparatively easy, if taken in the first and second stages of suppression. Malignancies coming after suppression are easily managed if we can reproduce the original gonorrhoeal discharge, but if we are unable to do this, our chances for the cure become very doubtful indeed. Often our only hope lies in reproducing the original disease, in order to cure any secondary disease, whether it be stomach trouble, indigestion, hemorrhoids, headaches, neuralgias, rheumatism or constipation. Even acute expressions of disease often depend on the same thing; for instance, it has been my experience in about fifty cases of cute arthritis following speedily after the suppression of the sycotic discharge in the first stage of gonorrhoea not to be able to relieve the pain fully, or to arrest the progress of the disease, unless the suppressed discharge returned. These are the unfortunate cases that linger along for months and finally drift away from you and try all sorts of treatment s in order to get relief-mineral baths, Hot springs, mud baths, hot air baths, electricity, and local measures of all kinds. Indeed it becomes a search for a panacea of health. They often follow a blind hope throughout the remainder for their natural life.

The importance of these verrucal eruptions will be more fully dealt with, as we take up the treatment of them. Their removably surgical, chemical, or electrical methods may be considered as a suppression, which is certain to be replaced by some other disturbance or manifestation of Sycosis. Occasionally, they reappear at the same point after remove, or appear in other parts. Such disturbance as headaches, neuralgia, rheumatism, stomach troubles, gouty states of the joints or organs, follow. We know that warts are a tertiary manifestation of Sycosis, and that all tertiary manifestations are the result of deep and profound action upon the organism. Although the secondary manifestations are more acute, and apparently more destructive in their immediate action, in the end we see that this is not so.

The tertiary manifestations of all the miasma, whether Psora, Syphilis, or Sycosis, though slower in action, often involve the more central organs, and the deeper structures of he organism. the malignancies arising from warts or warty growths are well known to the profession, more especially the flat smooth warty growth, known as the pearly papule, found frequently about the face and neck of patients having a tubercular or latent syphilitic taint and origin. Again, we notice this same condition, perhaps, in the ulcerating or degenerating wart, from which spring our epithelioma, or other malignancies. A sycotic element is found to be present in almost, if not every cases. Accompanying the above mentioned form of warts upon the skin, and almost always present, whether hereditary or acquired is the red mole, another tertiary symptoms which appears more frequently upon the chest or anterior portion of the body, although they may occur anywhere, varying in size from that of a pin-head to that of a pea, there is no other eruption like it. It is smooth, round, shiny, often red as blood and of the appearance a polka dot upon the skin.

This eruption is quite a positive sign that the one so affected has either acquired sycosis, or their parents have acquired it. It seldom appears on exposed portions of the body as thee face or hands, but occasionally they are found upon the neck. The spider spot, another specific sycotic lesion is generally found upon the upper portion of the face, usually about half an inch below the lower eyelid or over the center of the malar bone it consists of a little sprangle of dilated capillaries, resembling somewhat the meshes of a spider web. It is a little flag of distress, which the organism hangs out to tell that note enemy is within. It speaks volumes to those who understand it as a landmark. This is particularly a tertiary or hereditary lesion and is found in children about the period of second dentition, but may be there at birth. It increases in size upto puberty, when it remains stationary. At times it appears pale and bleached out, again it becomes quite red and prominent. How many times I noticed it upon young girls at an early age, whose mothers have consulted me concerning it, thinking it was a birth mark or something of that nature. It requires two or three years to cure one of these cases and only the highest potencies have any any effects upon it. I use Finck’s, Skinner’s and Swan’s remedies in the highest potencies, cm, dmm, and cmm.

In these cases the father had invariably contracted gonorrhoea either before or during marriage, generally before, and the discharge was dried up and was followed by this eruption mentioned, the red mole. Later on in life they sometimes assume a warty nature, but generally they remain about the same all through the life of the patient. The red polka dot eruptions are met with more frequently upon the trunk of the body and anterior surfaces of the extremities. They are positively a diagnostic lesion, and when present, there s should remain no doubt in your mind but that the patient has Sycosis either in the acquired or hereditary form. When you are in doubt your diagnosis look for them and you are pretty certain to, find them.

There is a form of acne that appears as large red angry-looking papules at about the menstrual period; they do not suppurate but are quite sore and sensitive to touch. They are unlike the small, pointed, itching papule of psora or the pustular and suppurating tubercular form of the disease. The chief feature of sycotic acne is the large, reddish, blunt-pointed, angry-looking lesion that is sore and sensitive to touch non-suppurating and appears quite isolated and separate from each other and not in groups as is found in psoric and tubercular forms; they are often found in the psoric and tubercular forms; they are often found on girls at the menstrual period.

Lupus, whether of the erythematous or of the common form belongs without doubt tot he tubercular family of skin diseases, with a sycotic element present. My observation, extending back for many years, has been fully satisfied and convinced of this fact. The malignancies due to Syphilis and Psora are prone to develop about the age of 40, while that of Sycosis at any age, All three miasms, however, will be found in lupus patients, but Psora and Syphilis along will not produced lupus. The proof of this fact, will readily be seen by a carefully-taken history of these cases, as to when the sycotic element entered the organism, and invariably the development of the lupus can be traced to some phase of Sycosis either suppressed or hereditary.

This truth is not altered in the least, by the fact that lupus often appears at an early age. History of these cases will usually point to a suppression in the parent or to an imperfect cure. The reason why this disease is so difficult to cure can now be readily seen, knowing it is to based upon a mixed miasms. The more miasms that are existent in your patient, the more complex, of course are the phenomena presented and the greater the difficulty in finding the similimum of the case. Here is a new field open for investigation in the treatment of lupus and other malignancies, which merit our research and earnest thought.

Many other forms of skin diseases might be enumerated as being of sycotic origin, such as tinea sycosis and tinea barbae. In fact all forms for facial skin diseases that are contracted in barber shops, with perhaps the exception of tinea favosa, are due to the sycotic taint or to a form of that miasms. Tinea circinata commonly meet with, and mentioned by Dr. Burnett as having a tubercular origin, proves quite clearly to me this theory of the mixed miasms. In the scalp as well as in the beard we might mention another form, tinea circumscripta, which causes a form of alopecia and which responds readily to anti-sycotic treatment. In fact in all forms of ringworm, we see this specific sycotic element running all through the manifestations of these very mysteries lesions, of which so little is known. A suppression of ring-worm in any form means a suppression of Sycosis of a specific nature, and the invariable result of its suppression ill health, such as some form of rheumatism, or the development of chronic headaches, stomach troubles, chronic bronchitis, chronic coughs, melancholia, mania, hysteria in women and even malignancies. The suppression of a ring-worm means a suppression of a specific form of Sycosis, usually upon a latent tubercular base, for tubercular patients are the ones who usually contact some for the many forms of tinea.

I question if rubeola and other similar exanthematosus diseases have not a sycotic element as a predisposing cause. Variola, varicella in the their different forms have very marked characteristics of the sycotic element present, or of Syphilis and Sycosis combined. The serum of vaccination has without doubt both of these elements present. It can also be recognized in erythematous eczema erysipelas, especially the phlegmonous variety, herpes, zoster, and impetigo contagiosa. Psoriasis has the gouty element so characteristic of Sycosis and this element has already been recognized. In reviewing Sajou’s Annual and Cyclopedia of Medicine for 1895, ’97, and ’98, we find the statement that Psoriasis is dependent upon a blood state belonging to gout and rheumatism; the uric acid diathesis. Psoriasis, however. depends largely on Psora. The free indulgence in me attends to aggravate these eruptions a and vaccination is generally the exciting causes. Meat, alcoholic beverages, wines, and nitrogenous foods of al kinds aggravate both the gouty condition and the diseases based upon it.

Another diseases to be considered, as positively of sycotic origin, is gouty or the gouty diathesis. This disease of ancient origin has usually been associated with people of wealth, who live indolent lives, and who indulge in all sorts of luxuries and excesses in eating and drinking, but this not strictly true. It is a well known fact that the excessive use of a rich diet, especially of a ferry and of a nutrogenous nature, the free use of wines and intoxicants, will develop a gouty diathesis. Sycosis, however, has the power to do this work without he aid of such foods or stimulants, although it is greatly accelerated by their use. Often, these people have a sycotic element in a latent form, and it is roused into action by their sedentary life and dietetic excesses. This gouty state of the system many present itself as a gouty rheumatism or as it is commonly termed, rheumatic gout all these condition belongs to the tertiary state of Sycosis. When the joints are not affected or he gouty concretions are absent, we have another form of it, known as gouty liver, gout of the eyes, of the stomach, intestines, bladder, gout of the muscles. Gout of the heart and stomach are of such common occurrence today that sudden deaths from it are increasing greatly, especially in the higher walks of life, among the wealthy.

Examine these patients and we find all sorts of pathological changes, changes in the form or size of the organs, changes in the valves, hy pertrophies, softening of the valves, salutations and slow, soft, or intermittent pulse. In cardiac diseases they have no pain to speak of, occasionally a sharp thrust or a dull ache. Serious and dangerous conditions develop, while the patient is oblivious of the fact. How frequently do we hear of she sudden death of our great men, senators, business men, and those who lead a sedentary life, who take their spiced or imported wines and other intoxicants; wines in any form are more harmful to them, than any other of the stimulants or intoxicants. Those people are found of aromatics, mustard, pepper, commandments of all kinds, rich and stimulating foods. Narcotics, mustard, pepper, commandments of all kinds, rich and stimulating foods. Narocitiscs of all forms are the great excitant of a gouty diathesis. They meet with sudden death often from valvular diseases of the heart, from pneumonia, peritonitis, gastritis, or hepatitis. Many of them have dropsies, diabetes, Bright’s disease of the kidneys, cirrhosis of the liver, congestion of the base of a brain, and even true insanity. they are subject to vertigo, dyspnoea, apoplexy, and hemiplegia. They have shortness of breath, puffing respiration with any over-exertion such as climbing a height. In acute diseases, especially where local inflammations or congestions are present, they snuff out like candle. They can drink moderately of whisky all their lives with no special disturbance from it, but put them upon wines and stimulating foods and the luxuries of the rich, and soon they develop the gouty diathesis. hear every day of sudden deaths in this class of patients. If you will watch the vital statistics of these people who consume much wine, and who eat a rich stimulating diet, especially where much meat is consumed, you will have your attention called to the frequency of sudden deaths. They die with out warning from pneumonia, from congestion and from diseases of the heart, lungs, stomach, brain and intestinal tract.

Many of these patients suffer from prostatic and bladder troubles, and often the whole troubles seems located in the neck of the bladder, as frequently found in women as in men. Nothing seems to help these sufferers. The treatment does little more than palliate them, and many cases have come o me that nothing has helped. Then I found out the true history or cause, tracing it back many years to an early suppressed sycotic infection, which, although it had remained latent for a while, suddenly turned its whole force upon the bladder. Often these patients complain simply of a soreness along the urethral canal; occasionally felt when passing urine, more so when it becomes strongly acid. This may be thee only symptom showing the disease is still there, but in a latent state. I recall now, only case in a young married man who came to me from St. Louis, who had complained for that symptoms for fourteen years. A careful analysis of his case revealed Psorinum to be his remedy, which reproduced an old suppressed to gonorrhoea, that was cured later on with Capsicum. His wife had suffered for years from hypertrophied uterus, and had had a number of physicians treat her with no permanent benefit. For the past two years of her life, she had received some relief upon a charge if climate and from mineral baths. In June, 1899, she began to take Homoeopathic treatment which was continued for ninety days, when she became pregnant and went through to full term. A male child was borne perfectly healthy, and as far as came be seen now, is free from any sycotic taint. The mother weighted only 9 pounds, but suffered scarcely any inconvenience during gestation; had an easy labor, and today is in the best of health. This history is one of an army of cases that find no relief until treated with homoeopathy.

The coughs of these sycotic patients are usually bronchial. they are forever having bronchitis, hard, tight, dry racking coughs tight, frequently met with in early fall or winter. Not infrequently their troubles will begin with a coryza. There is much sneezing, with a profuse watery flow from the nose. In a few days it will pass down in to the bronchi, and then they have a week, or ten days, or longer, of coughing spells. Expectorations usually scanty. In the summer time they are usually free from it, but they are forever taking a cold in the head,. on the least exposure to cold air or dampness (getting stuffy as they say). In fact, they can not, as a rule, breathe through the nose. If they should escape these troubles they have rheumatic pains or muscular rheumatism on the least rheumatic pains or muscular rheumatism on the least exposure to wet or dampness or a chill. So sensitive are they to barometric changes that they make good whether prophets. They can fore tell a change, it appears, days before. Sometimes localized and severe. Why should they be so subject to the elements, to a falling or rising barometer, or to planetary fluctations? Because they have violated one of the Creator’s laws, or by heredity have become subjects to the penalties of the broken precept. When we read in the Decalogue “Though shalt not kill,” or “Though shalt not bear false witness,” or “Thou shalt not commit adultery,” we do into understand by this, that we are to become slaves to a principle, or that by the force of a Divine fiat we are to do this, or to do that. No. We understand that by a fulfilment, of these principles, by a true recognition of these precepts, we are protected by all the power that is behind them. The principles so involved are principles of power, and of life, and of God. It is an ascendency into the higher altitudes of a greater existence and of a larger life. To violate any of them, is to lose all the benefits of that power therine involved. The Decalogue is a divine gift to them, not a something that confines or coerces. It is a tree of lie in our midst and he who eats thereof shall have life, but to violate any of its precepts means death in some form, for outside of them is no life. If through adultery we sin, that sin involves all that is lost in its violation, be it through heredity or be it acquired.

John Henry Allen
Dr. John Henry Allen, MD (1854-1925)
J.H. Allen was a student of H.C. Allen. He was the president of the IHA in 1900. Dr. Allen taught at the Hering Medical College in Chicago. Dr. Allen died August 1, 1925
Books by John Henry Allen:
Diseases and Therapeutics of the Skin 1902
The Chronic Miasms: Psora and Pseudo Psora 1908
The Chronic Miasms: Sycosis 1908