Addenda


Addenda.    I.– To Sections 35 and 36.

NOT only these two paragraphs, but upwards of two-third of this work, had already been printed, and …


   I.– To Sections 35 and 36.

NOT only these two paragraphs, but upwards of two-third of this work, had already been printed, and the whole of my manuscript had already been sent off, when in the course of last month, I had an opportunity of making tow interesting observations, that, on the one hand, seemed to confirm my views concerning the essential oneness and purely accidental, external, or phenomenal differences of the various kinds of chancre, and, on the other hand, seem to favour the views of those who hole, with Virchow and Yvaren, that syphilis is at the bottom of every thing, and that even tubercular phthisis, cardiac polypi, disorganizations of the liver, several kinds of jaundice, even scrofula, white swellings, and sarcocele, originate in syphilis. However, firmly I have been resolved not to discuss points of doctrine that, owing to the absence of reliable facts,. are still exceeding problematical, yet I deem it incumbent upon me to publish these two cases.

The first is the case of a man of seventy, who consulted me in the month of August on account of a profusely-secreting soft ulcer on the prepuce, for which I prescribed Mercurius sol., first trituration, half a grain twice a day. However, dreading Mercury a good deal, he took, without my knowledge, two pellets of Mercurius 12, and several other remedies. On the 7th of november he came again, his forehead manifestly covered with isolated, scattered syphilitic tubercles. The chancre had become cicatrized, without having shown the least hardness in its course; at the place where the chancre had been located, a tolerably large, cock’s- comb-shaped fig-warts was seen. Last September he had had two buboes, which he had cured himself with Nitri acidum, on which account I gave him Lycopodium 30. Since then (now December 7th), then fig-warts and the dry, scattered tubercles on the forehead have disappeared; in their places, a cough, with purulent expectoration, had set in, which night lead others to suspect pulmonary phthisis. Unfortunately for this diagnosis, this patient has had such a cough twice before, during the twenty-five years that I have been acquainted with him. The other case is that of a young married woman, who consulted me in the month of May on account of a soft chancre at the lower commissure, that had been there for about a fortnight. She continued her visits for eight days, when I did not see her again until the 15th of November following. Not having perceived any improvement the first four days of my treatment, and fearing the return of her husband, who happened to be absent on a journey, she had had the chancre removed by cauterization, and had, at the same time, continued my prescription for another week. She thought herself free from all trouble, when, all at once, in the month of November, an unmistakable papulous exanthem broke out, which covered chiefly the abdomen and lower extremities, particularly the thighs. Individuals, with old soft chancres, and simultaneously existing roseola syphilitica have frequently applied to me for treatment, so that notwithstanding the observations recently published by the hospital-physicians of Lyons concerning the supposed essential difference between the contagia giving rise respectively to the soft, hunterian, and phagedaenic chancres, I am unable to regard such a distinction as founded on fact;l for, if it is certain, as I know from personal observation, that a Hunterian chancre may, according to circumstances, produce any of the other forms, and that any of these forms may superinduce the same secondary consequences, although these results may not always follow, the fact that there inheres, in all these forms, a faculty of superinducing the secondary consequences, is sufficient to induce us to regard the identity of the contagium as an established fact, and to attribute the apparent differences of forms to the influence of, as yet unknown, but, at all events, non-essential circumstances. Who knows whether the ulcus molle is not derived from the Hunterian chancre, by the bare fact, that the profuse secretion of the former prevents the specific inflammation upon which the characteristic induration of the Hunterian chancre depends. It is true that, beside the Hunterian chancres, all other chancres, as we have shown in the third division, No. 156-166, seem to have existed since the remotest period; but, in the same place, we have likewise shown that the great epidemic of the fifteenth century produced a new unitary syphilitic disease, from which not only the ancient gonorrhoea and condylomata arose in their new forms of syphilitic gonorrhoea, and syphilitic mucous tubercles, but likewise the ancient soft and phagedaenic, even gangrenous chancres, modified by the new syphilitic virus.

George Heinrich Gottlieb Jahr
Dr. George Heinrich Gottlieb Jahr 1800-1875. Protégé of Hahnemann. His chief work, " The Symptomen Codex" and its abridgments, has been translated into every European language. He also published several smaller works for daily use, ''Clinical Advice" "Clinical Guide," and "Pharmacopoeia", as well as his "Forty Years' Practice”. Also "Manual of the Chief Indications for the Use of all known Homoeopathic Remedies in their General and Special Effect, according to Clinical Experience, with a systematic and Alphabetic Repertory."