STRUMA OR SCROFULA.
SCROFULA, or struma as it is also called, is a constitutional state which manifests itself in peculiarly intractable inflammations, especially of the skin, eyes, eyelids, and glands, and in a tendency to tuberculosis of the lungs, abdomen, or membranes of the brain. The constitution is generally inherited, but it is remediable, either completely or to a very large extent. The underlying cause of it all is the presence of the psoric “miasm” as described by Hahnemann in his “Chronic Diseases.”
Though not identical with “psora,” scrofula forms a large section of the diseases described by Hahnemann as psoric. It is analogous to constitutional or inherited syphilis, and not unfrequently the two “miasms” are combined in the same person.
Scrofulous individuals are much more susceptible to morbid influences, and are thus more liable to take colds and inflammations than other people, and when they do become affected, they are longer in getting well. The processes of life are more sluggish, and as the lymphatics are intimately concerned with the process of repairing waste tissues, they naturally suffer more almost than any other part. It is for this reason that in the public mind the presence of enlarged glands in the neck has come to be regarded as the sign and proof of scrofula.
And though there are many scrofulous persons who have no diseased glands, and many who have had gland abscesses who are not scrofulous, still the popular view may be accepted as in the main correct. Abscesses in the glands of the neck are a very common sequel of the ordinary fevers of childhood-scarlatina, measles, chicken-pox, and diphtheria.
In a perfectly healthy state lymphatic glands are not discoverable by either sight or feeling. When inflamed and enlarged they feel like “kernels” (a popular name for them) under the fingers; and if near the surface are more obvious to sight. Simple inflammations of a gland does not make that gland scrofulous.
The truly scrofulous gland is a gland affected with tubercular taint; and by the time a gland is affected the constitution is p73 also affected. Hence it follows that the only philosophical treatment is one which is directed to the constitution, and seeks to so change that for the better as to make it heal the gland itself.
CASE IV.-CHRONICALLY ENLARGED GLAND IN NECK REDUCED BY MEDICINE.
In May 1893, I was consulted by Miss D., aged 14, who had a gland in the neck under the right ear, about the size of a filbert, which had been troubling her for three years. She was tall (had grown much lately), stoop-shouldered (possibly due to short sight), pale and delicate-looking. She came of a very consumptive family.
May 31.- Bacillin 100 every eight days.
July 1.-Very much better. Gland smaller but not gone. Calcarea phos. 30 thrice daily. Bacil. every eighth day.
July 28.-Better Repeat.
Oct.28.-Gland all but gone.
I have seen her brother repeatedly since, and hear she has kept quite well.
CASE V.-GLAND ABSCESS IN NECK ABSORBED WITHOUT DISCHARGING.
Matt. B., aged II, a very delicate boy, was under my care for enlarged glands in the summer of 1891. Under Bacil. 200 chiefly he got quite well.
In February last, after a blow on the side of the neck, one of the glands under the ear inflamed rapidly, and by the time that I saw him, a few days later, there was already suppuration present, the sensation of fluctuation being distinct. I forbade poulticing, and treated him constitutionally-Bacillin, Hepar s., and Psorinum being the chief medicines given. Maturation went on, but at no time did the matter seem like pointing, and I refused to open the abscess.