The papillae at the periphery of all eroded surfaces are found to be enlarged and infiltrated; the connective meshes are loose and oedematous. The hardness of the peripheral edges and borders of all syphilitic lesions must therefore be due to this massing together of these round syphilitic cells that crowd themselves together at the periphery of all lesions. This is, perhaps, the cause of the unstableness of all syphilitic lesions. One quite prominent physiologist explains this instability in the following manner:
“The vital processes of the life forces are so profoundly disturbed, especially in the bloods vitalizing centers, that these cells are not perfectly vitalized, therefore making non- constructive, and therefore the tissues likewise are unstable. How often we notice the poor attempt nature or the life forces make in their feeble efforts to heal an old syphilitic ulcer or other lesion. We notice the false granulation, the exaggeration piling up of unhealthy granulation in many attempts to bridge over some breach in the tissues made by gummae or other destructive processes. This granulation or cells efforts fails because of the lack of true cell vitality”.
All cell effort at healing in this disease is neoplasmic. It has no durability, no constructive character; it is all histologically the counter part of disease. Hahnemanns definition of disease becomes paramount as we study the action of syphilis upon the life forces. “Disease” he says, “is the disturbance of the life force”. These three vital and far- reaching words, disease, disturbance, life force, cover all physiology all anatomical and histological discovery. No man yet has viewed so deeply into the mystery of life, disease and death The life process he fully comprehends, and his disease and death process is in harmony with the principles as laid down by God himself. His principles are in harmony with all the universal laws and also in perfect harmony with true healing.
How clearly we see this imperfect process of vitalization of white cells in a gummy tumor and gummy formation which represent the true counter- part of the formation and product of disease. Robin, Marchal, von Barenspinnd, Wien, Virchow, recognized all these things, but could not explain them because of their chemical conception of disease, while Hahnemanns masterly eye makes all these things clear and simple, although he lived in a day when he had no competitors nor great thinkers in this field of science. Of these greater men of the school of materialists of modern medicine, we feel we must place Virchow at the head, yet he testifies to the fact that the morphology of syphilitic lesion and growth held no vital significance.
Some authors attribute the scirrhous condition of the true chancre to the fibrous exudate and others to an hypertrophy of the epidermis. In the chancre, the epidermis is not destroyed, while in the chancroid ulcer it is destroyed.