(1) Chancre, mucous tubercles, and fig-warts. (A) Painless, readily bleeding ulcers, with gray, everted edges. Flat, or even perceptibly raised ulcers, with sharply -circumscribed, intended, painless edges. Chancrous ulcer, surrounded with hard, cartilaginous, lardy looking borders. Ulcer with dark-blue, greasy bottom, and covered with a crust, from beneath which ichor oozes out. Ulcers with enormous abnormal granulations. Lardaceous, painless ulcers on the fraenulum, with elevated base and swelling of the prepuce. Chancrous ulcers on the fraenulum, with hard, lardy-looking borders, and redness and swelling of the prepuce. Deep ulcer where the fraenulum had already been eaten away, filled with pus, of the size of a pea. Deep ulcers on the right side of the corona glandis, and on the left side near the fraenulum, which had already become detached. Fungoid Hunterian or other chancres, or chancres threatening to change to the fungoid form; they had been unsuccessfully treated with Mercury, and their bottom had already become red. (B) Clean, flesh- colored, almost spongy ulcers. Several flat, elongated ulcers on the prepuce, existing simultaneously. Cauliflower shaped condylomata on the inner surface of the prepuce, and on the corona glandis, secreting a fetid matter. Pedunculated condylomata, of the size of a pin’s head, growing out of ulcers of the prepuce. (C) Accessory symptoms; The ichor from the ulcers does not adhere, is mixed with blood, more copious and thinner than gleet. Copious, watery secretion from ulcers that have become quite flat, and whose edges are almost obliterated. The pus, which is secreted in large quantity, is corrosive, smells like brine, and causes a furious itching (Mercurial syphilis. Jahr). Secretion of ichorous pus. A lymphatic vessel on the penis is inflated, when proceeding from the ulcer, it looks like a raven’s quill. hard, elongated swelling on the inner surface of the prepuce, round the ulcer.
(2) Consecutive and secondary symptoms. (A) Inflamed buboes, threatening to suppurate. (B) The tonsils are red and swollen. The tonsils are enlarged, uneven, covered with purulent vesicles of the size of a pin’s head (Mercurial syphilis). The velum palati, specially on the left side, is fiery-red, shining(Mercurial syphilis? Jahr.), Deep, shaggy ulcer on the border of the tongue (Mercurius syphilis. Jahr.) (C) Isolated, moist, burning pustules on the hairy scalp (Mercurius syphilis, Jahr). The face is covered with pustules, with broad red borders, and forming crusts. Scurfy elevation on the ale nasi, of the size of a bean, resembling a mucous tubercles. Brown spots on the glans, of the size of lentils, scaling off. Rather hard brown tubercles on the scrotum and perineum, of the size of peas, ulcerating.
Secale 233.–Thuja Occidentalis.
The chief sphere of action of this remedy are the modifications of the chancre-virus that are described as idiopathic condylomata mucous tubercles, and sycosic excrescences. It is more particularly the humid products of this kind, such as cauliflower-excrescences, and still more, mucous tubercles (See No.68), against which this remedy will prove most efficient, whereas this agent, according to Rummel’s very correct observation, is of little or no use against the dry, filiform fig-warts, which sometimes continue even after the virus has been entirely destroyed (see No. 78). Nevertheless, it may be useful in certain old chancrous forms and likewise in secondary ulcerations of the skin and throat, although the chancrous forms for which Attomyr recommends this agent seem to be mucous tubercles, rather the true chancres. Wolf, of Dresden, quite right in recommending Thuja for dubious ulcers on the sexual organs, in the mouth and fauces, more particularly if it is not quite than certain whether the ulcers are mercurial or syphilitic; in such cases, I have likewise used it with much success, specially among females. In the cases successfully treated with this remedy by Attomyr, Bernstein, Gentzke, Hahnemann, Hartmann, Kurtz, Lobethal, Mayrhofer, Nithack, Rosenberg, Rummel, Schelling, Trinks, Wolf of Dresden, and myself, the following symptoms were the chief indications:
(1) Chancres Mucous Tubercles and fig-warts. (A) Chancres, becoming more elevated above the skin (after Nitri acidum). Ulcers, secreting a corrosive ichor mixed with blood. Small ulcers scattered over a hard base, lined with a whitish pus, burning and smarting, or biting a good deal. Several ulcers on the prepuce and glans, growing above the skin, clean-looking, but suppurating profusely. Vegetating ulcers on the glans, prepuce, and penis. Deep, humid furrows covered with pus, seated in the prepuce, which is swollen all around, and surrounded with wrinkled, red borders. Ulcers on the prepuce, discharging a profuse quantity of ichor, and raised above the skin like warts cut half through (mucous tubercles? Jahr.). (B) Cauli-flower excrescences. Comb-shaped, horny excrescence on the inner surface of the prepuce. Twelve condylomata on the margin of the glans. A number of warts and tubercles, parts ulcerated and part dry, on the scrotum, perineum, and anus, the skin of these parts being excoriated here and there. Warts, partly hard and reddish, partly suppurating, densely covering the anus and scrotum all around. Smooth condylomata on the perineum, scrotum, and anus; they secrete good deal of moisture, and are covered with a purulent and viscid fluid. A continued line of condylomata on both sides of the external labia, extending as far as the promontory of Venus. numerous condylomata on the thighs and swollen labia-majora, with corrosive leucorrhoea. A mulberry shaped, shining condylomata at the anus, with a broad base; on both sides of it deep rhagades, secreting a fetid ichor, and surrounded by a brownish yellow areola. Mucous tubercles on the labia, at the anus, in the corners of the mouth, on the aloe nasi, eyelids, nipples, specially in the case of women and children.
(2) Syphilitic Erosions. Female gonorrhoea, with numerous erosions and profuse secretion. Humid erosions between the thighs and on the sides of the scrotum. Excoriation and bright redness on the inner side of the thighs, with intolerable burning. Superficial syphilitic erosions in the fauces, with mucous tubercles. Suspicious redness of the palate, with occasional stinging in the throat.
Most of the condylomata alleged to have been cured by the above mentioned observers, seem to have been mucous tubercles. It is a pity that these so-called condylomata have not been described more minutely, or classed with the latter in the same category with condylomata generally, differ from common excrescence both pathologically and anatomically, and appear protopathically much more frequently than fig-warts., This shows, however, how mischievous a mere nomenclature may become in Therapeutics; yet modern homoeopaths seem to work in favour of such a change.
II. REMEDIES FOR SECONDARY SYPHILIS.
Secale 234.– Other substances that have been used by Various Practitioners.
Most of the remedies, that have been mentioned heretofore, have been chiefly employed in cases where mercurial syphilis was suspected; many of them might likewise be used, more frequently than has been done, for secondary syphilis; such as:
(1) Aurum foliatum and muriaticum. Hahnemann recommends this remedy for nocturnal bone-pains and for the il-affects of abuse of Mercury; Trinks denies the efficacy of this drug; he has given it in vain, even in large doses, for syphilitic affections of the mouth, palate, and nasal bones. Wolf, of Dresden, is satisfied that it has no affect whatever in syphilitic affections. On the other hand, Clotar Muller, one of our most competent practitioners, recommends Aurum muriaticum as one of the most efficient remedies for secondary ulcers on the scrotum. I have given Aurum with distinguished success for mercurial affections of the skull-bones; tearing bone-pains in the extremities; periosteal swellings on the forearms and tibiae; mercurial destructions of the nasal and palatine-bones; constantly returning ulcers on the margins of the tongue; falling off of the hair; and a desponding melancholy and undefinable prostration of body and soul, which is one of the most dangerous symptoms of Mercury.
(2) Carbo animalis.- This agent has been recommended by Gross, and afterwards by Gaspary, for inflamed buboes threatening to suppurate. I have not only used it with advantage in similar cases, specially for protopathic buboes, but likewise in a case of gummatose swellings of the cellular tissue (No. 147, 151).
(3) Lycopodium. According to my observations, this is one of our best remedies for certain herpetic affections of the throat, accompanied by secondary exanthems, secondary ulcers in the throat, condylomata on the sexual organs, deeply-penetrating mercurial symptoms, more particularly if, as has likewise been stated by other practitioners, the following symptoms are present; Pedunculated, dry, almost insensible condylomata on the sexual parts; dark-gray-yellow, lardy looking lining in the throat, (or wrinkled spots), on the tonsils, palate, and velum, as far as the tongue; lardaceous ulcers in the mouth and throat; hoarseness and desire to cough, as in laryngeal phthisis; loose and bleeding gums and teeth; copper colored eruption or tubercles and pustules on cachectic-looking face; tearing pains in the limbs at night and in cold weather; disposition to lie down, melancholy, aversion to life; mercurial debility, nervousness.
