12. DIATHETIC DISEASES



Corydalis form.-Scrofulous cutaneous diseases, accompanied by feeble digestion and poverty of blood; scrofulous syphilitic diseases.

Cornus circin.-Scrofulous ophthalmia, herpes of eyelids; ulcerations of tongue, gums, and mouth.

Graphites.-Swelling and induration of glands; eczema capitis of entire scalp, forming massive dirty crusts, which mat the hair together; eczema beginning as a moisture behind left ear, and spreading over cheeks and neck; thick, yellowish, fetid discharge from nose; dry scabs in nose, with sore, cracked, and ulcerated nostrils; painful nodules on lower jaw; chronic catarrhs of stomach and bowels; glandular swelling in groins; fissures and rhagades; turbid urine; unpainful swollen glands on nape of neck.

Hecla lava.-Scrofulous ostitis or periostitis, resting on a syphilitic basis, and especially affecting the bones of face and of antrum highmori; difficult dentition; rachitis; hip disease; white swelling; induration and infiltration of cervical glands, studding the neck like a row of pearls; toothache from swelling about the jaws; abscesses of gums from decayed teeth.

Hepar.-Glands inflame, swell, and suppurate; hard burning nodosities; unhealthy skin: slight injuries suppurate; stinging burning of edges of ulcers, discharging bloody pus; humid eruption of fetid odor, feeling sore, itching violently; nodosities on head, relieved by covering the head warmly and from sweat; discharge of fetid pus from ears; boils on face, lips, and chin; cancerous ulcers; disposition to phlegmonous sore throat, catarrh, or bronchitis; atrophy.

Hydrastis.-Chronic catarrhs of mucous membranes wherever situated; cancerous cachexia; cancers hard, adherent; skin mottled; puckered, with lancinating cutting pains; atony of muscles.

Hypophosphite of Lime.-One of the best remedies we have for so-called scrofulous manifestations. It fully answers Hahnemann’s indications for the use of Calcarea carb. in scrofulous affections, especially when occurring in children, namely, the overgrowth, the large head and open fontanelles, the distended abdomen, the tendency to swelling of lymphatic glands, the tendency to brain affections, to catarrhal discharges, abscesses, etc.

Iodum.-Emaciation, in spite of the necessity of eating every few hours; swelling and induration of glands, the whole of the lymphatic system being involved; swelling of mesenteric glands; bronchocele; scrofulous women, with dwindling and falling away of the mammae.

Kali bichr.-Scrofulous ulcers and skin diseases; discharges from mucous membranes tough, stringy, sticking to the parts; caries of the bones of the nose; strumous ophthalmia; pustular diseases of skin, secreting a watery fluid when broken or drying up into a yellow tough mass; fat, chubby children; fat, light- haired persons.

Kali hydroiod.-It distends all tissues by interstitial infiltration; enlarged glands; tophi; exostosis; swelling of bones; necrosis; all worse at night; bronchial and submaxillary glands swollen, ulcerating, atrophied; goitre; papules on face, back; small boils on face, head, neck, back, and chest, leaving scars; pustules on cornea, without photophobia, redness, or pain.

Lithium carb.-Skin rough as a grater, harsh, dry; dry itching eruption like ringworms; milk crust; whole body, bones, joints, muscles, sore as if beaten.

Lycopodium.-Swelling and suppuration of glands; herpes and ulcers; humid suppurating eruptions, full of deep rhagades, breeding lice, itching violently; intertrigo; raw places, readily bleeding; boils which do not mature, but remain blue; scalp covered with scabs; chronic enlargement of tonsils.

Lapis albus.-Scrofulous affections, abscesses, and sores; enlargement and induration of glands, especially cervical; glandular tumors, where physiologically no glands are usually found; goitre; cretinism.

Mercurius.-Glandular swellings, with or without suppuration; cachectic affections; exostosis, curvature, caries, and other affections of bones; eruptions and corrosive herpes with crusts; tinea capitis; crusts in the face; suppuration, especially if too profuse; ulceration of tonsils.

Mercurius biniod.-This is one of our best remedies. It is especially in the relief of those tardy engorgements and ulcerations which follow the discharge of the softened scrofulous matter. It may be given during the growth or swelling of the gland with the hope of dispersion, as we cannot always surely know whether the enlargement is attributable to the presence of scrofulous matter or to simple congestion and engorgement.

Natrum carb.-Swelling and induration of glands; emaciation, with pale face, dilated pupils, dark urine; skin dry, rough, and chapped; suppurating herpes, with yellow rings; goitre; swollen cervical glands; humid herpetic eruptions and ulcers on nose, lips, and around mouth; burning fissures on lower lips.

Oleum jec. ars.-Only indicated in patients of a slender and lean figure, thin, transparent skin, with a frequent pulse, great excitability of the nervous system, and high specific gravity of the urine-all signs of an accelerated metamorphosis.

Petroleum.-Swelling and induration of glands; unhealthy skin; small wounds ulcerate and spread; polypi; salt rheum on arms and hands, red, raw, burning, moist, or covered with thick crusts; herpes on knees and ankles.

Phytolacca.-Swollen tonsils; indurated glands; glands and bones inflamed and swollen.

Psorinum.-Pale, sickly, delicate children, whose body always has a filthy smell, even after a bath; deeply penetrating, ichorous ulcers; skin dirty, greasy-looking, with yellow blotches here and there, at times itching; scratching gives temporary relief; hair dry, lustreless, tangles easily; pustules and boils on head; scalp looks dirty and emits an offensive odor; wants to have the head covered even in hot weather; purulent offensive otorrhoea; submaxillary and lingual glands swollen, sore to touch.

Rhus tox.-Swelling of glands; herpes in the face and other eruptions discharging pus or forming crusts; emaciation; hard and distended abdomen.

Sarsaparilla.-Great emaciation, skin shriveled or lies in folds; herpetic circular ulcers, forming no crusts, red granulated bases, white borders; deep burning rhagades; milk- crust; ophthalmia after checked tetters; marasmus of children; neck emaciated.

Silicea.-Swelling and suppuration of glands; exostosis; curvature, and caries of bones; pale and bloated; disposition of skin to ulcerate; eczema, impetigo, herpes; tendency to boils, which leave indurations; carbuncles; malignant pustule; blepharitis; otorrhoea; canine hunger, with nervous irritable persons; desires only cold things; swelling and induration of cervical glands and parotitis; imperfect nutrition, not from want of food, but from imperfect assimilation.

Spongia.-Swelling and induration of glands; skin and muscles lax; light hair; fevers; yellow scabby eruption; suppuration of external ear; insatiable appetite and thirst.

Sulphur.-Scrofulous and rickety complaints; emaciation of children, face has a very old look; dry flabby skin; glandular swellings; indurating and suppurating; ulcers, with raised swollen edges, bleeding easily, discharging fetid pus, surrounded with pimples; humid offensive eruptions, with thick pus, yellow crusts. itching, bleeding, and burning; ophthalmia and blepharitis; purulent offensive otorrhoea; painful eruptions around chin; lips dry, rough, and cracked; curvature of spine from softening of vertebrae; hangnails; burning of soles, wants then uncovered; children dislike being bathed; especially suitable for lean stoop-shouldered persons.

Theridion.- Scrofula, rachitis, caries, necrosis, when other remedies fail reach the root of the evil, and destroy cause; itching on scalp; itching behind ears, she would like to scratch them off, chronic catarrh of nose, discharge offensive, thick yellow or yellowish-green; Phthisis florida, in beginning.

Syphilis.

Syphilis is a disease that involves, not only the skin, but every other organ and tissue of the body. Its cutaneous relations, however, are those which chiefly concern us.

The first visible lesion of syphilis usually appears in from ten to twenty days after an infective intercourse, as a small papule or erosion, going on to ulceration, and most frequently situated on the genital organs. Extragenital chancre, however, may be met with in a variety of locations, more frequently, perhaps, about the mouth than elsewhere. This lesion is termed a chancre. In a short time a limited induration of the subjacent tissue occurs, so that the chancre when taken between the fingers appears to have a hardened base. This induration may be, and frequently is, absent in genital chancres in women, and the lesion may be altogether overlooked. In the course of two or three weeks after the appearance of the chancre certain of the lymphatic glands become involved, and take on enlargement and hardness. The glands chiefly noticeable in this respect are the inguinal, cubital, post-cervical, and post-auricular.

About this time, or a little later, we may expect a generalized outbreak upon the skin.

Melford Eugene Douglass
M.E.Douglass, MD, was a Lecturer of Dermatology in the Southern Homeopathic Medical College of Baltimore. He was the author of - Skin Diseases: Their Description, Etiology, Diagnosis and Treatment; Repertory of Tongue Symptoms; Characteristics of the Homoeopathic Materia Medica.