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A TREATISE 
 
 ON 
 
 DISEASES OF THE SKIN 
 
 BY 
 
 S. LILIENTHAL, M.D. 
 
 
 
 NEW YORK AND PHILADELPHIA: 
 BOERICKE & TAFEL. 
 
 c^ 18 7 6. 
 
 I 
 

 Entered according to Act of Congress, in the year 187G, 
 
 By BOERICKE & TAFEL, 
 
 la the office of the Librarian of Congress, at Washington, D. C. 
 
 PHILADEI. PIIIA: 
 SHERMAN & CO,, PRINT EKI 
 
PEEFACE. 
 
 About two years ago, Messrs. Boericke & Tafel requested me to 
 prepare a work on Diseases of the Skin, for the use of homoeopathic 
 practitioners, to be issued with the monthly parts of the Hahne- 
 mannian Monthly^ as an appendix to that journal. This treatise is 
 the result of that request, the work having been done according to 
 the best of my ability. While I have a perfect knowledge of its 
 imperfection, I can conscientiously assert, that I have gleaned criti- 
 cally and carefully from the best authorities in regard to the pathol- 
 ogy and therapeutics of these forms of disease. It is hoped that 
 it has and will serve a good and useful present purpose with the 
 physicians of the homoeopathic school, and be at the same time a 
 foundation upon which a future perfect treatise may be based. But 
 a small edition has been printed, and no stereotype plates have been 
 used, and the publishers will, therefore, feel themselves free to issue 
 a new and enlarged edition as soon as there shall appear to be a de- 
 mand for it. In the meantime no labor will be spared to perfect the 
 work, and assistance and contributions are requested from homoeo- 
 pathic practitioners in all parts of the world. 
 
 The second part of the work, the " Repertory," has been prepared 
 exclusively by Clarence M. Conant, M.D., of Middletown, l!^. Y., 
 who has performed his difficult task with characteristic ability, and 
 to whom I hereby tender sincere thanks. I desire also to thank the 
 editor of the Hahnemannian Monthly, Dr. R. J. McClatchey, for the 
 careful supervision and proof-reading bestowed upon the entire 
 work. 
 
 S. L. 
 
 235 W. Twenty -FIFTH Street, 
 New York. 
 
TABLE OF CONTENTS. 
 
 • 
 
 PAGE 
 
 
 PAGE 
 
 Introduction, . 
 
 1 
 
 Hauthoderma, . 
 
 113 
 
 
 
 Lentigo (freckles), . 
 
 113 
 
 /, Erythematous Erupiiom 
 
 
 Chloasma, 
 
 114 
 
 Erythema, 
 Urticaria, 
 
 11 
 
 12 
 
 Anomalies of Secretion. 
 
 
 
 Increase of sebaceous secretion 
 
 118 
 
 //. Papula?^ Diseases of the Skin. 
 
 Acne sebacea seborrhoea, . 
 
 118 
 
 £ »/ 
 
 
 Comedo, .... 
 
 122 
 
 Lichen, .... 
 Prurigo, .... 
 
 15 
 
 18 
 
 Milium, grutum, 
 Molluscum, 
 
 123 
 123 
 
 ///. Squamous Eruptions. 
 
 
 Lupus erythematodes. 
 Acne, . . . . 
 
 125 
 125 
 
 Psoriasis (lepra), 
 
 20 
 
 Xeroderma, 
 
 134 
 
 Pityriasis, 
 
 24 
 
 
 
 Ichthyosis, 
 
 26 
 
 Hypertrophy and Degeneration. 
 
 
 
 Lupus, .... 
 
 . 134 
 
 IV. Vesicular Eruptions. 
 
 
 Lupus non exedens. 
 
 138 
 
 Miliaria and sudamina, . 
 
 27 
 
 Lupus serpiginosus. 
 
 138 
 
 Eczema, .... 
 Camp or prairie itch. 
 Treatment of eczema. 
 
 30 
 49 
 52 
 
 Epithelioma, ulcus rodens. 
 Leprosy, elephantiasis grasco- 
 rum, ..... 
 Elephantiasis arabum. 
 
 141 
 
 145 
 150 
 
 
 
 Keloid, .... 
 
 152 
 
 CHAPTEE II. 
 
 
 Eibroma molluscum, 
 
 153 
 
 Herpes, .... 
 
 •61 
 
 Dermatolysis, . 
 
 154 
 
 Treatment, 
 
 74 
 
 Naevus vascularis, . 
 
 154 
 
 Pemphigus, 
 
 80 
 
 Papillary tumors, . . . 
 
 155 
 
 Kupia, .... 
 
 86 
 
 Condylomata, 
 
 157 
 
 
 
 Ichthyosis, .... 
 
 158 
 
 V. Pustular Eruptions. 
 
 
 
 
 Impetigo, . . . 
 
 87 
 
 Atrophy of the Skin, 
 
 160 
 
 Treatment, 
 
 92 
 
 Alopecia, .... 
 
 161 
 
 Ecthyma, 
 
 94 
 
 
 
 Treatment, 
 
 97 
 
 Diseases of the Nails, 
 
 163 
 
 Furuncles, 
 
 99 
 
 Onychogryphosis, . 
 
 163 
 
 Pustula maligna, 
 
 105 
 
 Atrophy of the nails, 
 
 164 
 
 Pustula Aleppensis, 
 
 107 
 
 Onychia, .... 
 
 164 
 
 Hcemorrhage of the Cutis. 
 
 
 ■ 
 Parasitic Diseases of the Skin, . 
 
 165 
 
 Purpura, 
 
 108 
 
 Favus, 
 
 165 
 
 
 
 Tinea tonsurans. 
 
 170 
 
 CHAPTEK III. 
 
 
 Tinea decalvans. 
 
 173 
 
 VI. Pigmentary Diseases. 
 
 
 Tinea sycosis, .... 
 Tinea versicolor, 
 
 175 
 177 
 
 Melanoderma, 
 
 110 
 
 Tinea marginata, 
 
 178 
 
 Morbus Addisonii, . 
 
 111 
 
 Tinea tarsi, .... 
 
 181 
 
 Leucoderma, . . " . 
 
 113 
 
 Mycatoma, .... 
 
 182 
 
 I 
 
viii 
 
 
 CONTENTS. 
 
 
 
 PAGE 
 
 
 Onychomycosis, 
 
 . 182 
 
 Chilblains, 
 
 Plica polonica. 
 
 . 184 
 
 Condylomata, 
 
 
 Myringomycosis, 
 
 . 184 
 
 Corns, 
 
 
 Mycosis vaginalis. 
 
 . 184 
 
 Crusta lactea, . 
 Ecthyma, 
 
 
 Animal Parasitic Diseases of 
 
 Erysipelas, 
 
 
 the Skin, 
 
 . 185 
 
 Erythemge, 
 
 
 Scabies, . 
 
 . 185 
 
 Eczema, . 
 
 
 Prurigo contagiosa. 
 
 . 190 
 
 Felons, . 
 
 
 Phthiriasis, 
 
 . 193 
 
 Freckles, 
 
 
 
 
 Fungus articulorum. 
 
 VII. Syphilodermata, . .195 
 
 Fungus hsematodes, 
 
 Psoriasis syphilitica 
 
 . 201 
 
 Fungus medullaris. 
 Ganglia, . 
 Gangrene, 
 Goitre, . 
 Herpes, . 
 Ichthyosis, 
 Impetigo, 
 Intertrigo, 
 Lepra, " . 
 Lichen, . 
 Lui)us, 
 Measles, . 
 
 
 Pemphigus syphilitica, . . 203 
 Kupia syphilitica, . . . 203 
 
 
 Impetigo and ecthyma syphil., 204 
 
 
 Tubercular syphilod 
 Syphilitic ulcers, 
 Alopecia syphilitica 
 
 erma, . 205 
 . 206 
 . 207 
 
 
 Onychia syphilitica, 
 Plaques muqueuses. 
 
 . 207 
 . 207 
 
 
 Condylomata, . 
 
 . 207 
 
 
 Treatment, 
 
 . 209 
 
 
 Scrofulvdermata, 
 
 . 216 
 
 Miliaria, . 
 xMoles, . 
 
 
 Neuroses of the Skin 
 
 . . 217 
 
 Nasvi materni, 
 Nettlerash, 
 
 
 Pruritis and prurigo 
 
 . 218 
 
 Pediculi, . 
 
 
 Cutis aiiserina. 
 
 . 220 
 
 Pemphigus, 
 
 
 Angio-neurosis, 
 
 . 220 
 
 Pityriasis, 
 Plica polonica, 
 Porrigo, . 
 
 
 Acute Eruptive Diseases, . . 221 
 
 
 Kubeola, . 
 
 . 222 
 
 Prurigo, . 
 
 
 Scarlatina, 
 
 
 . 225 
 
 Psorias, . 
 
 
 Variola, 
 
 
 . 237 
 
 Purpura, 
 
 
 Varioloid, 
 
 
 . 248 
 
 Koseola, . 
 
 
 Varicella, 
 
 
 . 249 
 
 Rupia, 
 
 
 Vaccinia, 
 
 
 . 250 
 
 Scabies, . 
 
 
 Erysipelas, 
 
 
 . 253 
 
 Scaldhead, 
 
 
 Typhus and typhoid 
 
 fever, . 257 
 
 Scarlatina, 
 
 
 Treatment of zymos 
 
 es, . . 258 
 
 Scrofulosus, 
 Small-pox, 
 
 
 EEPERT( 
 
 3EY. 
 
 Styes, 
 Syphilis, . 
 
 
 Abscesses, 
 
 . 391 
 
 Tinea tonsurans. 
 
 
 Acne, 
 
 
 . 391 
 
 Tumors, cystic. 
 
 
 Adenitis, 
 
 
 . 391 
 
 Ulcers, 
 
 
 Bedsores, 
 
 
 . 391 
 
 Varicellae, 
 
 
 Boils, 
 
 
 . -» .391 
 
 Varices, . 
 
 
 Burns, 
 
 
 . 392 
 
 Warts, . 
 
 
 Cancer, . 
 
 
 . 392 
 
 Wens, . 
 
 
 Carbuncle, 
 
 
 . 392 
 
 Objective symptoms 
 
 
A TREATISE 
 
 DISEASES OF THE SKIN. 
 
 PART FIRST. 
 
 CHAPTER I. 
 
 It has been remarked "by Hebra, in regard to the treat 
 ment of diseases of the skin, that he who is always chang- 
 ing his plan of treatment is sure not to attain his object 
 as quickly as one who steadily and patiently applies what- 
 ever remedy seems to be best suited to the case. If such 
 a proposition is acknowledged by the physicians of the 
 old school as an axiom in the treatment of skin diseases, 
 how much more sensible and valuable must it appear to 
 practitioners of the homoeopathic school, since it is one of 
 the fundamental principles of the homoeopathic method, 
 in the treatment of all diseases. Each remedy should be 
 allowed its full time of action, without interference or 
 repetition ; and this rule is as applicable in the treatment 
 of the diseases here to be considered, as in any other of 
 the many pathological processes to which human flesh is 
 heir. 
 
 That both local and constitutional treatment are neces- 
 sary for the cure of cutaneous diseases, is now acknowl- 
 edged by most dermatologists ; and we readily endorse 
 the employment of local treatment, especially in that 
 class of diseases which are due to the existence of fungi 
 or animalcul8e. The employment of local measures has 
 
 ( 9) 
 
10 DISEASES OF THE SKIN. 
 
 been to too great an extent denounced as heterodox ; but 
 we are of the opinion that members of our school will do 
 well if they do not too persistently neglect them. With- 
 out denying the possible danger of metastasis, we believe 
 that in very many if not in most instances it is a mere 
 bug-bear. And although Hahnemann and his immediate 
 followers raised their voices against the local use of rem- 
 edies, — perhaps for the reason that German dermatolo- 
 gists leaned too much towards local treatment, — we still 
 regard it as a step in advance to resort to such treatment 
 in these cases. It will frequently be found that the sim- 
 ultaneous internal and external use of a medicine will be 
 followed by the greatest benefit, in cases where its use 
 either internally or externally alone might be followed 
 by little or no beneficial effects. 
 
 In regard to the classification of diseases of the skin, it 
 may be bewilderingly asked : " Which dermatologist will 
 you follow?" We have Hebra, Wilson, JSTeumann, Fox, 
 ^eligan, Willan, Hardy, and a host of others, each of 
 whom is presumed to be an authority, while the nomen- 
 clature and classification of each differs from that of all 
 the others. We cannot help remarking here, in view of 
 this Babel of nomenclature : How much better is it to 
 know only diseased states, and to avoid being carried 
 away by the delusion of a name ? Too many of the zy- 
 motic diseases have been classed by writers with diseases 
 of the skin, when in fact the cutaneous manifestation ac- 
 companying them is a mere accidental circumstance, since 
 they may run their course even to a fatal termination 
 without any cutaneous manifestation whatever. We 
 shall omit all such diseases, inasmuch as the consideration 
 of zymotic affections belongs to another branch of pa- 
 thology. 
 
 Having once been interrogated as to which classifica- 
 tion we preferred, the reply was that we had found in the 
 various stages of variola vera, exemplifications of the va- 
 
ERYTHEMA. 11 
 
 rious forms of skin diseases, and tliat we were of tlie 
 opinion that such a classification was simple and at the 
 same time practical. We shall therefore adhere to 
 this classification into erythematous^ papular^ vesicular 
 and pustular diseases, so far as it is possible to do so, in 
 considering; ■ the various forms of cutaneous affections of 
 which we propose to treat. 
 
 I. ERYTHEMATOUS DISEASES OF THE SKIN. 
 Drythetna. 
 
 Erythema, being a mere hypersemia of the skin, makes 
 itself objectively known by redness and swelling of the 
 skin, the temperature of which is also somewhat increased, 
 and subjectively, sometimes, by a sensation of burning 
 and itching. It may be either idiopathic {e. g. E. 
 traumatlcum, caloricmn^ venenatum) or symptomatic. The 
 latter variety also passes under the name of Roseola. 
 Thus we have a B. variolosa^ appearing on the second day 
 of the disease, especially near the flexures of the joints, 
 and lasting from twelve to twenty-four hours ; a JR. vaccinia, 
 following vaccination about the ninth or tenth day and 
 sometimes spreading from the arm to other parts ; a i?. 
 infantilis, frequently setting in during dentition in the 
 form of small, sharply-circumscribed red spots, which 
 quickly disappear without producing much systemic dis- 
 turbance ; a H. a^stiva, frequently caused by gastric dis- 
 orders during hot weather. 
 
 In idiopathic erythema, pn the contrary, we have, in ad- 
 dition to the redness, a swelling of the integument (exu- 
 dation into the derma). Hence we find it subdivided 
 into Erythema nodosum., E. papulatum, E. annulare, E. 
 marginatum, etc. 
 
12 DISEASES OF THE SKIN. 
 
 Treatment. The treatment in most cases is veiy simple. 
 In idiopathic erythema remove the cause, and in the 
 symptomatic variety treat the diseased state which gave 
 rise to it. 
 
 Vrticari(i, 
 
 Urticaria or [N'ettlerash is closely allied to erythema, 
 Hehra gives as characteristic symptoms: White or red 
 2vheals (pomphi) with the sensation of burning and itching/ 
 (as after touching nettles), sudden eruption^ sudden disap- 
 pearance^ usually loithout desquamation. 
 
 "We distinguish an acute and a chronic form. The former 
 manifests itself as fehris urticata hy general malaise, hebi- 
 tude, frequent pulse and gastric s^-mptoms, or it may set 
 in without any general symptoms. The whole eruption 
 may come out suddenly, or the wheals may appear in 
 gradiial or rapid succession, or they disappear from one 
 place and appear in another. Wheals vary much in form, 
 vsize and color ; some have a depression in the centre, but 
 each wheal is always surrounded by a red halo. In 
 some cases we find extensive red patches containing sev- 
 eral wheals. The more extensive the eruption, the severer 
 the itching and burning will be. Microscopically exam- 
 ined, I^eumann considers a wheal to be an oedematous 
 swelling of the papillary layer of the cutis with local 
 anaemia. 
 
 Afebrile urticaria may exist for weeks and even months, 
 consitantly renewing itself at shorter or longer intervals 
 on different regions of the body. It is, in fact, not a 
 chronic disease, but rather makes a succession of reap- 
 pearances. 
 
 Several varieties of Urticaria have been described, but 
 they are merely different aspects of the same disease. 
 Thus, where the wheals are large and hard it is termed 
 Urticaria tuberosa ; where they are small and knotty. 
 
URTICARIA. 13 
 
 Urticaria jmpidosa ; and wliere the wheals have small 
 vesicles upon them, Urticaria vesiculosa^ etc. 
 
 The causes of these eruptions are numerous and in 
 some cases apparently undiscoverable. The contact with 
 nettles and with some kinds of catterpillars and mollusks ; 
 the bites of fleas, hed-bugs, mosquitoes ; the sting of bees ; 
 scratching with the finger-nails ; the application of any 
 resinous drug to the skin ; the action of atmospheric air 
 on a tender skin in the spring and fall of the year ; intes- 
 tinal irritation from eating strawberries, crabs, clams, mus- 
 cles, fish during their spawning season, mushrooms, 
 pork and some kinds of sausages, honey, green cucumb- 
 ers, etc. ; severe mental emotions, as fright, anger, etc. ; 
 uterine irritation during pregnancy, menstruation, dififer- 
 ent uterine diseases with their hysterical states, have 
 all been set down as exciting causes of this troublesome 
 disease. Some authors consider urticaria to be a neural- 
 gia of the skin. ITebra observed it as a consequence of 
 helminthiasis. 
 
 Treatment. Tolle causam^ whenever it is possible. 
 Many cases depend on a sympathy with the digestive 
 organs, and this idiosyncrasy of certain individuals, when 
 discovered, should be remedied by the individual abstain- 
 ing from such articles of diet as are found to produce the 
 urticaria. Food which will produce it in one person 
 may be perfectly harmless to another ; but any person is 
 liable to be afifected by some particular substance. In 
 some cases a strict vegetable or milk diet has been found 
 sufiicient to cure the disease. 
 
 Local applications appear to be of little service. Spong- 
 ing with dilute vinegar is often grateful to the patient. 
 Tepid baths (85° to 90°) of boiled wheat-bran may dimin- 
 ish the annoying itching and burning. "Where the erup- 
 tion sets in with the character of a neurosis and in 
 outspoken paroxysms, sea-bathing will be found beneficial. 
 
 The totality of the symptoms will indicate the remedy, 
 
14 DISEASES OF THE SKIN. 
 
 tlie eruption itself giving no therapeutic hint. The old 
 school praise Arsenic in chronic cases without gastro- 
 enteric symptoms, and Quinine where marked periodicity 
 prevails. 
 
 Kafka {Horn. Therapy^ I. 401) recommends for chronic 
 urticaria: SidpL, Calc. carb.., Hepar^ Arscn., Sepia, Lycop.j 
 Natr. mur. 
 
 Aconite. Great heat, thirst, frequent pulse, malaise, 
 sleeplessness, fear or fright, indicate this remedy. 
 
 Bryonia. Atmospheric influence, with simultaneous 
 rheumatic articular pains, nightly exacerbations and 
 sleeplessness, worse from motion. 
 
 Rhus tox. Atmospheric cold and damp, burning of the 
 affected cutis, dry heat of surface with dry tongue, 
 nightly delirium. Vesicular urticaria. 
 
 Where gastric catarrhs prevail, Nux vom. and Ant. 
 tart. In chronic cases, Sejna or Natr. mur. Pidsai. or 
 Didc. find their indication in intestinal catarrhs with mu- 
 cous stools and tenesmus. For Dul(f. we also have itch- 
 ing of the skin, with burning after scratching, griping 
 pains in the bowels, with nausea and diarrhoea, after 
 taking cold, the stools being watery. Arsen. (burning, 
 chills and fever) or Phosph. are preferable. Helminthia- 
 sis will lead us to think of Cina or Sidph. 
 
 "When caused by uterine diseases, Ajris, Pellad., Kali 
 carb., Pidsat.y Sepia., Ustil. maid, may be indicated. 
 
 Apis : Stinging-burning over the whole body, passing- 
 off after sleeping soundly ; sudden stinging sensation over 
 the whole body with white and red spots in the palms of 
 the hands, on the arms and feet, on the head and nape of 
 the neck ; uterine catarrh. 
 
 Ustilago maid. Terrible itching at night ; menstrual 
 irregularities from ovarian irritation. 
 
 Where an erythema or an urticaria is of neurotic ori- 
 gin. Chloral deserves consideration, as its application has 
 
LICHEN. 15 
 
 been followed by red spots (erythema fugax) on different 
 parts of the face. 
 
 II. PAPULAR DISEASES OF THE SKIN. 
 Lichen. 
 
 Hebra acknowledges only two species of Lichen, viz., 
 Lichen scrofidosus (by some called Stroj)hulus) and Lichen 
 cxudativus ruber. 
 
 Lichen scrofidosus or Strophulus consists in a dermati- 
 tis forming conical pimples in groups. Fine, dirty- 
 brownish papules, consisting of a mass of epidermis, seated 
 at the openings of the hair-sacs, arranged more or less in 
 circles or segments of circles, and generally located on 
 the trunk. They never contain fluid, and are always 
 covered with scales ; there is little or no itching ; they 
 remain unchanged for some time and after their disap- 
 pearance they leave behind some scattered pigment spots, 
 and here and there an acne-like tubercle or pustule. 
 It mostly attacks the trunk, more rarely the extrem- 
 ities, and is more frequently observed among children 
 than in grown persons. J^eumann report sone case where 
 the face and hairy scalp were covered by the efflorescence. 
 Cases have also been observed among children where 
 the eruption was only on the extremities, leaving the 
 trunk free ; whereas in grown persons the extremi- 
 ties will onl}' be attacked after the trunk becomes dis- 
 eased. Scrofulosis (glandular affections, ulcers, bone- 
 diseases, tuberculosis) is its sole cause, and neither season 
 or occupation have any influence over it. It is most fre- 
 quently found in males between fifteen and twenty-five 
 years old, and in such cases it will be advisable to examine 
 closely the apices of the lungs ; whereas in children the 
 mesenteric glands are more frequently affected. 
 
 Treatment. Cod liver oil externally and internally is, 
 by the old school, considered as the panacea for this erup- 
 
16 DISEASE.^ OF THE SKns. 
 
 tion. We must consider tlie eoiistitutional dyscrasia in 
 its totality, and select tlie remedy according to the indivi- 
 duality of the case. Hygiene is of tlie greatest import- 
 ance. We must improve the food and the air with which 
 the patient is supplied if we wish to eradicate the evil. 
 
 Lichen exudativus ruber. We copy Jeffries {Diseases of 
 the Skin, p. 22), who copies Hehra, in giving a description 
 of this disease. Lichen exudativus ruber is an eruption 
 of miliary papules ; at first distinct and covered with a 
 thin scale, causing but little itching. They are of a red- 
 dish color, and once formed do not increase in size, but 
 the increase of their number causes them to unite into 
 large patches, red, infiltrated and covered with scales. 
 These changes take place at separate and distinct spots, 
 finally occupying large tracts on the whole body. The 
 outis becomes of twice its ordinary thickness ; the motion 
 of the joints is impeded ; fissures cover the joints from which 
 l3lood flows to form crusts, etc. The nails become affected, 
 thickened, rough and brittle. The hairs of the head, axil- 
 Ire and pubes are not affected ; on the rest of the bo<l}' 
 they are reduced to a mere lanugo. There is itching 
 when the disease is extensive, but not before. The pa- 
 tient, as the affection occupies large tracts of the integu- 
 ment, becomes broken down, nutrition is weakened, and 
 with great marasmus there is generally a fatal termina- 
 tion. All attributed causes are but surmises. The age , 
 most liable so far as reported is from fifteen to forty 
 years. It almost invariably attacks the male sex. 
 
 l^eumann's microscopical examinations give the follow- 
 ing result : The epidermic cells are heaped up in large 
 masses, with fine granular contents. The cells of the 
 rete Malpighii are sometimes grouped and sometimes alone, 
 and send out thick, broad and long prolongations be- 
 tween the papillae ; around these latter, here and there, 
 are brown pigment cells. The papillee are enlarged and 
 filled with a set of elastic fibres more numerous than nor- 
 
LICHEN. 17 
 
 mal, as is alsotlie case throu^liout tlie whole cutis. The 
 vessels are dilated, as are also their twigs in the papillae. 
 Arteries and veins in the deeper layers of the corium are 
 tortuous. Along the vessels are numerous cell-growths, 
 increasing their diameter and thus filling up the papillae. 
 The openings of the sweat glands are dilated in a funnel- 
 shaped manner, and are filled with numerous epidermic 
 cells. The sehaceous glands are few and probably de- 
 stroyed. The external sheath of the root of the hair 
 shows a peculiar appearance : composed naturally of nu- 
 cleated cells more numerous around the shaft than at the 
 bottom of the follicle, in this disease the reverse is found. 
 The follicle is dilated by these cells into regular teat-like 
 diverticula resembling an acinous gland, showing, how- 
 ever, nothing else abnormal. The root of the hair is stubbed 
 like a brush. 
 
 Prognosis is more fiivorable in lichen ruber dispersus 
 than in universalis, where marasmus threatens the life 
 of the patient. 
 
 Treatment. Ilebra had good results from Arsenic in 
 doses of one tenth of a grain to one grain a day. Every 
 other remedy failed in his hands. 
 
 Kafka advises for lichen ruber da^^Qr^w^^Iodinc^Salpli.^ 
 Iodide of Sidph.^Uyo doses daily ; and for lichen ruber uni- 
 versalis, on account of the threatening marasmus, Chinin. 
 arsen., Phosph. or Arsen. 
 
 The lichen agrius and lichen simplex of Willan are 
 not genuine lichens, but rather belong to the eczematous 
 diseases ; and the remedies mentioned by Jahr and Eus- 
 sel will be therefore enumerated under eczema. 
 
 In lichen ru])er we have also trreat confidence in Arsen- 
 icu7n, for among its symptoms we read: the skin of the 
 body peels ofi" in large scales ; painfulness of the skin all 
 over the body; miliary eruption, scaling off'; discolora- 
 tion of the nails ; marasmus from weakened nutrition. 
 SarsajpariUa promises well in this rare but dana:erous dis- 
 
18 * DISEASES OF THE SKIN, 
 
 «ase. We find among its symptoms : diy, itcli-like erup- 
 tions, with emaciation ; diy cutaneous eruptions ; hard- 
 ness of skin ; cracks of skin ; emaciation, with shrivelled 
 skin, etc. 
 
 As an external application for softening the skin, Gl]/- 
 eerine is recommended by many authors, and it may be 
 advisable to use it, if only to prevent a resort to injurious 
 applications. 
 
 I^rurigo, 
 
 To Ilebra belongs the credit of having marked the dis- 
 tinctions existing between prurigo and pruritus. Prup- 
 tus is a hyper?esthesia of cutaneous nerves frequently 
 a, mere reflex symptom or caused by the presence of 
 .some animal parasite ; whereas true prurigo is a fearful 
 and often incurable disease. An essential difference be- 
 tween these diseases consists in this, that prurigo mani- 
 fests itself by the eruption of abundant intensely itching 
 knots, whereas in pruritus no alterations of the skin are 
 ^^isible to the naked eye. The knots of prurigo are gen- 
 erally noticed on the exterior sides of the lower and up- 
 per extremities ; but less often and less observable on the 
 trunk. As these knots of prurigo demand constant 
 scratching from the intense itching they cause, we usually 
 £nd their summits wounded and covered with a crust 
 from the issue of a drop of blood, and further changes due 
 to the never-ceasing scratching are, pigmentation up to 
 almost negro blackness, thickening, roughness, dryness 
 and furrowing of the common integument. The head 
 always remains free, the hair dull and dry ; the face is 
 but rarely affected but pale and unhealthy. The con- 
 stant scratching produces an artificial eczema and also a 
 marked swelling of the inguinal and crural glands. 
 
 Prurigo is not uncommon in childhood, but pruritus is 
 proportionally far more common in old age. 
 
 ]^eumann describes these papules as consisting of cir- 
 
PRURIGO. 19 
 
 cumscribed cell-proliferations in the papillae, accom- 
 panied by an exudation, not extending to any elementaiy 
 form, which elevates the epidermis. The rete and epi- 
 dermis are more developed and pigmented. The papillser 
 and cutis are enlarged and thickened with connective 
 tissue ; the outer root-sheaths are strongly developed and' 
 the hair follicles have club-like distensions. 
 
 Prognosis is more favorable in children and young; 
 persons than in older ones. Prurigo senilis often with- 
 stands all treatment. 
 
 Treatment. Cold eftusions, sea-bathing, salt-bathsy 
 sulphur-soap, sulphur and sand soap, sulphur ointments,, 
 sublimate-baths, alcoholic lotions, veratria, chloroform^ 
 and tar-ointment are used as palliatives by the old schooL 
 Arsenic and Carbolic acid have been used internally and 
 externally with beneiit. Prof. Rothmund recommends- 
 hypodermic injections of carbolic acid (four grains to the 
 ounce). 
 
 Kafka (II, 457) considers Mercurius a close simile tc^ 
 prurigo. Sulphur^ Silex^ lod., Lycopod. and Mezereum- 
 may be indicated in certain cases. 
 
 Indications for Iodine are : Old, neglected cases ; knots: 
 standing closely together, the surrounding skin full of 
 brown pigment, thickened and covered with scales ; irre- 
 pressible itching at night, producing constant sleepless- 
 ness and constant scratching ; cachectic features, emacia- 
 tion and dyspepsia. In similar cases he also used lodiL- 
 retum sulph. or Lycopod with beneiit. 
 
 Silicia brought on improvement in a case where the pa- 
 tient during the nightly itching had the sensation as if 
 ants crawled about under his skin. 
 
 Mezereum relieved a case of unbearable, nightly, burn- 
 ing itching. 
 
 Bsehr (II, 591) recommends : Sidphur^ Sepia ^Ar sen. fialc 
 carb., Plumb. .^ pro re nata. 
 
 Jahr: Bryon, Calc, Carb. veg.^ Caustic, Coccul.y 
 
20 DISEASES OF THE SKIX. 
 
 Conium^ Graphit., LycopocL, Here, Natr. mur., Nitr. ac, 
 ^ux vom., OleancL, Opium, Phosphor., Pulsat., Rhus tox., 
 Sepia, Silic, Sulphur, Thuya. But Jahr does not discrim- 
 inate closely between prurigo and pruritus. 
 
 Hale recommends for prurigo : Aloes, Apocyn. and.,Col- 
 linson., Garb, ac. Ham. virg., Poxmlus (perhaps also 
 Rumex) ; but we consider them rather as good remedies for 
 reflex pruritus than for genuine prurigo. 
 
 It is important that the nails be kept closely cut or 
 that the hands be muffled especially during the night. 
 
 III. SQUAMOUS DISEASES OR SCALY ERUPTIONS 
 OF THE SKIN. 
 
 JPsoriasis (Lepra), 
 
 The essential nature of psoriasis consists in an excessive 
 growth of epidermis, or in a proliferation of the epider- 
 mic cells, and their accumulation upon circumscribed 
 spots, at which the papillae of the corium are hypertro- 
 phied. It is an inflammatory process of the upper layer 
 of the corium and the papillse, accompanied with greatly 
 increased cell-growth, and with which the papillae are 
 considerably enlarged from the very beginning of the 
 disease. 
 
 Psoriasis commences by the appearance of spots of the 
 size of a pin's head, of a whitish color, which are diie to 
 accumulation of epidermic scales, heaped up on each 
 other, loosened from their connection with the cutis, and 
 commonly originating at the orifices of hair-follicles. 
 (Hebra.) A characteristic of Psoriasis is, that these fine 
 mealy scales keep their white color and hardly ever be- 
 come dirty, and when scratched oft' wdth the nails leave 
 a dry, red spot, very little elevated, on which some points 
 of blood are seen. 
 
PSORIASIS {LEPRA). 21 
 
 These spots {psoriasis punctata) increase slowly, and ac- 
 quire in a short time the size of a lentil, and the appear- 
 ance of a drop of mortar {psoriasis guttata). Simultane- 
 ously with the growth of the first crop, others of the 
 same kind present themselves in the intervening spaces 
 of skin. By their extension larger spots are produced, 
 attaining the size of different coins {psoriasis circum- 
 scripta or nummularis). As the disease goes on, different 
 patches approach each other and become fused into one, 
 giving rise to irregular shapes and sizes ; and thus a very 
 large extent of the body may be involved {psoriasis dif- 
 fusa). 
 
 Where the eruption involves only a limited extent of 
 space, the epidermic scales may become loosened and fall 
 off, leaving bright-red, slightly elevated spots ; or we no- 
 tice only a partial desquamation, especially in the mid- 
 dle of single circular patches, giving rise to psoriasis or- 
 bicularis (lepra "Willani, psoriasis leprseformis). 
 
 By the blending together of numerous smaller patches, 
 differently arranged, a variety of irregular forms are pro- 
 duced. When they take a serpentine form the disease is 
 called psoriasis gyrata. 
 
 Psoriasis does not remain constant to any of these 
 stages, but passes either into the process of retrogression 
 and cure or it remains in statu quo, from time to time 
 undergoing exacerbations. In some cases all these dif- 
 ferent stages may be witnessed at the same time. As the 
 disease subsides, the epidermic scales fall off and leave 
 roundish, red spots, not much elevated. These gradually 
 lose their color, become pale, and at length the skin re- 
 gains once more its normal aspect. As long as exacerba- 
 tions take place, a cure is out of the question. 
 
 Only at the beginning of psoriasis an itching sensation 
 takes place, whereas the largely developed patches hardly 
 ever cause itching. During the periods of exacerbation 
 itching likewise occurs. All parts of the body the face 
 
 3 
 
22 DISEASES OF THE SKIN. 
 
 and the limbs are liable to be invaded. The elbows and 
 the knees are the points most frequently attacked, and in 
 cases of general psoriasis the disease is most persistent in 
 these situations. 
 
 According to its extent, psoriasis is local or general. 
 It may become complicated with most diverse diseases. It 
 is always a disease of nutrition of the skin, arising from 
 tissue irritation, which may be aggravated or perpetuated 
 by an unhealthy state of the blood. Its most frequent 
 accompaniment is neuralgia, especially of the fingers and 
 toes. 
 
 Psoriasis is not contagious, is very rarely fatal, and is, 
 in general, amenable to proper treatment. It may occur 
 as early as the sixth year of life ; very exceptionally be- 
 fore that time. The most common ages for it to appear 
 are between twelve and thirty. It may occur under very 
 varying conditions and the cause not be known. Hebra 
 has seen it amongst the high and the low, the rich and 
 the poor, the clean and the dirty, the fat and the lean, 
 and" in all its phases in all these. Patients with psoriasis 
 not very unfrequently say they feel in better health 
 when the rash is out than wdien they are free from erup- 
 tion. 
 
 Treatment. Tilbury Fox {Practitioner^ March, 1871 ,) con- 
 cludes that in the early stages of every case of psoriasis, 
 especially in the young, where congestion is marked, and 
 especially where the disease shows a tendency to spread 
 and to develop itself in new places, the skin should not be 
 stimulated, but simply soothed, the object being to di- 
 minish, prevent and dispel congestion, through the agency 
 of which the disease is enabled to spread and develop, 
 at the same time making use of appropriate internal rem- 
 edies. In these cases water-dressing and wet packing are of 
 much value Alkaline and bran baths, with inunctions 
 of oil, prepare the way for a more effective remedial treat- 
 ment, but so long as fresh spots are appearing, as a rule, 
 
PSORIASIS {LEPRA). 23 
 
 he withholds tarry preparations, which are indicated 
 when the disease becomes more chronic, in order to check 
 the cell-proliferation without stimulating the skin. 
 
 Kafka (II., 427) begins ,his treatment with a dose of 
 Sulphur^ every evening till the itching ceases, which 
 usually takes place in two or three weeks. After this 
 preparatory treatment he gives Sepia ^ , one dose daily for 
 seven days, and then a free interval for three or four days. 
 Then again Sepia ^ in the same manner, followed by the 
 same interval, then Sepia^^ and then after giving the 
 third potency, if the psoriasis is not entirely removed he 
 descends to the first dilution, and if the cure is not then 
 completed, ascends the scale again in the same manner, 
 up to the sixth dilution. It takes from three to four 
 months to eradicate psoriasis inveterata. During the 
 whole time of treatment the patient must abstain from 
 all spiced or acid food, and from all heating or alcoholic 
 beverages. After the alkaline bath and after the rubbing 
 with soap, the patient ought to remain in a warm room 
 till the body is cooled down. 
 
 Hughes {Therapeutics^ 465) has seen it, in its most recent 
 form and especially when affecting the hands, yield very 
 rapidly to Merc, sol. Even when chronic, much good is 
 obtained from this remedy, but too often Arsenic will be 
 necessary to complete the cure. 
 
 Dr. Richards {N, A, J. of H.^ Vol. 16,) cured a case of 
 eight years standing with Meir. sol, ^ . 
 
 Dr. ]N'ankivell {Hom. Worlds IV., 74,) reports a bad case 
 of a year's standing, with chaps and rhagades between the 
 fingers, which readily bled, cured with Petroleum ^ and 
 Sulphur^^, given at different times. (A palmar skin dis- 
 ease, but was it psoriasis ?) 
 
 H. Goullon, Jr. {Record^ 1871) reports a case of an erup- 
 tion on the nape of the neck, dry, peeling in fine mealy 
 scales^ but ivithout itching (did it itch at the commence- 
 
24 DISEASES OF THE SKIN. 
 
 ment, and how long had the disease lasted when it came 
 under treatment ?) cured hy Graphites. 
 
 Dr. Arcularius {N. A. J. of H., XIX, 414) cured two 
 cases of psoriasis guttata (raised, circular, reddish spots, and 
 covered with scales, especially upon the prominences of 
 the knee as well as the elbow, anaemia with evident de- 
 bility) with Arse7i.^^, and one case of psoriasis leprceformis 
 (itching eruption, irregular round patches with de- 
 pressed centre and scaly circumference) with SidphJ^ 
 followed by Arsen.^^. 'Ho external application was used. 
 
 Bsehr (II, 496) recommends Sulph., Phosph., Sepia., 
 Petrol., Calc. carb., ISTitr. ac, Phosph. ac, Arseii. and 
 Tellur. The turkish-bath may be always taken with 
 benefit, combined with the rough application of soap. 
 He also considers cold baths decidedly useful, although 
 their beneficial results may not be seen immediately. 
 
 Jahr {Symptomen Codex., II., 18.) mentions as corres- 
 ponding remedies: Arsen., Calc. carb., Cicut., Clemat., 
 Dulcam., Graphit., Lycop.., Mur. ac, Rhus tox.. Sepia., 
 Sulph. 
 
 Pane: Arsen., Calc. carb., Clemat., Corall., Nitr. ac, 
 Petrol., Phosph., Psorin., Sepia, Sulph., Tellur. 
 
 Hale ; Arsen. jod.., in the third trituration, will often 
 give better results in psoriasis inveterata than any other 
 preparation of Arsenicum. Iris vers, (irregular patches 
 on knees, elbows, and all over the body, covered with 
 shining scales, edges slightly raised and irregular). 
 Nuphar lutea (eruption resembling psoriasis, violent itch- 
 ing). Phytolacca (squamous eruptions). 
 
 JPityriasis. 
 
 Ptyriasis rubra is an intense redness diff'used over a 
 large part of the skin, or even universal, disappearing 
 beneath the pressure of the finger (when it gives place to 
 a yellowish coloring), and accompanied by the presence of 
 
PITYRIASIS. 25 
 
 fine, white, loosely-adlierent scales, resulting from the 
 constant shedding of the most superficial layer of the 
 duticle. There is no considerable infiltration of the cutis ; 
 no papules or vesicles are formed ; no secretion is poured 
 from the surface ; the ifching is slight and does not lead 
 to the formation of excoriations ; and lastly, particular 
 regions of the body are rarely affected, the whole surface 
 of the skin being generally attacked. It is very slow in 
 its course, presenting very few changes. Perhaps for 
 years the patients are not much affected, but they gener- 
 ally lose flesh and strength, and finally sink into maras- 
 mus. After death the redness disappears, and the micros- 
 cope fails to give any definite results. 
 
 Treatment Hebra tried external and internal medica- 
 tion, but failed in arresting the disease. Continued tepid 
 baths (for hours), oils and emollient ointments, rendered 
 the masses of epidermis more transparent and the skin 
 more supple. 
 
 Kafka expects benefit from Clemat ^ or from Oleand.^-^^ 
 two doses per day, in combination with tepid bran-baths, 
 as long as the process is limited to certain parts of the 
 body. Fhosph.^-^^ methodically applied, in connection 
 with a strengthening diet might, perhaps, do something 
 in universal pityriasis. 
 
 Bsehr (II., 494) considers as the most important rem- 
 edies, Graphit. and Arsen. He never, saw much benefit 
 from Lycop. or Sulp>h, Where the nails degenerate, Silic, 
 might be indicated. 
 . Jahr (S. C. II., 18.) again recommends too many rem- 
 edies to be of any value, as : Agar., Alum., Arsen. .^ Aur. 
 Bryon.^ Brom., Calc.^ Dulcam., Graphit., Kreos.^ Laches., 
 Ledum, Lycop., Merc, N'atr. mur., Petrol., Phosph.^ 
 Sepia, Silic, Sulph., Thuya. 
 
 Hale: Alnus (?), Arsen. jod., Ampel. (?), Carb. ac, 
 miphar, PhytoL, Stilling (?). 
 
26 DISEASES OF THE SKIN. 
 
 Ichthyosis, 
 
 True Iclithyosis is not due to any trouble with the 
 sebaceous secretion. It is an hypertrophy of the skin, 
 characterized by the formation of particles of epidermis, 
 either white and thin or dark-colored, green, brown or 
 even black and rough to the touch, particles which adhere 
 firmly to the adjacent derma, and are marked by lines 
 and deep furrows similar to but much deeper than those 
 which exist on the sound skin. These segments are ad- 
 herent at the centre and loose at the sides {Ichthyosis sim- 
 plex or Xeroderma). A more advanced stage of the disease 
 exhibits the epidermis heaped up in a much greater quant- 
 ity and altered in form, as well as in chemical composi- 
 tion ; it acquires by an accumulation of pigment a darker 
 color, and comes to resemble a serpent or other reptile on 
 the bark of a tree. In rarer cases the epidermis is 
 arranged in the form of spiculse, so as to resemble the in- 
 tegument of a porcupine {Hystricisrnus, Ichthyosis hystrix). 
 In some cases the epidermis is horny {Ichthyosis eorneoe) ; 
 in others the epidermic masses are shed periodically and 
 again speedily accumulate. 
 
 The disease consists essentially in an hypertrophied 
 and altered condition of the epidermis, with or without 
 hypertrophy of the papillae. The chemical constitution 
 of the epidermic cells is altered ; there has been formed 
 an excess of the inorganic ingredients generally, with an 
 excess of fat and a decided trace of iron, with phosphate 
 and carbonate of lime and in some cases silica. In severer 
 cases the hair-follicles are occluded and disappear, as weli 
 as the sebaceous glands ; there is sometimes hypertrophy 
 of the papillae of the skin, and when the disease appears 
 later in life general hypertrophy of the cutis vera. 
 
 Its causes are unknown. In some families the disease 
 is hereditary, gets better during the years of puberty and 
 in summer, but is usually aggravated during winter. 
 
MILIARIA AND SUDAMINA. 27 
 
 Severe forms of this disease frequently become compli- 
 cated with eczemata, intertrigo, and morbid affections of 
 the hair. 
 
 Ichthyosis congenita is observed in new-born babes and is 
 incurable. Its course is painless, and may last through 
 life without undermining the constitution. 
 
 Ichthyosis is either general or local. When general it 
 avoids the palms of the hands, soles of the feet, the axillse, the 
 popliteal spaces and flexures of the arms. When local it af- 
 fects especially the legs and the forearms near the elbows. 
 
 Treatment. Palliatives are: alkaline baths or vapor 
 baths, with strong alkaline soaps to remove the scales ; 
 oil or glycerine rubbed into the skin afterwards will tend 
 to make the skin more supple, though the scales are soon 
 formed again. 
 
 Kafka recommends PhospL, lod.^ Aitrum,^ pro re rata. 
 
 Baehr: Silic, Sulph., Calc. carb., Lycop., Arsen., Aur., 
 Petrol. (It is very doubtful whether any of these has any 
 influence in this disease. Arsenic has been tried by the 
 old school and failed.) 
 
 Jahr: Coloc. ? Hepar? Plumb.? 
 
 Hale : Alnus ? Phytol. ? Stilling. ? 
 
 Andouit {Brit. J. of H. XYL, 461), Hydrocotyle asiatica ? 
 Symptoms 150 and 151. "The skin becomes softer and 
 thinner and again becomes sensitive. The skin becomes 
 softer and smoother, the epidermis falls off in small scales, 
 and in most cases in large crusts." 
 
 Eaue: Calc. carb., Clemat., Graphit. ? Hepar, Lycop. , 
 Petrol., Plumb.? Sepia? Sulph., Silic, Thuya? 
 
 VESICULAR DISEASES OF THE SKIN. 
 Miliaria and Siidamina, 
 
 These efilorescences are by many authors not regarded 
 as cutaneous diseases, but as symptoms of definite general 
 disorders. Neumann describes three species of miliaria : 
 
28 DISEASES OF THE SKIN. 
 
 1. Miliaria rubra. IN'odules of tlie size of a pin's head, 
 reddish at their base, with a minute vesicle at the top. 
 
 2. Miliaria alba. The epidermis is macerated, and 
 the vesicle contains a milky, dull-colored (purulent) fluid. 
 
 3. Miliaria crystallica. The contents of the vesicle is 
 transparent and bears some resemblance to a dew-drop. 
 
 Hebra considers the last only of these as true miliaria, 
 which accompanies many febrile disorders such as acute 
 rheumatism, typhus, puerperal fever, etc. ; whereas the 
 two first mentioned, in his opinion, should be termed 
 Siidamina {sudor., sweat), as high degrees of temperature, 
 causing increased perspiration and thus swelling of the 
 excretory ducts of the perspiratory glands, produce them. 
 In children hot fomentations sometimes produce a com- 
 plete form of miliaria alba, in which the epidermis in 
 patches is raised by a yellow exudation beneath it. The 
 contents of one of these patches is without smell, has a 
 neutral or weakly alkaline reaction, and according to 
 chemical examination contains N. H4 CI. (chloride of 
 ammonium). 
 
 According to Haight, sudamina arise from the accumu- 
 lation of sweat between the lamellae of the epidermis. 
 They usually last from two to seven days, yet there are 
 cases recorded in which they remained for several weeks. 
 The afiection has no regular stages, like scarlatina, etc., 
 but a large number of vesicles appear simultaneously and 
 then in a few days a new crop may be developed. 
 
 The prognosis of miliaria crystallica depends upon the 
 primary disease of which it forms a part. Formerly a 
 sudden retrocession of the eruption was considered an 
 unfavorable omen, but the truth of this is now denied by 
 a great many close observers. 
 
 Treatment. Miliaria crystallina needs no special treat- 
 ment. "We should attend to the primary disease and ad- 
 vise our patients to cover themselves lightly and to sleep 
 on matresses (we trust the age of feather beds has 
 
MILIARIA AND SUDAMINA. 29 
 
 passed). "Where there is an inclination to profuse sweat- 
 ing, Kafka recommends sponging with diluted vinegar 
 every three, four or -B.Ye hours, which strengthens the 
 skin and may prevent the eruption. There is a foolish 
 prejudice still existing against changing the linen of the 
 patient and of the hed. A due regard for cleanliness can 
 never be injurious, provided the changes be made with 
 proper care, and the clean clothing be first properly aired 
 and then dried and warmed. 
 
 Hughes {Therapeutics, 102) remarks, that the "mediae- 
 val sweating sickness has been observed by Dr. Aitken 
 among the Orientals. He characterises it as a disease in 
 which there is an eruption of innumerable minute pimples, 
 with white summits, occurring in successive crops upon 
 the skin of the trunk and extremities, preceded and 
 accompanied by fever, anguish, oppression of breathing, 
 copious sweats of a rank, sour, fetid odor peculiar to the 
 disease. Aconite is said to have proved of great value in 
 the ' sweating sickness,' and the symptoms show a very 
 tolerable homoeopathicity on its part to the disease. Wil- 
 son considers such a state as the consequence of a weak 
 and exhausted condition, and if Aconite is indicated, we 
 would XDrefer giving it in the mother tincture and quickly 
 repeated, till reaction takes place." 
 
 We consider Bryonia rather the remedy for sudamina 
 and miliaria, as it will more frequently than any other 
 cover the symptoms of the primary disease, as also the 
 idiopathic sweating-disease, if there is really such a dis- 
 ease. In fact most authors recommend the remedies used 
 in typhoid conditions, such as Arsen., Bi^yon., Rhus tox,^ 
 Laches,, Bellad., Sidphur, Amm. carh., Valerian, etc. Al- 
 lopathic authorities recommend Acid, sulph. aromat., 
 Acid, phosph., etc. 
 
30 DISEASES OF THE SKIK 
 
 This is one of the commonest of skin diseases. We 
 have general and local, acute and chronic forms of the 
 disease ; and faulty innervation^ leading to congestion and 
 other disturbances of the circulation, is the most impor- 
 tant element in their production. Fox {Eczema^ its nature 
 and treatment^ 1870,) says the cause of eczema is multiple ;* 
 it is perverted innervation as a sine qua ?io?2, hut plus— not 
 as causes hut part causes or excitants, in a variety of com- 
 binations and varying frequency of coexistence — gene- 
 ral debility, morbid states of the blood, strumous diathe- 
 sis, local irritations of the most diverse kinds, diseases of 
 important viscera, mental depression, etc. 
 
 Willan and Bateman define eczema as " an eruption of 
 minute vesicles, not contagious, crowded together, and 
 which from the absorbtion of the fluid they contain, form 
 into thin flakes or crusts." 
 
 Wilson regards it as an inflammation of the skin, ac- 
 companied with alteration of its structure and derange- 
 ment of its functions ; the skin being more vascular and 
 consequently redder than in health, its vessels are in a 
 state of congestion ; its sensibility is morbidly increased, 
 sometimes taking on the character of itching, tingling or 
 smarting, and sometimes that of pain ; it is thickened by 
 infiltration of serum into its tissues, sometimes fissured 
 and sometimes oedematous ; it exudes a serous lymph at 
 various times and in various quantities, sometimes exces- 
 sively ; its cuticle is sometimes raised into papides^ some- 
 times into vesicles^ sometimes wholly removed and is re- 
 produced unhealthily so as to form muco-purulent secre- 
 tions and squamae of various sizes ; and sometimes the cu- 
 ticle is replaced by a cimst of greater or less thickness, re- 
 sulting from dessication of the morbid secretions. 
 
 The characteristic signs of eczema are : redness, itchi- 
 ness, interstitial and sometimes subcutaneous thickening, 
 
ECZE3IA. 31 
 
 exudation, papulation, vesiculation, incrustation and 
 desquamation. 
 
 Hebra does not restrict the term to a disease character- 
 ized by the formation of vesicles followed by desquama- 
 tion of the epidermis, but includes in it all disorders of 
 the skin which are attended in either their earlier or 
 their later stages by the presence of vesicles and serous dis- 
 charge. The identity of the different forms of eczema- 
 tous eruptions may be proved by a simple experiment, 
 viz., by rubbing an agent capable of producing artificial 
 eczema once or repeatedly on different parts of the body, 
 and the results may be found reducible to the following- 
 five principal forms : red elevations and vesicles produced 
 by the first application ; red exuding patches produced 
 by the continued operation of the same irritation ; pustules 
 and crusts, arising from the metamorphosis of the ele- 
 vation and vesicles ; and finally, the red desquamating 
 patches left after the removal of the forms of efiiorescence. 
 Such a view of the metamorphosis of eczema is far more 
 plausible than is the view advanced by some dermatolo- 
 gists of the conversion of one disease into another — of 
 eczema into impetigo, porrigo, tinea, pityriasis rubra 
 and the like. 
 
 Milton {Journal of Cutaneous Diseases^ J^ly? 1869), on 
 the contrary, considers the essential characteristic of 
 eczema to be that of discharging serum for an indefinite 
 period of time^ but asserts that there are 7io vesicles, for, if 
 we touch these so-called vesicles gently with a blunt- 
 pointed glass rod, a minute drop of serum will be found 
 adhering to it. The following, according to this author, 
 appears to be the processes which ensue in all cases of a 
 truly eczematous nature : A portion of skin becomes red, 
 inflamed, irritable, stiff and itching, but rarely swollen, 
 except when 'the complaint attacks the ear. The cuti- 
 cle rapidly dies and is cast off" or torn off by scratching. 
 To this succeeds a discharge of serum, which seems to be 
 
32 DISEASES OF THE SKIN. 
 
 poured out hj the sudoriparous ducts. When the pro- 
 cess is slower, the falling off of the epidermis is succeeded 
 by a cuticle thicker and coarser in its texture and grad- 
 ually assuming the look of a soft scale. He acknowl- 
 edges only an acute and a chronic form of the disease 
 and considers all other subdivisions superfluous. 
 
 iN'eumann regards eczema as a skin disease which at 
 first appears in the form of papules, vesicles or pustules, 
 and which forms, in later stages, crusts, scales or infiltra- 
 tions, under which a red surface discharging fluid may be 
 present, or a dry surface. Severe itching accompanies each 
 form. Tinea, porrigo, crusta. lactea, crusta serpiginosa, 
 impetigo, etc., are therefore only different stages of eczema 
 according to seat and according to stage. 
 
 Etiology. Eczema may be idiopathic or symptomatic. 
 Idiopathic eczema arises from direct irritation of the skin, 
 as by the action of noxious ointments or oils, hot baths, 
 too high a temperature, and by mechanical irritation of 
 the skin, especially scratching with the finger-nails, 
 pressure of clothing, bandages, trusses, etc. Persons with 
 a tender white skin are more prone to eczema than indi- 
 viduals having much pigment. Varicose veins are also a 
 frequent cause of eczema occurring on the lower extrem- 
 ities. Symptomatic eczema is the sequel of internal disor- 
 ders. Thus we have eczema (of the face or hands) from 
 dyspepsia or menstrual disturbances (very obstinate on 
 account of frequent relapses) ; eczema from disorders of 
 the renal function, as shown by the presence of indican 
 in pathological quantities. Indican is supposed to be 
 due to a retardation of the process of declension from the 
 complex to the more simple of the products of function 
 and secretion. This retardation is due to accumulation 
 of urea and other products of waste in the blood, owing 
 to deficient renal secretion, and urea has been detected 
 in considerable amount in the serum of eczematous pa- 
 tients. Indican occurs in the urine in the reactionary 
 
ECZEMA. 33 
 
 stages of cholera and in Briglit's disease (Lancet, Feb» 
 1867). l^eftel (N. A. J, of H., Aug. 1873), considers in- 
 dican in the urine as one of the most indubitable signs of 
 internal cancerous deposit, which coloring matter is also 
 occasionally found in typhus, cholera and other diseased 
 conditions. We need not wonder, therefore, that eczema 
 is also an accompaniment of the dyscratic diathesis of 
 scrofulous and rachitic individuals. 
 
 Hereditary predisposition is acknowledged as a cause by 
 some and denied by others. In many cases we will find 
 it impossible to trace the disease to any cause. Most 
 authorities are agreed in regardinsi; eczema as non-conta- 
 gious, although cases occur in which eczematous erup- 
 tions with profuse secretion attack the skin with which 
 the exudation may happen to come into contact ; — thus a 
 nurse may take the disease from the babe she carries on 
 her arm. 
 
 Anatomy. The anatomical changes which take place 
 in cases of eczema vary according to its duration. The 
 microscope detects no difference between the exuded 
 gummy fluid and ordinary serum. The follicles, the pa- 
 pillae and the upper layers of the corium are swollen in 
 acute eczema, but this swelling disappears in the majority 
 of cases. If the eczema is chronic, then the skin becomes 
 thickened, the lines and furrows deepened, the papillae 
 enlarged so as to be visible to the naked eye. The older 
 the eczema the larger the papules, and the greater the 
 <3ell-proliferation in the corium, so that this sometimes 
 reaches down into the deepest layers, even to the panni- 
 <julus adiposus. The question as to the source from 
 whence proceeds this cell-proliferation awaits a final deci- 
 sion. Some consider that the wandering cells come from 
 the blood vessels, and regard the capillary congestion as the 
 consequence of cell-activity. Others consider nerve-irri- 
 tation as the means of inducing cell-proliferation. Others 
 justly consider both factors at work, faulty innervation 
 
 3 
 
34 DISEASES OF THE SKIK 
 
 as well as capillary congestion, in the production of these 
 tissue-changes. French authorities cut the Gordian knot 
 by accepting a ^'•dartrous diathesis'^ {dartre^ tetter), but fail 
 to clear up the mist which still hangs over the histology 
 of this as well as of many other forms of skin disease. 
 
 Prognosis. Eczema can be cured, but relapses are fre- 
 quent. We must eradicate, if possible, the primary dis- 
 ease, if we wish to succeed in the eradication of the 
 eruption. Nutrition and assimilation must become nor- 
 mal ; they need special attention, and, in fact, if they are 
 properly attended to and regulated, the skin may be left 
 to take care of itself, apart from merely hygienic treatment. 
 It is not a little singular that eczemata are more stubborn 
 on some parts of the body than on others, as on hairy 
 parts, on the eyelids, lips, hands, etc. 
 
 Treatment, It is an old superstition that eczema in chil- 
 dren is a sign of good health, and an imposition to forbid 
 its removal. Here, as elsewhere, the removal of the cause 
 is the first indication of treatment, and if idiopathic this 
 alone will suffice in many cases. In infancy and youth 
 eczema appears more particularly on the head and face ; 
 in riper years on the chest and abdomen, but especially 
 on the genital organs ; and in advanced life on the lower 
 extremities and about the margin of the anus (Eayer) ; 
 which clearly denotes the symptomatic origin of most 
 eczemata. While in infancy and adolescence psora (scrofula) 
 demands our attention, we find the rheumatic, gouty and 
 haemorrhoidal afiections prevail in riper years ; and Trous- 
 seau in his clinical lectures remarks, that very frequently 
 old people who are asthmatic have been afflicted in their 
 youth with eruptions of an eczematous character, and 
 nothing is more common than to find dartrous, rheu- 
 matic, gouty and hsemorrhoidal affections transform 
 themselves into asthma. 
 
 Hebra, Neumann and Kafka do not fear metastasis to 
 internal organs as a consequence of the removal of the 
 
ECZEMA. 35 
 
 external disease, and in many cases rely exclusively on 
 external treatment; whereas Devergie states that at a 
 certain period of life eczema becomes a drain which must 
 not be meddled with. Tilbury Fox considers the curing 
 of long standing eruptions fraught with danger. Wilson 
 recommends a counter discharge. Paget states that there 
 is sufficient reason to believe that the cessation or cure of 
 an established eczema has been attended with serious dis- 
 ease of the brain or other internal organs; and Rayer 
 mentions a case where insanity followed the disappear- 
 ance of the eruption. Further statistics are necessary to 
 clear up this point, the evidence being not yet conclu- 
 sive. Hebra's local treatment embraces the following 
 means : 
 
 1. Water, in consequence of its temperature or by reason 
 of its power to hold different substances in solution. 
 Hydropathic treatment is highly recommended. Cold water, 
 in the form of compresses, is beneficial in acute eczema, 
 and hard water ought always to be boiled in order to free 
 it from its salty components, which irritate the skin. A 
 mild rain-douche sometimes brings temporary relief. As 
 a solvent he uses it in combination with caustic potash 
 (Kali caustici. Aqua dest. aa. part, sequales), but it must 
 not be applied more than three times a week, with a pen- 
 cil of lint, and then immediately washed off with warm 
 water. In inveterate chronic cases such severe treatment 
 is necessary^ 
 
 2. Fatty substances serve for the removal of crusts 
 and prevent the access of air, and are useful in cases 
 where the skin is not too much infiltrated. The most 
 useful preparations are : cod-liver oil, oleum lini, oleum 
 amygdalae, oleum olivar, unguentum simplex, unguentum 
 molle, cold cream, etc. Axung. porci may be mixed with 
 different astringents as Oxid. zinci, Plumb, carb., Merc, 
 prsec. alb., 3 j to i j of fat, or Merc, prsec. rub. a grain to 5 j. 
 Carbolic acid, 1 or 2 grammes to 100 grammes of lard is 
 
36 DISEASES OF THE SKIN. 
 
 with some a favorite application, especially in acute cases, 
 as it produces a pleasant feeling of coolness and renders 
 the skin soft. Unguentum diachyli albi ( 01. olivar. i xv, 
 Lithargyri 3 xxx, coque, 1. a., in ung. molle, dein adde 
 01. lavandul. 5 ij.) is a favorite application with some in 
 all stages of eczema. Green soap (sapo viridis) may be used 
 for rubbing on the affected parts, or in the form of paste 
 applied on flannel. It is well to rub twice a day all af- 
 fected places with soap and flannel. After every rubbing the 
 soft soap should be fully washed off with tepid water and 
 the parts then covered with cold compresses. The eczema- 
 tous vesicles are thus destroyed, and the rubbings should be 
 continued till the skin becomes dry and shining. The 
 soap-paste is only indicated in strongly infiltrated eczema, 
 in order to change it into an acute form and thus to pro- 
 duce an absorption of the exudation. 
 
 Tar in its different forms is suited best to the eczemata of 
 hairy parts, as in other forms its application is too pain- 
 ful. Instead of the crude article, carbolic acid is now in 
 fashion (acid carbol, 5 j, solve cum quant, suff. glycer- 
 ine, ung. molle i ij — or, acid carbol. 5 ij, alcohol, gly- 
 cerine, aa. § ij, aqua destill. 5 vi. The watery preparation 
 is preferable in squamous eczema of the hairy scalp. 
 
 3. Powders. The most usual are : Amylum purum. 
 Semen lycopodii, Pulv. oxyd. zinc, etc. 
 
 4. Pressure. Infiltrated eczemata need tight bandaging ; 
 but this can only be resorted to in eczemata attacking such 
 parts as have an osseous support. Thus eczemata of the 
 lower extremities are more easily cured if the salves or 
 other medicaments are firmly pressed to the affected parts 
 by a tight roller; eczemata on the hands by applying 
 strips of adhesive plaster over the salves ; infiltrations on 
 the upper lip are frequently cured by applying permanent 
 pressure with a piece of cork between the gum and the 
 upper lip ; chronic infiltration of the prepuce by the pres- 
 sure of a metallic catheter introduced into the urethra. 
 
ECZEMA. 37 
 
 We will hardly ever succeed in curing a case of eczema 
 with one remedy, but according to the different stages 
 different remedies may be indicated ; age, constitution, oc- 
 cupation, even the parts affected will give us hints in the se- 
 lection of the appropriate external and internal treatment. 
 
 Hughes considers Bhus tox., Croton, Mercur. and Arsen.y 
 the standard remedies for eczema. 
 
 Kafka advises in acute eczema, after removal of the 
 cause, the internal application of Mercury or of Hepar. 
 Merc. sol. in exuding vesicles with burning, stinging in 
 the affected parts, and the surroundings easily inflamed 
 after scratching ; Hepar in purulent secretion with forma- 
 tion of crusts, with severe itching and scratching. (Edema- 
 tous swellings, as of the eyelids, ear, penis, or scrotum, 
 etc., and simultaneous swelling of the glands of the neck 
 give no contraindication. Mercur. has sleeplessness before 
 midnight, Hepar after midnight. 
 
 Arsenic. Dry, scaly eruption, sometimes fetid purulent 
 secretion, with nightly burning and terrible itching, 
 ameliorated by external heat. 
 
 Mhus tox. and 01. erotonis. Hot^ burning eczemata loith 
 copious discharge. Rhus tox. gives us also, burning, itch- 
 ing eruptions, particularly on the scrotum, prepuce, eye- 
 lids and eyes, loins and anus, with swelling of the parts, 
 and small, yellowish vesicles, which run into each other 
 and become moist, the larger ones terminating in suppu- 
 ration with red areolae, the smaller ones drying up more 
 rapidly and scaling off in a few days. 
 
 01. erotonis. Itching, followed by painful burning ; pus- 
 tules first of the size of a millet seed, afterwards grow- 
 ing larger, running into one another, oozing and lastly 
 forming a gray-brown crust ; swelling of the glands. 
 
 Graphites and Calcarea carh. Two to three doses daily 
 for thick crusts with constant oozing, especially in eczema 
 on and behind the ears, and in eczema scroti. 
 
 Chronic eczema is always based on some internal disor- 
 
38 DISEASES OF THE SKIN. 
 
 der, and the removal of the dyecrasia, with the application 
 of suitahle external medication, is the form of treatment 
 to be pursued. We find it necessary in these cases to local- 
 ize the eczema. 
 
 Eczema cajpillitii (dartre squameuse humide.) Groups of 
 papules and vesicles standing solitary or spread all over 
 the hairy scalp, discharging large quantities of fluid after 
 they hurst, which mat the hairs together and form flat 
 and soft or thick and hard crusts, turning to a yellowish- 
 brown by the admixture of blood from scratching, with 
 constant oozing of fluid and breeding a large crop of lice. 
 As the temperature of the head is increased, the discharge 
 becomes foul-smelling. This eruption is very apt to 
 spread over the face and down upon the neck. It is 
 mostly an affection of childhood, frequently complicated 
 with seborrhoea, with catarrh of the eyes and nose, or 
 with cerebral congestion. It becomes obstinate through 
 the constant breaking out of new efflorescences, and the 
 hair falls out. Sometimes an eczema squamosum remains 
 after the crusts fall off" and the discharge has ceased, and large 
 quantities of scales are formed on the still congested scalp, 
 which constantly peel off {dandruff.) A condition such 
 as this indicates, according to Kafka, Mercur. sol.^ or 
 Rhus tox.^, two doses daily, where there is constant ooz- 
 ing from the vesicles, matting the hair and causing a burn- 
 ing itching ; in more stubborn cases, Arsen.^^ or Lyeop.^ ; 
 and where the glands are affected and other symptoms 
 of scrofulosis are present. Sulphur^, Calc. carh.^ or Conium^ ; 
 in rachitic patients, Sulphur^ or Silic.^ 
 
 Papules and pustules, oozing constantly and drying up 
 to form thick crusts, indicate Mepar^^ Calc. carh.^ or 
 Graphit.^ 
 
 Simultaneous scrofulosis points to Baryta carh,^ CaU, 
 carb.^, or Sulphur^. Ehachitis to Silic.^ or Fhosph.^^ 
 
 Natr. mur.^, two doses a day, is the remedy for eczema 
 capillitii squamosum, using externally at the same time 
 
ECZEMA. 39 
 
 a solution of table salt, one drachm to six ounces of water. 
 The patient should remain in the room until the scalp is 
 perfectly dry, after this application has been made. The 
 loose scales are best removed by a soft fine comb. 
 
 Raue mentions the following medicaments : Calcar.y 
 Xycop., when the eruption yields a thick and mild secretion. 
 
 Arsen.y Natr. mur., Rhus tox., when it looks angry 
 and excoriated. 
 
 JBaryt, Graphit.^ Natr. mur.^ Rhus tox.^ when it causes 
 falling out of the hair. 
 
 Lycop.y Psorinum, when it smells very badly and lice 
 are produced. 
 
 Natr. mur.y when situated on the boundaries of the 
 hair, on the nape of the neck. 
 
 Clematis., Petroleum^ when on the neck and occiput. 
 
 Hejpar sulph., when the eruption itches most in the 
 morning when rising, with burning and smarting after 
 scratching ; likewise after external application of salves. 
 
 Clemat.y Graphit., Hepar., Lycop.^ Natr. micr., Rhus 
 tox.y Staphys., Thuya for moist eruptions. 
 
 Arsen., Calc, Mercur., Sepia ^ Silie.., Sulphur when dry 
 crusts are formed. 
 
 Baehr gives Mercur. when there is great tendency to 
 inflammation of lymphatic glands ; Baryta when there is 
 coexisting painless and non-acute inflammatory swelling 
 of the lymphatic glands. He also mentions Borax, Clemat.y 
 and according to Hartmann, Dulcamara. 
 
 Children during the second dentition sometimes suffer 
 from an eczema on the boundaries of the hair on the nape 
 of the neck, which, after getting well, makes frequent re- 
 lapses, with swelling of the adjacent glands. For this con- 
 dition he recommends Calc. carb., JDulcam., 01. crot. and 
 Rhus tox. 
 
 Hale advises Carbol. ac, Iris vers., Rhus venen. 
 
 On comparing the recommendations of these different 
 authors we find seeming contradictions, which, however 
 
40 DISEASES OF THE SKIN. 
 
 serve to prove tlie truth of the old maxim, that we cannot 
 prescribe by one symptom, but that the subjective as well 
 as objective symptoms in their totality must be our guiding 
 star in the selection of the homoeopathic remedy. 
 
 Eczema faciale chronicum varies according to the parts 
 affected. On the hairy parts of the face the oozing fluid 
 dries up into yellow, brown or green crusts, matting the 
 beard, and, after removal of the crusts, a red oozing or a red 
 scaly surface remains. "Where the disease lasts for some 
 time, the bulbs of the hair are drawn into the diseased 
 circle and pustules form, each of which appears to be per- 
 forated by a hair of the beard. They do not rise much above 
 the level of the skin, dry up to solitary, separately standing; 
 yellowish-green crusts, under which suppuration progresses 
 from one hair bulb to another (sycosis.) This peculiar pro- 
 cess has also been observed on the cilise, the supercilise and 
 the nostrils, not only causing falling out of the hair, but 
 producing scars also. 
 
 Eczema palpebrarum exhibits redness and swelling of 
 the eyelids, with excoriations and pustules in the neighbor- 
 hood of the cilise, which become matted together and form 
 yellow or grayish-yellow crusts. 
 
 Severe burning and itching accompanies this process, 
 and the cilise will be destroyed. It is frequently associ- 
 ated with conjunctivitis, constituting the disease termed 
 psorophthalmia. 
 
 At the roots of the hairs of the nostrils the pustules dry 
 up to thick crusts, which sometimes close up the opening 
 of the nostrils, and thereby cause an erysipelatous in- 
 flammation of the external cutis of the nose. 
 
 Eczema faciei. This may appear in all its varieties on 
 the face. In children it usually attacks the cheeks, the 
 forehead and the chin, and gives rise to the formation of 
 crusts. It is then known as crusta lactea. Its character- 
 istic symptoms are, redness, swelling, oozing and the for- 
 mation of crusts. On the cheeks and forehead yellow crusts 
 
ECZEMA, 41 
 
 form, having an appearance somewhat similar to dried 
 honey ; after some time they turn green or dark-brown 
 from the admixture of blood. Terrible itching accompa- 
 nies this eruption. 
 
 Eczema aurium is either ichorous, pustulous or squa- 
 mous, and spreads over the whole ear or attacks only 
 single parts. It occupies chiefly the fissure behind the 
 ear, more rarely the lobes of the ear, or the meatus ex- 
 ternus may become obstructed by the swelling, in which 
 case the whole ear looks stiff and stands off from the 
 head ; the limpid ichor is seen to ooze from the follicles 
 in separate drops and often with such rapidity that the 
 discharge is really enormous, or the exudation quickly 
 dries up into yellow crusts, under which accumulations 
 of lymph or muco-purulent fluids are held. 
 
 Eczema naris spreads from the external cutis to the 
 mucous membrane of the nose, whereby the nasal secre- 
 tion is increased. It is mostly only a continuation of 
 facial eczema, and although the discharge soon dries up 
 into crusts, still it never produces ulceration or destruc- 
 tion of the underlying parts. The adjacent cheeks are 
 frequently red and swollen. 
 
 Eczema oris et labiorum. The eruption is unsightly and 
 troublesome, and often, from the extension of the cracks, 
 very painful, and it is very slow and obstinate under 
 treatment. Where rhagades exist, the skin is more or 
 less thickened and condensed by serous infiltration. 
 
 Kafka cured a case of eczema capillitii in a grown per- 
 son, after other remedies had failed, with Mereuriusprcecipi' 
 tatus ruber internally and externally (gr. j to 5 ij. axungia), 
 and he found the same treatment satisfactory for eczema 
 attacking hairy parts, whether of the chin, the eyelids or 
 the nostrils. Extraction of the hairs is necessary where 
 pustules form around them, as they then discharge their 
 contents and heal up under the use of the red precipitate. 
 
42 DISEASES OF THE SKIN. 
 
 Crusta lactea requires Clematis^ 01, croton. Borax, Viola 
 tricolor. 
 
 Eczema auris. Merc, sol., Hepar, and, where severe 
 burning is felt and continuous scratcliing seems a neces- 
 sity, Bhus tox., Arsen. or Carh. veg. After tlie redness 
 and heat are diminished, but the morbid secretion is still 
 kept up, Alumen internally and externally may be of use. 
 
 But in these cases also, especially where crusts and fis- 
 sures exist, the red precipitate is the most reliable pre- 
 scription. 
 
 Eaue mentions Arsen., Bellad., Borax, Calc. carb., 
 Clemat., Cicut., Crot. tigl., Cyclam., Graphit., Hepar, 
 Lycop., Mercur., ]!Tatr. mur., Ehus tox.. Sepia, Staphys., 
 Sulphur. 
 
 Jahr advises Arsen., Calc. carb., Calc. mur., Cicut., 
 G-raphit., Lycop., Mercur., Rhus tox., Sarsap., Sepia, 
 Sulphur, Yiol. tr. 
 
 Guernsey {Obstetrics. 2d. ed., p. 870) gives the following 
 clinical indications for " eczema capitis," or crusta lactea : 
 
 Aconite. Much fever, restlessness, anguish ; the parts 
 much inflamed. 
 
 Arsenicum. Dry and scaly eruptions, with destruction 
 of the hair in such places as are affected, leaving the scalp 
 rough and dirty looking. 
 
 Baryta carb. Particularly when the cervical, submax- 
 illary and parotid glands become swollen and hard. 
 
 Bryonia. Scalp is very tender so that the child cannot 
 tolerate even a soft brush. In cases complicated with 
 some other affection in which there is aggravation from 
 motion. 
 
 Calc. carb. Leucophlegmatic temperament ; eruption 
 with thick scabs and yellow pus ; stools of a chalky ap- 
 pearance, sometimes the eruption appears in the form of 
 a ringworm. 
 
 Gicuta virosa. Thick, whitish scurfs on the chin and 
 upper lip, with oozing ; scurfs form on the nose. 
 
ECZEMA. 43 
 
 Clematis. Dark, burning miliary eruption, with vio- 
 lent itching ; a dampness constantly exudes from this 
 which dries into scurfs as the disease spreads onward. 
 
 Dulcamara. Thick, brown herpetic crusts on the face, 
 forehead, temples and chin, with reddish borders, bleed- 
 ins; when scratched. 
 
 Graphites. The eruption exudes a transparent, glutin- 
 ous fluid, which causes the crusts to fall off — when more 
 form, to fall again in turn, — meanwhile the eruption 
 keeps spreading. Especially useful in eczema on the chin 
 and behind the ears. 
 
 Hepar. Eruption spreads by means of new pimples 
 appearing just beyond the main disease, which finally run 
 together. 
 
 Jacea. Violent itching eruption, worse every night, 
 and urine smelling like cat's urine. 
 
 Lycopodium. Eruption has a bad smell and bleeds 
 easily. 
 
 Mercur. sol. Much salivation and scorbutic gums. 
 
 Phytolacca dec. Moist eruption, itching fearfully, with 
 little raw tubercles on scalp, face and arms. 
 
 Fsorine. Intractable cases. 
 
 Rhus tox. A bright edge of inflammation surrounds 
 every portion of the eruption ; much itching at night. 
 
 Sarsaparilla. The entire base of the eruption is much 
 inflamed; the child cries much and is uneasy; the 'crusts 
 become detached in the open air and the adjoining skin 
 chapped. 
 
 Sepia. Moist eruption, constantly discharging pus- 
 like matter ; the child often jerks its head to and fro. 
 
 Staphysagria. The scabs are yellow, moist, offensive and 
 itch violently. 
 
 Sulphur. The eruption extends more or less over the 
 whole body, with much itching, although the main affec- 
 tion appears on the head. 
 
 Viola tricolor. Thick incrustations, pouring out a large 
 
44 DISEASES OF THE SKIN. 
 
 quantity of thick yellow fluid, which agglutinates the 
 hair. 
 
 Rutherford Eussel {The Skin and its Diseases, p. 108) 
 advises in eczema aurium : 
 
 Graphites. Itching behind the ears, itching of the 
 lobule and cheek ; after scratching the part lymph oozes 
 out and soon hardens. 
 
 Hepar, Heat, redness and itching of the external ears ; 
 scurfs on and behind the ears. 
 
 Oleander. Humid fetid spots behind the ears, with 
 rough herpetic spots in front. 
 
 Cod-liver oil is the best greasy application for the 
 purpose of softening and removing or preventing the 
 formation of the crusts in this disease. 
 
 Eczema mammilarum is often a painful and obstinate 
 complaint, especially during lactation. It may be ichor- 
 ous, pustulous, squamous, or deeply chapped and fissured. 
 In cases caus^ from lactation, the internal and external 
 use of Arnica (Tinct. Arnica, gtt. vj, ad aqua fontana 
 ^ vi) suffices; or where the pain is very severe, moist 
 compresses of Nitras Argenti (gr. j, ad aqua fontana 
 5 j ) ought to be put over the nipple, and the mother 
 advised to allow longer intervals between the nursing, 
 in order to give time for healing. Cosmoline is beginning 
 to gain reputation in this complaint. Crusts around the 
 nipples, with chaps and fissures, in women not nursing, 
 need the red precipitate internally and externally. 
 
 Eczema umhilicale et inguinum results from the heat, 
 moisture and friction which are the inseparable con- 
 sequences of the apposition of folds of the skin, as in 
 natural depressions like the navel, in the fold between 
 the mammae and waist, the thick folds of the neck and 
 abdomen in fat persons and infants, the fissure between 
 the buttocks, or between the thighs and the scrotum or 
 labia majora. This form of eczema is usually termed in- 
 tertrigo, and may be erythematous, ichorous or squamous. 
 
ECZEMA. 45 
 
 The itcliino; and burnino; of this eczema is sometimes un- 
 bearable, and, when the discharge is ichorous, the exuda- 
 tion is apt to take on a muco-purulent character. In the 
 squamous variety there are cracks and rhagades of consid- 
 erable depth and extent. 
 
 Raue recommends Ammon. carh.^ Calc. carb.^ Grajphit^ 
 Ledum.) Mercur.., Se'pia^ Sulphur. 
 
 Kafka says that the chronic eczema umbilicale, as ec- 
 zema rubrum, without simultaneous swelling of the skin, 
 requires Merc, jprmc. ruber ; as moist eczema, with swelling 
 and doubling down of the umbilicus, needs Alumen. inter- 
 nally and externally. 
 
 Eczema ani will be ameliorated by Nitr. ac.^ or Carb. an.^ ; 
 where the itching produces sleeplessness at night. Sulphur^ 
 or Arsen.^ ; when fissures or rhagades are present, the red 
 prsecipitate will prove the best remedy. 
 
 Eczema pudendi, perinei and ani. The itching of ec- 
 zema is nowhere more strongly manifested than in the 
 region of the pudendum, perineum and anus, in the male 
 and in the female ; and in no situation is it more lasting 
 and obstinate. In the deepest folds there is always a 
 moist secretion, etc., and in the cleft between the scrotum 
 and the thighs and around the anus there are frequently 
 painful rhagades and fissures. 
 
 The scrotum is peculiarly subject to itching: it is apt 
 to be much torn by the nails, and that which before was 
 a mere pruritus of the skin is rapidly converted into an 
 erythematous and ichorous surface, tender, painful and 
 thickened. 
 
 Eczema not unfrequently attacks the deep furrows of the 
 prepuce and assumes a chronic character. It is erythe- 
 matous, dry, squamous and fissured ; the skin being in- 
 durated and thickened is apt to contract around the 
 glans and occasion phimosis. When the eczema is on the 
 lower surface of the penis, we find the skin there red and 
 
 4 
 
46 DISEASES OF THE SKIN. 
 
 humid, itching terribly, and in children giving rise to 
 onanism. The oozing is generally slight. 
 
 Eczema rubrum is found on the labia majora, spreading 
 thence outwardly and inwardly. In the former case the 
 redness, swelling and morbid secretion may spread to the 
 mons veneris and umbilicus, downwards to the thighs and 
 knees, inwardly to the nymphse and to the mucous cover- 
 ing of the clitoris and vagina, and the redness, swelling 
 and discharge is often taken for a genuine leucorrhoea. 
 
 Eczema ani causes redness and swelling of the skin sur- 
 rounding the anus. In consequence of the numerous folds, 
 more or less deeply penetrating fissures and rhagades arise, 
 exuding copiously and itching to such a degree that the 
 patients continually scratch and even produce prolapse of 
 the mucous membrane. 
 
 Raue advises Argent, nitr., Arsen., Calad., Crot. tig., 
 Graphit., Hepar, Lycop., Natr. mur., IsTitr. ac, Petrol., 
 Ehus tox., Sepia, Sulphur, Thuya. 
 
 Eussel : Arsen. Itching of the anus, with a feeling of 
 roughness and soreness, as if the parts were excoriated. 
 
 Aurum. Itching of the scrotum. 
 
 Dulcam. Herpetic eruption on the labia majora. 
 
 Mercur. Swelling of the prepuce, with burning, smart- 
 ing and redness, with cracks and rhagades on the internal 
 surface and a red fine surface ; vesicles on the forepart and 
 sides of the glans, penetrating into the parts and spread- 
 ing ; they discharge a fluid and soon disappear ; itching 
 of the labia. 
 
 Petrol. Itching and moisture of the scrotum ; redness 
 and humid soreness of one side of the scrotum ; herpes 
 between the scrotum and thigh. 
 
 Sulphur. Prickings in the scrotum ; soreness and damp- 
 ness of the scrotum. 
 
 Kafka : Merc, proec. ruber is the remedy when the back 
 of the penis is affected, and JRhus tox.^ Arsen. or Alumen, 
 for moist eczema of the inferior surface of the penis. 
 
ECZEMA. 47 
 
 Scrotal eczema needs unremitting patience and endur- 
 ance from physician and patient. As long as the skin of 
 the scrotum is not infiltrated and copiously discharging, 
 JRhus tox., Arsen.j or Crotal. ought to be given. Alumen. 
 internally and externally has done good ; but where the 
 skin is thickened, infiltrated and between the folds sore 
 and humid, we apply methodically Rhus tox.^ Sepia or 
 Graphite and in obstinate cases Silic, or Laehesis. 
 
 Chronic eczema of the female genitals, extending out- 
 wards, needs Sulphur^ Calea7\ or Hepar ; that extending 
 inwardly Alumen^ or a wash of nitrate of silver. 
 
 Eczema ani will be ameliorated by Nitr.ac, Curb, an,^ 
 or Causticum. 
 
 Severe itching at night, with sleeplessness, always indi- 
 cates Sulphur or Arsen. Merc, prcecip. ruber will always 
 act favorably in eczema where rhagades and fissure are 
 present. 
 
 Baehr recommends, in eczema scroti : Grot tig.., Calad., 
 Rhus tox.., Sulphur., as long as the eruption is in its acute 
 stage ; for the chronic variety : Anthrak.^ Sulphur .^ Arsen. y 
 Lycop..) Nitr. ac, Graphit.^ Petrol..) Thuya, 
 
 Eczema marginatum, or circumscribed eczema, always be- 
 gins on that side of the thigh where the scrotum lies. A 
 red, elevated, orbicular, itching spot arises. The centre of 
 the circular spot soon turns pale and a red margin remains, 
 consisting of papulse, vesicles, and excoriation. On the 
 edges the eruption increases peripherically and sometimes 
 reaches the size of the palm of the hand. It hardly ever 
 remains isolated, but others form in the neigborhood of 
 the affected part or symmetrically on the other thigh, 
 running the same course as the first one. These circular 
 rings or marginate blotches have also been observed on 
 other parts of the body. 
 
 Kafka recommends Sepia^ or Natr, mur.^ Tepid baths 
 aid the action of the internal remedies. 
 
 Eczema extremitatum. This form of disease has the 
 
48 DISEASES OF THE SKIN. 
 
 peculiarity of appearing on correspondingly situated parts 
 of the skin. The thin skin of the flexures of joints is 
 especially susceptible to eczema, which may be ichorous 
 or squamous, accompanied with rhagades and fissures, and 
 frequently bleeding during the movements of the limbs. 
 Stretching the limbs is very painful, and sometimes well- 
 nigh impossible. Where the eczema attacks both sides of 
 the joint, extension and flexion are prevented. The more 
 the epidermis thickens and becomes infiltrated, the more 
 will fissures appear and mobility be difficult. Eczema of 
 the lower extremities frequently shows this peculiarity, 
 that the skin appears thickened and infiltrated by vari- 
 cosity of the veins, by chronic dermatitis cellulosa, by 
 varicose ulcers, etc., and the eruption shows a darker 
 color. The other characters of this eczema are the same 
 as those of other forms, viz., infiltration, humidity, crusts 
 and scales. 
 
 Eczema manurn is frequently met with, as the hands are 
 exposed to the action of irritants of various kinds. To 
 this class belong Willan's "washerwoman's itch," grocer's 
 itch, and baker's itch. It is frequently of the scaly and 
 fissured kind. The palms of the hands may be dry, 
 scaly, thickened and hardened, contracted, with long 
 and deep cracks in the lines of motion. On the fingers it 
 sometimes assumes the vesicular form, but more fre- 
 quently the scaly, with fissures and cracks longitudinally 
 and in the direction of the wrinkles of the joints. When 
 it attacks the nails, they become discolored, brittle, rag- 
 ged and uneven. Kafka says that the chronic eczema of 
 the extremities requires the usual treatment, but it is an 
 obstinate disorder to treat. By the steady and methodical 
 application of Hhus^ Sepia or Graphit. a cure may be 
 effected. In a very obstinate case Iodine internally, two 
 doses a day, and a weak solution externally (gr. j. to 5 j.)> 
 produced amelioration and absorption of the infiltration. 
 
 Eaue : Eczema of the legs, salt-rheum, is the result of 
 
ECZEMA. 49 
 
 stagnation in the venous circulation, and it will be of great 
 service to bandage the limbs tightly. Compare : Arsen.y 
 Calc.carh.fiarh. veg.^ Graphite Lack. ^ Lycop.^ Mercur.,N'atr. 
 mur., Rhus tox., Sarsap.^ Sepia ^ Silic.^ Sulphur. 
 
 Eczema in the bends of the extremities: Ammon. carb., 
 Eryon., Calc. carb., Grraphit., Ledum, Mercur., Sepia and 
 Sulphur. 
 
 Eczema^ seu psoriasis^ palmaris et p)lantaris : Magn. c, 
 Eanunc. bulb., Rhus, Sepia, Sulphur. 
 
 Baehr especially recommends Staphisagria in eczema 
 pedum, or Rhus, Carbo veg., G-raphit., Lycop., Mercur., 
 Sulph. 
 
 A peculiar form of eczema, indigenous to America, is 
 the 
 
 Cmnp Itch or Frairie Itch. 
 
 It is true that this disease has not all the characteristics 
 of eczema, nor of prurigo or lichen, yet it is thought best 
 to place it here, amenable to more accurate classification 
 hereafter. 
 
 Dr. Thomas Rowsey {U. S. M. and S. J., II., 337.) gives 
 the following description of this troublesome disease: 
 When it makes its appearance in a new section of coun- 
 try, it rages a long time with marked virulence, gradually 
 disappearing as the tillage of the soil increases. Its ap- 
 proach is slow and insidious. In most cases the presence 
 of the poison is unsuspected, until an intolerable itching re- 
 veals at first an erythematous fiush on the inner aspects of 
 the thighs or arms. This flushed surface, if examined un- 
 der the microscope, will exhibit large numbers of lohite^ 
 transparent^ cone-like vesicles., each elevation containing a 
 drop of thin, limpid fluid, which is exceedingly acrid and 
 irritating. They appear in irregular patches on the inner 
 surface of the arms and thighs, on the breast and abdomen, 
 at the wrist, near the shoulder, on and between the scap- 
 ulae, around the ankles, and in the flexures of the joints. 
 The perineal region and the under and inner surface of 
 
50 DISEASES OF THE SKIN. 
 
 the scrotum are frequently involved, and the friction pro- 
 duced by the clothing in walking, chafes and irritates the 
 already excoriated parts. On the prepuce and on the 
 outer edges of the labia it sometimes begets the most ob- 
 stinate itching. 
 
 Where the eruption runs its regular course, the minute 
 vesicles gradually enlarge and become pustular in from 
 one to three days, and if left perfectly undisturbed, they 
 will perfect within two weeks from the date of their first 
 appearance, when they suddenly disappear, and the skin is 
 sometimes thrown off as after measles. Epidermic irrita- 
 tion continues while desquamation is going on. If the 
 scratching and tearing could be prevented, the affection 
 might disappear in a few weeks without remedial assist- 
 ance, for the denuded surfaces take on a new morbid action 
 and soon a dirty, yellowish-brown crust is formed, beneath 
 which extensive suppuration is frequently carried on. Fu- 
 runculosis quite often adds to the general disturbance. 
 Sometimes these monstrous scabs crack open in the middle, 
 through which quantities of offensive looking pus are dis- 
 charged, and in neglected cases ulcers with sharply defined 
 edges, bearing some resemblance to the varicose ulcer, are 
 met with on the anterior surface of the lower extremities. 
 
 As prodroma we sometimes find nausea and headache, 
 or a sense of weight and soreness in the back. Many 
 times just before the eruption, and almost invariably dur- 
 ing its progress, there exists dryness and heat in the 
 fauces, mouth and lips. Ey and by the whole economy 
 becomes involved; the tongue assumes a dirty -yellow 
 coating, with great dryness in the morning, when the pa- 
 tient first awakes, bowels constipated or irregular, exces- 
 sive secretion of very pale or reddish-brown urine, some- 
 times with but often without deposit. The urine is 
 strongly alkaline. In children the entire glandular system 
 becomes affected. The least warmth aggravates the itch- 
 ing. It is neither of parasitic origin nor contagious. 
 
ECZEMA. 51 
 
 Dr. W. S. Searle {U.S.M. and S. J., III., 1.) considers this 
 affection a mere hyper^^esthesia of the cutaneous nerves, a 
 mere pruritus, but still makes contagiousness the sole di- 
 agnostic symptom of the disease, and bridges this chasm 
 by the hypothesis, that the hypersesthesia produces a 
 change in the nutrition of the cutaneous cells, and a con- 
 sequent change in the secretions of the skin. (Contagi- 
 ousness, except parasitical contagiousness, is yet an open 
 question in most disorders.) 
 
 Treatment. Eowsey considers the best local application to 
 be a lotion of the lye of wood ashes. This lye must be diluted 
 with two or three times its quantity of water and applied 
 with a sponge to the diseased surface. It should be strong 
 enough to create quite a sharp, smarting, tingling sensation, 
 but not an actual pain. For internal use he gives the fol- 
 lowing medicines. 
 
 Kali ^^' ^^' or ^^^- Burning, itching, sensitiveness and ten- 
 sion of the skin ; heat and burning in the face, generally in 
 the morning or in the middle of the afternoon ; eruption 
 in the perineal region and upon the scrotum, along the 
 edges of the labia ; head feels dull and heavy, but does 
 not ache ; sensation of soreness when moving the head ; 
 swelling of the cervical glands ; offensive discharges from 
 the ear ; long-continued nausea, vomiting, frequent eruc- 
 tations; pain and uneasiness in. the region of the liver; 
 aching and soreness in the lower extremities. 
 
 JRhus tox. The vesicles have been torn and lacerated, 
 and large quantities of acrid fluid are discharged ; intense 
 itching; the skin feels sore and stiff; general bruised 
 feeling over the whole body ; heavy rheumatic pains. 
 
 Viola tricolor. — Stinging, burning, itching over the 
 whole body, almost insupportable; itching of the pre- 
 puce ; gastric disturbances. 
 
 Ledum pal. — Itching eruption scattered thickly over 
 the scalp ; flush on face and forehead ; peculiarly indicated 
 
52 DISEASES OF THE SKIN. 
 
 for enlargement of the cervical glands ; burning and 
 smarting in the lower extremities ; bone pains. 
 
 Mezereum. — Burning in tbe stomach; enlargement of 
 the cervical glands ; sensation of tightness and dryness in 
 the throat ; numerous boils and abrasions have a tendency 
 to ulceration; is indicated in pale cachectic persons and in 
 those of a strumous diathesis. 
 
 Searle considers Rumex crisjms the true specific for thi« 
 horrible plague. According to Wood and Bache, Rumex 
 contains sulphur, besides various salts, among v^hich are 
 the phosphate of lime and different acetates and malates 
 v^hich probably renders it so useful in skin diseases. 
 In Bellevue Hospital it is very generally used in a large 
 proportion of venereal, scrofulous and cutaneous diseases 
 as a substitute for Sarsaparilla, and with the most satis- 
 factory results. It has cured several inveterate cases of 
 itch. {Transac. Am. Med. Assoc.., I., 1848.) 
 
 Great care should be observed in regard to cleanliness. 
 The underclothing should be changed twice or thrice a 
 week, and an occasional ablution of the whole body with 
 castile soap and water will expedite the cure. A mild 
 nourishing diet, which will not too heavily tax the diges- 
 tive organs, will best suit such sufferers. 
 
 (Camp itch, army itch, prairie itch— we know very well- 
 have not all the characteristics of eczema nor of prurigo, 
 but we have to place them somewhere, with the idea of 
 placing them more suitably by-and-by.) 
 
 General Indications for Memedies Useful in 
 the Treatment of Eczema, 
 
 (From the Lectures of Professor A. K. Morgan, late of the Homoe- 
 opathic Medical College of Pennsylvania and the New York 
 Homoeophathic Medical College.) 
 
 Aconite. — In plethoric persons ; acute symptoms ; sting- 
 ing and pricking of skin ; anguish, restlessness, crying 
 out. 
 
ECZEMA. 53 
 
 Ajpis mel. — When the skin is red and oedematous — burn- 
 ing and stinging. (Silicea, stinging without swelling and 
 redness.) ~Eo thirst ; urine scanty ; tendency to dropsy. 
 Aggravation. From heat. Amelioration. From scratch- 
 ing, and cold water. (Pulsat. and Sepia.) 
 
 Antimonium tart. — Eczema impetiginoides ; vesicles 
 surrounded by a red areola — with itching ; eruptions about 
 the nose and eyes, neck and shoulders and back of the 
 ears. Sleepiness, with nausea ; irritable, wants to be 
 carried ; complains when touched ; rattling cough. 
 
 Arsenicum.— Dij eruption, accompanied by intense burn- 
 ing of surface ; little itching ; very restless, wants to 
 change position; thirsty, drinking but little at a time 
 (China) ; the water disagrees ; always in a hurry. Painful 
 sensations felt during sleep. Dry, parchment-like skin 
 (Graphit.). Eruption appears about the face and extremi- 
 ties ; corrosive discharge ; has a tendency to turn black. 
 Aggravation. From cold in any form ; from scratching 
 (burning), with bleeding after ; at night, particularly after 
 midnight ; in open air ; from heat. 
 
 Aurum. Old persons. Constant desire to be out in the 
 open air, even in bad weather. Suicidal tendency. Mer- 
 curial symptoms. 
 
 Alumina. — Scalp, face and extremities are affected, with 
 itching. After scratching a moisture is developed. There 
 is little or no relief after scratching. Tendency to grow 
 moist. The slightest bruise of the skin smarts ; the nails 
 are brittle ; dry skin even in hot weather. The patient 
 feels hidebound, as if the white of an egg- had dried on 
 the surface. (Graphit. Phos. ac, Sulph. ac, Magn. carb., 
 Baryt. carb.) Aggravation. In evening and from heat of 
 bed (itching \ During full moon. Every other day. Ame- 
 lioration. In open air. (Baryt. carb.) 
 
 Baryta carb. — Fat, dumpy children ; hunch-back chil- 
 dren, with swollen lymphatics. Eruptions moist, itching, 
 burning and pricking ; moist eruption on scalp ; the hair 
 
54 DISEASES OF THE SKIN. 
 
 falls oat ; glandular swellings ; diffident, timidity in the 
 presence of strangers ; wants to be left alone (Lycop. 
 Ignat. Sepia). Takes cold easily, and has sore throat — 
 chronic sore throat. Feels hidebound (Alum., Glraphit.). 
 Aggravation. At night and from scratching (Anac, Bovist., 
 Calad., Caustic, Con., Ledum, Mezer., Pulsat., Silic, 
 Stront.). Amelioration. When walking in the open air. 
 
 Bovista. — Moist vesicular eruptions with formation of 
 thick crusts — under the crusts the formation is increased. 
 No relief from scratching. Eruptions about the mouth 
 and nostrils. Upper lip swollen (Calc. carb., Hepar, 
 Lycop., Mercur., E^atr. mur.). Complains of general 
 lassitude, especially in the joints — always dropping every- 
 thing that they take hold of (Apis). The skin and 
 superficial fascia are flabby, and an impression made with 
 a blunt instrument remains a long time. Constipated. 
 Patient w^ants to urinate immediately after micturition. 
 Perspiration smells like onions. Aggravation. From 
 warmth. 
 
 Belladonna. — Robust persons ; excitable ; over-sensitive. 
 Eruptions appearing during dentition, with tendency to- 
 wards convulsions. Scarlet redness of the entire surface, 
 diffused, non-circumscribed. Burning and itching with 
 great sensibility to touch (Hepar, Cinchon., Mercur., 
 Rhus). Redness and heat of face ; pupils dilated. Jerk- 
 ing of tendons. Excitable or somnolent; perspires on 
 face or neck, or else only on covered parts. Erratic pains. 
 
 Calcarea carb. — Phlegmatic persons with light hair and 
 blue eyes. Females whose menses appear too soon and are 
 too profuse. A long acting remedy. Full habit. Children 
 bloated ; hard, swollen glands. Fleshy children, with lax 
 fibre. Swollen upper lip (Hepar, Lycop., etc.). Obstinate, 
 self-willed. Characteristic. 'No dread of water, but cuta- 
 neous affections are aggravated by water. A sulphur 
 patient dreads water. (Worse in water, Arsen., Ant. 
 crud., Carbol. ac, Dulcam., Nitv. ac, Pulsat., Sepia and 
 
ECZEMA. 55 
 
 Sulphur.) Extremely prostrated by a short walk. Takes 
 cold easily. 'Eo sleep. Eruption frequently dry, burning, 
 and itching ; skin cracks ; deep fissures occur. Moist 
 variety. Crusts thick on face, neck and scalp. Chronic 
 eruption, with cold feet, as though there were damp 
 stockings on them. Sensation of cold in inner organs. 
 Aggravation. In open air. From water. Amelioration. In 
 a warm room. 
 
 Caladium seg. — Burning vesicular rash on chest and 
 fore-arm, and on the vulva. The appearance and disap- 
 pearance alternate with asthma. Great disinclination to 
 move. Characteristic. Vertigo on going to sleep ; dare 
 not sleep on account of it ; low spirited. Amelioration, 
 When perspiring. 
 
 Cantharis. — "Watery vesicle, as if excoriated ; burning, 
 itching, and when touched there is burning and smarting. 
 Eruptions complicated with urinary difficulties. Perspi- 
 ration smells like urine. Eruptions mostly on right side. 
 Aggravation. From touch. Amelioration. From lying down. 
 
 Carbo veg. — Cachectic individuals. Fine rash, fine 
 and moist, accompanied by burning sensation on difier- 
 ent parts of the body, not especially the spot where the 
 eruption is ; appears on face and chin. Action on venous 
 capillaries. Hemorrhoids, with flatulence. Aggravation. 
 From warmth and water (From water, also, Calc. 
 carb., Ant. crud., Dulcam., etc.). 
 
 Causticum. — Moist eruption, especially on nape of neck. 
 Rheumatic and gouty. Insupportable restlessness. Erup- 
 tion around the nipple, tending to ulceration. Child is 
 afraid at night in a dark room ; does not want to go to 
 bed alone. Aggravation. In evening ; in the open air. 
 Amelioration. From warmth and heat of bed. 
 
 Clematis erect. — Eruption on back of head and neck ; 
 tingling and itching. The vesicles break, overflow the 
 other parts, with tendency to ulceration. Sticking sen- 
 sation when touching the skin. Eruption moist during 
 
56 DISEASES OF THE SKIN. 
 
 the increasing moon, and dry during the decreasing. Erup- 
 tions following suppressed gonorrhoea. Aggravation. From 
 washing and heat of bed. 
 
 Conium mac. — Glandular enlargement. Moist vesicles, 
 aggravated by scratching. After scratching, pricking in 
 skin. Eruption developed by being over-heated. Gluey, 
 sticky discharge, forming hard crusts. Eruptions in old 
 people ; taciturn ; wants to be alone. Occurs about the 
 face and arms and mons veneris (Ehus). Vertigo seems 
 to come on when turning the head, when turning over 
 in bed, and when looking up. Aggravation. When scratch- 
 ing. 
 
 Dulcamara. — Vesicular eruption on face and extremi- 
 ties, oozing a watery fluid ; bleeds after scratching ; erup- 
 tion preceding catamenia. Persons who get angry easily. 
 Aggravation. From cold ; in cold weather and after taking 
 cold ; in evening when at rest. Amelioration. "While moving 
 in warm air. 
 
 Grajphites. — Obese people ; blonde complexion ; despond- 
 ency. Females who are subject to scanty menstruation ; 
 very dry skin ; never perspire ; great soreness of the skin 
 after scratching ; red stripes of inflammation. The symp- 
 toms predominate on the left side. Especially adapted to 
 eruptions behind the ears, back of head, and in bend of 
 limbs. Moist eczema ; after scratching a moisture exudes. 
 Eczema palmaris ; sticky and profuse secretion of serous 
 fluid ; eruptions apt to become purulent ; patients take 
 cold easily. Aggravation. In the evening ; from cold ; a 
 draught of air. Amelioration. When at rest. 
 
 He-par sulph. Moist eruption ; light hair ; glandular 
 enlargements ; skin burns and itches after scratching ; ex- 
 tremely sensitive to contact and touch (Bellad., Mercur., 
 Ehus. Relieved by contact, Bryon., Thuya, Zincum). Skin 
 inclined to ulcerate ; sores exceedingly sensitive to touch 
 (i^itr. ac). The large sore is surrounded by small pustules. 
 The eruption predominates on the scalp. After the abuse of 
 
ECZEMA. ^7 
 
 Mercury. Aggravation. From contact ; at night, and from 
 cold air. Amelioration. From warmth or wrapping one's 
 self up warmly. 
 
 Kali carb. Persons inclined to pulmonary difficulties; 
 take cold easily ; sensitive to cold. Characteristics. Stick- 
 ing pains all over ; eruptions dry at first but when scratched 
 exude a moisture ; comes on in warm weather ; puffy and 
 baggy swelling of the upper eyelids {Arsen. puffiness of 
 lower eyelid) ; great dryness of skin ; deficient perspira- 
 tion (Graphit., Alum., Ledum) ; yellow, scaly, violent- 
 itching spots over the body, especially over abdomen and 
 around the nipples. Aggravation. Between two and 
 three o'clock a.m. ; from cold air (Hepar) ; from becoming 
 cold. Amelioration. In warm air and on getting warm 
 (Hepar). 
 
 Ledum. Eczema occurring in drunkards. The erup- 
 tion comes out after a debauch. Dry eruption ; gnaw- 
 ing, itching of skin ; sensation as though lice were crawl- 
 ing over the surface ; unnatural dryness of skin (Graphit., 
 Alum., Kali carb.). Characteristic. In rheumatic persons 
 the pain commences in the feet and goes up. Aggravation. 
 From heat and motion (pain in joints only); heat of bed. 
 
 Lycopodium. — Eruption first vesicular then^ dry; the 
 surface bleeds after scratching ; biting and itching when 
 becoming warm ; humid eruption, full of deep cracks, after- 
 ward covered with a thick crust. Eruption on back part 
 of head, moist, smelling fetid ; bleeding after scratching ; 
 oozing after scratching with increase of crusts ; great 
 debility while at rest, feels as though he had no strength 
 (Arsen. just the reverse) ; inclined to* constipation ; wants 
 to eat, but a few mouthfuls fill him up full. Aggravation, 
 After getting heated, and from wet poultices ; from four 
 to eight P.M. Amelioration. From cold ; from uncover- 
 ing one's self. 
 
 Mercurius sol. Eruption dry and itching ; after scratch- 
 ing obstinate bleeding and great smarting ; eruptions all 
 
 5 
 
58 DISEASES OF THE SKIN. 
 
 over the body, particularly on hairy parts ; adapted to 
 persons who perspire easily ; no relief from perspiration ; 
 loss of tone of all the mucous surface (Glon., lodium, 
 Stramon., Tellur.) ; imprints of the teeth on the tongue 
 (Rhus). Aggravation. At night ; after getting in bed (itch- 
 ing) ; after scratching. Amelioration. In the morning. 
 
 Natrum mur. — Eruption which comes in the bends of 
 the knees and elbows ; behind the ears and back of the 
 head and neck ; in the border of the hair. A humid 
 eruption^ ivith gluey discharge, matting the hair ; great raw- 
 ness and soreness of the skin ; smarting. Light crusts 
 form on the back of head and neck, along border of hair, which 
 are irregular and resemble peach gum. Vesicular erup- 
 tion on and around lips. Lips and corners of mouth ul- 
 cerated and cracked. Borders and corners of eyelids raw 
 and ulcerated. Itching, humid eruption on face and 
 chin ; raw, angry looking eruption. Eruptions developed 
 by exercise. Shooting pain in skin. The skin symptoms 
 of I^atr. mur. most resemble those of Graphit. Aggra- 
 vation. In the forenoon and from exercise. Amelioration. 
 After lying down. 
 
 Nuxjuglans. — Burning, itching vesicles upon a cracked 
 surface, with a greenish discharge, which stiifens the 
 linen. Large blood boils on shoulders and in region of 
 liver, very painful. Aggravation. In the evening and at 
 night. 
 
 Oxalic acid. — Exceedingly sensitive skin, with vesicular 
 eruptions. Characteristics. Suffers from the use of sugar 
 and sweets in general. Aggravation. All symptoms while 
 thinking of them (reverse. Camphor). 
 
 Oleander. — ^Vesicular eruptions about the head of chil- 
 dren, with smooth, shining surface, with drops of serum 
 standing out here and there. Humid, scaly eruption 
 on the back part of head and behind ears, with biting and 
 itching, as from lice (Ledum) ; relieved when first scratch- 
 ing, but soon followed by burning and soreness (Sulphur), 
 
ECZEMA. 59 
 
 which gives place to biting and itching. Gnawing and 
 itching, with red, excoriated, shining surface. Aggrava- 
 tion. From scratching, and when undressing (itching, 
 (Arsen., CoccuL, Mezer., I^ux, Pulsat., Ehus tox., Silic). 
 
 Fetroleum. — Moist eruptions, with great itching ; copious 
 oozing after scratching. Ulceration after scratching. Ob- 
 stinate dry eruptions on genitals and perineum. Eruptions 
 on the inside of thighs. Skin heals with difficulty. Aver- 
 sion to open air. Aggravation. During a thunder storm 
 (Phosphor.) ; in the open air. Amelioration. Prom warmth 
 and warm air. 
 
 Phosphorus. — Dry eruptions, burning and itching. Lean 
 persons. Can't lie on the left side. " Small wounds 
 bleed much." (The blood coagulates quickly, reverse 
 Laches.) Aggravation. In the evening ; at night ; before 
 midnight; during thunder storm (Pulsat.). Ameliora- 
 tion. After scratching ; after sleeping. 
 
 JRhus tox. — Burning vesicular eruption, coming on in 
 cold weather. Eruptions on hairy parts, and on genitals, 
 with tingling and itching. Humid, itching eruptions on 
 head, forming thick crusts, having an oiFensive smell ; 
 falling off of the hair. Hardness and thickening of the 
 skin, with rhagades (scrotum), with intolerable itching. 
 Humid eruptions on scrotum; milk crust on face, humid, 
 angry looking, forming hard brown crusts. Aggravation. 
 From cold in general ; getting wet ; in the morning and 
 during cold weather. Amelioration. Immediately after 
 scratching (afterward burning) ; by motion. 
 
 Ranunculus bulb. Vesicular eruption as from a burn ; 
 smarts as if scalded. Eruptions in clusters. Aggravation. 
 In the evening ; from change of temperature ; from touch 
 and motion. 
 
 Sepia : Eruptions during pregnancy and nursing. Dark 
 complexioned persons and especially corpulent women ; 
 great lowness of spirits ; nervous excitability ; sad, in- 
 clined to wake in the morning early, about three, and 
 
60 DISEASES OF THE SKIN. 
 
 cannot sleep again ; itching of the skin changing to burn- 
 ing when scratched ; vesicles ooze serum on being scratched; 
 soreness of skin and humid places in the bends of the 
 joints and behind ears (Katr. mur., Graphit., Petrol., 
 Lycop.). Humid eruptions, itching, and btirning. Dry 
 eruptions appear on the inside of elbows and knee joints. 
 Dry ring worm (Tellur) especially on the face of children, 
 about the mouth the spots are round ; dry, offensive erup- 
 tions on the vertex and back of head, itching and tingling, 
 with cracks behind the ears, with soreness after scratch- 
 ing. Aggravation. In open air; by application of cold 
 water ; after eating. Amelioration. In a warm room and 
 in warm air. 
 
 Staphysagria. Humid vesicles which are offensive, burn- 
 ing and itching, about the head and ears of children ; 
 scratching sometimes changes the locality of the itching ; 
 oozing after scratching ; scalp painfully sensitive ; skin 
 peels off, with itching and biting ; the hair is inclined to 
 fall out; hypochondriac; cross words injure the feelings; 
 children are impatient, cry for things and throw them 
 away after getting them. Aggravation. From scratch- 
 ing ; from touching the affected parts ; from abuse of Mer- 
 cury. Amelioration. From walking in open air. 
 
 Sulphur. Voluptuous itching all over, with burning 
 after scratching, or with soreness after scratching and 
 sometimes little vesicles ; creeping of the skin as though 
 insects were on the surface ; eruption on back of head and 
 behind ears, dry, offensive, scabby, with cracks, easily 
 bleeding, burning and painful ; relieved while scratching, 
 with burning and intense soreness, sometimes bleeding, 
 after scratching ; takes cold easily, with glandular swell- 
 ing ; skin cold and dry ; the patient is thin and stoops in 
 his gait ; great aversion to washing and to open air ; 
 peevish and fretful at night with burning of palms of 
 hands and soles of feet. Aggravation. From getting warm 
 in bed (itching); from washing; during full moon ; from 
 
HERPES, 61 
 
 wet poultices (Lycop.). Amelioration, From lieat ; in dry 
 weather ; after rising. 
 
 Sulphuric acid. Moist eruption with pricking of the 
 skin ; on scratching the itching changes locality (Staphys.). 
 Eruptions succeeding suppressed gonorrhoea (Clematis). 
 Aggravation. In open air. 
 
 Thuya occ. Itching vesicles with shooting pains ; skin 
 extremely sensitive to touch ; burns violently after scratch- 
 ing ; dry, scaly eruptions on head extending to the tem- 
 ples, eyebrows, ears and neck, with itching, tingling and 
 biting ; dryness of covered parts ; perspiration of parts 
 uncovered, smelling sweet like honey ; eruptions only on 
 covered parts ; offensive perspiration of the feet. Aggra- 
 vation. From cold wet; heat of bed; about three a.m. 
 Amelioration. From gentle rubbing (itching) ; from warm 
 wet (reverse Lycop. and Sulphur) ; from a development of 
 coryza. 
 
 CHAPTER II, 
 
 VESICULAR DISEASES OF THE SKIN -Continued. 
 
 JECerpes, 
 
 Prof. Hedges, of Chicago, {CT. S. M. and S. J., YIII, 
 440.) justly remarks that the diagnostic differences between 
 eczema and herpes are slight, and that the two diseases 
 often grade off into each other in such a way that the line 
 of demarcation is with difficulty traced. The vesicles of 
 herpes are larger than those of eczema and do not tend to 
 become confluent. Each herpetic vesicle runs its course 
 distinctly and separately. Again, in eczema there is a de- 
 cided tendency to the formation of raw and moist crusts, 
 secreting and discharging a gelatinous watery discharge ; 
 which is quite different from the course taken by an her- 
 petic eruption. 
 
62 DISEASES OF THE SKIN. 
 
 Tilbury Fox regards the herpetic eruption as buUulce, 
 and thus places it between eczema and bullse. He also 
 remarks that the disease is characterized by the presence 
 of vesicles distinct from each other and invariably seated 
 upon an inflamed base. They are generally tolerably few 
 in each separate collection of vesicles ; do not rupture as 
 a rule ; and their contents, alkaline or neutral when clear 
 and slightly acid when turbid, after becoming opaque, 
 disappear by resorption, but now and then by rupture 
 and desiccation into light brownish scales. The vesicles 
 last about seven or eight days. The disease is mostly ac- 
 companied by sensations of heat, tension and burning, 
 which indeed are felt to a greater or less extent before the 
 appearance of the eruption. Occasionally severe neuralgic 
 pains occur before, during or after the eruptive stage ; this 
 being particularly the case in herpes zoster. 
 
 ."Willan designates herpes as a common acute, non- 
 contagious, vesicular disease. Neumann places herpes 
 zoster among the angio-neuroses, thus showing its origin 
 in nervous disorders, and again, according to its objective 
 symptoms, under herpes (Blaschenflechte), which he also 
 considers as an acute, non-contagious disease, running a 
 typical course, in which vesicles or blebs appear in groups 
 upon an erythematously-inflamed portion of the skin. 
 The eruption is attended with burning pain, which is very 
 intense in some forms of the disease and has the character 
 of a neuralgia. This pain may last long after the disappear- 
 ance of the eruption. 
 
 a. Herpes lahialis, or \>QtteiV, facialis. This affection accom- 
 panies febrile diseases. Groups of vesicles are also seen 
 on the mucous surface of the mouth and pharynx. Similar 
 herpetic eruptions occur, in otherwise perfectly healthy per- 
 gons, on the forehead, lids, nose and ear ; and in young per- 
 sons, at certain definite periods of the year, herpetic erup- 
 tions recur, with febrile symptoms, over the extensor 
 surfaces of the elbow and knee-joints, and after a few days 
 
HERPES. 63 
 
 similar groups of vesicles show themselves on the cheeks 
 or perhaps on other parts of the hody. (Jeffries, p. 44.) 
 
 Gerhardt explains the origin of herpes facialis thus : 
 The small arteries which run in the bony canals next to 
 the fine trigeminal twigs, become contracted at the com- 
 mencement of the febrile attack, and owing to the hot 
 stage again dilate, so as to press on the nerves and irritate 
 them, and hence a vesicular dermatitis. He lays stress on 
 the fact that the place of election of this eruption is in 
 the region between the chin, ear and eyebrows. 
 
 Bertholle describes cases of herpes of the soft palate ap- 
 pearing suddenly during perfect healthy with great pain on 
 swallowing, accompanied with severe headache, accelerated 
 pulse and hot skin. The reddened and swollen pharynx 
 and tonsils are covered with small yellowish specks 
 of the size of a lentil, which, on account of the delicacy of 
 the epithelium, very quickly rupture and are seen only as 
 reddened points devoid of epithelium. They are occasion- 
 ally met with on the uvula and anterior pillars of the 
 fauces, but are never seen on the 'posterior wall of the pharynx. 
 As a general rule the vesicles are not confluent, but they 
 leave flat ulcers behind them which soon heal. 
 
 b. Herpes progenialis. Jeffries correctly states that this^ 
 vesicular eruption is not a neurosis and therefore ought not 
 to be regarded as an herpetic eruption, nor has it anything 
 in common with syphilis. Such vesicles frequently aj^- 
 pear on the genitals in men and women, which remain 
 as such but a very short time, for the epithelium soon 
 ruptures, being softened by the high temperature. These 
 places, stripped of epidermis, become irritated and in- 
 flamed by the sebaceous secretion abundant in such places 
 in man and by leucorrhcea in women, or simply from the 
 contact of the two surfaces of skin, and they are sub- 
 sequently covered with a yellowish purulent layer. These 
 little ulcers are of the size of a pin's head or a lentil, and 
 quickly heal by cleanliness ; but they differ from genuine 
 
64 DISEASES OF THE SKIK 
 
 herpetic eruptions in this, that the vesicles very quickly 
 run into each other and form a sore which may closely 
 simulate chancre, having a white base and an elevated 
 margin ; hut they secrete very little or no pus, whereas 
 the discharge from a chancre is quite considerable. 
 
 c. Herpes iris and circinatus. Herpes iris commences as a 
 solitary vesicle on an inflamed base, and new vesicles 
 spring up around the primary one in the form of con- 
 centric rings, which have different colors and contents 
 (serum, sero-pus and pus) according to their stage of de- 
 velopment. The disease is never attended by any con- 
 stitutional symptoms. Its common seat is the back or 
 palm of the hand or the instep at first, but it may subse- 
 quently involve the entire extremity, commonly, however, 
 only the forearm and leg are implicated, while the body 
 and face remain free. In severe cases the eruption is at- 
 tended with a febrile condition. It appears in young per- 
 sons, chiefly in the spring and autumn, but Fox has also 
 observed it in elderly people. It may last for weeks and 
 is apt to reappear. 
 
 Herpes circinatus is simply a variety of herpes iris in 
 which the disease spreads peripherically in the form of 
 vesicles while the process of drying has already taken 
 place in the centre. The peripheral portion shows several 
 rings of vesicles at the same time, and the livid redness 
 around the circle leads one continually to expect new 
 additions. In true herpes circinatus the vesicles are plainly 
 visible ; their contents, at first transparent, soon become 
 turbid, and give rise to a thin brownish scab. A second 
 crop of vesicles sometimes follows, but the affection com- 
 monly runs its course in eight or ten days. (Hillier.) "We 
 are of the opinion that these two forms of eruptive disease 
 should not be classified with hepetic eruptions. 
 
 d. Herpes zoster, zona, shingles, derives its special name 
 from the peculiar manner in which the groups of vesicles 
 tend to encircle the body like a girdle. It follows the 
 
HERPES. 65 
 
 course of one' or more of the cutaneous nerves, generally 
 stopping short at the median line before and behind, 
 though it may cross this point. It generally affects the 
 trunk, but may attack the face, the shoulder, the abdom- 
 inal wall or upper part of the thigh (the line of eruption 
 corresponding to that of the long axis of the limb). The 
 right side is more frequently attacked than the left (101 
 in 178 cases according to Baerensprung). The disease is 
 most common in the young, is of about equal frequency 
 in both sexes, and occurs particularly during change of 
 weather. On rare occasions it may almost become 
 epidemic. 
 
 This is an acute disease of definite duration (fourteen 
 to twenty days). The patient ails for a few days, is fever- 
 ish, out of sorts, complains of shivering, perhaps pain in 
 the side ; presently patches of erythema appear and pre- 
 sent a number of little white points, which quickly 
 enlarge into bullulse, perhaps coalescing and forming dis- 
 tinct bullse ; the vesicles are tense and contain clear seros- 
 ity ; in four or -^yq days they become partially emptied 
 and flaccid, the contents becoming turbid and dark ; at 
 the same time the red blush fades and the patch scabs 
 over. The crusts disappear in about ten days, leaving 
 dark red stains. The changes are not completed at the 
 same time over the whole area, and the eruption in its 
 several stages may therefore be observed on different parts 
 of the same person. In rare cases herpes zoster may 
 ulcerate and soon become gangrenous. Pain may be a 
 prominent symptom, lancinating, smarting, burning. Con- 
 valescence is slow. (Fox.) 
 
 Hebra thus describes the iiormal course of herpes 
 zoster. 
 
 1. The eruption appears, runs its course and leaves no 
 scar. The first clusters of vesicles appear near the mu- 
 cous centres, and the later ones toward the extremities of 
 the nerves whose course they follow, 
 
 6 
 
66 ms£:As:Es of the skin. 
 
 2. The eruption is confined to one-half the body, and 
 vesicles are formed on all the reddened patches. 
 
 3. Painful sensations do not persist for any long period 
 after the outbreak of the eruption. (This is denied by 
 other observers of as high authority.) 
 
 4. The vesicles contain transparent serum or a puriform 
 fluid. 
 
 The characteristics of an abnormal course are : 
 
 1. Cases where clusters of eruption form no vesicles, but 
 only papules (abortive zoster), or they run on into bullae 
 or are converted into deep-seated pustules, leaving scars 
 behind them. 
 
 2. The eruption occurs symmetrically on both sides of 
 the body ; or some clusters attain their proper develop- 
 ment whilst others attain only to the stage of small points 
 and then disappear. 
 
 3. Considerable neuralgic pains are experienced before 
 and during the eruption, which continue for a long time 
 after the drying up of the eruption, sometimes with dis- 
 turbances in the motor functions. 
 
 4. The contents of the vesicles are mixed with blood and 
 the immediate vicinity of the vesicles is infiltrated with 
 blood. These cases are often attended with very severe 
 pains. 
 
 According to its location we find : Herpes zoster capil- 
 Utiiy faciei, nuchcB, brachialis, pectoralis, abdominalis, femo- 
 ralis. When affecting the ophthalmic nerve, it may greatly 
 injure and even destroy the eyeball. There is severe pain 
 and injection of the conjunctiva and cornea, and the move- 
 ments of the iris are interfered w^ith. 
 
 Hutchinson and Bowman consider it a peripheral neu- 
 rosis in the ultimate ramifications of the sensory nerves, 
 followed by a corresponding vesicular alteration. With 
 this we have redness of the connective tissues, photopho- 
 bia, a central softening and ulcers upon the cornea, or 
 iritis. The first named writer found the eye affected only 
 
HERPES, 67 
 
 when the eruption extended from the forehead to the 
 nose. He also observed paralysis of the muscles of the eye 
 supplied by the oculo-motor nerve. 
 
 Baerensprung remarks that the ganglia spinalia give us 
 the key to the explanation of the phenonema of herpes 
 zoster. The neuralgia so frequently accompanying the 
 eruption is to be explained by the transmission of irrita- 
 tion and reflex action from the ganglion upon the corres- 
 ponding posterior root. Zoster is therefore a disease of the 
 ganglionic system, more especially of the spinal, ganglia or 
 the ganglion Casserii ; although the peripheral irritation of 
 a nerve which has ganglionic fibres may result in a limited 
 eruption of zoster vesicles, and we must grant even the 
 possibility of a purely reflex affection of the ganglion. 
 
 As regards the anatomy of zoster, Biediadecki found that 
 the papules and vesicles were formed in the same way as 
 in eczema. When pustules form, the cell elements increase 
 in the papillae and permeate the whole corium and a part 
 of the subcutaneous cellular tissue. The papillary blood- 
 vessels are enlarged and crowded with blood. From the 
 papillse spindle-shaped cells push into the mucous layer, 
 then subdivide, pushing apart the epitehlial cells as series 
 of round cells. In the centre of the pustule there is con- 
 siderable cell-proliferation, and collections of pus are 
 formed in the mucous layer, in a netw^ork composed of the 
 compressed and altered epithelial cells of the middle and 
 upper mucous layer. The epithelium of the lower mucous 
 layer takes part also in the process of subdivision, often 
 mother-cells, holding several nuclei, lying above the 
 flattened and cell-infiltrated corium, but here and there 
 reaching into the network. Around and in the neuri- 
 lemma there is evident cell-proliferation, similar to the 
 proliferation in neuroma and carcinoma around the trunk. 
 (Jeffries, p. 48.) Dr. Haight found the nerves swollen, 
 the medullary substance softened, and the axis cylinder 
 eccentrically enlarged. 
 
68 DISEASES OF THE SKIN. 
 
 Treatment. Hebra, IsTeumann and others consider the 
 expectant mode of treatment the most appropriate. All 
 friction must be prevented by an appropriate bandage, 
 and the spontaneous drying assisted by dusting the parts 
 with starch. Painting the parts with collodion, and the 
 application of poultices, with 01. Hyoscyami, often give 
 relief. Ointments of cerate or glycerine are recommended 
 by others. For the severe neuralgic pains, hypodermic 
 injections of morphia are the ne plus ultra of the regular 
 school. 
 
 Kafka (II, 421) remarks that homoeopathic remedies 
 fail to shorten the course of the different forms of 
 acute herpes, but we may successfully combat the accom- 
 panying symptoms. As zoster belongs to the class of dis- 
 eases which frequently appear under the injluence of a 
 sudden change of weather, as eczema and rheumatism, We 
 can easily comprehend the beneficial action of Rhus fox., 
 Merc, sol.^ Caustic.^ Hejpar^ Mezer.^ Arsen. Simultaneous 
 gastric disturbances remind us of Nux vom.,. Pulsat.^ Sepia. 
 Baehr relies chiefly on Mezer. or selects his remedy ac- 
 cording to the neuralgic symptoms. Hughes is fully satis- 
 fied with the results of Rhus tox. Wilkinson relieves the 
 itching by the local application Canthar. lotion. Ranun- 
 culus and Cistus may be suggested in addition to Rhus 
 tox. and Arsen. for the removal of neuralgia. 
 
 Russel {JB. J.ofH.^ X.) gives the following indications: 
 
 For Herpes facialis : 
 
 Arsenicum. Eed herpetic skin around the mouth ; erup- 
 tion along the border of the vermilion borders of the 
 lips. 
 
 Belladonna. Small pimples on the lips, covered with a 
 scurf and smarting as if they had been touched by saltish 
 water ; pimple on the upper lip, tingling when not 
 touched ; contact excites a stinging itching with it. 
 
 Calcarea curb. Eruption of pimples around the mouth 
 
HERPES. 69 
 
 and on the corners of the mouth ; scurfy pimple on the 
 margin of the vermilion border of the lower lip. 
 
 Ciciita virosa. Burning itching vesicle on the upper lip 
 near the vermilion border. 
 
 Dulcamara. Pimples and little ulcers around the mouth 
 with tearing pains when moving the parts. 
 
 Graphites. Eruption near the corner of the mouth, on 
 the lip ; small white blotches on the upper lip ; thick-set, 
 whitish pimples on a red base, and somewhat itching, 
 near both corners of the mouth under the lips ; a vesicle 
 on the upper lip with cutting pain. 
 
 Hepar. Eruption in the corner of the mouth with a 
 sensation of heat in that part ; red itching spot below the 
 lower lip, which was soon covered with a number of yel- 
 lowish vesicles, forming a scurf. 
 
 Mercurius. Yellow crusts on the upper lip near the 
 margin, with smarting and burning pain. 
 
 Silicea, Eruption on the lips, vesicles on the upper lip, 
 stinging when touched, causing a smarting pain ; pimple 
 on the margin of the vermilion border of the upper lip, 
 first itching, afterwards, when covered with a scab, merely 
 smarting. 
 
 For Herpes prceputialis or genitalium. 
 
 Aurum. Itching of the scrotum. 
 
 Dulcamara. Heat and itching of the genital organs ; 
 herpetic eruption on the labia majora. 
 
 Hepar. Itching of the penis and the frsenulum prse- 
 putiale ; itching of the glans ; humid soreness in the fold 
 between the thigh and the scrotum, with smarting pain, 
 as if the parts were excoriated ; itching of the scrotum. 
 
 Mercurius. Voluptuous itching on the surface and the 
 interior of the prepuce; swelling of the prepuce with 
 burning, smarting and redness, with cracks and rhagades 
 on the internal surface, and a red fine eruption on the 
 surface ; vesicles on the forepart and sides of the glans, 
 penetrating into the part and spreading ; they discharge 
 
70 DISEASES OF THE SKIK 
 
 a fluid and soon disappear ; burning around the glans in 
 the evening, afterwards vesicles on the inner surface of 
 the foreskin, which soon form little ulcers, healing rapidly ; 
 a number of small red vesicles at the termination of the 
 glans, behind the prepuce, changing to ulcers, which burn 
 and discharge a yellowish-white, staining, strong-smelling 
 matter. 
 
 Phosphoric acid. Itching creeping in the frsenulum ; 
 vesicles near the fraenulum, itching when pressing on it ; 
 humid itching vesicles on the fraenulum, preceded by 
 creeping. 
 
 Sepia. The glans is hot and itching with soreness of 
 the prepuce ; hot glans, with a pale-red sometimes itching 
 eruption ; red tips on the glans ; swelling and humid 
 itching eruption on the inner labia ; soreness and redness 
 of the labia, in the perineum and postieriorly between the 
 thighs. 
 
 Silicea. Itching under the prepuce ; redness of the pre- 
 puce near the corona, as if excoriated, with frequent itch- 
 ing ; swelling of the prepuce with itching humid pimples 
 on the outside ; itching and humid spot on the scrotum. 
 
 Sulphur. Troublesome itching of the pudendum, with 
 pimples all around ; painless vesicles on the outer parts of 
 the pudendum. 
 
 For Herpes phlyctenoides^ not confined to any special 
 locality, but spread indiscriminately over various parts of 
 the surface. 
 
 Aconite. Large red itching pimples ; reddish pimples 
 filled with an acrid fluid ; isolated pimples of the size of 
 a pin's head and filled with a serous fluid, on various parts 
 of the skin, and especially on the forehead, nape of the 
 neck and on the face ; after a while the pimples dry and 
 peel off; vesicular eruptions on both temples. 
 
 Arsenicum. Herpes, having a red unwholesome appear- 
 ance, with vesicles and violent burning, particularly at 
 night (in the pit of the stomach and on the back). 
 
HERPES. 71 
 
 Bovista. Goose-flesh ^ith violent itching; herpes after 
 an itching over the whole hody, in the evening ; moist 
 scurfy herpes-like red pimples. 
 
 Gale. carh. Itching vesicular eruption over the whole 
 body, especially the hips. 
 
 Cantharis. Small itching vesicles between the chin and 
 the lips, on the forehead and cheek ; on the palm of the 
 hand. 
 
 Clematis. Vesicular eruptions on the body ; herpetic 
 eruptions. (More suitable for chronic constitutional her- 
 pes.) 
 
 Mercurius. Herpetic spots and suppurating pustules, 
 which either run into one another, forming at times dry 
 and scaly spots, at times discharging an acrid fluid, or 
 which remain sore, become hollow, afterwards raised and 
 cicatrized (all of which looks more like syphilis); new 
 pustules springing up in the neighborhood ; herpes with 
 burning when touched; dry, raised, burning, itching her- 
 pes on the lower and upper limbs, wrist-joints, hands and 
 between the fingers ; herpes surrounded by a border of 
 large scabs, on the forearm and knee, discharging a good 
 deal of moisture ; impetiginous herpes on the abdomen, 
 thighs and knees. 
 
 Phosphorus. Itching, large vesicles over the whole body, 
 also on the face ; round herpetic spots over the whole body. 
 
 Ranunculus sceler. Yesicles upon the skin, emitting a 
 thin, acrid, yellowish ichor. 
 
 Hhus tox. Small burning vesicles, with redness of the 
 skin on the whole body except on the hairy scalp, the 
 palms of the hands and soles of feet ; burning itching erup- 
 tions, particularly on the scrotum, prepuce, eyelids and 
 eyes (arms and loins), with swelling of the parts, and small 
 yellowish vesicles which run into each other and become 
 moist, the larger ones terminating in suppuration with 
 red areolae, the smaller ones drying up more rapidly and 
 scaling off in a few days ; confluent vesicles, most of them 
 
72 DISEASES OF THE SKIN. 
 
 containing a milky or watery fluid, with peeling off of 
 the skin in three days; pustules on the hands and fore- 
 arms, which burst and emit a clear moisture; herpetic 
 eruptions, alternating with pains in the chest and dysen- 
 teric stools. 
 
 Silicea. Eruption over the whole body, resembling, 
 varicella, accompanied, preceded, and followed by violent 
 itching. 
 
 Sulphur. A scaly herpetic eruption which has been re- 
 pelled by external means, appears again, itching violently 
 and burning after scratching. 
 
 The medicines most usefdl in Herpes zoster are 
 
 Rhus tox.y Graphit., Mercur. and Pulsat. Rhus tox. is 
 generally sufficient in itself to effect a cure, and even, we 
 believe, to prevent the appearance of the eruption by 
 curing the state of the nerves which may be regarded as 
 the incipient stage of the disease. ]^or do we believe 
 that the severe neuralgic pain,, which so frequently follows 
 this affection, will often occur in cases treated by Rhus 
 to:^. from the beginning of the attack. When Rhus tox. 
 is not sufficient to accomplish the cure, and when there is 
 much burning, insupportable pain, Graphit. is of great 
 value ; Mercur. is recommended if there be much itching 
 and a great tendency to suppuration. Pulsat. after or alter- 
 nately with Mercur. when there is severe lancinating pain^ 
 
 If there remain neuralgic pains after the disappearance 
 of the eruption, Zincum met. may be given; but if the cure 
 is not speedily affected, it will require great patience 
 and strict individualization, and even then success is not 
 always certain. (Rhus tox. and Graphit. are, in our experi- 
 ence, the chief remedies, and we have hardly ever failed to 
 make a perfect cure with them. The neuralgic pains re- 
 maining after the removal of the zona may and often do 
 require different remedies. Thus, for instance, we cured 
 a case of facial neuralgia, coming to us at second hand 
 after an attack of zoster, with Kalmia latifolia.) 
 
HERPES. 73 
 
 Raue {Pathology., 611) mentions, among other remedies, 
 Croton tig. for itching and painful burning and redness of 
 the skin ; formation of vesicles and pustules ; dessiccation 
 of the pustules and desquamation and falling off of the 
 pustules. 
 
 Euphorhium. Violent burning in the face ; red inflam- 
 matory swelling of the cheeks, with boring, gnawing and 
 digging from the gums to the ears, and itching and ting- 
 ling in the cheeks. The cheeks are covered with a number 
 of yellowish vesicles which burst and then emit a yellow- 
 ish humor. 
 
 Daj)hne mezereum. Obstinate itching over the whole 
 body for several days. Hot dartings in various parts of 
 the body. The pains are felt on one side only. Eed itch- 
 ing rash on the arm, head and the whole body, rough and 
 in clusters. 
 
 Hale {New Remedies) TUQwtion^ Cistus, Cosmoline., Como- 
 ciadia, Phytolacca, Rhus ven. and Sempervivurn ; but we 
 fail to see the similitude in Cistus, Phytol. and Semper- 
 vivum, which are more indicated in cases of constitutional 
 herpes (the constitution dartreuse of the French). 
 
 Gomocladia has the following symptoms : Violent itch- 
 ing, redness and swelling of the face, hands and other 
 parts of the body, followed by yellow vesication and des- 
 quammation of the cuticle. Cosmoline will be valuable as 
 topical application, as it removes the stinging, burning 
 and itching. 
 
 e. Herpes impetiginiformis. Hebra has seen but five 
 cases of this rare eruption. They all appeared in women 
 at full term, except in one case, which took place during 
 the course of pregnancy. The first four terminated fatally. 
 They all resembled one another in beginning in the region 
 of the genitals, in their general diffusion over the body in 
 the later stage and in the herpetic character (groups of 
 vesicles on the same inflamed base) which they presented. 
 They were all accompanied by fever and rigors. The 
 
 7 
 
74 DISEASES OF THE SKIN. 
 
 disease miglit be called herpes impetiginiformis from tlie 
 appearance of the crusts. There was no restriction to the 
 course of certain nerves as in an ordinary zoster. This ap- 
 pears to be a very dangerous disease. (Fox, 204.) 
 
 The treatment was mainly expectant, with nourishing 
 diet. For the pysemic symptoms the patient who re- 
 covered took quinine, and a lotion, composed of six grains 
 of the perchloride of mercury and one part of limewater, 
 was applied to the genitals ; as the pain prevented sleep- 
 ing the woman took half-drachm doses of Chloral hydrate 
 at night. After delivery she rapidly recovered. 
 
 General Indications for Itemedies Useful in 
 the Treatment of Herpes, 
 
 (From the Lectures of Professor A. R. Morgan.) 
 
 Apis. — Burning and stinging pains, with excessive 
 swelling. Vesicles large and sometimes confluent. Erup- 
 tion which comes out on the lips in cold weather. Cold 
 sores (l^atr. mur. and Ehus tox.). They come on and 
 sometimes ulcerate, with great burning and stinging pain. 
 Aggravation. From warmth (Reverse, Arsen.). Amelio- 
 ration. From cold applications of any kind (Reverse, 
 Arsen.). 
 
 Arsenicum. — Confluent herpetic eruptions, with intense 
 burning of the blisters. Decided aggravation after mid- 
 night; cannot sleep after midnight. Chronic dry skin 
 (Staphis.). Nausea and marked prostration, aggravated 
 by taking nourishment. Lassitude and weakness. In 
 Herpes iris, when the eruption gets bloody and dark 
 colored. Aggravation. From cold of any kind (Reverse, 
 Apis). Amelioration. From warmth (Reverse, Apis). 
 
 Borax. — Children inclined to aphthae, which bleed very 
 easily and profusely. The secretions of the body are ex- 
 coriating. Women inclined to aphthous diflB.culties. Char- 
 acteristic. Sensations aggravated by going downward (Calc. 
 carb.). 
 
HERPES. 75 
 
 Calcarea carb. — Lymphatic temperaments. Burriing 
 herpes. Chapped furfuraceous eruptions ; unhealthy skin, 
 which ulcerates easify. Painful swelling of glands. Ob- 
 stinate, self-willed children who incline to grow fat. 
 Aggravation. In open air and from water. Amelioration. 
 In a warm room. 
 
 Cantharis. — Large, burning, painful blisters upon an 
 erysipelatous base — burning when touched ; eruptions 
 more on the right side ; smarting and stinging of the skin. 
 Aggravation. In open air; from touch. 
 
 Causticum. — Itching, burning, moist phagedenic vesicles, 
 especially upon the shoulders and neck. Sore and cracked 
 nipples, surrounded with herpes, with a tendency to 
 ulceration. Stinging and itching of the skin. Herpes 
 preputialis. Aggravation. In open air; by scratching. 
 Amelioration. From heat. 
 
 Clematis erect. — Gnawing sensation in the skin, not 
 relieved by scratching. Scalp herpes with yellowish cor- 
 rosive ichor. Chronic, red, humid herpes, with intolerable 
 itching in the warmth of the bed and after, washing. 
 Tendency towards rupture and ulceration of the vesicles. 
 Aggravation. When the moon is increasing (eruption red 
 and humid). From heat and washing. Amelioration. 
 When the moon is decreasing (eruption dry and pale). 
 
 Croton tig. — ^Vesicular eruptions, with burning, stinging 
 and redness of the skin, and speedy developement of a 
 seropurulent exudation. Feels hidebound (Grraphit., 
 Alum., Baryt. carb., etc.). Vesicles, especially on abdomen, 
 confluent and form large brown scabs. One of the best 
 antidotes for poisoning with Hhus tox. (Anac). Aggra- 
 vation. After eating. Amelioration. By gentle rubbing, 
 (Thuya. Worse from rubbing, Anac.) ; after sleep. 
 
 Dulcamara. — Herpes, moist suppurating ; oozing pale 
 water when scratched ; red, with red areola, bleeding when 
 scratched. Herpes zoster after taking cold. Thick crusts 
 all over the body. Aggravation, In the evening ; in cold 
 
76 DISEASi:S OF THE SKIN. 
 
 air ; during wet weather and wlien at rest. Amelioration. 
 From gentle exercise in a warm room. 
 
 Graphites. — Herpes in females witli scanty menses. 
 Large blisters from the umbilicus to the dosum of the 
 spine, burning when touched. Occurring especially on 
 the left side. Herpes zoster. Aggravation. In doors ; 
 from warmth and motion. Amelioration. Out of doors. 
 
 Hepar sidph. — Particularly indicated after mercurial 
 preparations. Herpes preputialis. Eruption exceedingl}^ 
 sensitive to touch. Little ulcers surrounding the large 
 one. Takes cold easily. Face, hands and prepuce are 
 especially affected. Aggravation. At night, and from 
 cold; exceedingly sensitive to cold air. Amelioration. 
 From warmth. 
 
 Iris versicolor. — Herpes which follow gastric derange- 
 ment, with bitter taste in the mouth ; with nausea and 
 vomiting ; pain in the liver. Herpes zoster on the right 
 side of the body, with gastric derangement. 
 
 Kali hich. — Herpes after taking cold, with fluent coryza 
 and bronchial irritation. The expectoration is stringy 
 and ropy. (The secretions and excretions all have this 
 same ropy and stringy character.) The coryza at first is 
 thin, but soon changes. The vesicles are large and are 
 filled with a fluid of the same character as the expectora- 
 tion. 
 
 Kali carh. — Stitches in the eruption. Eruption moist 
 after scratching. Dry skin with deficient perspiration 
 (Graphit., Alum., etc.). Burning-itching herpes. Ag- 
 gravation. From cold air ; from becoming cold. Ameliora- 
 tion. In warm air ; on getting warm. 
 
 Kalmia lat. — Sensation of rigidity of the skin, with 
 a pricking sensation — {Neuralgia of the fifth pair of nerves 
 of right side of face). Sensation as if the skin were para- 
 lyzed. Aggravation. At night. 
 
 Kreosotum. — Herpes, watery or seropurulent from the 
 beginning, especially on the backs of hands and fingers 
 
HERPES. 77 
 
 and joints, itching very violently towards evening. 
 Herpes in the palms of the hands, on the ears, elbows, 
 knuckles and malleoli. Seropurulent and furfuraceous 
 eruption. Aggravation. In the evening (itching) ; in the 
 open air. Amelioration. From warmth. 
 
 Lachesis. — All kinds of herpetic eruptions. Vesicles 
 large, of a yellow color usually. Frequently they are yel- 
 low at first and then turn dark, with much pain. Yesicles 
 break and leave an excoriated surface, which burns when 
 touched. Eruptions which occur every spring and fall. 
 Effects especially the left side of the body. Aggravation. 
 All symptoms after sleep. From acids (Selen.). 
 
 Ifercuriiis. — Herpes burning when touched. Moist 
 vesicles surrounded by dry scales — easily bleeding. Per- 
 spires very easily, from the least exertion ; no relief from 
 perspiration. Lax fibre. Phagedenic blisters. Herpes 
 preputialis. Zona — especially on the right side or when 
 it extends across the abdomen. Aggravation. At night, 
 from the warmth of the bed. Amelioration. In the 
 raornincr, 
 
 Mezereum. — ^^Herpes zoster, with severe neuralgic pains. 
 Indicated after the abuse of mercury. The itching on 
 being scratched changes to burning. Aggravation. In 
 the eveninij; about 9 o'clock ; bg contact mid motion. Ame- 
 lioration. By exercising in the open air. 
 
 Moschus. — Hysterical subjects with tendency to faint ; 
 violent sexual excitement with copious urine. Character- 
 istics. Redness of right cheek without heat — the left pale 
 and hot ; the same with the hands. Chilliness com- 
 mencing at the head and extending down over the body. 
 Menses too early and profuse. Great sensation of debility 
 felt particularly during rest. Herpes with excessive 
 burning. Aggravation. In cold air. Amelioration. In 
 warm air. 
 
 Natrum carb. — Herpes iris. Sensation of formication. 
 Vesicles with shooting and itching pains. Hypochondria- 
 
78 DISEASES OF THE SKIN. 
 
 cal, with aversion to society. Panaritium. "Warts and 
 herpes about the hands. Aggravation. In the forenoon. 
 Amelioration. By pressing gently the parts, or rubbing 
 them. 
 
 Natrum mur. — Herpes which occur during fevers. 
 Herpes labiales. Herpes of bends of elbows and knees. 
 Moist oozing eruptions. Aggravation. In the forenoon 
 from 10 to 12. 
 
 Petroleum. — Herpes especially on the genitals, moist, 
 oozing and itching. Itching herpes on the perinseum. 
 Aggravation. In open air (aversion to open air) ; when 
 perspiring. Amelioration. From warmth and warm air. 
 
 Phosphorus. — Herpes in persons inclined to pulmonary 
 difficulties, with burning pain. Vesicles confluent and 
 appear in clusters. Brown colored blisters between the 
 fingers and toes. Dry herpes. Aggravation. In the even- 
 ing, at night, before midnight (exceedingly sensitive to 
 cold air.) Amelioration. After sleeping. 
 
 Pulsatilla. — Mild subjects, pale, inclined to mucous dis- 
 charges. Eruption itching and burning. Skin inflamed 
 and swollen. Aggravation. In the evening and in a 
 warm room. Amelioration. In the open air. 
 
 Psorinum. — Herpes after suppressed scabies, moist ; in- 
 tolerable itching when getting warm. Biting and itch- 
 ing, worse when developed after some febrile aflection. 
 Aggravation. Before midnight and in the open air. 
 
 Panunculus bulb. — ^Vesicles of a dark blue color, resem- 
 bling the blisters from a burn. Rheumatic subjects. 
 Burning itching vesicles in clusters. Herpes over the fin- 
 gers (blue) and palms of hands. Herpes on the whole 
 body. Aggravation. In the evening ; the pains are excited 
 by touch and motion ; after eating. 
 
 Panunculus sceler. — Eruption filled with a thin, acrid, 
 fluid, with sensations similar to those indicating Ranunc. 
 bulb. 
 
 Phus tox. — Pains, stinging and burning after scratching. 
 
HERPES, 79 
 
 Everything tastes bitter. Herpes upon hairy parts — ^burn- 
 ing and stinging (Apis, Arsen., and Phosphor.). Itching 
 especially on hairy parts. Eruption more annoying after 
 a perspiration ; comes on after taking cold or getting wet 
 (Antim. crud.). Aggravation. After scratching, per- 
 spiring and getting wet or cold. Amelioration. From 
 warmth. 
 
 Sepia. — Itching. Aggravated by scratching. Indicated 
 especially in females. 
 
 Silicia. — Eruption inclined to ulcerate. Sensation of 
 numbness of the extremities ; they go to sleep easily. 
 Genitals perspire and the sweat is offensive. Offensive 
 perspiration on feet. Brittle nails. Aggravation. Erom 
 cold. Amelioration. From wrapping up warm. 
 
 Spongia tost. — Eruption coming on after a cold, with 
 dry croupy cough. Persons with goitre. Appears especi- 
 ally on the face. 
 
 Sulphur. — Herpes, with great itching, with burning 
 and soreness after scratching. Herpes appearing about 
 the mouth and nose. Face pale and colorless. The lips 
 are bright-red. Headache with a sensation of a band 
 around the head (Mercur.) Aversion to water and open 
 air. Aggravation. After scratching ; from washing (Ant. 
 crud., etc.). 
 
 Tellurium. — Herpes filled with a watery excoriating 
 fluid, smelling like fish-brine. The vesicles are bluish or 
 purple. Congestion to the head with faint sensation. 
 Copious perspiration all over the affected parts. Eing 
 worms all over the body. 
 
 Thuya. — Herpes all over the body, from suppressed 
 gonorrhoea ; itching and burning violently. Herpes zoster. 
 Aggravation. From cold water ; from the heat of the bed ; 
 in the evening and at night. Amelioration. From gentle 
 rubbing ; from warm water. 
 
 Zincum met. — Herpes, with violent lancinations. Sup- 
 purating herpes. Violent itching. It<ihing in the bends 
 
80 DISEASES OF THE SKIN. 
 
 of the joints. Aggravation. In the evening. Ameliora- 
 tion. By touching the parts. 
 
 I^einphigus. 
 
 Wilson in his '•'■Lectures on Dermatology^^ (p. 123) 
 remarks: If we analyze the pathological character of 
 pemphigus, we shall discover it to be an erythema at- 
 tended with serous effusion beneath the epidermis, the 
 effused fluid raising the horny layer of the cuticle into a 
 blister or bleb. This effused fluid is at first clear or yel- 
 lowish, but afterwards becomes cloudy and purulent, 
 while the surrounding skin is either normal in color or 
 reddened. Eed lines frequently radiate from the bullne 
 (lymphatic or capillary vessels). If we remove the epi- 
 dermis, we at first find the corium exposed ; a little later 
 in the disease new epidermis is formed, so that the con- 
 tents of the bullse lie between two layers of epidermis. 
 When the blebs are healed, a dark spot remains, more 
 rarely a cicatrix. These blebs are usually grouped in 
 threes or fours and attain the size varying between that 
 of a pea and a hen's egg. The fluid may be quickly re- 
 absorbed or the bullae simply shrivel, the distended globe 
 becoming fluid, or the blebs burst and the fluid dries into 
 crusts of lamellar aspect, beneath which is very slight 
 ulceration. The bullae generally occur in successive crops ; 
 they develop in the course of a few hours and are usually 
 distinct. The reaction of the fluid is generally alkaline, 
 but with turbidity comes acidity. The local symptoms 
 are, slight itching and smarting at the outset and more or 
 less soreness. The healing process is tardy and in cachec- 
 tic subjects sloughing may occur. The disease attacks all 
 parts of the body, but rarely the head, the palms of the 
 hands or the soles of the feet. Sometimes the mucous 
 surfaces, as of the intestines, vagina, mouth, etc., are the 
 seat of bullae in pemphigus. 
 
 When pemphigus is generalized^ the eruption is seen in 
 
PEMFHIGm. 81 
 
 different stages of development on different parts of the 
 body. At one part it is a reddened surface, where the 
 cuticle is beginning to be wrinkled ; at another a bleb is 
 formed ; at another the cuticle is exfoliating and leaves 
 violet-colored stains or superficial excoriations or ulcera- 
 tions, either bare or covered with crusts. 
 
 Most authors divide Pemphigus into two groups. Acute 
 and Chronic ; but Hebra states, that he never met acute 
 jjemphigus ; for as it is seen in children (pemphigus neo- 
 natorum) it should have received other names. Steffen 
 ( Wiener Med. Wochenschrift^ 1866), gives three forms : 1st, 
 Pemphigus occurring in apparently healthy children and 
 ending favorably. 2d, Pemphigus occurring in marasmic 
 children. 3d, Syphilitic Pemphigus. Fox {Skin Diseases^ 
 212) divides it in a syphilitic and non-syphilitic form. 
 The former belongs to the congenital syphilitic diseases, 
 and the letter is often the result of blood-poisoning, as 
 from puerperal fever, dysentery, etc. 
 
 Steffen's first class is not of a serious character. Blebs 
 appear on the neek or chest, containing a pale fluid ; they 
 rapidly increase in size and give rise to excoriations which 
 are soon covered with a yellowish crust. Healing soon 
 takes place and the child recovers. Far different appears 
 the pemphigus in children in whom the eruption is the 
 result of cachexia. Here apparently healthy children are 
 seized with severe constitutional symptoms ; the skin is 
 livid, the areolae of the buUse are dark, the contents fetid, 
 the ulceration is unhealthy, deep, its surface is dark, 
 blackish and exudes an ichorous matter, the edges being 
 livid, shreddy, so that large circular, depressed, black, 
 gangrenous ulcers, acutely produced, are present, the feet 
 and hands may be affected, and the limbs, the genitals, 
 the abdomen, even the mucous surfaces and head ; death 
 occurring about the tenth or twelfth day. 
 
 Stokes describes a Pemphigus gangrenosus among the 
 ill-fed Irish children, with a purplish base of the bullae, 
 
82 DISEASES OF THE SKIN. 
 
 sanguinolent contents, icliorous discharge, and a good 
 deal of slougliing and gangrene, the disease being propa- 
 gated by successive crops for weeks, and the children die 
 worn out by irritative fever and exhaustion. 
 
 Why Hebra denies to this infantile eruption the name 
 of pemphigus is an enigma to us, for Wilson (1. c. 130) 
 truly remarks that " Pemphigus (chronic) is a grave 
 and serious affection, an associate of cachexia, always a 
 symptom of a depressed vitality of the organism, and not 
 infrequently the sign of a fatal state of disorder of the 
 economy." The transparency, the bright color and the 
 benignant purulency of the bullae of pemphigus are always 
 grateful to our eye as being of good omen. But the pur- 
 plish and purple and leaden-colored tints are less satis- 
 factory. Sometimes the fluid of the bleb may be reddened 
 by the admixture of blood, the result of accidental pres- 
 sure or friction, but it may be also the consequence of 
 hfematolysis, which betokens a state of cachexia in a more 
 or less advanced degree. 
 
 Chronic Pemphigus is characterized by the great length 
 of time during which new eruptions of bullae appear, 
 which lower the vitality and finally induce death by ex- 
 haustion (Neumann, 191). 
 
 Hardy and others describe two varieties of chronic pem- 
 phigus, namely pruriginous and foliaceous. In the former 
 affection the skin presents small blebs, the volume of 
 which seldom exceeds that of a pea, containing sometimes 
 serum or pus. The eruption is attended with most dis- 
 tressing itching, so severe as to prevent sleep. Patients 
 scratch furiously and leave the marks of their nails in the 
 form of long excoriations and black points, and the skin 
 turns to a brownish hue by an increased production oi 
 pigment. 
 
 Pemphigus foliaceus commences on the front of the chest 
 by a single bleb, and then, by the development of others 
 around, spreads over the whole surface, the bullae being 
 
PEMPHIGUS. 83 
 
 more or less imperfectly formed ; the skin is red in many 
 places, but there is not much infiltration, nor is itching 
 severe. After the bullse form, large yellowish squamse 
 are produced, with more or less desquamation ; the scales, 
 which may be large, are the remains of imperfectly formed 
 bullae ; they are free at their margin and they are repro- 
 duced very rapidly. The bullae are successive and con- 
 fluent. Oftentimes the skin exhales an offensive odor. The 
 scales resemble fragments of parchment, and vary in size 
 from three-quarters of an inch to two inches. ]^o part of 
 the body is free from them, and they are so freely pro- 
 duced that they fill the patients bed in a few hours. 
 Under them (Hillier, 147) is found a red surface, slightly 
 ulcerated, from which flows in small quantities a secretion 
 slightly plastic, having a nauseous fetid odor. This is 
 often a fatal form of disease, death being ushered in by 
 the irritation of the mucous surface and dropsy, especially 
 in old people who are weak and out of health. 
 
 Diagnosis. One of the most distinctive features of 
 pemphigus is the absence of exudation into the cutis, so 
 that there is no elevation except what is caused by the 
 fluid, which detaches the cuticle. From herpes iris it 
 differs in this that that disease passes away without 
 returning, whereas even in acute pemphigus new acces- 
 sions of bullae are continually formed. Pemphigus folia- 
 ceus closely resembles pityriasis rubra, but the formation 
 of blebs and the copious discharge distinguish the former 
 from the latter. 
 
 Prognosis. Single bullae recurring only after a long 
 interval are never dangerous to the patient. If their 
 number greatly increase and their contents rapidly decom- 
 pose, lymphangitis is set up in the neighborhood, the 
 patient is weakened, pyaemia ensues, or pneumonia, neph- 
 ritis or pyelitis and the prognosis becomes unfavorable 
 (i^eumann). In all cases the cure is slow and recurrence 
 of the disease frequent. The general condition of the 
 
84 DISEASES OF THE SKIN. 
 
 patient must be our guide, and a cautious opinion should 
 always be given. 
 
 Therapeutics. E'eumann considers quinine of all inter- 
 nal remedies alone worth mentioning. The local treat- 
 ment consists in the use of baths, douches, enveloping the 
 body in wet clothes, painting the skin with tar, and tar- 
 baths, covering the skin with various ointments and dust- 
 ing the surface with starch or semen Lycopodii. — Bazin 
 recommends puncturing of the bullse, in order to diminish 
 the irritation, and then to treat them as ordinary blisters, 
 and dust them with emollient or slightly astringent 
 powders. — Hebra reports no benefit from internal reme- 
 dies. With continued baths, ^. ^., the patient kept under 
 water night and day, he obtained an apparent permanent 
 cure, after respectively one hundred, seventy-six, forty- 
 seven and twenty-six days' immerson. — Fox treats acute 
 pemphigus as a typhoid disease and praises chlorate of 
 potash and quinine with wine in children. — Stokes advises 
 an ointment of scrofularia nodosa in the gangrenous form. 
 In chronic pemphigus plenty of good animal food, a due 
 attention to elimination, with the mineral acids and cod 
 liver oil may improve the state of health. In the ]Dru- 
 riginous variety Conium, Aconite, or Quinine internally, 
 with alkaline baths. A very good application to cool and 
 comfort the surface is a mixture of common whiting, gly- 
 cerine and water, made into a thinnish paste and spread 
 over the surface by means of a brush. 
 
 Kafka and B?ehr affirm that we do not possess any 
 simile for pemphigus. The former even considers inter- 
 nal medication unnecessary, and the latter truly remarks 
 that the symptoms of the cochexia indicate the remedy. 
 Laches., Arsen., Ginchon., Fernun, and Sulphur may be 
 consulted as constitutional remedies. 
 
 Raue considers pemphigus neonatorum a symptom of 
 hereditary or congenital syphilis, and regards anti-syphi- 
 litic treatment therefore as necessary. For chronic pern- 
 
PEMPHIGUS. 85 
 
 phigus he recommends Arsen., Canthar., Caustic.^ Cinchon., 
 Kreos., Laches., Mercur., Eanunc. bulb., Rhus tox., and 
 Sulphur. 
 
 Hughes {Manual of Therapeutics, 465) says : Pemphigus, 
 when recent, may be cured by JRhus tox., as I can testify. 
 When chronic, there is such a body of evidence in favor 
 of Arsen. being specific, that it would seem loss of time to 
 give any other medicine. 
 
 Eussel {Skin Diseases, 91) gives two important direc- 
 tions in regard to treatment, viz., the patient should be 
 allowed full diet, to impart vigor to the system, as defi- 
 ciency of vital force seems to be one of the chief pre- 
 disposing causes of the complaint ; and secondly, it is of 
 great consequence to support the blisters, and thus to pre- 
 vent the premature discharge of their contents, for they 
 possess irritating properties and tend to aggravate and 
 extend the disease if allowed to flow over the skin ; 
 besides, too early rupture of the cuticle exposes the raw 
 skin beneath to the injurious effects of friction. Indeed it 
 is better when the blisters do not burst at all, but dry up. 
 
 Rayer strongly recommends the use of a perforated 
 patch of rag, spread with simple ointment, to afford sup- 
 port to the margin of the vesicle where it is most likely 
 to give way, and to diminish its elevation above the sur- 
 rounding skin, so as to lessen the risk of the upper part 
 being rubbed off by the unavoidable friction to which it 
 must be exposed. 
 
 Specific remedies may be : 
 
 Belladonna. — Watery vesicles (on the palm of the hand 
 and tibia), so painful that he would like to scream. 
 
 Causticiim. — Large vesicles on the chest and back, with 
 anguish in the chest (orthopncea), and fever, consisting of 
 chilliness, heat and sweat ; large painful blisters on the 
 left side of the chest and back, which burst ; these symp- 
 toms are accompanied by great feverish heat, sweat and 
 anxiety. 
 
86 DISEASES OF THE SKIN, 
 
 Fhosjphorus. — Painful hard blisters in various parts, not 
 itching ; blisters bursting with moisture. 
 
 Rhus tox. — " Confluent vesicles ; most of them contain- 
 ing a milky or watery fluid, with peeling ofl' of the skin 
 in three days." 
 
 Eggert {A. J. H. M, M., 3, 138) publishes the case of a 
 girl of feeble constitution and phlegmatic temperament, 
 where Lachesis^° removed the tonsillitis, but there appeared 
 a pemphigus on the thumb of the left hand and one on 
 the third finger which caused terrible burning pain. The 
 blisters were small, situated upon a highly inflamed base. 
 Lycop.^'' in water, a teaspoonful every four hours, in three 
 days well. 
 
 Dr. Small {U, S. M. ^ S, J. YII., 293) cured with 
 Bryon.^ in five days a case of pemphigus from sudden 
 check of perspiration. 
 
 We take the two last cases from our journals, but we 
 question the propriety of calling these blisters pemphigus, 
 as we miss the essential constitutional symptoms men- 
 tioned by our best dermatologists as characteristic of the 
 eruption. In fact we consider the constitutional symp- 
 toms of far more value than the local ones; and it is 
 therefore easily understood why it takes such deeply 
 penetrating remedies, as Arsen., Caustic, Laches., Rhus 
 tox. or venen. to have any influence on the disease. 
 
 Mupia. 
 
 Eupia is classed with pemphigus under the order bullae 
 by a few authorities, but Hebra, I^eumann, Fox, Wilson 
 and others consider it a syphilitic eruption, and we place 
 it, therefore, under the chapter embracing that class of 
 diseases. 
 
IMPETIGO. 87 
 
 V. PUSTULAR DISEASES OF THE SKIN. 
 
 We include under pustular diseases only tliose in whicli 
 the presence of pus is a primary or essential condition^ the 
 particular morbid condition of which we have to recog- 
 nize and to remedy. I^eumann (1. c. 44) defines pustules 
 ^' as elevations of the epidermis, occasioned by collections 
 of pus beneath it. The collections of pus originate either 
 in the glands of the skin (acne), or on the substance of 
 the corium (furunculus), or on the papillary layer (im- 
 petigo), or finally between the mucous and horny layer 
 (small-pox)." 
 
 Pustules are of various size. If they are the size of a 
 lentil or over and have elevated edges, and the contents 
 dry to crusts, it is called impetigo (psydracion, cold pus- 
 tule) ; they are simple vesicles produced on the surface of 
 the skin and deriving their purulent contents from the 
 cells of the rete mucosum, and when they dry and fall 
 off, they leave behind them no mark on the skin, no trace 
 of their previous existence. If they are larger, showing 
 a circular periphery, the purulent contents at the same 
 time being mixed with blood and the crusts thereby of 
 a dark-brown color, it is designated ecthyma (phlyzacion, 
 hot pustule). They are always more deeply seated, origi- 
 nating in the walls of a follicle, sinking deeply into the 
 corium and deriving their pus from the connective and 
 other tissues of the substance of the skin. Hence it is 
 slower in its progress, more permanent and more lasting, 
 and when the scab falls off, in a longer or shorter time, it 
 leaves behind it a pit and a cicatrix of lasting endurance. 
 
 Impetigo, 
 
 Impetigo is a superficial pustulating and non-ulcerating 
 affection, and most authors agree in regarding it as a pus- 
 tular eczema — an eczema occurring in a pyogenic habit of 
 body and described therefore as eczema impetiginoides and 
 
88 DISEASES OF THE SKIN. 
 
 as impetigo eczematodes. It is true, that variously sized 
 pustules may form during processes of inflammation result- 
 ing from injuries, burns, chemical or otherwise, cutaneous 
 poisons, etc., but it cannot be denied that we frequently 
 find impetigo in scrofulous subjects, in whom there is 
 great vulnerability of the skin, so that any little irritation 
 or wound of the skin at once begins to fester. It is 
 always a secondary morbid product, appearing either as 
 a sequel of other cutaneous diseases or accompanying 
 other morbid products. Some authorities justly discard 
 impetigo or classify it with ecthyma, as the treatment is 
 the same. Impetigo as seen in children, and by some con- 
 sidered as an independent disease, can still be only con- 
 sidered as an offshoot of a scrofulous constitution ; and 
 impetigo Jigurata (when the pustules are arranged in cir- 
 cular or oval groups), im2')etigo sparsa (where the j)ustules 
 occur singly without any regular distribution), impetigo 
 erysipclatodes (where the surrounding skin shows all the 
 local and constitutional symptoms of erysipelas), impetigo 
 sycosiformis (crusta lactea of others), and impetigo capitis 
 are sub-divisions insisted upon by some dermatologists, 
 but which may be safely omitted in our nomenclature of 
 skin diseases. 
 
 Tilbury Fox (1. c. 224) describes an impetigo contagiosa 
 as very frequent in England, and Wilson and Anderson 
 confirm the observation. The disease is seen especially 
 in hospital and dispensary practice amongst children of 
 the lower orders ; but it also occurs in those who have 
 all the advantages of social position and good hygiene. 
 Smart pyrexia frequently accompanies the development 
 of the disease. The eruption mostly appears first of all 
 on the face, sometimes on the top or back of the head, in 
 the form of vesicles, which enlarge into flat bullfe if not 
 injured by scratching. Sometimes the hands are first 
 attacked and the disease then extends to other parts ot 
 the body. The vesicles are always isolated, and in five or 
 
IMPETIGO. 89 
 
 six days the vesico-pnstnle reaches the size of a silver 
 quarter of a dollar, unless ruptured. The secretion con- 
 sists of lymph-like fluid, granular cells and subsequently 
 pus- cells. The scabs are flat, straw-colored, dry and granu- 
 lar looking, and appear as if " stuck on" to the part : if 
 removed, little sores are observed beneath, more or less 
 filled in by gummy-like secretion or a little pellet of 
 aplastic lymph, and when the scabs fall ofl" there is an 
 erythematous base left behind, the hue of which gradually 
 fades away. The disease may spread from spot to spot by 
 direct inoculation from its secretion, in the act of scratch- 
 ing. The mucous membrane of the eye and the nose are 
 sometimes implicated. Many children in a house may be 
 attacked by contagious impetigo at one and the same 
 time, or consecutively. The disease is not parasttic^ as 
 Kaposi and Pifflird assert, and though fungus elements 
 may be detected in the crusts, they are never found in the 
 fluid contained in the vesico-pustule before it bursts. The 
 natural course of the disease is a short and definite one. 
 
 Treatment. To destroy the activity of the pus and to 
 alter the condition and action of the surface which se- 
 cretes it, Fox uses an ointment containing ^yq grains of 
 Ammonio-chloride of Mercury and applies it to the surface 
 beneath the scabs, which are removed by poulticing or 
 fomentation with warm water. 
 
 Kafka (/. c. 11., 469) advises puncture of the pustules 
 as quickly as possible, in order to evacuate the pus and 
 thus to prevent its injurious consequences to the sur- 
 rounding tissues. "We have to remove the irritation which 
 caused the eruption. For pustular eruptions may be 
 recommended pro re nata : Ant. tart.. Hep. suljjh., Calc. 
 carb., Merc. sol. and prsecip. rubr., Eellad., Jod., Ehus 
 tox., and in obstinate cases, Arsen. and Silic. 
 
 Bfehr Q. c, II., 525) recommends, in children, when the 
 face or the scalp is attacked, Jlercur., as long as there is 
 redness around the eruption. Hepar sometimes cuts the 
 
 8 
 
90 DISEASES OF THE SKIN. 
 
 disease short. When the aifection is more chronic, Ant. 
 crud., Lycop., Arsen., Calc. carb., ISTitr. ac, Clematis, 
 Lycop. and Stajphys. suit for impetigo of the lower ex- 
 tremities (where, according to Heitzmann, it is fre- 
 quent and obstinate on account of the frequent motions 
 of the limbs, and gives rise to ulcerations resembling those 
 described as varicose ulcers). Sulphur, according to Hart- 
 mann, will only act favorably in impetigo if given in not 
 too small a dose. Graphit. shows many characteristic 
 symptoms. IJ/ur. ac. in impetigo of old people on the 
 lower extremities, with burning pains. Conium, Carb. 
 veg. and Sepia also deserve to be mentioned. 
 
 Teste {Diseases of Children, 196) gives Didcam. twice in 
 the forenoon and Clemat once in the evening. Silic, will 
 be necessary in the case of lancinating, very intense itch- 
 ing pains, and where there is an abundant suppuration. 
 
 Hughes (1. c, 464) : Viola trie, in recent cases of the 
 simple kind ; Ant. tari. for impetigo erysipelatodes ; Ant. 
 crud. and Kali bich. for chronic impetigo. He also speaks 
 favorably of Arsen. and Conium. 
 
 Hale : Alnus : Scrofulous and cutaneous eruptions ; dis- 
 eases of mucous membranes, which arise from or alternate 
 with eruptions of the skin; Ars. jod., Carb. ac, Carb. 
 sulph., Juglans. There is, however, still too much gen- 
 eralization in the " New Remedies ;" we need more char- 
 acteristics and closer individualization. 
 
 Russel {I. c.,126): Arsen. Pustular eruptions on the 
 head, the temples and between the eyebrows, causing 
 painful itching as from a sore; eruptions principally about 
 the lips and nose ; pustules on various parts of the body, 
 which cause burning pain and great anxiety. 
 
 Calc. carb. Eruptions on the hairy scalp, with glandu- 
 lar swellings of the neck. Scrofulosis. 
 
 Cic. vir. Extensive suppurating eruptions on the hairy 
 scalp or in the face, with yellow scurfs and burning 
 pains. 
 
IMPETIGO. 91 
 
 Graphit. Humid eruption at the top of tlie head, pain- 
 ful to the touch ; small pustules on the chin and chest. 
 
 Hejpar sidph. Humid scald head. 
 
 Kali hich. During the first week a profuse yellow 
 scabhy eruption over the upper lip. 
 
 Mercur. Humid eruption on the hairy scalp, eating 
 away the hair, with painful pressure, especially at the sore 
 places ; pustules on the upper and lower limbs, the tips of 
 which are filled with pus, and itch ; impetigo on the 
 abdomen, thighs and knees. 
 
 Nitr. ae. Scurfy, humid, itchy eruption on the hairy 
 scalp. 
 
 Rhus tox. Burning, itching eruptions, particularly on 
 the scrotum, prepuce, eyelids and eyes, arms and loins, 
 with swelling of the parts, and small yellowish vesicles 
 which run into each other and become moist, the larger 
 ones terminating in suppuration, with red areolae, the 
 smaller ones drying up more rapidly and scaling off in a 
 few days. 
 
 Sepia. Small itching pustules on the occiput towards 
 the nape of the neck, forming into ulcers the size of an 
 inch, with rough crusts, under which the secretion con- 
 tinues for a long time. 
 
 Staphis. A number of itchy scabs on the hairy scalp ; 
 humid scabs with bad smell. 
 
 Sulphur. Pustules, containing thick pus ; forming yel- 
 low crusts and itching ; crusta lactea. 
 
 E. Blake (£. J. of H., XXY., 119) gives the following 
 indications : — Itching pustules, Croton tigl. ; burning itch- 
 ing. Kali hich. Antimony is the pustular remedy par 
 excellence. Impetigo capitis is best treated by Conium ; 
 or where there are glandular complications by Dulcam. 
 Impetigo faciei, Dulcam. Strumous impetigo, Hepar. 
 
 Gr. W. Richards cured a case of impetigo figurata with 
 Viola trie, a dose four times a day. Strumous constitu- 
 
92 DISEASES OF THE SKIN. 
 
 tion, pustular eruption on whole upper lip and chin ; a 
 thick, yellow, friable semi-transparent incrustation covered 
 the part. (JT. W., VII., 260.) 
 
 General Indications for JReinedles Useful in 
 the Treatment of linpetUfo, 
 
 (From the Lectures of Professor A, R. Morgan.) 
 
 Antimonium crud. — Eruption forming thick heavy yel- 
 low crusts, with burning ; crusts granular, like honey ; 
 eruption about the face. Aggravation. From bathing the 
 parts. Amelioration. In the open air. 
 
 Antimonium tart. — Pustules with red areola. Nausea; 
 gastric derangement. (See Ecthyma.) 
 
 Arsenicum. — Black pustules filled with black blood and 
 pus of a fetid smell. A painful sensation on scalp and 
 face as from cutaneous ulceration. Aggravation. From 
 cold and touch. Amelioration. From warmth. 
 
 Baryta carh. — Especially old people. Thick crusts be- 
 hind the ears. Shy persons. Fat, dumpy children, with 
 swollen lymphatics. Sore throat, w^th swelling of the ton- 
 sils after the least cold. Aggravation. At night and when 
 thinking of the disease. Amelioration. When walking 
 in the open air. 
 
 Calcarea carb. — Especially during dentition. Dry crusts ; 
 sweat on forehead particularly in the evening. Sensi- 
 tiveness of the roots of the hair. 
 
 Cicuta vir. — Impetigo sparsa. Eruption on chin and 
 lower part of face, forming thick yellow crusts. Honey- 
 like crusts, which fall off and leave a bright red smooth 
 surface ; painful eruption on the scalp — non-inflammatory 
 eruption. The eruption on the head and behind the ears 
 burns and itches. 
 
 Clematis erecta. — Especially after abuse of mercury — in 
 psoric constitutions. Pimples on forehead, root of nose 
 and sides of nose. Pustular eruption about the lips, ten- 
 der to touch. Large pustules about the loins. Eruption 
 
IMPETIGO. 93 
 
 changes its character during the changes of the moon. 
 Aggravation. By the heat of bed, washing, and from 
 3 to 5 A.M. Feels exhausted on waking. 
 
 Coniitm mac. — Sero-purulent eruption in aged people — 
 old maids with hypochondriacal humor. Vertigo when 
 turning over in bed, looking up, etc. Old men, weak and 
 feeble. Scrofulosis, with engorgement of the lymphatics. 
 Sero-purulent eruption especially on the mons veneris. 
 
 Croton tig. — Pustular eruption upon an inflamed base, 
 with itching and stinging pain. Eruption upon the sep- 
 tum of the nose, plugging the nostril. Eruption on belly. 
 Pustular eruption on nipple. Sore nipples of nursing 
 women. 
 
 Graphites. — Scabby eruption with excessive oozing. 
 Eruption around mouth and nose, in the whiskers. The 
 hair falls out. Corrosive blisters about the extremities, 
 toes and fingers. Dry skin, very sensitive to cold. Cold 
 hands and feet in females with scanty menses. 
 
 Hepar sidph. — Characteristics. Eruption after abuse of 
 mercury. Sensitive to touch ; tendency towards ulcera- 
 tion. Humid scabs and pustules upon the head, oozing a 
 substance with fetid smell ; swollen cervical glands. 
 Cracks behind the ears — hands cracked and dry. 
 
 Kali hich. — Dry eruption. Pustules which go away 
 without bursting. 
 
 Iris vers. — Impetigo capitis with gastric complaints, — • 
 nausea and vomiting. 
 
 Kreosotum. — Pustular eruption, without pain, all over 
 the body, especially on chin and cheeks. Sticking pains 
 especially in points. Sad and weeping. Aggravation. In 
 open air. Amelioration. In warm room. 
 
 Lycopodiurii — After abuse of mercury. Itching and 
 suppurating eruption on head and face, full of deep cracks. 
 Abundant and fetid discharge. Fetid and moist scabs 
 behind the ears. Humid tinea capitis. 
 
 Mercurius. — Swelling and suppuration of glands. Gas- 
 
94 DISEASES OF THE SKIN. 
 
 trie derangement ; rnoist scabs with excoriation of the 
 scalp and destruction of the hair. Yellowish scabs on 
 face, with discharge of fetid humor. Yellowish scabs 
 especially around the mouth. 
 
 Nitric acid. — After abuse of mercury. Eruption on 
 head ; pricking on being touched. Pustular eruption on 
 face, with large red margin and heavy scabs. 
 
 Rhus iox. — Small pustules on black base. Greenish pus 
 with violent itching at night. Humid eruption with 
 thick scabs on face and head, destroying the hair, with 
 fetid smell. Eruption on nose, extending to face. 
 
 Silicia. — Eruption resembling varicella. Violent itch- 
 ing of the scalp ; moist scald head. Growing pains. 
 Aggravation. Erom. cold. Amelioration. Erom warmth. 
 
 Sulphur. — Dry, thick, yellow scabs on scalp, attended 
 with profuse discharge. Great itching relieved by scratch- 
 ing. Purulent eruption on elbows. 
 
 Thuya. — Eruption all over the body ; itching and shoot- 
 ing especially at night. Pustular eruption about the 
 knees. Amelioration. From gentle rubbing. 
 
 Yiola tricol. — Pustules and scabs upon face, with burn- 
 ing and itching, and discharging a fetid pus ; sensation as 
 of tension of the integument of the face. The urine 
 smells like the urine of cats. Aggravation. At night. 
 
 JEcthyma. 
 
 Ecthyma is the true pustule of the skin, and is variously 
 modified by the constitution and age of the patient. It 
 is essentially a disease of debility, of a low state of tone 
 of the system, and consists of isolated phlyzacious pus- 
 tules — viz., those which are " large, raised on a hard base, 
 of a vivid red color, and succeeded by thick, hard, dark- 
 colored scabs, beneath which there is ulceration." The 
 shoulders, buttocks, and limbs are the parts usually at- 
 tacked. The seat of the disease appears to be the u]3per- 
 
ECTHYMA. 95 
 
 most layer of the derma, not unlikely about the glands 
 of the skin. The depth of surface involved is less than in 
 furuncle, and there is no core. The tendency to ulcera- 
 tion and sloughing, the lividity of the inflammatory 
 areola, the disturbance of the general system, all point to 
 a cachectic condition. Hebra, I^eumann, Kafka and 
 others consider them as abscesses in cachectic persons and 
 surgery as the remedy. 
 
 The primary exciting cause is, emphatically, scratching, 
 the secondary or predisposing causes, such as lead to 
 debility and an impoverished state of the blood. 
 
 The anatomical seat of ecthyma is said by Simon to be 
 between the cutis and cuticle, and not in an enlaro^ed fol- 
 licle. The central depression may be due to an early dry- 
 ing up of the cuticle at the point where the formation of 
 the pustule begins, and so jS.rm a union of it with the 
 cutis that the cuticle and cutis cannot be separated at this 
 spot by the accumulated pus. In these cases the epider- 
 mis near the central depression has usually a brownish or 
 yellow color. 
 
 Acute ecthyma commences with slight fever and occa- 
 sionally sore throat ; locally there is at first a sense of 
 heat and burning, and then the pustule runs its course 
 through the different stages. The disease may be pro- 
 tracted by successive crops of pustules or it may relapse 
 into a chronic state. When, as is more commonly the 
 case, its outbreak and course are tediously prolonged for 
 weeks and even months, it is called ecthyma chronicum. 
 A form of the eruption met with in ill-fed and ill-treated 
 children, has been designated ecthyma infantilis. The divi- 
 sions into ecthyma luridum, cachecticum, gangrenosum, 
 may be striken out as of no practical value w^hatever. 
 
 The prognosis is to be made according to the general 
 condition of the patient. The ecthyma of itself is of 
 little importance, save when it is accompanied by slough- 
 ing, as in old people. 
 
96 DISEASES OF THE SKIN. 
 
 Ti^eatrnent. In our treatment we must recollect that 
 ecthyma is a cachectic disease, and we must endeavor to 
 regulate digestion and elimination, and at the same time 
 or immediately after do all in our power to restore the 
 healthy tone and vigor of the organism. 
 
 Locally Wilson recommends lotions of lime-water and 
 oxide of zinc, or the benzoated ointment of zinc. Where 
 ulceration is established, the unguentum resinse will be 
 required, or solutions of carbolic acid, nitrate of silver or 
 chloride of zinc. 
 
 Fox remarks, that no two cases of ecthyma are exactly 
 alike, and the special knowledge of the physician is often 
 needed to detect some flaw in the performance of the 
 organic function, which mainly determines the occurrence 
 of the disease. 
 
 Baehr (II., 527): Ecthyma for itself, as long as there 
 are no malignant manifestations, needs no medical treat- 
 ment. Our best remedy for pustular diseases is Ant. 
 tart., as long as the disease does not take on a chronic 
 state, and is far preferable to Mercur. Arsen.., Staj^his. and 
 perhaps Lycop. may be thought of on account of the suc- 
 cessive crops. Our aim must be to treat the constitu- 
 tional ailment, as the eruption is only a solitary symp- 
 tom, without neglecting to take good care of the skin. 
 
 Russel (128) mentions: Arsen. Pulse 110 ; white pus- 
 tules, some isolated, the greater part confluent, on the 
 forehead, round the eyes, cheeks, arms, shoulders and 
 upper part of the chest ; they terminate in thick crusts 
 and leave well-marked scars. 
 
 Kali hich. Eruption of red round spots on the back, 
 arms and abdomen ; the spots form pustules the size of a 
 pea, covered with a scab, which came oft^ in a few days 
 and left a small dry ulcer, which healed up in about a 
 fortnight, leaving a colorless depressed cicatrix. 
 
 Mercur. Suppurating pustules, which either run into 
 one another, discharging an acid humor, or which remain 
 
ECTHYMA. 97 
 
 sore, become hollow and afterwards raised and cicatrized ; 
 new pustules spring up in the neighborhood. 
 
 Tart. emet. Large, round, full, burning pustules, with 
 red areolae, forming in two days and leaving deep scars; 
 pustulous eruption, the pustules filling with pus, drying 
 up in a few days, and sometimes leaving deeply penetrating 
 malignant ulcers. 
 
 General Indications for Remedies Useful in 
 
 the Treatment of Ecthyma. 
 
 (From the Lectures of Professor A. R. Morgan.) 
 
 Antimonimn crud. — -Yellowish or brownish scabs on the 
 face ; apt to occur on fat people ; bitter taste in the mouth. 
 Longing for acids ; loss of appetite ; nausea. Character- 
 istic. Tlie air which he inhales feels cold to the nose. 
 Aggravation. From bathing the part. Amelioration. 
 From open air. 
 
 Antimonimn tart. — Pustules with red areola, which 
 leave large scars behind. Crusts brown. Eruption very 
 painful. Decided drowsiness, with nausea ; longing for 
 acids, with aversion to milk. The eructation tastes like 
 sulphur. Severe colic pains ; short breathing and rattling 
 respiration. Don't like to be touched. Aggravation. In 
 the evening and by sitting or standing and by bending 
 forward Amelioration. In the open cold air. 
 
 Arsenicum. — Red pustules with intense burning. Severe 
 ulceration ; painful black pustules, gnawing, burning and 
 itching. Black eruption on the scalp. Aggravation. From 
 cold. Amelioration. From warmth. 
 
 Belladoyina. — Pustules surrounded by a whitish areola, 
 with an erysipelatous inflammation of the skin ; burning 
 and itching with great sensibility to touch. Aggravation, 
 From touching the parts ever so softly. 
 
 Cicitta vir. — Burning suppurating eruption occurring 
 about the face, with yellowish crusts. 
 
98 DISEASES OF THE SKIN. 
 
 Croton tig. — Pustules confluent, oozing, and forming 
 greyish brown crusts especially on the abdomen. Burn- 
 ing all over the surface of the body. Aggravation. After 
 stool and after eating and drinking. Amelioration. After 
 sleep. 
 
 Kali hick. — Pustules all over the body — in the early 
 stag-e ha vino; a small brown scab on the summit. Pus- 
 tules at the roots of nails, spreading over the hand. Pus- 
 tules resembling small-pox, with a hair in the middle ; 
 comes on especially in summer ; in light haired persons. 
 Characteristic. Sensation as of a hair at the root of tono-ue, 
 which is not relieved by swallowing or eating. Aggrava- 
 tion. During summer. Amelioration. From heat. 
 
 Krcosotum. — Large fat greasy pustules, with violent 
 itchino' towards evenins^. Sensation in the skin as if 
 from ulceration. Ulceration on face and chin. Aggrava- 
 tion. During repose. 
 
 Nitric acid. — "When touching the pustules they feel as 
 if a splinter was sticking in them. 
 
 Mercurius. — Pustules bleed easily — painful to touch. 
 
 Petroleum. — Itching and burning pustules, with great 
 weakness on exertion ; great lassitude. Aggravation. 
 From exposure to open air. Amelioration. From warmth 
 and warm air. 
 
 Pulsatilla. — Eruption better in open air and worse in a 
 warm room. 
 
 Rhus tox. — Pustules upon a red base ; black pustules, 
 forming hard scabs, with burning and itching. Aggrava- 
 tion. In cold weather. 
 
 Secale corn. — In scrawny people with rough skin, especi- 
 ally females ; black pUstules with tendency towards gan- 
 grene. Aggravation. In warmth. Amelioration. In cold. 
 
 Silicia. — All over the body — and especially on the back 
 part of the head — sensitive to contact. Burning and sore- 
 ness after scratching. Characteristic. Aversion to warm 
 food. Aggravation. In cold. Amelioration. From warmth. 
 
FUR UNCUL OUS A FFECTIONS. 99 
 
 Sidjphir. — Dry thick yellowish scabs all over the body, 
 especially on the scalp, always attended with great itch- 
 ing, painful to touch. Stooping figure ; dry skin. Aver- 
 sion to washing. Aggravation. From washing, from 
 touch, and on getting warm in bed. Amelioration. From 
 warmth. 
 
 Thuya. — Suppurating pustules, especially on lower ex- 
 tremeties. Aggravation. From touch. Amelioration. 
 From gentle rubbing. 
 
 Farimculoiis Affections. 
 
 Wilson (l. c, 145) puts furunculous aifections, impetigo 
 and ecthyma under one head. E'eumann devotes a special 
 chapter to them under the title of phlegmonous inflamma- 
 tion. Fox follows Wilson. Hillier agrees with I^eumann, 
 but calls them gangrenous inflammation ; and thus ad in- 
 finitum. It is certain that they are far more than a mere 
 pustule, if its definition : " an elevation of skin produced 
 by a collection of pus," be correct. Wilson shows that their 
 principal morbid characters, are a deeper implantation 
 within the skin, a more advanced development in the 
 nature of the inflammatory product, and, beyond the pyo- 
 genesis, a tendency to gangrene and sometimes to ulcera- 
 tion. They differ from impetigo and ecthyma in being 
 deeper, and by their pustules containing in the centre a 
 dead piece of tissue which is called the core. When the 
 boil contains several cores and the cellular tissue is much 
 involved and more or less sloughy, then a carbuncle exists. 
 
 There are two kinds of furuncles, follicular furuncle 
 and cellular tissue furuncle. 
 
 A follicular boil is a circumscribed inflammatory infil- 
 tration, having: its orio-in in a hair-follicle or sebaceous 
 gland, which is distinguished by its hard consistence, deep 
 redness and slow suppurative destruction. The first 
 symptom is a sensation of tension, even before the skin is , 
 reddened ; but even at this time an infiltration can be 
 
100 DISEASES OF THE SKIN. 
 
 appreciated by delicate toucli. This plug irritates the 
 neighboring tissue ; inHammation and suppuration take 
 place around the core, which becomes loosened and is 
 finally cast off. The arteries and veins in and around the 
 core are filled with coagulated blood. 
 
 £oUs of the cellular tissue are hard, difi'use infiltrations 
 of the coriura, which become gangrenous in large por- 
 tions and destroy the subcutaneous cellular tissue to a 
 considerable depth. They frequently become confluent, 
 and great portions of the skin slough, so that even the 
 muscular tissue may be exposed. 
 
 The causes of furuncles may be for the greater part 
 local, but we find in most cases constitutional irregularities 
 as the predisposing cause. It is yet a question whether 
 high living and dyspepsia are alone so much to blame, 
 since we find them as frequently in persons forced to 
 breathe continually an impure air, in close rooms with im- 
 perfect ventilation. Boils may appear in any part of the 
 cellular tissue, but the neck, hips and buttocks are fre- 
 quently the seat of the disease, and there are cases of suc- 
 cessive crops of boils, so that the disease often lasts a con- 
 siderable time. Furunculous ecthymata are often found 
 in association with furuncles, thus establishing a relation- 
 ship between them. 
 
 Hordeolum or Stye is a little boil commonly met with 
 on the eyelid. 
 
 Anthrax — Carbuncle. Anthrax is distinguished from 
 furuncle by the deep gangrenous destruction of the 
 skin, embracing both the corium and the subcutaneous 
 tissue, whose necrosed masses, together with the scantily 
 formed pus, are discharged through several sieve-like 
 openings, corresponding to the numerous necrosed cores. 
 The surrounding parts are reddened, hard to the touch 
 from plastic infiltration and the vessels are plugged up. 
 The formation of anthrax is attended with severe tension 
 and pain, which is the more severe in proportion as the 
 
FUR UNCULOm AFFECTIONS'. 101 
 
 part affected is more or less rich in nerves and sensitive. 
 There is fever during its whole course, and if the process 
 is not stopped, chills and pysemic symptoms may ajDpear. 
 The healing process is often indolent, the parts remaining 
 indolent, dusky, shreddy and also sloughy. The patient, 
 if the attack is severe, gets into a very depressed state. 
 The usual place of carbuncle is the back, from the nape 
 of the neck to the pelvis, though any part of the body 
 may be attacked. Dangerous sj^mptoms may appear in 
 anthrax and furuncle of the face, forehead or nape of the 
 neck, by being readily complicated by phlebitis. This 
 phlebitis of the face is fatal by the propagation to the 
 sinus of the dura mater, or by becoming a source of puru- 
 lent infection. Carbuncles are common in advanced life, 
 although they are found at any period and in any condi- 
 tion of life. 
 
 Fox (l. c, 235) sums up the following conditions under 
 which boils or carbuncles appear: 1. During seasonal 
 changes in spring and summer. 2. From eating diseased 
 meat (frozen). 3. When any special alteration is made 
 in the ordinary habits and economy of the body, as in the 
 training of prize-fighters. 4. From the influence of cada- 
 veric poisons. 5. From sudden changes of diet. 6. After 
 fatigue of long duration. 7. During convalescence from 
 debilitating diseases. 8. As a consequence of the action 
 of septic poisons, as in fevers, etc. 9. In albuminuria. 
 10. In the diabetic habit. 11. During adolescence, and 
 in the first stage of manhood. In most of these cases 
 there are debility and an overloaded state of the system ; 
 for example the circulation of urea, of sugar, of septic jDoi- 
 son or of effete matter, which is plentiful during conva- 
 lescence ; and it only needs the action of some local irritant 
 to determine the developement of furunculi in the parts 
 to which that irritant is applied. 
 
 Treatment. Brewer's yeast has the reputation of being 
 decidedly beneficial in boils. It may be given between 
 
102 DISEASES OF THE SKIN. 
 
 meals, a tablespoonful three times a day. Quinine in large 
 doses, so as to cause decided head-symptoms, finds favor 
 also with some practitioners. Hardy recommends the 
 aqua picea. Neumann, free exercise in the open air and 
 regulation of the diet to check the disposition to furuncu- 
 losis in those who suffer continually from boils in con- 
 sequence of too close confinement. Locally the best treat- 
 ment is to open the furuncle with the knife as soon as 
 possible. To diminish the pain during the operation, a 
 freezing mixture may be applied before opening it, fol- 
 lowed by cold water dressings. This treatment is also 
 applicable to anthrax, with the difterence that in this 
 several cross-cuts must be made. Ether or rhigolene spray 
 may take the place of the freezing mixture. Some sur- 
 geons prefer subcutaneous incisions. 
 
 Fox justly remarks, that the internal treatment varies 
 according to the state of the patient. In the slighter forms 
 or at the beginning, the abortive treatment of pressure 
 might be tried, by means of soap-plaster; but in the vast 
 majority of cases boils run on to suppuration, and the rapid 
 evulsion of the core should be encouraged. Poulticing 
 should be confined as much as possible to the exact seat of 
 the local inflammation, as from the neglect of this precau- 
 tion fresh boils spring up around the old one. To hasten 
 the maturation and exit of the core, potassa fusa or acid 
 nitrate of mercury must be applied around the indicated 
 locality. The same treatment holds good for carbuncles, 
 but if pressure fails and there are serious tension and pain, 
 the swelling must be incised. The incision should be sub- 
 cutaneous, crucial or single, as the case may be. 
 
 Helmuth {Surgery^ 469) teaches that patients are cured 
 as speedily and more radically by homoeopathic remedies, 
 and we, therefore, refer our readers to that excellent 
 compendium for the treatment of furuncles and carbun- 
 cles. 
 
 Kallenbach introduced into our materia medica Galea- 
 
FURUNCULOUS AFFECTIONS. 103 
 
 rea muriatiea, intern all j as well as externally. We com- 
 monly put an ounce of the salt into a quart bottle of 
 water, and find this solution strong enough for maturation 
 and expulsion of the necrotic tissue. Ai^sen.., Bellad. and 
 Silic. are the remedies which we find most frequently 
 indicated. 
 
 Gilchrist {Treatment of Surgical Diseases.^ 379) recom- 
 mends for boils: Aeon., Arnic, Bellad., Hepar, Mercur., 
 Sulphur; and for carbuncles: Arnic, Arsen., Bellad., 
 (CalenduL), Laches., Mercur., Sulphur. For particulars 
 we refer to the work. 
 
 An exhaustive article on boils may be found in the 
 Hahnemannian Monthly, Yol. YII., 510 and YIIL, 70, 
 where the remedies for the location of boils is strictly 
 individualized ; ending with the remark of Hughes and 
 Madden, that a boil in the stage of inflammatory engorge- 
 ment, before matter is formed, may almost always be 
 blighted by repeated doses of the first dilution of Bella- 
 donna, and even later still its progress may be arrested by 
 Silicia, and if they recur again and again, the constitu- 
 tional tendency may, with equal frequency, be checked 
 by a course of Sulphur. 
 
 Jahr {Clinical Guide, 39) recommends for anthrax, when 
 caused by infection: Arsen. or Lachesis, unless China, 
 Ehus tox., Silic. or Pulsat. should be indicated. The 
 common anthrax requires Silic. or perhaps Cepa, Hyosc, 
 Lycop. or Witv. ac. Sometimes Arnic. is given with good 
 efiect at the beginning, after which I^ux vom. completes 
 the cure. Lachesis, dark redness around the sore and 
 dark bloody pus ; ^j9zs, stitching burning pains ; Arsen., 
 burning pains, as from live coals; Stramon., pains so 
 severe, that he becomes nearly distracted; Lycop., warm 
 poultices aggravate all the pains; Anthrac, violent burn- 
 ing pains, not relieved by Arsen., cerebral symptoms, ab- 
 sorption of pus by the blood, gangrenous destruction. 
 
 Kafka {I. c, II., 419) considers cold as the most efiectual 
 
104 DISEASES OF THE SKIN. 
 
 means to check the dermatitis and to prevent its spread. 
 Ice bags, or ice mixed with salt, applied to the inflamed 
 part and frequently changed, often reduce the inflamma- 
 tion to the minimum, assuage the pain and shorten the 
 course. In favorable cases the patient gets well without 
 the formation of abscesses or necrosis of the connective 
 tissue, or instead of the latter only a benign suppuration 
 appears. Ice bags applied early and energetically over a 
 carbuncle may entirely prevent all destructive process ; 
 but such applications are only indicated so long as the 
 patient finds them soothing and beneficial. As soon as 
 cold increases the pain, we must change from cold to 
 warm fomentations. 
 
 Where, in spite of the application of cold, the pains, 
 the heat and the tension are very intense in the inflamed 
 cutis, we give J-Con. for the simultaneous sthenic fever; 
 Apis or Bellad. for cerebral congestions ; Merc. sol. in 
 afebrile states, with restlessness at night and sleeplessness ; 
 Hepar for hammering pains and horripilations, hinting at 
 the formation of pus ; Niix vom. or Bryoii. for simultane- 
 ous gastric states. As soon as fluctuation is clear, the open- 
 ing of the abscess should be early performed, as, where 
 the pus remains too long inclosed, the patient may 
 become cachectic, or it may lead to furunculosis. In an- 
 thrax also early surgical interference may be recom- 
 mended. The more profuse the suppuration, the more a 
 nourishing diet is indicated. If adynamia sets in, with 
 necrotic destruction of the carbuncle, Rhus tox.^ Arsen., 
 Lachesis or Secale have often stopped the gangrene and 
 brought strength to the sunken vital powers. Where 
 the strength rapidly fails, Campho?\, Kreosot.^ Sabina^ 
 Carb. veg. are indicated. Against furunculosis we give 
 Phosphor, with benefit, and Nitr. ac. or Ukas tox. when 
 cold water treatment is the cause of it. 
 
 Bsehr {I. <?., II., 531) is totally opposed to all surgical 
 interference, and especially to early incisions, and begs all 
 
FUR UNCUL US AFFECTIONS. 105 
 
 surgeons to try the cure of furuncles and carbuncles by 
 internal medication alone. He recommends Ai^sen. from 
 the start, and Secale as soon as cerebral symptoms set in, 
 or Phosph. Silicia can only be indicated when suppuration 
 is fully established. Soule expresses himself also as against 
 the treatment with the knife, and in favor of the expect- 
 ant treatment, with emollient poultices. But a large an- 
 thrax he first destroys with the Vienna paste and opens 
 on the following day, and then treats with the tincture of 
 Iodine. 
 
 Malignant Pustule — Pustula Maligna. 
 
 This disease is characterized by a boil-like inflamma- 
 tion, accompanied by gangrenous changes, and produced 
 by the contact of a certain animal poison derived from 
 beasts aftected with a disease called charbon. It occurs 
 in those who touch the dead carcasses of " charbon " ani- 
 mals, or work with the hides and secretions of such dis- 
 eased animals, or who are in constant contact with beasts, 
 or are stung by flies that have feasted on the former. It 
 is even said that the disease may be caught by eating the 
 flesh of such diseased animals. 
 
 It commences as a papule of a livid color, and at the 
 earliest stage the tissues around can be felt to be indu- 
 rated to a considerable extent and depth, and distinctly 
 creak on being incised. In from seven hoars to two 
 days the papule becomes like the vaccine pustule, only 
 livid or black, and an erysipelatous redness extends around 
 it, spreading oftentimes with great rapidity. The pustule 
 and the swelling around steadily increase. The cuticle 
 is then raised by effusion, and blebbed, and sloughing 
 ensues. The pain is burning, but only in exceptional 
 cases severe. The constitutional symptoms bear an exact 
 proportion to the extent of the local mischief ; the breath 
 is offensive, the tongue moist and coated, the pulse quick 
 and strong, becoming small and frequent, the skin is re- 
 laxed and clammy. The patients either die in coma, or, in 
 
106 DISEASES OF THE SKIN. 
 
 favorable cases, the disc of dead tissue in the centre 
 sloughs, leaving a healthy, granulating surface behind. 
 The disease is always the result of direct local inoculation. 
 
 The treatment consists in fully destroying at the earliest 
 possible moment the eschar or vesicating part by potassa 
 fusa, subsequently incising, applying charcoal poultices, 
 with chlorinated soda washes, and internally, after a 
 cathartic, free doses of tincture of steel, carbonate of am- 
 monia, brandy and generous diet. (Fox, I. c, 239.) 
 
 Helmuth {Surgery, 380) agrees as to the local treatment, 
 but instead of a general internal treatment, states that the 
 livid color of the pustule and the typhoid symptoms clearly 
 point to another animal poison, Lachesis^SiS, the simillimum. 
 Dr. Carroll Dunham cured a case with Lachesis and stimu- 
 lants (a bottle of Dublin porter every two hours, until the 
 pulse revived and the restlessness subsided), and in his 
 own case {Am. Horn. Review, TV. 31) it acted equally well. 
 This distinguished physician, while assisting in the au- 
 topsy of a woman who had died of puerperal peritonitis, 
 received a dissecting wound on the index finger of the left 
 hand. Within a week the finger had quadrupled in size ; 
 the hand and forearm were much swollen and oedematous, 
 a hard, red line extended from the wrist to the axilla, 
 where the glands were swollen ; intense pain ; the whole 
 left side was partially paralyzed. The constitutional 
 symptoms were, extreme prostration, low muttering de- 
 lirium at night, marked aggravation of suffering and 
 prostration on awaking from sleep. Lachesis 12th was 
 taken on the third day of the illness, and a dose thrice 
 daily for ^yq days, at the end of which period the con- 
 stitutional symptoms had substantially vanished. The 
 recovery of the finger was slow but complete. 
 
 Should we, in cases of malignant pustule, follow Baehr's 
 advice, and rely entirely upon internal medication ? Some 
 cases may slowly recover under mere internal treat- 
 ment, but certainly surgical interference ought not to be 
 
FUR UNCULOUS AFFECTIONS. 107 
 
 made a bugbear of, and it is our duty to use every means 
 giving any chance of alleviating the sufferings of our 
 patients. 
 
 l^either Arsenicum nor Arum triphyllum correspond 
 fully to malignant pustule, although each has adynamia 
 among its symptoms. The restlessness of Arsenic, the 
 dry tongue and involuntary diarrhoea, and the unconscious- 
 ness are secondary symptoms, and in neglected cases it may 
 become the remedy for these consecutive symptoms of 
 putrid infection. JNelaton recommends the application of 
 vi^alnut leaves on the malignant pustule. {N. A. J. of H. 
 XYI. 175.) 
 
 Fustula Aleppensis, JBouton d'Alep. 
 
 This is a chronic inflammatory infiltration of the skin, 
 affecting the outer corners of the eyes, the under eyelids, 
 the cheeks, the point of the nose, the lips, and especially 
 the lower extremities ; principally attacking strangers who 
 have moved to the East. It appears endemically. The 
 natives are attacked mostly from the first to the seventh 
 year of life ; foreigners may have it at any age. The dis- 
 ease occurs but once in a lifetime. It begins as a small 
 red spot, which is gradually developed into an indurated 
 swelling. The edges of the ulcer are thick and infil- 
 trated ; the granulations are foul. After lasting from 
 eleven to fourteen months, the ulcers become clean and 
 a scar is formed. 
 
 A similar malignant pustule is known under the names 
 "the Delhi boil, the Scinde boil," and so on. Dr. Flem- 
 ing {English Army Medical Heport, 1869,) has seen much 
 of these diseases, and states that we should, as soon as the 
 disease is recognized in the form of a small reddish-brown 
 growth on the skin, apply strong nitric acid or potassa 
 fusa over the surface. All these ulcers propagate them- 
 selves in various ways amongst individuals and bodies of 
 men, principally, if not entirely, by their discharge, which 
 is most contagious when a thick gummy-like exudation 
 
108 DISEASES OF THE SKIN. 
 
 appears at the upper part of a sore or from a scab, just 
 previous to the commencement of ulceration. 
 
 Scemorrhagice of the Cutis. 
 
 Purpura. 
 
 Purpura is an erythema (erythema porphyricum) associ- 
 ated with the escape of blood from the capillary vessels, 
 so as to produce a purple spot in the skin. The spot may 
 be a mere speck or stigma ; it may have the appearance 
 of a flea-bite or petechia, that is, a central point surrounded 
 by a halo of a brighter tint ; it may occur in stripes or 
 wheels, vibices; or it may present itself as a diffused blotch, 
 or ecchymosis. The color of purpura will vary with its 
 age, ranging from bright crimson to purple-black, and its 
 figure and extent with the degree of vital resistance of the 
 tissues. When mild, it is called purpura simplex; when 
 severe purpura hemorrhagica, in which the hemorrhage may 
 also come from any or all of the mucous surfaces. These 
 spots never fade on pressure, are especially apt to appear 
 on the lower extremities, and are most marked about the 
 thighs and buttocks. They may be single or aggregated 
 into patches, and appear fresh every day or at short inter- 
 vals. Diet fails to influence the progress of the eruption, 
 whereas in purpura from scurvy, fresh vegetable food will 
 immediately check the disease. 
 
 Hcematomata, blood cysts, when the blood collects in the 
 form of a distinct tumor, arise when blood vessels are ac- 
 tually ruptured and so permit the escape of blood. It is 
 an injury, not a disease, and belongs to surgery. 
 
 Secondary forms of cutaneous hemorrhages occur in con- 
 nection with diflferent zymotic diseases, as typhus, variola, 
 etc., and are an ominous symptom of the disease, but not 
 a cutaneous disorder. 
 
 HcEmatidrosis or blood sweating will be treated among 
 the disorders of the sudoriparous glands. 
 
HEMORRHAGIC OF THE CUTIS. 109 
 
 Treatment Turpentine, perchloride of iron and quinine 
 are recommended. 
 
 Kafka {l. e. II., 479) recommends Lachesis, Rhus tox. or 
 Arsen. for simple purpura. Secale or Ergotin also deserve 
 our consideration, having been found useful in internal 
 capillary hemorrhage. Purpura hsemorrhagica needs Acid 
 sulpha for some time, or Ferrum sesquichloratum, 1 grain to 
 half an ounce of water, and externally 10 grains to half an 
 ounce of water. Tepid baths are only advisable in robust 
 persons. Weakly or debilitated subjects fare better from 
 sponging with diluted vinegar or wine. 
 
 Hughes ( Therapeutics, 48) gives two cases of purpura 
 with asthenic fever, which recovered under Sulphuric acid 
 and Arnica; but he considers its use rather a relic of old- 
 school traditions than an induction from the law of simi- 
 lars. The petechise of purpura are unquestionably so 
 many bruises (ecchymoses), only in this case the extrava- 
 sation results from morbid change from within, and not 
 from mechanical violence from without. The influence 
 of Arnica is probably not merely local, but dynamic and 
 specific. Mercurius also causes ecchymoses or hemorr- 
 hages. Arsenic is homoeopathic to the prostration and the 
 petechiae. Phosphorus is indicated in the non-febrile 
 variety of purpura, as abundant ecchymoses observed in 
 the subjects of poisoning by Phosphorus closely resemble 
 the symptoms of purpura ; but they are secondary symp- 
 toms, and occur only in connection with the peculiar mor- 
 bid changes induced by Phosphorus. The anti-hsemorr- 
 hagic virtues of Hamamelis are so well marked, that it 
 must exercise great power on such morbid conditions. 
 
 Eaue {I, c. 543) gives as therapeutic hints Phosphor., Le- 
 dum, Bryon., Arnic, Arsen., Laches., Sulph. ae. 
 
 Jahr {Clinical Guide, 357) praises Bryonia highly, and 
 also recommends Arnic, Bellad., Berb., Hyosc, Laches., 
 Ledum, I«fux vom., Phosph., Euta, Secal., Silic, Stramon., 
 Sulph. ac. 
 
110 DISEASES OF THE SKIN. 
 
 Hale {New Remedies^ 168) mentions Chloral and Hama- 
 melis. 
 
 CHAPTER III. 
 
 YI. PIGMENTARY DISEASES. 
 
 Maciilm — 3Ielanode7*ma — 3Iorbiis Addisonii — 
 Lencodevina — Cliloasma, etc, 
 
 MaculcB or stains (discoloration s of the skin) are of 
 various kinds. Excluding from this chapter hsemorrhagic 
 stains, as in purpura, and also those that are parasitic or 
 chemical, we shall confine ourselves strictly to pigmen- 
 tary diseases. They are seated in the deeper layers of the 
 epidermis, the so-called rete mucosum, and may be classed 
 under two heads, viz. : those in which there is an excess of 
 pigment, and those in which there is a deficiency of it. 
 Fox {I. e., 401) accepts these two grand divisions only, the 
 former as Melanoderma^ the latter as Leucoderma. 
 
 Melanoderma — Leucoderma. 
 
 Melanoderma means, therefore, excess of pigment, result- 
 ing in discoloration ; but the altered tint of the skin may 
 be blue, yellowish, black (thus including cyanoderma, 
 xanthoderma and melasma). 
 
 Melasma, melanosis, nigrities, is an acquired discoloration 
 of the skin, afifecting principally the lower extremities, 
 but which may include the whole surface. It is seen 
 mostly in wine drinkers, and after pediculis vestimento- 
 rum in consequence of numerous extravasations coming 
 from severe scratching. The skin resembles that of a ne- 
 gro. It may also be a physiological condition, as seen in 
 the staining around the nipple and the linea alba in preg- 
 nancy, and this condition may become a pathological state 
 by its excess. According to Anderson melanosis occurs 
 in its most typical form in persons tainted with syphilis ; 
 
PIGMENTAR Y DISEASES. Ill 
 
 but such cases will be classed under the head of constitu- 
 tional syphilis. 
 
 Wilson thinks that in melanoderma there is an aneemia 
 of special features, accompanied by pigment deposit and 
 change, due to deUlity of the nervous powers., and that the 
 various colors are modified results. 
 
 Morbus Addisonii — Bronze Disease, 
 Addison first called attention to a peculiar discoloration 
 of the skin (bronzing), which he connected with disease 
 of the supra-renal capsules. It is accompanied by pro- 
 gressive debility, anaemia, a compressible pulse, giddiness, 
 nausea and gastric disturbance, and usually terminates 
 fatally at the end of a few years. The color in these cases 
 is brownish, with sometimes an olive-green tint, and it very 
 closely resembles that seen in the darker races of men. 
 The depth of tint varies in different patients, and is most 
 marked in parts most exposed, and also in places where 
 there is normally an excess of pigment, as, for instance, 
 around the axillse and near the umbilicus. 
 
 Eulenburg and G-uttman (Pathologioe der Sympathicus., p. 
 162) have collected all the arguments concerning the ori- 
 gin of this bronze disease. They acknowledge that neither 
 the physiology nor the pathology of the supra-renal glands 
 are yet understood, and they lean with great force to the 
 opinion that the supra-renal disease is a secondary one, 
 dependent on an affection of the nervous system., especially of 
 the large abdominal plexuses of the sympathetic. Ad- 
 dison thought that the excessive prostration might be 
 caused by an affection of the semi-lunar ganglia; and 
 Virchow {Geschiolilste., II. 702) remarks, that discoloration 
 of the skin is also observed in disease of the pancreas. In 
 most cases of disease of the pancreas or of a supra-renal 
 gland, we also find the epigastric and mesenteric lymph- 
 atic .2:lands in a diseased state. 
 
 Rossbach (Yirchow's Archiv.^ 1870) considers morbus 
 
1]2 DISEASES OF THE SKIN. 
 
 Addisonii a functional disorder of the whole nervous sys- 
 tem, standing in some relation to the supra-renal glands, 
 and characterized by mental disturbances, excessive anae- 
 mia, extraordinary sensation of debility, and very fre- 
 quently by dark pigmentation of the skin. Emaciation 
 is here the exception, whereas it is the rule in dyscrasic 
 anaemia (cancer and tuberculosis). As setiological stand- 
 points for morbus Addisonii, we find in all cases disturb- 
 ances in the nerve centres, long continued emotions, grief, 
 misery ; these depressing emotions, reacting on the whole 
 nervous system, may produce ansemia or changes in the 
 distribution of the blood and, in consequence, of its pig- 
 mentation. Wilson {Diseases of the Skin, p. 600) says : 
 The leading features of this morbid state are ansemia, 
 general languor and debility coming on slowly and insidi- 
 ously, so that the patient can hardly ^x a date to his 
 earliest feeling of that languor, remarkable feebleness of 
 the heart's action, the pulse perhaps large but remarkably 
 soft and compressible, and occasionally with a slight jerk, 
 especially under the slightest excitement, irritability of 
 the stomach, and singular dingy or dark discoloration of 
 the skin, occurring in connection with a diseased condi- 
 tion of the supra-renal capsules. The solar plexus is the 
 actual source of all these successive phenomena, and the 
 disease of the capsulse supra-renales only the exciting cause. 
 A harmless chloasma cannot be set down as a sign of a 
 fatal cachexia ; but our experience is altogether in favor 
 of considering it a consequence of irritation of the great 
 centre of innervation of the assimilative organs. Further- 
 more, cases are on record, where the whole complex of 
 symptoms was present, without any diseased state of the 
 supra-renal capsules being found after death ; and Rortau 
 {Brit. Med. and Surg. JReview, April, 1861) narrates that 
 most remarkable case of melanosis, where a woman, during 
 the French revolution, was condemned to be hung, and 
 from fright turned black all over the body. The exe- 
 
PIGMENTAR Y DISEASES. 113 
 
 cution did not take place, but the discoloration of the 
 skin remained up to her death, thirty years later. 
 
 Leucoderma. The same nervous influence prevails in 
 some cases where diminution of pigment is found, but un- 
 fortunately we do not yet know the cause of this loss of 
 coloring matter. Partial discolorations are seen princi- 
 pally after very enervating diseases, as typhus. In ne- 
 groes the discoloration is, as may be conceived, more strik- 
 ing, so that a true dappling results (Neumann, /. c. 387). 
 In all such cases of leucoderma everything else is normal, 
 save perhaps the sensations, which may be blunted. In 
 the East Indies, where this disease prevails, it is known to 
 arise from depressed innervation. That fright and fear 
 have blanched over night the hair of darkest hue (loss of 
 pigment), is a fact too well known to allow of dispute. 
 From such known causes we may well form conclusions 
 for other cases where the causes still remain incognito, 
 and pigmentary diseases may be therefore classed among 
 the neuroses of the skin. 
 
 Melasma jigurata is a partial form of melanosis, gener- 
 ally circumscribed, but not unfrequently associated with 
 a diiFused huskiness of the skin (ephelis). Plenk distin- 
 guishes seven varieties, three belonging to the local group, 
 Solaris (sunburn), ignealis, a vesicatoric (or from any other 
 local irritant), and four constitutional varieties, namely, gra- 
 vidarum, hepatica, dysmenorrhoealis and hemarrhoidalis. 
 
 Figmentary ncevi consist of collections of pigment in 
 the rete and corium, and a certain amount of hypertrophy 
 of the papilla at times. They may be furnished with hairs 
 (nsevi pilosi). 
 
 Xanthoderma. In this disease the pigmentary discolora- 
 tion is yellowish, and it is subdivided by some into len- 
 tigo and chloasma. 
 
 Lentigo (freckles) is a small lentil-shaped and lentil- 
 colored spot, commonly met with on the face and exposed 
 parts of children and fair-complexioned persons, seated in 
 
114 DISEASES OF THE SKIN. 
 
 the rete-mucosum, and produced by an unknown predis- 
 posing cause, showing itself by a weakness in the structure 
 of the skin and a sensitiveness to irritant impressions. 
 
 Chloasma (liver-spots, pityriasis versicolor) is a discolor- 
 ation of the skin, of a light yellowish or greenish-brown 
 tint, having its seat in the rete mucosum, occurring in 
 small patches or blotches of considerable extent, distinctly 
 circumscribed and developed symmetrically on the trunk 
 of the body, neck and limbs. (The Vienna school con- 
 siders chloasma of parasitic origin, and classifies it among 
 the* parasitic diseases, and it will be considered more at 
 length in the chapter on these diseases. We will only 
 mention that here also assimilative debility, general 
 nervous weakness, etc., are found among the most fre- 
 quent predisposing causes.) 
 
 Jeffries {l. c. 62) remarks, that chemical analysis shows 
 the coloring matter to be allied to the indigo compounds. 
 The theory of coloration in chromidroses is, that the in- 
 dican^ exists in the blood in certain unhealthy conditions. 
 It is colorless and soluble, especially in an alkaline fluid. 
 The indican is secreted by the sudorifarous glands, still 
 colorless. It is now dehydrogenated, and fully oxidized 
 (according to temperature, etc.) into brown or blue indigo, 
 The indigo-red does not seem to be formed. When the 
 blue is very abundant and deep in color, it appears black. 
 In blue coloring of the lids the urine showed by test no 
 color. Dermatologists have thus proved by the chemists' 
 assistance, that the skin does not excrete certain coloring 
 matters. IsTeftel {N. A. J. of Horn., xxii. 68) says of In- 
 dican : This coloring matter is occasionally found also in 
 typhus, cholera and other diseased conditions ; but its 
 
 ^Indican, C26, H31, NO17. Present only in small quantities in 
 the normal urine ; in larger quantities in pathological urine, especi- 
 ally in hepatic cancer ; copiously also in the urine of dogs ; gives to 
 the urine its intensely yellow color. In putrefying urine it passes 
 into indigo Ce, N26, NO, a dark -blue amorphous powder. (Ranke, 
 Physiology, p. 75.) 
 
PIGMENTAR Y DISEASES. 115 
 
 presence in large quantities in persons affected with malig- 
 nant tumors I consider as pathognomonic of carcinoma of 
 the liver, and consequently of the generalization of the 
 disease. Wilson notices especially in reference to melano- 
 derma a peculiar condition of the eye, — "the melasmic 
 eye." It consists of a vivid brightness and brilliancy and 
 sparkling lustre of the eyeball, a liquid depth of color of 
 the humors of the eye, and a strongly contrasting white- 
 ness of the sclerotica, the effect being often increased by 
 a more or less deep tint of a dull blackness of the integu- 
 ments of the eyelids, more especially of the fold of skin 
 of the upper eyelid which immediately borders on the 
 eyelashes. (Such a brilliant eye is also characteristic of 
 hysteria, and may be caused by the same or a similar state 
 of anaemia and deficient innervation). 
 
 The prognosis may be grave or unimportant, according 
 to the nature of the cause. If the irritation of the organic 
 nerves be due to visceral disease, and proceed to an aggra- 
 vated form of melan£emia and leucaemia, the case will most 
 likely prove fatal. If the disease be slight or simply 
 functional, there is hope of cure. Cases most favorable to 
 a cure are those where the nervous irritation originates 
 in deranged uterine function or in hysteria. 
 
 Treatment — The treatment consists in the removal of the 
 cause and the renovation of the strength and nervous power 
 of the sj^stem. 
 
 Wilson found the ferro-arsenical mixture of great value, 
 combined with moral medicine and a generous diet. The 
 local treatment requires moderate stimulation by means 
 of friction and ablutions with the carbolic acid or juniper- 
 tar soap and the use of cold water. The bichloride of 
 mercury lotion, one or two grains to the ounce, is fre- 
 quently of great service; so also frictions with the unguen- 
 tum picis liquidse or unguentum sulfuris. In obstinate 
 cases we have had recourse to the compound tincture of 
 iodine pencilled on the surface, a saturated solution of 
 
116 DISEASES OF THE SKIN. 
 
 iodine in glycerine, and a solution of potassa fussa, one 
 part to eight of water. 
 
 Fox (L c, 404) does not think local remedies of any 
 direct use, yet free ablutions and frictions with the use of 
 juniper-tar soap as a stimulant, help the skin to recover 
 its healthy condition. Imperfect oxidation and deficient 
 elimination must be remedied. The action of the malarial 
 poison on the system may also tend to an abnormal pro- 
 duction of pigment in the blood. 
 
 ^Neumann {l. c, 385), the disciple of Hebra, on the con- 
 trary, believes that the removal of pigment is readily 
 accomplished by such means as cause a superficial inflam- 
 mation of the skin and result in desquamation of the 
 epidermis. Among the remedies employed, the best is 
 corrosive sublimate (grs. v ad aqua ^ j.). The affected 
 portions of skin are covered with pieces of linen, accurately 
 fitted, and kept moist with the solution for three hours. 
 The edge of the cloth should be continually dried, as 
 otherwise the solution will collect and destroy too deeply. 
 Gradual separation of the epidermis may be obtained by 
 an ointment consisting of Bismuth subnitrat. et hydrarg. 
 prsecip. alb. aa. 5 j. Unguent, simplex, ^ ij. The disfigura- 
 tions return in most cases. 
 
 Kafka {L c, II., 676) speaks of 7nelancemia where the 
 blood is poor in red blood globules, with a surplus of pig- 
 ment in the blood, which will be deposited in the tissues. 
 Such a state is frequently observed after old and severe 
 intermittents. After treating fully of the dietetic and 
 hygienic treatment of ansemia, he continues (p. 684) : 
 " The remedial treatment requires our utmost care. In 
 selecting the remedy we must not only study out the 
 cause, but we must also elucidate whether we have to deal 
 with a primary or secondary ansemia, as the former is 
 often curable, whereas the latter fails to respond to our 
 efforts. There is no universal remedy for the removal of 
 anmmia. 
 
ANOMALIES OF SECRETION. 117 
 
 Eaue {l. c, 608) mentions Calc. carb., Clematis, Graphit., 
 Hepar. s. c., Lycop., Petrol., Plumbum, Sepia, Silic., 
 Sulphur, Thuya, to be compared with the symptoms of the 
 individual case. 
 
 Toothaker (Small, Diseases of the Nervous System^ 190) 
 mentions for Lentigo : Antim., Bryon., Calcar., Lycop., 
 Natrum, Pulsat., and Sulphur; and for Ejphelis : Alum., 
 Dulcam., Graphit., Kali, Mur. ac, Witr. ac. Sepia, 
 Tart. em. and Yeratr. Incidental Leucoderma {Alhinis- 
 mus) has been cured by Arsen. Alum., ^atr.. Sepia, 
 Silic, Sulphur have been found useful. Calc, Carb. an., 
 Mercur., Phosphor., !N^itr. ac. or Phosph. ac. might prove 
 beneficial. 
 
 Anomalies of Secretion, 
 
 The secretion of the sebaceous glands is designed to give a 
 certain softness and flexibility to the epidermal structures 
 of the skin. These glands are most numerous in parts 
 largely supplied with hair, as the scalp and face, and are 
 thickly distributed about the entrances of the various 
 passages into the body, as the anus, nose, lips and external 
 ear. They are entirely absent from the palmar surfaces 
 of the hands and the plantar surfaces of the feet. They 
 are minutely lobulated glands, composed of an aggregate 
 of small vesicles or saculi, filled with an opaque white sub- 
 stance, like soft ointment. Minate capillary vessels over- 
 spread them, and their ducts, which have a bearded ap- 
 pearance, as if formed of rows of shells, open either on the 
 surface of the skin, close to a hair, or, which is more usual, 
 directly into the follicle of the hair. In the latter case there 
 are generally two glands to each hair. At the borders of 
 the lips and at the labia minora we find layers of sebaceous 
 glands not connected with hairs. 
 
 The secretion of these glands contains different fats, 
 which are fluid in the normal state of the temperature of 
 thebody, and cholesterine (fat, traces of oil and osmazome, 
 
118 DISEASES OF THE SKIN. 
 
 watery extract, albumen and casein, phosphate and car- 
 bonate of lime). Proof is still wanting that the nervous 
 system exerts any influence over this secretion. 
 
 The sebaceous secretion may be morbidly altered, and 
 that both quantitatively and qualitatively. Quantita- 
 tively it may be either increased or diminished. 
 
 (a) Increase of the Sebaceous Secretion. 
 
 Seborrhoea, steatorrhcEa, acne sebacea, is an increased secre- 
 tion of sebum, which, mingled with epidermic scales, 
 appears on the surface of the skin. This usually exists 
 without any disturbance of health. The part of the skin 
 affected has at first a shining, unctuous appearance, with- 
 out any change of color. The fatty matter secreted may 
 remain fluid, or it may congeal and form, with the epider- 
 mic scales, a thinner or thicker layer of soft scales, at first 
 white, which becomes darker and harder by exposure. In 
 the dry form (steatorrhoea sicca) this layer can at first be 
 rubbed off easily, adheres more and more closely as time 
 advances, but always feels greasy between the fingers. 
 
 This morbid sebaceous secretion is either a local or general 
 one. Local seborrhoea comes especially on the scalp, nose, 
 region of the beard and on the genitals. It is usual to 
 describe certain local varieties, as follows : 
 
 Seborrhoea capillitii. — The secretion of the sebaceous 
 glands in the foetus is greater during intra-uterine life 
 than subsequently, and we meet it at birth on the body 
 generally, where it constitutes the vernix caseosa. This 
 abundant secretion continues on the scalp during the first 
 year of extra-uterine life, and if the sebum is allowed to 
 collect there and gather dirt and dust from without, 
 we may have finally crusts several lines in thickness, and 
 the whole hairy scalp may be enveloped in a thick layer 
 of sebum. When the crusts remain for a long time, the 
 seborrhoea is generally complicated with eczema, for the 
 collected mass of sebum decomposes, macerates, and irri- 
 
ANOMALIES OF SECRETION. 119 
 
 tates the skin, and produces redness and moisture on it. 
 The same disease appears also as thick scales, which cause 
 the hairs to adhere to one another in little bundles 
 (psoriasis amianthacea). 
 
 In adults it forms one of the commonest varieties of 
 scurf, or dry scales, which are formed in large quantities, 
 and in old people it is seen in connection with senile decay. 
 The scalp is for the most part devoid of hair, and covered 
 with a dirty, yellowish-brown, easily -removable crust. It 
 may also be a part of syphilis. 
 
 Seborrhoea faciei. — On the face the oily portion of the 
 sebaceous secretion is increased. The skin of persons so 
 affected has a shining appearance when it is kept clean ; 
 when neglected, dust and dirt adhere to the sebum, which 
 is thus changed to a dark color. 
 
 Seborrhoea nasi is frequently found associated with en- 
 larged cutaneous veins, giving to the nose a reddish look, 
 which is more striking in cold weather. 
 
 Seborrhoea genitalium is very frequent in persons with a 
 narrow phymotic prepuce, or in women, on the surfaces of 
 the labia majora. 
 
 Seborrhoea universalis is quite rare in adults, and shows 
 itself by fatty plates caked on a thin, cachectic and dirty 
 skin (pityriasis tabescentium), the openings of the seba- 
 ceous glands all over the body being stopped up, forming 
 tumors the size of a hazel-nut or larger. On some places, 
 especially in children who are not kept clean, and whose 
 skin is tender, slight excoriations are excited, which may 
 cause seborrhoea to be mistaken for other diseases. 
 
 Treatment — Our present knowledge of the use of fats 
 and soaps enables us to treat these cases with great cer- 
 tainty. 
 
 Martin recommends mere. subl. corr. grs. viii., glycerine 
 I j., aq. rosse g iv. to be used where the openings of the 
 sebaceous glands are stopped up. 
 
 Hillier removes the excessive secretion by the use of 
 
120 DISEASES OF THE SKIN. 
 
 oil, to soften the layer of scales, followed by a strongly 
 alkaline or soft soap. To promote the contraction of the 
 orifices of the sebaceous glands, astringent lotions should 
 then be used, such as the bichloride of mercury, acetate of 
 lead, or sulphate of zinc. 
 
 Fox is of opinion that wherever seborrhcea is well 
 marked there is usually some debility present, and the 
 internal use of cod-liver oil in addition to local treatment 
 aids the cure of the disease. Some persons are ansemic 
 and require iron, and where nervous debility exists, a 
 course of arsenic and iron is specially needed with the oil. 
 
 Hebra uses, where the disease resists simple treatment 
 with oil and soap, his potash-soap (sapo viridis ^ ij., spir. 
 vin. rect. ^ i., solve, filtr, et adde spir. lavendul 5 ij.)- The 
 soap and its preparations are best used under the douche, 
 the cold causing the glands to contract. In seborrhcea 
 which has lasted some time, there is also a small amount 
 of infiltration of the skin present, and various substances 
 in the form of ointments are useful for its removal (Oxide 
 Zinc, Garb, plumb, aa 5 i., Spermacet. ^ i., 01. Olivse. q. s., 
 et. f. ung. molle.) 
 
 Astringents, especially alum and tannin, and mild stimu- 
 lants, are useful, either mingled with the ointments re- 
 commended to be used with the frictions with soap, or alone 
 in solution. 
 
 Hardy witnessed good results from vapor-baths. 
 
 Kafka does not order any internal treatment for the 
 seborrhoea infantum, as it sufi3.ces to pencil the aft'ected 
 parts with oil in the evening and to cleanse them in the 
 morning with soap and water. Such a procedure must be 
 continued till the scalp is perfectly free from scabs. The 
 same external treatment is necessary for seborrhcea capilitii 
 of adults, but he recommends Phosph.^, sl dose morning 
 and evening, for the simultaneous itching between the 
 hairs, or Calc-carh.^ for the hypersemia of the scalp with 
 simultaneous severe headache. Natr. mur.^ acts admirably 
 
 i 
 
ANOMALIES OF SECRETION. 121 
 
 where tlie patients complain of severe itching between the 
 hairs, which fall out in masses. The whole scalp is also 
 washed mornings and evenings with a solution of salt 
 (5 j. to § iij. distilled water), and the scales removed in the 
 morning with a fine comb. Hypersemia of the scalp 
 contra-indicates the salt treatment, as it always aggra- 
 vates such cases. Sulphur and Sepia (6) are indicated in 
 hypersemia, where dirty-yellow, wax-like scales appear on 
 the scalp, forming thin crusts adhering firmly to the 
 scalp, and which can be only removed with pain. Such 
 a seborrhoea allows only the mildest treatment, and all 
 soap is rather injurious at the beginning of the treatment. 
 Only after the removal of the hypersemia, and when the 
 crusts become soft and loose, Hebra's soap may be used in 
 the morning as a tonic to the scalp. (Sapo. viridis ^ ij., 
 Aq. Colouiensis 5 x, Misce.) Graphit^ or Vinca minor are 
 given where the sebum is discharged in such quantities 
 that the hair mats together in bundles, with the sensation 
 of itching and heat on the- scalp. Merc, sol.^ may be tried, 
 where the other two fail, under the same conditions. Ex- 
 ternal treatment, steadily and energetically applied, is 
 here of the utmost necessity. 
 
 Seborrhoea facialis oleagincB requires Natr. mur.^ internally 
 and externally for its removal. For the Seborrhoea fa- 
 cialis sicca, penciling with oil at night and soap-suds in 
 the morning suffice in most cases, but when the crusts are 
 firmly adhering and the skin remains red after their pain- 
 ful removal, we give Iodine^ internally, till the crusts 
 become soft and loose and the redness disappears. 
 Hepar^ acts well in children suffering from seborrhoea 
 facialis sicca. 
 
 Seborrhoea gerdtalium. Mezer,^ or Lycop,^ two doses 
 daily, act well in seborrhoea fossae coronarise. Merc?, two to 
 three doses daily, when the glands or prepuce are in a state 
 of hypersemia. Local and general baths are advisable for 
 cleanliness' sake, Merc, cor.^ internally, and a weak solu- 
 
 10 
 
122 DISEASES OF THE SKIN. 
 
 tion of it externally (gr. j to I iii, aq. distillata) have 
 been used with rapid success. Seborrhoea genitalium. of 
 women requires great cleanliness ; full and sitz-baths to 
 prevent the secretion from becoming acrid ; internally 
 Merc. soL^ or Sepia^. "Where these means fail, injections or 
 sponging with a weak solution of Plumb, acet., Alumen, 
 or Zinc. acet. may be applied* 
 
 Baehr (II., 531) considers too much washing injurious, 
 be it cold or warm. The soap used ought to be a very 
 mild one, and sometimes spirituous ablutions are better 
 borne. All fatty substances ought to be strictly inter- 
 dicted. The causal indication must lead us to the selection 
 of the simile. 
 
 Comedo has been recently, by Yirchow, abundantly 
 proved to be a distended sebaceous follicle, whose con- 
 tents, projecting above the surface of the skin, becomes 
 black from dirt, and when pressed out, assumes the 
 shape of a worm. In some cases the contents may be- 
 come dry and quite horny. Under the microscope this is 
 found to consist of epithelial cells and oil globules, some 
 fine hairs and crystals of cholesterine. These obstructed 
 follicles are very commonly met with in young persons, 
 especially on the face and back. 
 
 Treatment Is^eumann (l. c, 75) recommends the assidu- 
 ous expression of the sebaceous plugs by means of a watch 
 key, or with a comedo extractor, similar to an earspoon ; 
 after which the skin is rubbed with sapo viridis or tinc- 
 ture of soap. When this alone does not suffice, we must 
 try friction with a paste of Sulphur (Lac sulph., Gly- 
 cerine, Spir. vin. rect.. Potass, carbonat.. Ether sulph. aa. 
 partes equales), or with the Sulphur sand-soap, which is 
 applied at night,, the foam remaining upon the face over 
 night, not being removed till morning. Sometimes the 
 formation of comedo is connected with chronic constitu- 
 tional diseases, as scrofula, tuberculosis and other patho- 
 logical processes which occasion a disturbance in the nu- 
 
ANOMALIES OF SECRETION. 123 
 
 trition of the skin. Qaite frequently also it is associated 
 with disorders of menstruation. The treatment of the 
 cause must then be combined with local therapeutics. 
 Kafka agrees with I^eumann. ToUe causam^ according to 
 the Homoion, is also his indication, when necessary. 
 
 Milium^ Grutum, are also distended white sebaceous 
 glands, covered only by a thin epidermal layer. The little 
 tumor contains epidermis cells, crystals of cholesterine and 
 chalk. These appear mostly on the face, especially on 
 the eyelids and cheeks, and also on the genitals ; fre- 
 quently on the periphery of scars, particularly in lupus. 
 
 Willan describes the same disease under the name of 
 strophulus albidus, which is wrong, as strophulus is far 
 better placed in the lichen group. 
 
 Treatment The treatment consists in puncturing the 
 epidermis and the evulsion of these spherical bodies by 
 means of a comedo spoon. After their discharge they do 
 not fill again, and the opening closes quickly. 
 
 MoUuscum is an afiection characterized by round eleva- 
 tions, varying in size from a hemp seed to a large currant 
 or a hazelnut, generally with a dark point and a depres- 
 sion on the summit of each. They have a rather translu- 
 cent appearance, the color of the skin over them being 
 either normal or pinkish ; occasionally there is a slight 
 lobulation in them visible through the skin. The skin 
 over them is usually tense, sometimes wrinkled. They 
 either increase slowly in size without any other change, 
 or they ulcerate on the surface and their contents escape, 
 or they inflame and slough away. 
 
 In molluscum the sebum collects in the glands in still 
 greater quantity, and when opened, they discharge a 
 milky fluid or finely granular masses which have the 
 appearance of being compressed flatly against each other. 
 Molluscum is found principally on the face, scrotum and 
 penis ; less frequently on the chest and arms. The disease 
 mostly occurs in children, but may be seen in adults. 
 
124 DISEASES OF THE SKIN. 
 
 Opinions are divided as to the contagious character of the 
 disease, but most authorities lean to the affirmative and 
 consider it contagious (Baerensprung, Yirchow, Eind- 
 fieisch, Fox, Hebra, and others). 
 
 Yirchow found on section of a molluscum a glandular 
 structure, with sebum collected between regularly radially 
 grouped cylinder cells. The soft mass consisted of epider- 
 mic cells and fat. He considers that there must be an 
 indigenous cell- formation, as in the case of cancroids. Dr. 
 Beale considers molluscum due to the alteration of the 
 structures concerned in the formation of the hair, especi- 
 ally of the cells at the bottom of the follicle, and of the 
 follicle itself, with hypertrophy of the subcutaneous areo- 
 lar tissue. {Paih. Soc. Trans. YI., 313). 
 
 Molluscum has been divided into molluscum sessile 
 (with a broad base) and molluscum pendulum (with a 
 peduncle). Others divide it into molluscum contagiosum 
 and molluscum librosum ; but the latter being a fibroma, 
 and not originating from a sebaceous gland, is therefore 
 wrongly called molluscum. 
 
 Treatment. According to all authorities, molluscum is 
 not attended with any constitutional disturbance, and the 
 treatment recommended is also purely local. The tumors 
 may be laid open and the interior rubbed with lunar caus- 
 tic. If attached by a pedicle, they should be snipped off 
 and the base cauterized. (Hillier, I. c, 189). 
 
 Fox {I. c, 491) recommends that in cases where it can 
 be done, the contents of the little tumors should be 
 squeezed out and nitrate of silver applied to the inside of 
 the tumor. If the tumors are small, the acid nitrate of 
 mercury or potassa fusa solution may be used to them ; 
 when large, their sacs must be removed ; and when the 
 tumors are numerous, each must be destroyed by caustic 
 and an astringent lotion used. 
 
 Kafka (II., 339) also considers all internal treatment 
 without result. After squeezing the contents out, he 
 
ANOMALIES OF SECRETION. 125 
 
 paints the internal wall with tincture of iodine, wherehy 
 the sac shrinks away. Peduncular mollusca may he 
 ligated or cut away with the scissors. 
 
 Sehorrhoea congestiva, Lupus erythematodes (Hebra, Ka- 
 posi, ^^eumann). Adenoma of the Sebaceous Glands (E,ind- 
 fleisch), attacks principally the face, rarely the body and 
 extremities. Fox {I. c, 381) justly remarks that clinically 
 the lupus erythematodes of the Germans is simply lupus 
 in connection with a certain amount of hypertrophy and 
 irritation of the sebaceous glands in the first instance, in 
 consequence of which they become thickened and loaded 
 with contents prior to their destruction by the new 
 growth. In many cases the hypertrophy of the connec- 
 tive tissue in the wall of the glands is the most marked 
 feature. Auspitz describes it as collections of circumscribed 
 infiltrations, more on the surface, as distinguished from 
 the cell masses in lupus vulgaris that fill the whole depth 
 of the skin. It is, therefore, no sehorrhoea, but rather a 
 superficial lupus. 
 
 Acne consists of retention of secretion together with 
 secondary inflammation of the sebaceous follicles. (Fox.) 
 
 ITeumann (I. c, 196) classes acne among the pustular in- 
 flammations, and defines it as an inflammation of the se- 
 baceous glands and hair follicles, which shows itself on 
 the surface in the form of papules, nodules and pustules, 
 from the size of a millet seed to that of a bean. "Where 
 the inflammatory process extends deeply and includes the 
 whole thickness of the cutis, a more or less extended in- 
 flammation takes place around the pustules. 
 
 Wilson remarks that retention of sebaceous secretion 
 within the follicle, occurring in the languid and torpid 
 skin of young persons, is apt to act as an irritant, and 
 give rise to congestion and inflammation of the skin 
 immediately surrounding it. Yirchow says that when 
 an irritative process is set up around a hair follicle by 
 the retention of the secretion, and assumes a true inflam- 
 
126 DISEASES OF THE SKIN. 
 
 matory character, there result the various forms which 
 have been commonly associated under the name of acne. 
 When the occlusion is superficial, the follicles appear in 
 the form of comedones, and acne punctata is the result. 
 When it lies deeper and the neighboring structures swell, 
 when the blood-vessels become dilated and varicose, and 
 when pustules appear, we call it acne rosacea. Lastly, 
 when the skin becomes thickened, acne indurata is pro- 
 duced. 
 
 Wilson {I. c, 699) divides acne into five stages. In the 
 earliest stage, when only a slight elevation, without red- 
 ness, but hard to the touch, and dotted in the centre with 
 a black point, it is termed acne punctata ; when the pro- 
 gress of congestion and infiammation has raised the slight 
 prominence into a well-marked conical pimple of a red 
 color, the term acne coneiformis becomes applicable ; in the 
 third stage the summit of the cone is converted into a 
 well-marked pustule, acne pustulosa ; in a fourth pustula- 
 tion is imperfect, and the skin becomes tuberculated by 
 thickening and infiltration of the tissue, acne tuherculata ; 
 while in a fifth the skin is indurated and deeply scarred, 
 ojcne indurata. (Acne rosacea is classed among the ecze- 
 matous affections). 
 
 E'eumann (?. <?., 197) by putting acne under the pustu- 
 lar inflammations, throws all the varieties of acne into one 
 class, and divides it into three varieties, acne disseminata 
 (vulgaris, varioliformis, cachecticorum , artificialis), acne 
 rosacea and acne mentagra (sycosis). Only the first and 
 second will receive our consideration. 
 
 Hillier, Fox, is'eligan and others adopt Yirchow's classi- 
 fication. 
 
 Acne simplex^ seu vulgaris. A number of black specks 
 surrounded by a narrow border of raised cuticle appear on 
 the forehead and face. They remain for some time with- 
 out inflaming (a. punctata), or inflammation of the follicles 
 and parts around is set up (a. coneiformis), passing over 
 
ANOMALIES OF SECRETION. 127 
 
 into suppuration (a. pustulosa), which may discharge their 
 contents and run their course in four or five days. In 
 some cases the pustule is larger and presents at the base 
 a slight elevation of a red color (a. tuherculata), which 
 lasts from a week to a fortnight after the pustule has rup- 
 tured and may leave a slight cicatrix. It is met with on 
 the forehead, temples, between the shoulders and on the 
 front of the chest ; it is observed in the young of both 
 sexes, especially about the time of puberty (acme). ^ 
 
 Acne indurata is acne simplex of an indolent and more 
 or less chronic kind ; the separate pustules have a very 
 hard, dusky-red base ; suppuration is scantily evolved ; 
 the pustules are painful and there is a feeling of tenseness 
 about the face ; the skin generally is congested, thickened 
 and dense. After runnino; its course it leaves a swellino^ 
 which is slow in disappearing, and which is sometimes 
 succeeded by an indelible scar like that made by small-pox. 
 
 Acne rosacea is another apple of discord among the derma- 
 tologists. It might be well to consider it as a connecting 
 link between the diseases of the sebaceous glands and 
 hair follicles on the one side and new growths on the 
 other. It is a chronic inflammation of the face, made 
 up of acne spots, periglandular inflammation, erythema, 
 and new growth of connective tissue growing indepen- 
 dently of the glands. The first stage consists in conges- 
 tion of the face and more or less dilatation of certain 
 capillaries. Certain points of the papillary layer become 
 hypersemic, and certain of the glands are similarly afi:ected, 
 so that acne spots are produced, an excessive amount of 
 sebum secreted, and the skin feels greasy. In the next 
 stage, in consequence of the inflammation, the connecting 
 tissue around and about the glands hypertrophies, — that 
 is to to say, the acne spots become indurated and hard, 
 whilst the independent non-glandular papules become 
 more marked. The color of the redness is bright-red, the 
 vessels become varicose and ramble freely over the surface 
 
128 DISEASES OF THE SKIN. 
 
 of the diseased parts ; suppuration is not very marked, 
 but the integument generally is thickened. This disease 
 is rarely seen in the young. Clinical experience has 
 shown that although frequent in good-livers and wine- 
 bibhers, it is not necessarily restricted to them. Certain 
 cases of acne rosacea can be traced to causes of a more or 
 less definite kind, but in other instances we cannot dis- 
 cover any condition to which we may attribute it. It 
 occurs in women of middle age who suffer from uterine 
 troubles. The disease is aggravated by trouble, by stimu- 
 lating food, by exposure, by dyspepsia and by alcoholic 
 drinks. 
 
 Fox {l. c, 494) mentions an acne atrophica and acne 
 hypertrophica, but there is really no necessity for such a 
 division. In the former the acne spots are succeeded by 
 atrophy, in the latter by marked hypertrophy of the con- 
 nective tissue, in consequence of long continued conges- 
 tion occurring in connection with acne. 
 
 Acne syphilitica will be treated of under syphilis. 
 
 Treatment. — Hebra says: I must confess that in spite 
 of many efforts, I have not yet succeeded in finding a 
 remedy by which acne can be prevented from developing 
 itself or quickly got rid of when established. Proper and 
 continued treatment is necessary. Several high authori- 
 ties recommend not only in acne rosacea, but wherever 
 the same follicles inflame and re-inflame at successive 
 times, a small incision to be made through the skin over 
 the follicle and a fine capillary tube, charged with strong 
 nitric acid, applied. The acid penetrates the follicle, 
 but does not burn any portion of the skin beyond the 
 circumference of the tube. In acne rosacea, with exten- 
 sive vascularities and even large excrescences, it is essen- 
 tial to destroy the dilated veins or at least render them 
 impervious. The quickest way of effecting this is to 
 make a number of incisions with a sharp, narrow bistoury 
 or cataract-knife, so as to cut the dilated veins longitudi- 
 
ANOMALIES OF SECRETION. 129 
 
 nally, particularly those of which the loops are plainly 
 visible, being gorged with blood. The blood should be 
 allowed to flow for a little while, and the parts should 
 then be touched with a brush dipped in liquor ferri perch- 
 lorid. Where the nose has greatly altered in form and 
 enormously increased in size, the thickened and hypertro- 
 phied skin ought to be cut off so as to reduce the part to 
 a bearable condition (Jeffries, I. c, p. 55). 
 
 Kafka (II., 460). The homoeopathic treatment of acne 
 disseminata aims to stop the continually recurring and 
 extending inflammation of the sebaceous glands and to 
 bring back their function to its normal state. For that 
 purpose we examine which form of acne is most preva- 
 lent, the papular, pustular or indurated form. 
 
 Where the 'papular form prevails, i. e. where the in- 
 flamed follicle does not pass over into suppuration, but 
 forms a bluish-red nodule, covering itself after detu- 
 mescence with small scales, Merc. soL^ is indicated, and 
 where this remedy fails after some time to produce ame- 
 lioration, Fhosphor.^, two doses daily. After three to six 
 weeks, with an interval of a few days after every six 
 to eight days of medication, we have seen long standing 
 and frequently relapsing cases cured without any external 
 application whatever. 
 
 The pustular form requires Hepar^ or Bhus tox.^ in the 
 same manner. 
 
 Acne indurata needs Iodine^, Conium^ or Clematis.^ It 
 takes time and patience to eradicate this form. In ob- 
 stinate cases we may use Phosphor. ^'^ or Silicea.^ 
 
 "Where the skin between the acne points looks as if 
 besmeared with oil, seborrhoea is simultaneously present, 
 and the internal and external use of Natr. mur. will be 
 followed with success. 
 
 Secondary acne (in the course of scrofulosis, scurvy, 
 syphilis, etc.) requires the treatment of the fundamental 
 disease, keeping in view at the same time the prevailing 
 form of acne. 
 
130 DISEASES OF THE SKIN. 
 
 In relation to diet, such patients must abstain from 
 spiced, salty or acid food, and from alcoholic or stimulat- 
 ing drinks. It is also advisable that the patients do not 
 remove too hastily the crusts, as experience teaches that 
 such nodules inflame easily in consequence of the me- 
 chanical irritation. The pigment-spots remaining after 
 the healing of the acne, disappear most quickly from 
 ablutions of diluted alcohol or diluted Cologne-water. 
 
 In acne rosacea we must fix our attention on the 
 cause which produced it, and remove it. Our further 
 treatment varies according to the grade and duration of 
 the disease. Where the redness of the nose and cheeks 
 is of short standing, and where the vessels are not yet in- 
 jected nor the sebaceous glands inflamed, and where a cold 
 atmosphere caused or aggravated it, we use Petroleum^ 
 internally and pencil the affected points twice a day with 
 the same, (Petrol, gtt. ij., 01. amygdal. 5 ij.) As soon as 
 some heat and redness returns to the affected parts, we 
 pause with the remedy and await its secondary action, 
 which generally is beneficial. 
 
 Where the redness is more livid and the veins are in- 
 jected and varicose, we use Alumen internally and ex- 
 ternally. Calc. carh.^ is indicated for a red nose in con- 
 sequence of dys- and amenorrhoea or during climaxis, 
 especially where plethora and congestion to the head are 
 simultaneously present. 
 
 A bluish color of the acne rosacea, with hypersemia and 
 varicosity of the capillaries, indicates Sulphur^, even for 
 drunkards, together with an inunction of the aflected 
 parts every evening with Sulphur ointment (Sulph. 5 i., 
 Axung. podc. i i.), to be washed off in the morning with 
 soap and water. In such cases Nux vom.^'^ and Carb. 
 veg.^ are also effective. Should the acne take on the pus- 
 tular form, we prefer Hepar^ to Sulphur and employ it in 
 the same manner, two to three doses daily. The first 
 trituration, moistened with glycerine, may be applied to 
 the affected parts. 
 
ANOMALIES OF SECRETION. 131 
 
 Acne tuherculata needs Phosphor.^ internally, two doses 
 daily, and an inunction with Phosphor liniment (Spir. 
 Phosph. dil. 5 i.5 01. amygdal. ^ i.), two or three times 
 every day. Where the disorganization reached a high 
 degree, internal treatment fails and surgery becomes 
 necessary. 
 
 Hughes {Therapeutics^ 468) believes that acne simplex 
 in young persons may often be cured by Ballad, if the 
 patients are full blooded, or by Fulsat. if they are pale 
 and slender. In more chronic cases Sulphur is required, 
 and it is often useful to touch each prominence with a 
 camel's-hair brush dipped in the mother tincture. Acne 
 rosacea is a very obstinate affection, and probably more 
 good is achieved by constitutional treatment, especially 
 directed against alcoholic toxication, than by cutaneous ' 
 remedies. Carho animalis, Antimonium crudum, Ruta and 
 Ledum — as well as the never-failing Arsenicum — have 
 been recommended. 
 
 Bfehr (II., 503) remarks, that acne patients are very 
 hard to treat, as they generally feel so well that a restric- 
 tion in their diet is hardly ever taken with good grace 
 or strictly followed out. Cold washing and bathing 
 often does more harm than good. He recommends vapor 
 baths, with the usual scrubbing, for acne on the trunk. 
 In acne facialis the patient ought to rub the affected 
 parts every morning with Venetian soap and warm water, 
 and afterwards wash it off with cold water. He has 
 hardly seen any benefit from internal treatment, except 
 from Arsen. Hartmann and others recommend : Canthar., 
 Sulphur, Staphis., Ant. crud., Dulcam., Mezer., E'atr. 
 mur., Ac. nitr., Capsic, Sepia. 
 
 Raue {I. c, 67). Compare: Bellad., Carb. veg., Hepar, 
 Lachnantes, Sulphur. After sexual excesses : Calc. carb., 
 Phosph. ac. Sulphur. For acne rosacea: Arsen., Puta, 
 Ehus tox. Old warts upon the nose indicate Causticum. 
 
 Toothaker (}. c, 175) recommends for acne rosacea 
 
132 DISEASES OF THE SKIK 
 
 from intemperance, Arsen., IsTux vom., Laches., Ledum; 
 from menoposis, Pulsat., Laches., Bryon., Bellad., Arsen., 
 Sulphur. Also Cocculus, Sanguin., Sepia. 
 
 Raue {Becord, 1870). Arsen. : Acne punctata in the 
 face or on the forehead, skin dry and dirty looking. 
 Bromide of Potassium causes acne simplex and indurata 
 on chest, shoulders, face (nose and nose wings), lasting 
 from one to four weeks, changing in numbers and leav- 
 ing mostly a red spot with hardened centre ; before the 
 eruption, a general annoying itching. 
 
 {Becord^ 1871.) Silicea^^ cured in less than a fortnight 
 a thick crop of papules (acne simplex) on the forehead, 
 face and backs of the hands. Eruption red ; itches and 
 burns in the day-time only. 
 
 (Record, 1872.) A girl, fet. 24. For about a year on the 
 chin single red spots, spreading upwards to nose and 
 adjacent parts. The nose is swollen, disfigured, red and 
 covered with nodes of various sizes ; also on cheeks and 
 forepart of head. Getting heated makes it worse. It is 
 attended with burning pain ; dryness of the nose ; disposi- 
 tion to hoarseness ; constipation ; sweaty feet ; violent pain 
 before the otherwise regular menstrual flow. Causticum^, 
 three drops every morning. Within one month redness 
 and swelling of the nose were diminished. Arsen.^, two 
 drops night and morning, relieved constipation, painful 
 menstruation and dizziness, but had no influence on the 
 eruption. Again Causticum\ two drops night and morn- 
 ing. At first great aggravation, which soon was followed 
 by steady improvement and cure. 
 
 Acne faciei : Eugen.jamb., Coniiim, Natrum mur. Baths 
 with one-half to three-quarters of a pound of sea-salt, 
 twice a week. 
 
 {Record, 1873.) Acne punctata. Sulphur persistently. 
 Acne pustulosa, NuxjugL, especially in strumous constitu- 
 tions. Also Hepar. 
 
 Looking at the medicinal rashes, the direct results of 
 
ANOMALIES OF SECRETION. 133 
 
 the action of drugs, we find that the internal use of Iodine 
 and Iodide of Fotassium^ of Bromide of Fotassium, of tar 
 and perhaps other drugs, produces an acne eruption, and 
 therefore they ought to cure it, where the other symptoms 
 correspond to the individual case. 
 
 Iodine indications: Scrofulosis, glandular affections, 
 syphilis with tendency to hypertrophy ; an itching ele- 
 vation on the nose ; suppurating ulcer on the left cheek, 
 with swelling of the surrounding glands, and a hard no- 
 dosity at the place which the ulcer occupies, dispersing 
 very slowly. 
 
 Iodide of Potassium : Painfully sensitive blotch on the 
 cheeks, surrounded with swellino;s and ulcers ; several 
 pimples on the chin and nose ; painfully sensitive pimple 
 near the nostril ; profuse papulous eruption on the face, 
 on the shoulders and over the whole body, occasionally 
 with dryness of the throat. 
 
 Bromide of Potassium. Yoisin {Gaz. des hopitaux, 1868, 
 p. 603) speaks of ^ve phases. In the first place acne in- 
 durata, chiefly seen on the face, chest and back. Second: 
 acneiform pustules, with a depressed umbilicus in the 
 centre, their base being very hard ; these oblong swellings 
 are produced by a crowding together of enlarged sebaceous 
 glands distended with sebum, which is of more or less 
 milky aspect. It is almost of the nature of crowding 
 together of molluscous tumors. Hale {New Remedies., 3d 
 edition, p. 80) gives : erythematous swelling of the nose, 
 a papular rash on face . and nose, with heat and itching ; 
 acne-like eruption on the face, neck and shoulders ; acne 
 in young persons ; the secretion of the skin is reduced in 
 proportion to the anaemia of that tissue. 
 
 The tar acne is well known. The phenomena occasioned 
 by tar may be divided into such as result from the im- 
 mediate application of fluid tar, and second, from the action 
 of air impregnated with the vapor of tar. In the latter 
 case an eruption is formed over the whole surface of the 
 
134 DISEASES OF THE SKIN. 
 
 body, and the face especially is the seat of numerous 
 comedones, interspersed with an eruption, of acne; the 
 lower extremities are also partly covered with comedones, 
 partly with acne papules and pustules, which in places 
 reach the size of a hazelnut. Acne is very frequent in 
 tar factories. (iJ^eumann, l. c, 198.) We have already 
 remarked that Kafka found Petroleum efficient in acne 
 rosacea. Hale mentions acne under Carbolic acid, but we 
 would prefer a proving of tar itself, so that its symptoma- 
 tology could be clearly defined. 
 
 Xerosis — Xeroderma, 
 A diminution of the sebaceous secretion may take 
 place and the skin becomes dry, harsh, inflexible and 
 cracked. We may have either roughness alone or scali- 
 ness of the skin (Fox puts it therefore under ichthyosis), or 
 the normal fat is removed from the skin, and it becomes 
 rough and cracked, as seen in washerwomen and domes- 
 tics from the too frequent contact with soap or lye. Such 
 patients regain their normal skin after friction with oil 
 and suspension of their occupation for a season. 
 
 Affections Characterized by Hypertrophy and 
 Degeneration. 
 
 Lupus. 
 
 We may divide and subdivide diseases in text-books, 
 we may group and classify according to our own ideas, 
 but nature does not acknowledge our vain labor. Thus 
 acne rosacea and lupus erythematodes Germanorum are 
 transition-forms from diseases of the sebaceous glands to 
 the class now under consideration, and we find therefore 
 such transition-forms put by difi'erent authors into difiTer- 
 ent classes. 
 
 Fox (l. c, 369) considers lupus not a pure hypertrophy 
 but a neopiasma, as the disease is characterized by an in- 
 filtration of the skin, with a new cell growth, which is 
 
LVPVS. 135 
 
 capable of undergoing organization, and after a while is 
 removed by interstitial absorption or by ulceration. The 
 neoplasma takes the form generally of tubercular eleva- 
 tions, forming by their close approximation larger and 
 smaller patches, which leave behind in process of cure in- 
 delible cicatrixes. Lupus runs a chronic course, and is 
 especially prone to attack the skin of the face. 
 
 Wilson {I. c, 369) takes opposite ground, and under- 
 stands by the term lupus a strumous degeneration of the 
 tissues of the skin, attended with more or less hypertro- 
 phy, with absorptions and with ulceration, such morbid 
 phenomena originating in a constitutional condition or 
 diathesis. Bazin also considers lupus a malignant scrofu- 
 lide, and Cazenave agrees with him. 
 
 Yolkmann {N. A. J. of H., 19, 440) and Yirchow agree 
 with Fox, and consider lupus a neoplasma, consisting of 
 cell-proliferation. This large accumulation of prolifera- 
 ting cells pressing away and destroying the layers of the 
 cutis, and often the deeper lying tissues also, is char- 
 acteristic of lupus. N^eumann {I. c, 331) finds the 
 histological condition of lupus varying according to 
 the stage of the morbid process, but consisting mainly 
 in a cell-infiltration of the corium, and he describes the 
 changes as follows : The cells of the rete Malpighii 
 have granular contents (fatty or pigmentary mole- 
 cules) ; the corium becomes spongy and its volume is 
 increased ; the papillae are a little elongated and increased 
 somewhat in breadth, and in some places remain normal ; 
 the fibrinous meshes are larger than in the healthy state. 
 Within them we find a network of delicate connective- 
 tissue fibres. The corium is in places moderately filled 
 with uniform roundish and oval cells. The subcutaneous 
 connective tissue becomes thickened ; the fat-cells are 
 either less abundant or have entirely disappeared. The 
 sweat-glands are preserved, capillaries and lymphatics en- 
 larged, sebaceous glands present in small numbers. Simi- 
 
136 DISEASES OF THE SKIN. 
 
 lar inliltrations are found in the subcutaneous cellular 
 tissue. 
 
 In speaking of the etiology of lupus, Wilson {Lectures 
 on Dermatology^ 1873, p. 197) remarks on case 656: 
 Hillairet designates this case as one of lupus ; but as in 
 England we reserve that term for scrofulous ulceration, I 
 have preferred to speak of it as chronic ulcerative syphilis. 
 McCall Anderson (1. c. 5) also puts his cases of lupus vul- 
 garis and erythematodes under the head of strumous 
 affections. Hillier {t. c, 194) acknowledges that very 
 little is known about the cause of lupus, and that the 
 disease is regarded by most authors as due to a diathesis 
 closely allied if not identical with scrofula. 
 
 Franklin {Surgery II., 834) leans the same way by put- 
 ting lupus among the diseases of the lymphatic system, 
 lupus non exedens being mostly seen in persons of a scrofu- 
 lous diathesis. 
 
 Helmuth {Surgery., 488) joins the other party, and with 
 the German dermatologists considers lupus a merely 
 local inflammatory process, as its chief characteristics are : 
 no constitutional irritation, the healthiness of the integu- 
 ment up to the very margin of the sore, the absence of 
 swelling, infiltration and redness, no fetor, the location 
 of the disease and its dark-brown or blackish crust. 
 ITeumann and Yolkmann acknowledge that a large num- 
 ber of the forms of lupus may be associated with glandu- 
 lar enlargement, caries and necrosis, and that in children 
 lupus often depends on scrofula ; but still just as often 
 lupous children come from parents who enjoy perfect 
 health, and a large part of the cures of the disease occur 
 in persons who are otherwise healthy and strong, and 
 where it would be impossible to prove a dyscrasic or a 
 special diathesis. 
 
 All authors agree that lupus has nothing whatever to 
 do with syphilis, either acquired or congenital. Hillier 
 describes only two forms, lupus vulgaris and lupus ery- 
 
 i 
 
LUPUS. 137 
 
 thematodes, as both, involve the derma, cause interstitial 
 absorption and atrophy of that tissue, and are both fol- 
 lowed by a scar. They are distinguished by running a 
 chronic course, and are especially prone to attack the 
 face, which becomes of a dull-red color. 
 
 Fox and Wilson describe three forms: lupus erythe- 
 matodes, where the neoplastic deposit is slight and in the 
 form of brownish-red spots or diffused non-nodular eleva- 
 tions ; lupus nonexedenSy where the neoplasm forms dis- 
 tinct tubercular elevations ; and lupus exedens or exul- 
 cerans^ where the deposit passes over into ulceration. 
 
 IN'eumann is right in considering the two latter as differ- 
 ent stages of one and the same disease, and with "Willan 
 and others he classes them together under the name lupus 
 vulgaris. Such different stages are designated as lupus 
 maculosuSy where we have only brownish-red spots ; lupu^ 
 tuberculosus, where we find papules or nodules elevated 
 above the skin, also of brownish-red color and in size from 
 that of a pea to a hazelnut ; lupus ex/oliaticus, infiltrations, 
 the skin appearing of a similar color and covered with 
 lamellae of epidermis ; lupus exulcerans^ atonic ulcers, 
 resulting from a softening of the infiltrations ; lupus hyper- 
 trophicuSy new formations rising above the skin and fre- 
 quently involving large portions ; lupus serpiginosus, large 
 ulcers, extending peripherally. 
 
 In order to prevent mistakes, the name lupus erythe- 
 matodes ought to be stricken from the nomenclature 
 of dermatology. The English physicians consider it as 
 neoplasmata of a roundish form, of a deep-red color and 
 shining aspect, without sensible elevation. The skin 
 looks dry and shrunken. The morbid process creeps over 
 the healthy skin, and the diseased surface becomes 
 covered with thin adherent scales, the removal of which 
 exposes a dry yet raw-looking surface, of gelatinous as- 
 pect, which is apt to bleed easily. 
 
 !N"eumann's first stage is lupus maculosus. What most 
 
 11 
 
138 DISEASES OF THE SKIN. 
 
 Germans used to call lupus erythematodes is now better 
 known by the name lupus seborrhagicus^ given to it by 
 Volkmann. We here find also irregular slightly swollen 
 spots on the face, cheeks, nose, etc. The reddened skin 
 is on some points covered by firmly-adhering, dirty-looking 
 thin crusts, feeling fatty to the touch, and in reahty they 
 consist only of the secretion of the sebaceous glands of the 
 skin, discharged in abnormal quantities, with an ad- 
 mixture of epidermic cells. If we scrape oif this fatty 
 layer with a knife, the underlying skin appears red, sore, 
 as if covered with fine warts, i. e. the enlarged excretory 
 ducts of the sebaceous glands. This seborrhcea is only of 
 secondary importance. The essential consists in the infil- 
 tration of small cells, which are more numerously devel- 
 oped only in the immediate neighborhood of the glands, 
 thus producing a hyperplasia and an increased secretion. 
 These infiltrations pass through the same stages as those 
 we see in lupus vulgaris, and the flat, gritty scars, pitted 
 in the centre, are characteristic of the lupus seborrhagicus. 
 
 In lupu8 nonexedens (tuberculosus, exfoliaticus, hyper- 
 trophicus) we find after removing the scales from any por- 
 tion of a lupus patch that the part beneath is red, dry, 
 shining and even raw, the upper layer next the cuticle 
 presenting an appearance which has been termed " corni- 
 fied." The process of healing is always attended with 
 more or less loss of substance and sensibility ; the cicatrix 
 is below the level of the adjacent surface. 
 
 In htpus exedens (exulcerans, serpiginosus) the ulcera- 
 tion varies in depth, being in some cases superficial and 
 extensive, in others deep and circumscribed, and great 
 disfiguration may result, as the nose and cheeks are the 
 favorite seat of lupus. According to Hebra, lupus is only 
 dangerous to life in those rare cases where epithelioma 
 is developed from it after it has lasted for years. 
 
 The prognosis of lupus is not unfavorable, as according 
 to Yolkmann a cure can be promised in many cases, and 
 
LUPUS. 139 
 
 this in a far shorter time than formerly. Internal spe- 
 cifics there are none, accompanying constitutional dis- 
 orders are only exceptionally seen, and in most cases every 
 indication for internal medication is wanting. There is 
 no objection to treating scrofulosis when present, but such 
 treatment will fail to be of any influence in curing the 
 lupus, which must be done by surgery. (Hebra considers 
 reputed cures of lupus by internal medication as mistakes 
 of diagnosis, for eczema squamosum, psoriasis, acne rosacea 
 and even epithelial cancer have been mistaken for lupus.) 
 
 The indications are two-fold : First, to remove all dis- 
 eased tissue. Second, to produce resorption of the cellular 
 infiltrations in those parts which are yet solid and rela- 
 tively healthy. It is also of great importance to prevent 
 any relapse, and as soon as any lupus nodule makes its 
 reappearance surgical aid must be called in. 
 
 Caustics are commonly used for the removal of tissues 
 degenerated by lupus, and the most common in use are 
 the caustic potash and the nitrate of silver in pencil form. 
 Firmly adherent crusts must be removed beforehand by 
 applying cloths soaked in cod-liver oil over them for a 
 day or two, after which we bore the pencil into the soft 
 lupous proliferations, which are easily pierced by it, and 
 entirely deliquesce as soon as they come in contact with 
 it. The nitrate of silver never acts as destructively as the 
 caustic potash, which we must not allow to remain too 
 long in contact with the parts to be cauterized, or else we 
 will destroy the underlying layers of healthy tissue. 
 
 Hebra recommends for superficial lupous ulcerations a 
 salve of Arsenic 1.0, Cinnabar 3.0, lard 25.0. Such a salve 
 will not injure the healthy parts, while destroying the 
 soft lupous ones. After using the salve for three days, 
 simple dressings only are needed. 
 
 Yolkmann's radical treatment for lupus is very painful, 
 and ether should be used during the operation. The 
 lupous degenerations are scraped away with a sharp-edged 
 
140 DISEASES OF THE SKIN. 
 
 scoop, and the infiltrated, hard and bluish, though nou- 
 ulcerated nodules must be attacked with the multiple- 
 pointed scarifications. This is performed with a very 
 sharp-pointed small-bladed knife ; thousands of points are 
 made closely together, about two lines deep or deeper, in 
 the diseased parts of the skin, which frequently looks 
 discolored after the pricking. The pricked places are 
 then covered with lint, which is closely pressed in to stop 
 the bleeding and left until its spontaneous falling ofi". 
 These prickings are repeated at intervals of from two to 
 four weeks. At first the knife enters easily the luxuriant 
 tissues interwoven by cellular granulations ; after a while 
 it finds more and more resistance, the skin becoming 
 tougher and losing its abnormal redness and swelling. 
 (Helmuth's Surgery, 493.) 
 
 Fox Q. c, 375) also considers the local treatment of 
 lupus more important than the general, but there are 
 a proper time and proper circumstances under which this 
 should be done. Caustics should be had recourse to when 
 the deposit feature is well marked and when the lupus 
 patch is not too sensitive and too hypersemic. During 
 the first or congestive state, where the patch is tender and 
 hot, it should be an essentially soothing one (calamine lo- 
 tion with a little prussic acid and glycerine several times 
 during the day and liquor plumbi painted on at night). 
 If the patch shows some sign of extending, its edges ought 
 to be touched by some caustic. But as soon as we deal 
 with lupus tuberculosus, full cauterisation becomes im- 
 perative. Modifying conditions are met in syphilized or 
 strumous subjects, and internal medication must be joined 
 pro re nata to the external treatment. 
 
 During the first or congestive stage homoeopathic reme- 
 dies might influence the diseased state of the skin and 
 bring it back to its normal condition. 
 
 Bashr {Op, cit, IL, 508) recommends Lycojpodium in 
 recent cases, when the ulcerations do not penetrate too 
 
CANCEROUS AFFECTIONS. 141 
 
 deeply, in pale, sallow patients ; Graphites in lupus of the 
 nose, with deep ulcerations; Aurum mur. when lupus 
 takes its starting point from the mucous membrane of the 
 nose, spreading thence to the bones and cartilages and then 
 to the skin ; in such cases Add. nitr. and Sepia may also 
 be thought of. Against the second stage (lupus hypertro- 
 phicus, tuberculosus), when of long standing, internal 
 medication is fruitless ; in recent cases Conium^ Baryta., 
 Graphites or Sulphur may be tried. The third or ulcer- 
 ating stage defies internal medication; still Arsen., 
 Sulphur, Phosphor., Thuya, Carb. an. and veg., Silicia, 
 Kali bichr. or Alumina may be indicated in certain indi- 
 vidual cases. 
 
 Kafka (II., 488) cured a case of lupus serpiginosus by 
 the methodical use of iodide of potassium, and another 
 case of lupus exfolians facies with Phosphor., in increas- 
 ing doses. 
 
 Raue {I, c, 67) remarks that such a violent local de- 
 struction must grow out of a deep constitutional disorder, 
 and recommends Arsen., Caustic, Cicuta, Staphis. 
 
 Maylaender {Int. Horn. Presse I, 43) endorses Volk- 
 mann's surgery, and combines with it Mercur.^, but found 
 that anti-scrofulous treatment does not eradicate lupus. 
 
 The attention of physicians must also be invited to the 
 use of the Hydrocotyle Asiatica, which has acquired great 
 reputation in the hands of several East India physicians. 
 -Boileau treated fifty cases of lupus with it (Brit. Jour, of 
 Horn., XYI., 463), in all of which the disease was arrested 
 in a very short time. 
 
 Cancerous Affections. 
 
 Lupus exedens. Ulcus rodens. Epithelioma. All three 
 can be thrown together as malignant ulcers, especially of 
 the face, and as neoplasmata they are even called cancer- 
 ous ; but let us try to find out at first what cancer is. 
 
 Dunglison used to describe it as a malignant growth, 
 
142 DISEASES OF THE SKIN. 
 
 whicli, by its uninterrupted progress or its return after 
 extirpation, destroys life. Our latest writers on histology 
 consider carcinoma of local origin, and even deny a can- 
 cerous diathesis in spite of the so often proven hereditary 
 tendency of this disease, and explain the return of the dis- 
 ease not as a real relapse, but as an uninterrupted growth 
 of the neoplasm. (Feftel, N. A. J, of JT., xxii., 66.) Others 
 again consider carcinoma always a constitutional disease, 
 and make a clear distinction between carcinosis and ma- 
 lignant tumors of local origin which are curable at least 
 in their first stages. 
 
 Continental observers make no distinction between 
 epithelioma and rodent ulcer, but English surgeons diag- 
 nosticate more strictly and define (Moore on ulcus rodens) 
 the latter as a local ailment, being almost uninterruptedly 
 continuous in its growth, from the solitary pimple in 
 which it originates to an area of half the face. At the 
 same time, however, that it has every local quality of 
 cancer, it is so meagre a growth that it has no superfluous 
 material for circulation in the blood to distant parts, and 
 very little for the lymphatics and the textures nearest 
 to it. 
 
 Hutchinson defines it as " an ulcer with hard sinuous 
 edges, situated on some part of the upper two-thirds of 
 the face, of several or perhaps of many years duration, 
 almost painless, and occurring in a middle-aged or elderly 
 person of fair health and without enlarged glands." 
 
 This comparative slowness of growth, the non-implica- 
 tion of the glands, and the non-undermined edges, differ- 
 entiate rodent ulcer from epithelioma. E-odent ulcer is 
 as rare on the lower as epithelioma is on the upper lip. 
 The parts by far the most liable to be afiected by the 
 rodent ulcer are the eyelids and adjacent portions of the 
 cheek, ^ext to them the nose is its favorite site, and the 
 third in the list are the cheeks. If left to itself, it will 
 slowly but surely advance both in extent and depth, and 
 
CANCEROUS AFFECTIONS. 143 
 
 will probably destroy the patient's life in the course of 
 from ten to twenty-five years, death being eventually pro- 
 duced by the exhaustion consequent on suppuration, 
 haemorrhages, pain, etc., and very probably aggravated 
 by inability to take sufficient food owing to the diseased 
 state of the mouth. The younger the patient, the more 
 rapid will be the course of the disease and vice versa ; and 
 the younger the patient, the more nearly is the disease 
 allied to cancer and the more likely to recur after re- 
 moval. (Hutchinson, Med. Times and Gaz.^ Sept. 1860.) 
 Epithelioma is the common form of so-called cancer 
 found in the lip, tongue, vulva, clitoris, penis and rectum. 
 It afiects especially the lower lip, the scrotum (con- 
 stituting chimney-sweeper's cancer), the glands of the 
 groin, more rarely the rectum. It attacks men more fre- 
 quently than women, and rarely occurs before the age of 
 thirty-five or forty, and shows its malignant character by 
 a tendency to return in a part after its removal and to 
 affect the system through the lymphatics. In rare cases 
 it may also be found in the internal organs. It is 
 essentially an infiltrating disease, according to Thomas 
 Bryant {Guy^s Hosp. Reports., 1863), beginning, as a rule, 
 as a little wart or tubercle, and then gradually spreading, 
 it may crack, fissure or ulcerate, and when this stage has 
 been arrived at, we easily recognize its malignant charac- 
 ter by the infiltration with the cancerous material, and 
 the integument then presents the well-known indurated 
 and everted edges ; these appearances forming a marked 
 contrast to the condition of integument which has been 
 ulcerated or ruptured by over-distension in a simple or 
 innocent growth. This ulceration has an eaten-out ap- 
 pearance, is roundish and bounded by hard, indurated, 
 sinuous edges, which, in an advanced stage, are everted 
 and undermined, in consequence of the extension of mor- 
 bid action ; the base of the ulcer is dirty or greyish, more 
 or less papillated ; it may be reddish and discharge a thin 
 
144 DISEASES OF THE SKIN. 
 
 fluid, or be disposed to scab over (Tilbury Fox, Skin Dis- 
 eases^ 383). 
 
 In our studies we have observed that lupus, nearly with- 
 out an exception, attacks only healthy and even robust 
 persons, and that it never leads to infectious morbid states 
 of other organs, except, perhaps, some adjacent lymphatic 
 glands. Ulcus rodens shows itself to us also as a mere 
 local disease, although already of a more malignant type ; 
 while in epithelioma this malignancy becomes still more 
 outspoken. 
 
 Friedlsender ( Volkmann^s Klin. Yortrage^ iN'o. 64) con- 
 siders all these neoplasmata as expressions of a local tu- 
 berculosis^ as they, one and all, consist anatomically of 
 closely crowded, often confluent, small tubercular nodules, 
 with giant-cells and epithelial elements. He considers it 
 wrong, therefore, to divide artificially what belongs to- 
 gether anatomically, and the formation of nodules, as 
 found in lupus, in fungoid inflammation of the joints, in 
 the scrophulides of the skin and other ulcerative pro- 
 cesses, may be studied together as local tuberculosis. 
 
 Hardy also thinks that all these aflections possess cer- 
 tain common characters. They all involve the derma and 
 often the deeper layers. They are usually circumscribed 
 to one region, not having much tendency to become gen- 
 eral ; the ulcers have irregular " eaten" margins, not 
 sharply cut, nor adherent to the parts beneath ; the floor 
 is fungoid, bleeding or covered with pale, soft, sometimes 
 exuberant granulations ; the cicatrices are depressed, with 
 great loss of substance ; and their insidious course as well 
 as the great tendency to deforming and destructive pro- 
 cesses proves them to possess considerable local malignity. 
 
 We know just as much of the aetiology of tuberculosis 
 as we know of that of carcinosis. The treatment of epi- 
 thelial cancer as well as of rodent ulcer, according to the 
 old school, is summed up in one word — removal by the 
 knife or by caustic, or by both conjoined, which is the 
 
ELEPHANTIASIS. 145 
 
 better mode of treatment, and the employment of a 
 thoroughly tonic plan of general treatment. (Chloride 
 of zinc 5 iv., chloride of antimony 5 ij., starch 5 j., glycer- 
 ine q. s. Use in ulcerous and tuberculous affections.) 
 
 Gilchrist {Surgical Diseases^ 399) recommends for epi- 
 thelial tumors: Acetic ac, Arg. nitr., Aurum, Chelid., 
 Pulsat., Sulphur, Thuya. 
 
 Helmuth {Surgery., 884) recommends the enucleation 
 process of Marsden and McLimont, combined with the 
 internal administration of Arsen., Hydras, or Phytol. 
 
 Franklin {Surgery., II., 551) prefers the knife. 
 
 We see thus that this whole chapter belongs rather to 
 the domain of surgery than to that of dermatology ; still 
 we would recommend in conjunction with electro-caustic 
 treatment, the internal administration of well-chosen 
 remedies, as for the rodent ulcer., Arsen., Bellad., Cicuta, 
 Hepar, Hydrocotyle, Hydras., Mercur., l^itr. ac, Silicia, 
 Staphis., Sulphur, Uranium ; for epithelioma of the lip., 
 Arsen., Bellad., Clemat., Conium, Silicia, Sulphur; or for 
 chimney-sweeper^ s cancer., Arsen., Carb. veg., Clemat., 
 Laches., Ehus tox., Secale, Thuya, etc. 
 
 Elephantiasis Grcecorum. 
 
 Aretseus quotes as a reason for this name the resemblance 
 of the tubercular and discolored skin to that of the ele- 
 phant. It is also known under the name of leprosy or 
 lepra arabum; and the chief seats of leprosy in recent 
 times continue to be the same regions of Asia and Africa 
 where it was originally seen and where it is known to 
 have been most common in remote ages. 
 
 Its characteristic cutaneous feature is the development 
 of a neoplasma, resembling the granulation tissue of lupus 
 or syphilis, which invades the fibrous structures and the 
 nerves, and the disease has been therefore divided into 
 elephantiasis tuberosa and elephantiasis ansesthetica. 
 
 The earliest stage of the cutaneous (external as well as 
 
146 DISEASES OF THE SKIN, 
 
 mucous) manifestation is hypersemic or erythematous, 
 with the subsequent pigmentary change. ^N'ext follows 
 the hypertrophic process, giving rise to prominent 
 blotches, to papules and tubercles. To this succeed 
 softening of the tubercles and ulceration, and lastly comes 
 a process of disorganization and degeneration which 
 results in the elimination of the flesh in the form of a 
 transparent and viscid discharge, and enucleation of the 
 bones divested of their covering tissues. (Wilson, Lectures^ 
 p. 229.) The disease is sometimes ushered in by lassi- 
 tude, drowsiness, slight shivering, oppression at the epi- 
 gastrium and nausea ; there is an indefinite feeling of 
 malaise, which may last from several weeks to many 
 months ; finally there appears a dull-red discoloration, in 
 patches, followed by little tubercular formations, slightly 
 elevated, varying in size from that of a small pin's head 
 to that of the palm of the hand ; these spots are round or 
 irregular in form. From this moment the disease steadily 
 progresses. In the early stage the sensibility of the parts 
 may be increased in consequence of the pressure exerted 
 by the blastematous effusion upon the nerves, but after a 
 while diminished sensation sets in and increases until it 
 becomes decided anaesthesia. After a time the spots fade 
 and disappear ; subsequently they reappear on other parts, 
 of a deeper color, and become more or less confluent. The 
 eruption usually again slowly disappears, only to return ; 
 and this alternation occurs several times, until at length 
 the spots become permanent. The tubercles are most 
 marked where there is much lax cellular tissue ; therefore 
 about the face, nose, lips, eyes, mouth and ear. The se- 
 baceous glands now take on a hyper-action, hence the 
 skin is oily and shining. The increase in the develop- 
 ment of the tubercles produces terrible deformity ; the 
 surface feels thickened, knotty and uneven ; the face is 
 completely altered ; the edge of the mouth and lips, the 
 eyebrows, the alse of the nose, the eyelids are all distorted 
 
ELEPHANTIASIS. 147 
 
 and thickened, the whole integument being dirty and 
 sallow-like. Sometimes there is found a corrugated super- 
 ciliary ridge, which gives a lion-like expression to the 
 countenance, and suggested to the ancient Greeks the 
 terms Leontia and Leontiasis, which are accepted syno- 
 nyms of the disease. There is also pretty constantly 
 associated with the tubercular growth of the superciliary 
 ridges the loss of eyebrows. In other cases the ears — 
 satyr-like — are deformed by tubercles. "When the lower 
 limbs are affected, the disease is generally most marked 
 about the lower part of the thigh and ankle. Darting 
 pains are often felt in the limbs and the lymphatic glands 
 are frequently swollen ; the tubercles themselves are not 
 painful, but on the contrary sensibility is diminished in 
 them. After an uncertain period the mucous membranes 
 are involved ; on the tongue and mouth spots and patches 
 appear, which often bleed and grow into tubercles ; indeed 
 all the internal organs, with the exception of the pancreas, 
 are finally affected, and the whole system becomes impli- 
 cated ; ulcerative action is set up everywhere with extreme 
 destructive tendencies ; finally diarrhoea from intestinal 
 ulceration opens the last act of the drama and the patient 
 succumbs to the marasmus. The disease may last from 
 nine to twenty years and more, before death brings relief 
 to the sufferer. 
 
 Elephantiasis ancesthetica. The mode of attack is gener- 
 ally more insidious, affects primarily the nervous trunks 
 and very speedily leads to marked ansesthesia and sub- 
 sequent destructive changes. Locally at the outset there 
 are many subjective symptoms of heat, shooting, burning, 
 pricking sensations about the hands or feet, with more or 
 less weakness, followed by tenderness, pain and swelling 
 along the course of the cutaneous nerves ; ending in numb- 
 ness and insensibility to irritants and wasting of mus- 
 cles. The integuments get parched, dry, shrivelled, per- 
 haps covered by a clammy sweat, and desquamate. Coinci- 
 
148 DISEASES OF THE SKIN. 
 
 dently or subsequently to this an eruption appears, con- 
 sisting of erythematous patches, but especially of large- 
 sized bullae, occurring on parts previously ansesthetic, 
 which break, and their place is supplied by superficial 
 ulcerations, which, after scabbing, leave behind white, 
 hard, hairless and glandless patches of disease. These 
 patches are the result of changes in the nervous supply ; 
 they run one into another and vary in aspect from simple 
 white atrophied circles to large " isolated but blended 
 patches," with or without red vascular margins, passing 
 through the stages in which the centre is first red, then 
 brown or pale, and surrounded by a distinct pink border 
 of vessels. The chief seats are the back of the hip, the 
 front of the shoulder, about the elbows, on the forepart of 
 the knee, over the temples, cheeks, trunk and limbs. 
 The eruption is symmetrical and usually precedes the 
 anaesthetic form. (Fox, I. c. 815.) Coincidently with this 
 white leprosy the muscles waste away, the fingers become 
 distorted, the face haggard, shrivelled, the skin mummi- 
 fied or lax and loose. The conjunctiva are injected and 
 vesicles are formed over them ; the lids become atrophied 
 and the lashes fall out. The nasal mucous membrane 
 becomes dry; ulcers form and destroy the septum. Pa- 
 ralysis ensues in many of the muscles. The deeper parts 
 now become affected and the bones suffer by interstitial 
 absorption ; fingers and toes drop off*. During the course 
 of the disease there is great thirst, moderate appetite, 
 occasionally vomiting and pyrosis, a feeling of cold with 
 torpor and drowsiness ; there is not so much diarrhoea or 
 suppuration as in the tubercular form, and the patient 
 dies eventually, worn out by exhaustion, or is cut off by 
 some intercurrent disease. 
 
 Bulkley (ITeumann, L c, 369) remarks, that three 
 prominent circumstances will strike the observer, which 
 illustrate perfectly the differences of the two varieties: 
 First, the obstinacy of healing in the former and the readi- 
 
ELEPHANTIASIS. 149 
 
 ness of the same in the latter. Second, the presence of 
 pain in the former ; its complete and wonderful absence 
 and of sensibility in the latter. Third, the tendency to 
 rapid destruction in the anaesthetic variety and the per- 
 fect preservation of the members in the tuberculous form. 
 
 The pathological manifestation of elephantiasis is a 
 cachexia associated with colloid metamorphoris of the 
 tissues and their subsequent destruction. Thus, in the 
 case of the skin, the whole thickness of the derma is closely 
 studded with minute globular cells, some accumulated 
 in small clusters and others irregularly dispersed. This 
 colloid degeneration extends through the connective 
 framework of the soft parts down to the fibrous envelope 
 of the bones and periosteum, and subsequently isolates 
 and enucleates them. This same degenerated matter in 
 combination with serous fluid constitutes the copious 
 glairy transparent discharge so common to this disease. 
 A similar process, set up in the connective envelope of 
 the nerves, in their neurilemmata, explains the destruc- 
 tion of its normal composition, as well as the loss of sensa- 
 tion and atrophy, and enables us to understand the spon- 
 taneous amputation of limbs without pain. (Wilson, I. c, 
 242.) 
 
 In the treatment of leprosy, the first and most natural 
 suggestion is that of changing completely the hygienic 
 surroundings of the patient. Change to a better climate, 
 to a more genial and more bracing air ; sufiicient exercise ; 
 exhilerating occupation and associations; bathing and 
 cleanliness; good, nutritous and sufficient food. Medi- 
 cines : quinine, ferro-phosphates of quinine and strychnia ; 
 mineral acids ; arsenical preparations ; of plants, the As- 
 clepias gigantea, the Hydrocotyle Asiatica, the Chaoul 
 moogra odorata, the Veronica quinquefolia. 
 
 Norwegian physicians recommend a generous diet, with 
 cod-liver oil ; internally sulphate of magnesia, arsenic, 
 cantharides, iodide of mercury; and for the neuralgic 
 
 \ 
 
150 DISEASES OF THE SKIN. 
 
 pains tlie iodide and bromide of potassium. Locally they 
 paint the larger prominences with the acid nitrate of 
 mercury, and the smaller ones with a solution of potassa 
 fusa and distilled water, one part to two ; while for effect- 
 ing a similar purpose on the rest of the skin they employ 
 baths of caustic potash and sulphuret of potash. In the 
 anaesthetic form moxse and issues are applied to the spine, 
 and internally the iodide and bromide of potassium. 
 
 The Beauperthuy method of cure consists in a nutritious 
 and generous diet, with good air and sufficient exercise, 
 and the local application of the Oleum Anacardii occi- 
 dentalis (turkish bath), and internally the perchloride of 
 mercury in doses of ^V oi a grain, morning and evening. 
 Aphthae and ulcerations of the fauces and mouth he 
 touches with a solution of nitrate of silver, 5 J to i j., and 
 for sanguineous discharges from the nostrils he injects a 
 solution of alum. (Edematous swelling of the feet requires 
 foot-baths of warm oil. (Wilson, L e., 250.) 
 
 Kafka (L c, II., 483) considers internal homoeopathic 
 treatment of no use whatever, but acknowledges that he 
 has no experience in this disease. 
 
 Hughes (Therapeutics) recommends the Hydrocotyle 
 Asiatica, and refers to Andouit's provings in the XYI. 
 volume of the British Journal., p. 461. 
 
 Elephantiasis Arahum, 
 
 Spargosis, bucnemia tropica, must not be confounded 
 with the elephantiasis G-raecorum. The disease usually 
 attacks the lower limbs, and is mostly confined to one of 
 them, but it may affect the scrotum, belly, breast, pudenda 
 and other parts. It is characterized by hypertrophic 
 growth of the cellular tissue of the skin, giving rise to 
 general enlargement and alteration in the aspect of the 
 skin, so that it becomes tawny, hard, dark, livid, thick- 
 ened, often scaly and fissured, whilst by and by warty 
 points appear, so that the skin looks and feels like that of 
 
 f 
 
ELEPHANTIASIS, 151 
 
 an elephant. The disease lasts a variable time, attacks all 
 classes, and is non-contagious (Elephantiasis Grr^ecorum is 
 acknowledged to be extremely contagious). The disease 
 frequently begins with febrile symptoms, darting pains 
 and a feeling of tension in the course of the superficial 
 lymphatics, which soon swell and form knotted cords, 
 while the glands become swollen and tender. The super- 
 ficial veins may also become hard and corded ; occasionally 
 there is difi'used redness of the skin. The swollen parts 
 are not so much painful as merely uneasy from tension. 
 A repetition of fever occurs at certain intervals, and the 
 size of the afi:ected part bears a direct relation to the 
 frequency of the acute attacks of fever and local inflam- 
 mation. At length the skin is white and shining, or it 
 is of a dark color, much thickened and studded with pro- 
 jecting veins. The lymphatic glands often suppurate or 
 slough, the joints are sometimes invaded by chronic in- 
 flammation and the skin may become covered with scales, 
 as in ichthyosis, or unhealthy intractable ulcers may oc- 
 cur. The muscles are often found pale and fatty, and 
 even the internal organs are frequently in a state of fatty 
 degeneration. 
 
 The disease is chronic, and the prognosis depends more 
 on the general state of health than on the local disease. 
 Such cases may be greatly relieved by the judicious com- 
 bination of diuretics, rest, firm and continuous bandaging^ 
 together with mild mercurial friction of the limb. Con- 
 tinuous pressure by bandages or plaster of Paris casings 
 diminish the size of the limbs ; where ulceration takes 
 place, it is a question whether amputation should not be 
 performed. Vanzetti successfully employed compression 
 of the arterial trunk supplying the affected part. 
 
 Kafka {I. c. II., 482) treats the erysipelas, lymphangivi- 
 tis or phlebitis, preceding this pachydrsemia, pro re nata 
 and recommends for the disorganized cutis the internal 
 use of Phosphor., Silicia, Sepia or Graphit., and externally 
 compression from below upwards. 
 
152 DISEASES OF THE SKIN. 
 
 Hebra recommends tight bandaging and a steady 
 renewal of it as often as the bandage becomes loose. The 
 fissures secreting a foul-smelling fluid must be cleansed 
 with a solution of Chlorine or Kreosote. 
 
 Franklin {Surgery^ IL, 831) mentions Arsen., Apis, 
 Clemat., Grraphit., Iodine, Lycop., Mercur., Sulphur and 
 Thuya as worthy of a trial, as also the Hydrocotyle. If the 
 disease has been seen too late and the limb has acquired 
 such enormous proportions as to threaten the bursting of 
 the skin, a few punctures should be made with a sharp- 
 pointed scalpel and the serum permitted to escape through 
 the artificial opening. 
 
 Toothaker {Nervous Diseases^ p. 197) recommends the 
 external and internal use of Hamamelis, continued for 
 some length of time. Much attention should be paid to 
 the general state of health, as well as to the appearance 
 of the diseased parts, the kind of pain experienced, and 
 many other circumstances which may guide in the selec- 
 tion of the appropriate remedy. In cases with ulcera- 
 tion, Arsen., Laches., Silicia may be found useful ; for 
 varicose tumors, Arnica, Laches., Pulsat. ; for indurations, 
 Calc, Lycop., Phosphor., Silicia, etc. 
 
 Furrel {Bibl. Horn., Aug. 1871) speaks highly of Myr- 
 istica sebifera in elephantiasis. 
 
 Sana (A. H. Z., 1873) reports several cases of ele- 
 phantiasis cured by the continued use of Silicia in difier- 
 ent potencies and steady compression with a flannel 
 bandage. 
 
 Keloid. 
 
 Keloid is o. fibroid neoplasma of connective tissue, afiect- 
 ing the surface of the skin in the form of white or pale 
 red, cord-like elevations, commonly found isolated on the 
 upper portions of the trunk or extremities, and sometimes 
 on the face. Alibert distinguishes a true and a spurious 
 Keloid ; the former is spontaneously developed without 
 any known cause ; the latter develops from the cicatrices 
 
FIBROMA MOLLUSCUM, 153 
 
 of burns and operations, and after small-pox, syphilis, and 
 acne indurata, being especially frequent on the breast and 
 back. The considerable amount of pain present dis- 
 tinguishes it from an ordinary scar. The consequences 
 are those which follow in general from contraction of the 
 skin, and vary according to location, as permanent flexion 
 or extension of the joints, hindrance of mastication, 
 atrophy of the affected muscles, etc. 
 
 The treatment of Keloid consists in improving the 
 general health and preventing the irritation of the 
 tumors. Fox recommends the continuous application of 
 contractile collodion to the tumors, to which the hypo- 
 dermic solution of morphia may likewise be applied for 
 the relief of pain. 
 
 Arsen., Caustic, Phosphor., Mtr. ac, Rhus tox., Silicia 
 and Sulphur have been recommended on mere theoretical 
 grounds, clinical verifications being still a great deside- 
 ratum. Graphites ought not to be forgotten, as according 
 to Goullon it produces absorption of cicatrices. ^ 
 
 Fibroma molluscum. 
 
 Fox {I. c.) describes two forms, fibroma simplex and 
 fungoides. These new formations assume the shape of 
 soft, purse-like appendages to the skin, from the size of a 
 pea to that of a hazelnut, or even larger, attached by a small 
 pedicle, and occurring singly or scattered over the whole 
 surface. The region of the neck, the female nipples and 
 labise are favorite locations for these growths ; the palms 
 of the hands and the soles of the feet are almost always 
 free from the disease. The fungoid, fibroma differs from 
 the simple form by its tendency to ulceration, to rapid 
 growth and to vascularity, and may become dangerous by 
 gangrene and even cause death by marasmus or pyaemia. 
 The microscope shows the tumor to consist of young 
 gelatinous connective tissue, which forms large inter- 
 stices, containing a yellow, expressible albuminous fluid, 
 
 12 
 
154 DISEASES OF THE SKIN. 
 
 traversed by a delicate, fibrinous net- work. There are 
 also enlargements of the sweat and sebaceous glands, and 
 increase of pigment in some tumors. 
 
 Hebra recommends their removal by the knife, scissors, 
 ligature, ecraseur or galvano-caustic loop, the consequent 
 hemorrhage being easily controlled. Fox uses the acid- 
 nitrate of mercury to the smaller, and the joint use of 
 that remedy and the ligature to the larger forms. After 
 applying the acid, an oxyde of zinc paste may be used to 
 prevent too much irritation. 
 
 Dudgeon (Hughes' Therap., 467) states that in a case 
 under his care such tumors were disappearing under the 
 action of Silicea and Lycopodium. As the fungoid fibroma 
 also aft'ects children Calcarea ought to be remembered, 
 especially the Calcarea-arsenicosa, as in the case mentioned 
 by Fox, the whole of the tissue of the gums was enor- 
 mously hypertrophied and the fingers markedly club- 
 shaped. 
 
 Dermatolysis, 
 
 The fibro-cellular element is greatly increased and 
 the skin hangs in loose folds ; there is little vascularity ; 
 the sensibility of the part is diminished. Alibert men- 
 tions five chief seats of the disease, viz., the eyebrows, the 
 face, the neck, the abdomen and the labia ; but it may 
 also affect other parts of the body. 
 
 Bromide of ammonium is recommended by the old 
 school. Thuya or Aurum may give some relief, according 
 to their pathogeneses. 
 
 NcBvus vascularis. 
 
 Teleangeiectasia, a bright or dark-red or even purple 
 tumor, according to its communication with arterial or 
 venous vessels, varying in size and sometimes including 
 superficially large portions of the body. As a rule they 
 are congenital and consist partly of newly-formed capil- 
 laries ; sometimes we find fatty and connective tissue be- 
 
PAPILLARY TUMORS. 155 
 
 tween the vessels ; they enlarge slowly in height and 
 breadth and are painless. Microscopic examination shows 
 that the coats, calibre and radicles of the vessels are all 
 hypertrophied and enlarged. 
 
 Venous nsevi occur as prominent tumors of a purplish 
 hue, smooth or lobated in outline, and somewhat compres- 
 sible, doughy and inelastic to the touch. They are less 
 exclusively confined to the upper part of the body, and in 
 their structure consist of thin, tortuous and sacculated 
 veins. 
 
 The treatment of nsevi is purely surgical and electrolysis 
 is now with most surgeons a favorite procedure. Where 
 we have to deal with small tumors internal treatment 
 might be tried before resorting to surgery. Hughes saw 
 a neevus disappear under Thiiya^^. Calcarea must also be 
 remembered. Bonhof {A. H. Z.^ 85, 197) gave Cundu- 
 rango^ in a case of teleangeiectasy, and its administration 
 was followed by inflammation of the diseased spot and 
 then came drying up, taking about three weeks for a 
 cure. 
 
 Papillary Tumors, 
 
 True papillary tumors are verruca, cornu cutaneum, 
 condyloma and ichtyosis. 
 
 Verruca^ warts, are a hypertrophy of the papillae of the 
 cutis and of the cuticle which covers them. Sometimes 
 the epidermis sinks more deeply between the individual 
 papillse, whereby the surface acquires a lobulated appear- 
 ance and the wart seems to be formed of several separate 
 parts put together. Warts are rounded, filiform or fiat. 
 The papillae of which they consist are either short or long; 
 they vary in shape and are more or less numerous in each 
 wart. Each papilla is supplied with a single vascular 
 loop or loops, which come near the epidermis covering 
 the papilla. 
 
 Warts may be snipped ofi* and their bases touched with 
 nitrate of silver, when they are pedunculated. When 
 
156 DISEASES OF THE SKIN. 
 
 they have a broad base of attachment they may be touched 
 with strong nitric or acetic acid ; the latter may be rubbed 
 up into a paste with lac sulphuris. A good application 
 to the warts of children is a mixture of equal parts of dilute 
 hydrochloric acid and muriated tincture of iron. Plumbe 
 advises a small piece of cantharidal plaster to be bound for 
 a day or two on the crown of the wart with adhesive plas- 
 ter, when it will be found to be soft and moist, with a lit- 
 tle ring of vesiculation around its base. It may then be 
 picked off to the level of the skin, when caustic ends the 
 affair. 
 
 Helmuth {Surgery^ 497) emphatically declares that it is 
 never necessary to apply either nitric acid or lunar caustic. 
 Internal medication is the most certain means for the 
 eradication of warts. To accomplish this end the medi- 
 cines are Calcarea, Causticum, Dulcamara, jN'atrum mur., 
 ^Nitric acid, Rhus tox.. Sepia, Thuya and Sulphur. He has 
 often succeeded in the removal of warts by giving Calcar.^, 
 two grains every night for a week, and following it with 
 Thuya^, two drops night and morning, and applying 
 Thuya in tincture to the wart at night. 
 
 Kafka {I. c. 11,^ 483) remarks on verucosis^ where larger 
 and smaller warts in great variety form on the hands, that 
 such a state can be removed by the methodical use of 
 Thuya, Mtric acid, Calcarea or Sepia. Begin with Thuya^, 
 a dose morning and evening for hard warts covered with 
 a layer of horny epidermis, and touch, in the morning after 
 washing and at night before retiring, the warts with a 
 solution of Tinct. Thuya dil. 1st. 5 i., Aq. dest. Spir. vin. 
 aa. ^ j. The patient must not dry the hands, but must 
 allow the fluid to dry up. Nitric acid suits soft warts 
 covered with a less thick epidermoid layer, but for exter- 
 nal use the acid must never be mixed with alcohol, as 
 thus the acid would be chemically decomposed. Sepia 
 suits for large and hard warts ; Calcarea for the smaller and 
 softer ones. 
 
PAPILLARY TUMORS. 157 
 
 Antimonium crud. has cured smooth soft warts, especially 
 on the neck, hands and arms (0. M. and S. i?. v. 5, 147). 
 
 Holcombe {N. A. J], of H,, X/F"., 17) praises the use of 
 carbonate of magnesia, two or three grains three times a 
 day for a' long time, as this succeeded where all external 
 applications failed. 
 
 Phytolacca internally and externally has eradicated 
 verucosis, and the warts did not return. 
 
 Horns are usually made up of hypertrophied papillae, 
 each containing one or more vessels, and being covered 
 by epidermis ; on section they have a granular texture 
 pierced with small orifices, and when dry, numerous con- 
 centric cracks. They are in fact only largely developed 
 warts, and are most common on the hairy scalp, forehead 
 and temples, more rarely on the face and extremities, least 
 often on the body, especially in women ; their growth is 
 slow and without pain. The treatment consists in the 
 total removal of the growth at its base, together with its 
 matrix. When this is completely accomplished there is no 
 need of cauterization. 
 
 Condylomata are also hypertrophied papillae covered 
 with epidermis. They are more vascular and softer than 
 warts. They are met with on the inside of the thighs, on 
 the perineum, about the anus, on the glans, or in corres- 
 ponding situations in the female. They assume a great 
 variety of shapes and depend upon the irritation of the 
 discharges of gonorrhoea or syphilis, together with the 
 natural perspiration, usually occurring in persons of dirty 
 habits. Some of them have broad pedicles, some narrow ; 
 they may be cleft many times at their summit (mulberry- 
 like) and are often compressed and flattened by the pres- 
 sure of two opposing surfaces of skin. Mucous tubercles 
 resemble condylomata in anatomical structure, so that they 
 are called by some authors flat condylomata. 
 
 Excision is considered by many writers the only treat- 
 ment necessary to a cure, but Jahr ( Venereal Diseases, p. 
 
158 DISEASES OF THE SKIN. 
 
 152) found mere external treatment insufficient and recom- 
 mends for broad, flat, bean-shaped condylomata, Thuya, 
 Nitr. ac. ; for elevated, cauliflower, raspberry-shaped, 
 Thuya ; for fan-shaped, Cinnabans ; for pedunculate, 
 Lyeop., Nitr. ac. ; for cone-shaped, Merc. sol. ; for dry. 
 Thuya, Merc, sol., Merc, cor., Lycop., Nitr. ac, ; for moist, 
 suppurating, Nitr. ac, Thuya., Sulijh., Eu2:>hras. ; for soft, 
 spongy, Sulph. 
 
 According to their locality, when first manifesting 
 themselves on the glans, Nitr. ac. Thuya, Cinnab., 
 Lycop., Sulph.; on the prepuce. Thuya, Nitr. ac, Lycop., 
 Merc. cor. ; on the scrotum. Thuya ; on the anus. Thuya, 
 Euphr., Merc. cor. 
 
 Ichtyosis is a disease characterized in part by a moderate 
 accumulation of epidermal matter, and in part by a hyper- 
 trophy of the papillary layer and thickening of the whole 
 corium, with an alteration in the cutaneous glands. The 
 chemical constitution of the epidermic cell is altered ; 
 there has been formed an excess of the inoro-anic ino-redi- 
 ents, generally with an excess of fat and a decided trace 
 of iron with phosphate and carbonate of lime, and in some 
 cases silicea (Simon, Hautkrankheiten). 
 
 The scales of true ichtyosis may be thin and mother-of- 
 pearl colored, adhering firmly in the centre, while the 
 periphery is free and arranged in polygonal patches, 
 {ichtyosis nacrie of Alihert) or the epithelial masses are 
 heaped on one another, dark-colored and likewise arranged 
 in polygonal 'shapes {ichtyosis siynp)lex, serpentina), or the 
 epidermal growth may form spines, within which the 
 lengthened and narrowed papillae extend {ichtyosis hystrix, 
 porcupine skin). The causes of this disease are unknown. 
 In some families it is hereditary. Men sufifer more from 
 it than women. Amelioration usually takes place in 
 summer and during the years of puberty, and an aggrava- 
 tion occurs daring winter. 
 
 The scales turn frequently to a dark color, from dirt and 
 
PAPILLARY TUMORS. 159 
 
 pigment ; the dorsal and extensor sides of the extremities 
 and of the trunk are most frequently the seat of ichtyo- 
 sis, and it becomes an obstacle to free motion. Sometimes 
 the disease remains limited to small spaces, as the knees or 
 elbows, and forms moderate deposits of dark-colored epi- 
 dermal cells along the distributions of certain cutaneous 
 nerves. 
 
 Slight cases may last for years and not occasion much 
 inconvenience save slight itching. Severe cases of it are 
 incurable, painful, and lead sooner or later to exhaustion, 
 and generally to tuberculosis. 
 
 In the treatment of ichtyosis patience and perseverance" 
 will be rewarded. Plumbe successfully treated two cases 
 by strapping the affected parts tightly with adhesive plas- 
 ter, which he then covered with a roller-bandage kept 
 constantly moistened with cold water; the straps were 
 changed every fourth or fifth day. Hebra recommends 
 macerating the epidermis by the repeated use of warm 
 baths, frictions with oily substances, as cod-liver oil ; and in 
 more severe cases the green soap is recommended to be 
 methodically applied [Schmiercur) and the patient wrapped 
 in woolen CO verino;s. Hunt relies on J'owler's solution in- 
 ternally, and externally he uses pure glycerine mixed with 
 Fowler's solution, diluted if necessary. 
 
 Kafka (l. c. 11.^ 481) recommends Phosphorus internally 
 and externally, as in acne indurata, as the remedy pos- 
 sesses near physiological relations to induration and 
 hypertrophy of the skin. Iodine and Aurum deserve also 
 to be recommended. Raue {l. c, 608) mentions Calc. carb., 
 Clemat., G-raph., He par, Lycop., Petroleum, Plumbum, 
 Sepia, Silic, Sulphur, Thuya. Rubbing with oil and 
 afterwards taking a warm bath is best suited to remove the 
 hard scales." Pratt {Tr. H. M. S. of N. F., 1870) relates 
 a case of ichtyosis involving almost the entire body, 
 especially the arms, thighs, legs and knees, which latter 
 were covered with thick and horny scales, and cracks 
 
160 DISEASES OF THE SKIN. 
 
 running in all directions. The function of the sebaceous 
 follicles was entirely suspended ; scales that fell off were 
 soon replaced by new ones ; there was no moisture on 
 the skin. Arsen.^, three powders a day, and Sulphur^, 
 twice a day, for about three months, resulting in a com- 
 plete cure. 
 
 There is a condition which has been described under 
 the name of ichtyosis congenita, the whole surface of the 
 body being covered with laminse of cuticle, loosely adher- 
 ent to the cutis, which is unaltered. The children thus 
 born have died in a few days. Hebra calls this affection 
 ichtyosis sebacea neonatorum. 
 
 Atrophy. 
 
 Rokitansky understands by atrophy a removal of the 
 elements forming a tissue without a proportionate replace- 
 ment of the same, and this occurs either from a lack of 
 formation of a sufficient number of elements or from the 
 loss of more than are formed anew. Neumann (1. c, 301) 
 recognizes a true atrophy where the elements have dimin- 
 ished in size or shrunken, and a qualitative atrophy where 
 the elements degenerate. Atrophy of the skin may take 
 place from the pressure of tumors, rendering the cutis 
 thin, shining and transparent, the lines and wrinkles dis- 
 appearing ; the papillary layer also atrophies and the epi- 
 dermis finally ruptures, leaving the rete Malpighi exposed. 
 We may also have atrophy of the skin in consequence of 
 chronic cutaneous disorders or after exhaustive diseases 
 like typhus. 
 
 The senile alterations in the skin consist principally 
 in a diminution of the tissue of the cutis, which results 
 from a contraction of the same, so that it becomes thinned, 
 and this is generally accompanied with changes in tex- 
 ture which are designated as fine granular degeneration, 
 senile shrinking, vitreous degeneration, etc. These retro- 
 grade metamorphoses are in harmony Avith the disturb 
 
ATROPHY, 161 
 
 ances of nutrition of old age in general, which depress the 
 whole organism. To the senile changes also belongs a per- 
 ceptible diminution in the elasticity and extensibility of 
 the skin. (I^eumann, I. c, 314). 
 
 One of the most interesting atrophies of the skin is the 
 atrophy of the bulbs of the hair of the scalp, which always 
 causes a falling out of the hair (calvities^ alopecia). It may 
 be congenital, accidental or normal (senile). The former 
 is rare ; generally downy hair studs the surface and proves 
 the existence of bulbs, though in an inactive state. Second, 
 accidental and partial, as in parasitic diseases, or general, 
 from such causes as lower the vital tone. Third, senile. 
 When the bulbs become atrophied, but do not perish en- 
 tirely, the formation of hair may not cease entirely, but 
 instead of a natural growth we see only thin, short, 
 slightly curling apologies, known under the name of 
 lanugo. 
 
 In alopecia senilis, as well as in calvities pr£ematura of 
 young persons, the hair begins to fall out just on the crown 
 of the head and on the temples, while that on the back of 
 the head, and the beard, may continue to grow during the 
 whole of life. Kolliker asserts that the falling out of the 
 hair in old age depends upon an obliteration of the capil- 
 laries of the hair-papillse, and on atrophy of the cerebro- 
 spinal and vaso-motor nerves ; but according to others the 
 follicles merely become smaller and contain downy hairs. 
 N^eumann found both the hair-follicles and the root-sheaths 
 shrunken, the cells of the outer at first increased and 
 afterwards diminished in number, or with a fatty de- 
 generation, and surrounding a fine hair whose root is like- 
 wise greatly thinned and pigmented, while the sebaceous 
 glands are very considerably enlarged and are located be- 
 neath the fundus of the hair-sac. (Parasitic hair diseases 
 will be treated of in the chapter on parasites). 
 
 Kafka {I. c. II., 486) acknowledges that all treatment 
 is futile if we wish to accomplish a restitution of the atro- 
 
162 DISEASES OF THE SKIN. 
 
 phied hair-bulbs. In partial atrophy, showing itself by 
 lanugo, he advises to shave off all these little woolly hairs 
 and to rub into the scalp morning and evening some pure 
 Cologne water or a solution of liquid Ammonium caust. 
 (5 i. to ^ iiij. distilled water). 
 
 Where the hair has fallen out in consequence of severe 
 diseases (loss of vital power) nutrition is at a low ebb, but 
 with a restitution of strength the bulbs may also recover 
 and a new growth of hair appear. For the defluvium 
 capillarum Cale. carh.^ or Natriim miir.^ are valuable reme- 
 dies which ameliorate the constitutional relations and 
 rouse up the sunken energies. A nutritious diet and 
 fresh air are our best adjuvantia. Where the patients are 
 extremely weak and reduced the use of Cinchona is neces- 
 sary, and we may also externally apply a solution (Tinct. 
 Cinchonse 5 i. aq. dist. ^ iii.). Where high grades of anng- 
 mia should require Ferrum we may also use it externall}' 
 (Ferrum acet. grs. iii., aq. destil. ^ iii.). 
 
 The premature turning grey of the hair is caused by loss 
 of pigment and has happened suddenly, or it may gradu- 
 ally take place. Landois believes that this disease stands 
 in immediate connection with some affection of the nerves, 
 which, as they frequently exercise a depressing influence 
 on the whole organism, and can thereby produce chronic 
 or acute diseases, may also occasion a disease or a turning 
 grey of the hair. For this turning grey Pfaff recommends 
 Sulphur internally and frictions with the yolk of an egg^ 
 which, as is known, contains sulphur and iron. Lycop.^, 
 Graphite^, or Hyosc.^ may perhaps retard this disorder; 
 but Kafka has most confidence in I^atr. mur. internally 
 as well as externally, which caused in some cases a restora- 
 tion of a fine crop of hairs. Hughes ( Therap, 469) found 
 Phosph. ac. serviceable when the falling of the hair re- 
 sulted from general or local debility. Where syphilis 
 might be suspected Fluor, ac. may be thought of. In non- 
 Byphilitic cases Mr. Hunt leads us to expect great things 
 
DISEASES OF THE NAILS. 163 
 
 from Arsen. Teste promulgates some curious experi- 
 ments with Aloes, which in the sixth dilution produces 
 and cures falling of the hair in adults. Raue {l. <?., 37) 
 gives the following therapeutic hints : Kali carb., with 
 great dryness of the hair; Hepar^ Phosph., Sepia., Silic. 
 after chronic headaches ; Kali carh.^ Nitr. ac. after nervous 
 fevers ; Fhosph. ac. after great anxiety and grief. Besides 
 these compare Amhra, Amnion, carb., Baryta carb., Calc. 
 carb., Conium, Graphit., Lycop., ^N'atr. mur., Sulphur, Zinc. 
 French physicians recommend for accidental alopecia to 
 mix a drachm of Tinct. of Phosph. with one ounce of 
 Castor Oil, the bare spot to be rubbed with this mixture 
 three times a week for half an hour each time, after the 
 skin of the head has been thoroughly cleansed with warm 
 water without soap. 
 
 Diseases of the Nails. 
 
 The nails may also suffer from hypertrophy, atrophy 
 and deg-eneration. 
 
 o 
 
 In the hypertrophy of the nsiih (onychopyphosis) the 
 nails may increase in length and become curved inward, 
 or they may be augmented in thickness. All the nails 
 may be affected or only individual ones ; they grow rough 
 and uneven, lose their shining appearance, become sepa- 
 rated from their matrix or break into longitudinal or 
 diagonal clefts. According to Virchow we have either 
 large lamelliB of nail heaped on each other, with interstices 
 surrounded by horny layers (medullary spaces), or the 
 whole nail acquires a conical or cubic form. The nail-bed 
 becomes shortened and the nail itself contracted. Finally 
 we have talon-shaped nails, in which the anterior portions 
 crumble away. IS'ails may even sometimes curve spirally 
 (Neumann, I. c, 285). 
 
 Graphite shows among its symptoms a thickening of the 
 finger nails; also Aluraina, Calcarea, Mercur., SabadiL, 
 Sepia, Silic, Sulphur. 
 
164 DISEASES OF THE SKIN. 
 
 Atrophy of the nails^ accompanied with change of struc- 
 ture, is more common in the toes than in the fingers ; the 
 nails lose their lustre and smoothness and do not grow. 
 They seem to be made up of layers lying one on the other, 
 the upper being shorter than the under layer ; they are in 
 substance dryer and more brittle. By degrees portions are 
 broken off, and in this way the upper and then the under 
 layers are removed. Before the nail is entirely lost there 
 often remain for a considerable time small irres^ular fras;- 
 ments near the base of the nail. This condition — another 
 retrograde metamorphosis — is sometimes met with in old 
 people, although it has been observed in young people. 
 
 For this breaking, peeling off and splitting of the nails the 
 study of the following remedies is advised: Alumina, 
 Curare, Graphit., Mercur., Sepia, Silic, Squill., Sulphur ; 
 for falling off: Antim., Arsen., Helleb., Mercur., Secale, 
 Sepia, Squill., Thuya. 
 
 "We must distinguish simple onychia from the parasitic 
 or malignant form. The former is characterized by the 
 usual symptoms of inflammation, which is commonly set 
 up on one side of the nail, in the angle of the tissue in 
 which it is implanted. There is no discharge of pus, the 
 nail gradually loosens, becomes dark-colored, shrivelled, 
 and finally is completely detached. A new nail soon 
 makes its appearance, but is liable to be badly shaped. 
 Gilchrist {l. c, 297) recommends Arnica, Silic. or Sulphur, 
 and when occurring traumatically, in the absence of any 
 specific taint, he relies on Arnica. Jahr recommends 
 Hepar as almost specific, after which Lachesis acts well ; 
 and if ulceration should have set in, Silic. or Sulphur. 
 Where the phlegmonous inflammation attacks the lym- 
 phatics and the pains run in streaks up the arm, Rana 
 bufo has often given relief. Fluor, ac. has hardly ever 
 disappointed us in the treatment of simple onychia, ex- 
 ternally applied (1 to 20), and the 30th or 200th potency 
 internally. 
 
FAVUS. 165 
 
 I*arasitic Diseases of the Skin, 
 
 Hogg, in his monograph on the "parasitic origin of skin 
 diseases " regards the following as of a fungoid or parasitic 
 origin: favus, trichoses furfuracea, alopecia, sycosis, chlo- 
 asma ; hut very considerable differences of opinion exist 
 among authorities as to the part pla^^ed in certain cutane- 
 ous affections by vegetable organisms. Fox and Bennett 
 consider the fungus as a something superadded to the dis- 
 eased condition, "an eruptive disease plus a parasite." 
 Others, on the contrary, consider the fungus the sole cause 
 of the disease and give a generic name to each fungus 
 (Kuchenmeister). 
 
 Porrigo favosa, porrigo lupinosa, favus dispersus, tinea 
 favosa (achorion Schbnleinii). * 
 
 Prof. Bennett writes : " I believe that the pathology of 
 favus is best understood by considering it essentially to 
 be a form of abnormal nutrition, with exudation of a 
 matter analogous fo, if not identical with, that of tuber- 
 cle, which constitutes a soil for the germination of crypto- 
 gamic plants, the presence of which is pathognomonic of 
 the disease. Hence is explained the frequency of its 
 occurrence in scrofulous persons, among cachetic or ill-fed 
 children, and the impossibility of incubating the disease 
 in healthy tissues, or the necessity of there being scaly, 
 pustular and vesicular eruptions on the integuments pre- 
 vious to contagion. But, assuming the possibility of 
 inoculation in healthy persons, it follows that the mate- 
 rial in which the vegetations grow, may, at the commence- 
 ment, in a molecular exudation, be formed primarily or 
 secondarily ; that is, there may be want of vital power 
 from the first, as occurs in scrofulous cases, or there may 
 have been production of cell forms such as those of pus 
 and epidermis, which, when disintegrated and reduced to 
 a like molecular and granular material, secondarily con- 
 
166 DISEASES OF THE SKIN. 
 
 stitute tlie necessary ground from which the parasite de- 
 rives its nourishment and in which it grows." 
 
 Tinea favosa or true favus is characterized by sulphur- 
 colored, dry incrustations of varying thickness, sometimes 
 disposed in the form of cups and sometimes in a more 
 irregular manner. The crusts have a peculiar mouldy 
 odor, somewhat resembling that of mice. It occurs on any 
 part of the skin on which hairs are found, but its favorite 
 seat is the scalp. The crusts are almost entirely composed 
 of fungoid filaments, epithelial scales and broken hairs, 
 have an outer concave and inner convex surface, and are 
 lodged in depressions in the skin corresponding to their 
 thickness. When the crusts stand isolated, the disease is 
 called /a^;w5 dispersus^ when confluent /a?; ^^5 confertus. 
 
 The first form of the disease — the favus dispersus (or 
 dissenAnated) — is the more common, and there is in the 
 beginning an increased production of cuticle round one 
 or more hairs ; occasionally there is a small red ring. 
 The hairs thus surrounded lose their glossy character, 
 become dull and are changed in color. A little later, 
 small yellow concretions of the size of millet-seeds appear, 
 attached to the under surface of the epidermic scale around 
 the hair ; the hairs become still more changed and are easily 
 pulled out. At first there is no central depression, but a 
 spherical elevation traversed by a hair ; this increases in 
 size, maintaining its circular form and assuming a central 
 cup-shaped depression. This cup-shaped mass is an indi- 
 vidual favus, whose outer layers are of deeper color than 
 the central ones, which turn pale. The separate favi may 
 go on increasing till they measure half an inch in width. 
 After a time the circular form is lost, the outline becomes 
 irregular, and contiguous masses run into each other, and 
 in this way the whole scalp may be invaded (favus circu- 
 laire coherent). There may be intermingled with this 
 characteristic and peculiar material, spots of blood and 
 pustules. At a later stage permanent baldness ensues 
 
FA VUS. 167 
 
 from the destruction of the hair follicle and its papilla ; 
 the scalp is then left pale, smooth, shining and rather hard to 
 the touch. In the second form (favus nummularis) the dis- 
 ease attacks circular patches of hair instead of single hairs. 
 The excessive production of epidermic scales is more 
 marked ; the hairs, for a, short distance up their shafts, 
 are surrounded by them ; they are white and form an 
 adherent network of a gummy appearance (favus squa- 
 mosus, tinea furfnracea). 
 
 In a third form the affected parts have not a circular 
 outline, but are irregular and elongated. It seems as if 
 the parasite in this case developed itself upon the shafts 
 of the hairs, on which it forms for some distance a net- 
 work uniting them strongly to each other. The tendency 
 of the favus masses, when left to themselves, is to exhaust 
 the parts which they aifect by destroying the hair. (Hil- 
 lier, l. c, 257.) 
 
 The fungus is the achorion Schonleinii according to 
 most authorities, although Ilebra and Hutchinson make 
 all parasitic skin-diseases depend on a single fungus, being 
 led to this opinion from the clinical experience that com- 
 presses and bandages used as water-dressings frequently 
 produce favus, herpes tonsurans and even a combination of 
 the two. IsTeumann considers with Hillier that the achorion 
 is a morbidly altered penicillium, which, by virtue of its 
 great power of acclimatization, is more suited than many 
 other nearly-related fungi to vegetate on the human skin ; 
 but the apparent differences in the fungi found on the 
 skin depend almost wholly on the food or noulishment 
 supplied, whether the pabulum contains more or less of a 
 saccharine, albuminous or nitrogenous material, etc. 
 
 The general health of favus patients is said to be good, 
 but constitutional symptoms are marked in most cases, 
 and, whenever there is a deranged state of health, we find 
 it associated with enlarged lymphatic glands of the neck 
 or of the mesentery, and lung mischief. Uncleanliness, 
 
168 DISEASES OF THE SKIN. 
 
 bad food, bad living, damp dwellings necessarily exert 
 their influence upon such patients. Hebra lays much 
 stress upon the feature of dirtiness as a cause of favus, and 
 observes that this accounts for its rarity among the upper 
 classes of society. The disease is always a chronic one, 
 and cleanliness, good food and fresh air the necessary con- 
 ditions for amelioration. Favus patients need good food 
 and plenty of fat. Cod-liver oil and iron are therefore 
 favorites in this disease. Locally, the hair must be cut 
 «hort, the crusts removed by soaking with oil or hyposul- 
 phite of soda lotion, or, if preferred, sulphurous acid 
 lotion, or they may be loosened and in chief part got rid 
 of by poulticing. When the scalp is cleansed the hairs 
 must be extracted and parasiticides applied at once, as, 
 for example, of hyposulphite of soda ^ iii, dilute sulphur- 
 ous acid ^ J, water q. s. ad. ^ xvi. A certain portion of 
 surface should be cleansed each day, the whole head being 
 meanwhile kept moistened with sulphurous acid lotion. 
 When the number of parasites has been diminished, the 
 air may be excluded by the free use of ointments after 
 a good application of some parasiticide. The after 
 baldness must be remedied by stimulation, though it is 
 impossible in some cases to induce the growth of hair, 
 from the fact that the hair papillae have been completely 
 destroyed by the inflammatory action set up by the fun- 
 gus. (Fox, l. c, 432.) 
 
 Although Kafka decries all internal homoeopathic treat- 
 ment and relies more exclusively on parasiticidal means, 
 Teste (Diseases of Children, 200) considers the treatment 
 of this aftection the triumph of homoeopathy. Sulphur., 
 Dulcam.y Viola trie.., Oleand.., Hepar form the basis of the 
 therapeutics appropriate to the difl:erent shades of this 
 exanthem. Sulphur and Dulcam. are especially adapted 
 to -the humid form of the disease in children of blonde 
 and fresh complexion. Viola trie, may be alternated with 
 either when the itching is very violent. Oleand. is 
 
FAVUS. 169 
 
 indicated if the eruption is characterized by intense 
 itching and by an insupportable nocturnal burning after 
 scratching the head, and if at the same time the mesen- 
 teric glands appear to be affected, which is seen in the 
 swelling, hardness and tension of the abdomen, as well as 
 in the stools, which are sometimes hard but more fre- 
 quently loose and undigested. Hepar sulph. corresponds 
 to cases where the exanthem, instead of being limited to 
 the scalp, extends to the nape of the neck or the face, and 
 to cases also where ophthalmia supervenes, with or with- 
 out ulceration of the cornea, etc. 
 
 As therapeutical hints for the application of other 
 remedies may be given : 
 
 Arsenicum. The scalp is found perfectly dry and rough, 
 covered with dry scales and scabs, extending sometimes 
 even over the forehead, face and ears. 
 
 JBromine. Malignant scald-head, oozing profusely ; in 
 places where the skin is dry, large numbers of flakes are 
 thrown off; extreme tenderness of the scalp; unbearable 
 smell of the eruption. 
 
 Calc. carh Scabs are thick and cover a quantity of 
 thick pus ; the scabs are large, even one-half of the entire 
 scalp being covered with a single scab. 
 
 Cornus circinnata. Dry and moist tinea. Scrofulosis, 
 with dry spasmodic cough, or tedious chronic cough with 
 mucous expectoration. 
 
 Graphites. Exudation of clear glutinous fluid, forming 
 moist scabs. 
 
 Lappa major (Arctium lappa). The scalp is covered with 
 a greyish-white crust and most of the hair is gone, the erup- 
 tion extending over head, face and neck ; moist, bad-smell- 
 ing eruption on the head of children ; swelling and sup- 
 puration of the axillary glands. 
 
 Mezereum. Dry eruption on the head with intolerable 
 itching, as if the head were in an ant's nest. White, 
 
 13 
 
170 DISEASES OF THE SKIN. 
 
 scaly, peeling-oif eruption over the scalp, extending over 
 the forehead and temples. 
 
 Phosphorus. The denuded scalp presents the appearance 
 of clearness, whiteness and smoothness. 
 
 Vinca minor. Spots on head, oozing moisture, matting 
 the hair together ; the hair falls out in single spots and 
 white hair grows on it. 
 
 Arsen., Baryta carb.. Bromine, Calcar., Dulcam., Hepar, 
 Graphit., L3^cop., Mercur., Phosphor., Oleand., Rhus tox., 
 Petrol., Sarsap., Staphis., Sulphur, Yiol. trie, have cured 
 some obstinate cases, where even depilation failed to 
 eradicate the disease. 
 
 Tinea Tonsurans. 
 
 Porrigo scutelata, Trichoses furfuracea, Herpes tonsurans, 
 ordinary ringworm of the scalp. Parasite, Trichophyton 
 tonsurans. 
 
 Hogg {I. c, 46) is convinced that ringworm, as well as 
 favas, is due to a deranged state of health, and does not 
 originate in the epidermis, nor in the hair, but in the or- 
 gans of secretion. The vegetation is a secondary product, 
 and therefore, if attention be paid to the general health 
 and constitutional treatment resorted to, the most invete- 
 rate case of ringworm can be cured. Good air^ good food 
 and tonics always starve the parasite^ and the soil in which 
 it grew and flourished no longer nourishes it ; the erup- 
 tion gradually disappears and the hair resumes its healthy 
 growth. 
 
 Tinea or herpes tonsurans occurs amongst the rich as 
 well as the poor, and is seen not uncommonly in the lower 
 animals, where favus is rare. It has many points of anal- 
 ogy with favus : like it the disease cannot exist without 
 the presence of a parasitic growth ; it is contagious, but 
 will not occur in every person exposed to the contagion ; 
 it is also a chronic disease, its most intractable symptoms 
 being dependent on the changes effected by the plant in 
 
TINEA TONSURANS. 171 
 
 the hairs and the parts concerned in their formation ; like 
 favus it may occur on the body or limbs as well as on the 
 scalp, but is most difficult to cure when it attacks the 
 hairy scalp. 
 
 ]^eumann {I. c, 429) gives three forms: First, herpes 
 tonsurans vesiculosus, which appears in the form of small, 
 punctate vesicles, with clear contents, arranged in a cir- 
 cular form, which dry a few hours after their appearance, 
 leaving small, thin scales and crusts, ^ew vesicles are 
 continually formed in the immediate neighborhood, and 
 in this way the disease extends peripherally, so that the 
 circumference is formed of vesicles and the centre of thin 
 scales. Sometimes several of such circles join together, 
 and, if the eruption disappears at the point of contact, we 
 may have serpentine lines, as in psoriasis. Second, herpes 
 tonsurans maculosus takes the form of pale-red spots, hav- 
 ing a small, whitish scale in the centre ; they increase 
 peripherally while they pale in the centre, thus presenting 
 a picture similar to erythema annulare. Third, herpes 
 tonsurans squamosus, which is the last stage of the two 
 former when occurring on hairless parts, is in the form of 
 scales, mostly arranged in circular shapes. 
 
 Herpes tonsurans on the scalp presents the following 
 changes: The hairs fall out or break off on circumscribed 
 spots, and the scalp becomes covered with thin scales or 
 crusts which come off easily. The fungus is found both 
 between the cells and the epidermis, and also in the hairs 
 and the root-sheaths. The hair becomes lustreless and 
 brittle, loses its elasticity, and appears filamentous at the 
 point of fracture. 
 
 The causes operating on the development of herpes 
 tonsurans are various. Heat and moisture are favoring 
 elements ; we therefore frequently find the disease after 
 long continued use of moist compresses, especially when 
 they have not been kept very clean. The wet cloths 
 so frequently employed around the region of the stom- 
 
172 DISEASES OF THE SKIN. 
 
 ach and loins by hydropaths, produce ringworm, and fre- 
 quently ulceration ensues after a protracted use of such 
 bandages. This disease is frequent in children and some- 
 times all the pupils of an institution will be affected. 
 Damp dwellings and the wearing of linen not perfectly 
 dried, are common causes, and as a rule, in the dwellings 
 of such patients, we find a growth of mould elsewhere, 
 as on garments, boots, etc. 
 
 The observation of Hebra has been confirmed that 
 herpes tonsurans and favus can be produced by one fun- 
 gus, and that the penicillium. Hallier also considers the 
 trichophyton as a moniliform arrangement of the spores 
 of penicillium, a product of the dust fungus of the mil- 
 dew (ustilago). 
 
 Herpes tonsurans will disappear with the use of the 
 following means, even when it has existed for a long time. 
 In slight cases the affected spots are caused to vanish en- 
 tirely by vigorous friction with potash soap (Schmier- 
 seife). If the disease is very extensive, we will succeed 
 more quickly by rubbing on the soap and allowing it to 
 dry upon the skin. We may also obtain success with the 
 spiritus saponis alkalinus. If the herpes tonsurans has 
 lasted long and there is infiltration in consequence, tar 
 should be applied to the afifected parts after the friction. 
 Washing with benzine, solution of borax, petroleum, bal- 
 sam of Peru, or with a weak solution of carbolic acid, 
 gives good results (Neumann, 431). 
 
 Hogg on the contrary directs particular attention to the 
 general health, employs a tonic regimen, and the irritation 
 and eruption speedily disappear. 
 
 Fox {l. c, 435) refers to three things as necessary for a 
 cure : First, to alter the soil so as to render it less suitable 
 to the growth of the parasite. Second, to destroy the para- 
 site. Third, to remedy the consequences of the attack of 
 the parasite. As regards the soil, we find that ringworm 
 attacks most frequently children of a lymphatic tempera- 
 
TINEA DECALVANS. 173 
 
 ment, children who are at least thin, fair and pallid. They 
 are in the habit of taking very little fatty matter with 
 their food, or, if taking it, assimilate it badly. We must 
 therefore remove this dyspeptic condition and hepatic 
 torpor. Plenty of fresh air, extreme cleanliness and other 
 hygienics (meat and milk diet) have to be attended to. 
 The digestive organs must be put in good working order, 
 so that the cod liver oil can be digested. To attack the 
 parasite, the hair must be cut short, and as many as pos- 
 sible of the diseased hairs removed by epilation, although 
 this involves trouble and takes time. In all cases the 
 head should be well washed with mild soap two or three 
 times a week. In severe cases the ordinary vesicating 
 fluid ought to be brushed lightly over the patch, and 
 when it begins to smart, dried off with blotting paper. 
 If much irritation, pain or swelling follows, a poultice 
 may be applied for an hour or two. This procedure may 
 be repeated every three, four or five days, until in fact we 
 get rid of all hairs visible to the naked eye which look 
 diseased. 
 
 Hughes ( Therapeutics^ 462) treats ringworm of the face 
 with Sepia or Tellurium^ and hardly ever fails to cure it 
 speedily thereby. Toothaker {l. c, 155) recommends 
 Calcar., Caustic, Clemat., Mangan., Mtrum, Rhus tox , 
 Sepia, Sulphur, and remarks that in the treatment of the 
 different varieties proper attention should be given to the 
 condition of the various secretions and functions of the 
 body, as well as to the constitutional and other dyscrasias, 
 upon which the proper selection of the remedy is always 
 more or less dependent. 
 
 Tinea Decalvans. 
 
 Porrigo decalvans, alopecia areata. Parasite, Micro- 
 sporon audonini. 
 
 Tinea decalvans is considered to be of a non-contagious 
 nature, although persons living under the same roof and 
 
174 DISEASES OF THE SKIN. 
 
 the same unfavorable conditions of health are often seen 
 to he affected at the same time. This alopecia always 
 appears in isolated patches, and the denuded spots are left 
 clean and polished and of a marble whiteness. Although 
 it may begin in the head, it commits strange vagaries, in- 
 asmuch as it moves about, leaving a spot in the whiskers 
 bare, and passing on to the eyebrows, where another spot 
 is denuded. The progress of alopecia is frequently rapid, 
 and occurs in children and adults. It is an evidence of 
 lowered vitality when the cutaneous surface very readily 
 proves to be a congenial soil for the growth of a parasitic 
 vegetation (Hogg, L c, 48). The hairs around the bald 
 patch are more or less dry, come out readily, and are seen 
 to be bulbless and tapering at their roots towards a point. 
 Under the microscope, in some instances, at intervals on 
 the shaft are collections of minute spores, and also in the 
 little masses of epithelium that stick to the hair. In 
 parasitic alopecia the hair follicles are visible, there is not 
 any diminution of sensibility more than is due to the in- 
 activity of the follicles, and there is often antecedent ery- 
 thema with concomitant scaliness over the bald patch, 
 whilst the loss of hair is in strong contrast to a vigorous 
 growth — often of dark black hair around — on a head with 
 a good crop of hair. 
 
 Fox {l. c, 462) blisters all patches that are rapidly on 
 the increase with blistering fluid, pulls out a few hairs 
 around the patch, if they are at all loose, and then rubs 
 in for ten days or a fortnight bichloride of mercury oint- 
 ment (gr. ii. to ^ i.), and finally stimulates with ^ux 
 vomica, cantharides ointment or lotion. Internally he 
 prescribes iron, cod liver oil, bitters, etc., as the special 
 nature of each case may require. Hogg saw it readily 
 cured in young persons, indeed susceptible of a spontane- 
 ous cure, but obstinately persistent in the adult. He con- 
 siders Arsenic one of the most efiicient remedies, and in 
 most cases its use has been attended with excellent results. 
 
TINEA SYCOSIS. 175 
 
 Among remedies homoeopathic to tinea decalvans we 
 may study the following : 
 
 Aloes. The hairs come out in lumps, leaving bare patches ; 
 eyelashes also fall out ; patient suffers from frequent head- 
 aches. 
 
 Arsenicum. Bald patches at or near the forehead. The 
 scalp is covered with dry scales or scabs. 
 
 Vinca minor. The hairs fall out on single spots, and 
 white hairs grow there. 
 
 Jahr {Clinical Guide ^ p. 194) mentions : When the hair 
 falls off on the sides of the head, Graphit., Phosph. ; on the 
 sinciput^ Arsen., ^Natr. mur., Phosph. ; on the vertex^ 
 Baryt., Graphit., Lycop., Sepia, Zinc; on the occiput, 
 Carb. veg., Petrol., Phosph., Silic. ; on the temples, Calcar., 
 Kali carb., Lycop., Il^atr. mur.; for some places getting bald, 
 Canthar., Jodium, Phosph. Some physicians of our school 
 recommend the outward application of tincture of phos- 
 phorus, gtt. iii. to ^ xvi. distilled water. 
 
 Tinea Sycosis. 
 
 Sycosis menti, Mentagra. Parasite, Microsporon men- 
 tagrophytes. 
 
 Willan describes sycosis as an eruption of inflamed but 
 not very hard tubercles, occurring on the bearded por- 
 tion of the face and on the scalp in adults, usually clus- 
 tering together in irregular patches. The disease com- 
 mences slowly ; at first small red pimples are seen about 
 the chin and in the beard ; these gradually increase, and 
 running together break, and a yellowish watery discharge 
 exuding mats the hairs ; in a short time the pustules in- 
 crease, coalesce and form crusts that much resemble the 
 inside of a fig, from which circumstance it derives its 
 name. The disease is inclined to become chronic and at- 
 tacks other portions of the body, especially those parts 
 freely supplied with sebaceous glands. It is known also 
 to attack the eyelids and cheeks of females as well as 
 males. 
 
176 DISEASES OF THE SKIN. 
 
 ]N"eiimann (I. c, 435) wishes us to diiFerentiate between 
 the parasitic form (herpes tonsurans barbce) and the non- 
 parasitic form {folliculitis barbce). In parasitic sycosis 
 the hairs are first affected, while in the ordinary form 
 they do not alter until afterwards, that is, when the exu- 
 dation into the follicle has become purulent. The seat of 
 the tubercular trichomycosis is at first the same as in sim- 
 ple mycosis, and does not extend deeply into the skin 
 until later, and rarely into the subcutaneous cellular tis- 
 sue ; the tubercles are distributed over the chin, cheeks, 
 upper lip and submaxillary region. In simple sycosis the 
 hair-follicles and corium are involved and the subcutaneous 
 tissue afterwards takes part in the inflammation. Ordi- 
 nary sycosis may remain confined to one spot for months 
 or years, while the parasitic variety makes rapid progress. 
 He considers epilation absolutely necessary. Fox and 
 Anderson also consider epilation and the consequent use 
 of parasiticidal lotions the only means for its eradication. 
 Hogg on the contrary admits sycosis menti to be a con- 
 stitutional affection, even a neglected dyspepsia will 
 greatly aggravate or prolong the disease, and considers, 
 therefore, local applications as rarely of any use. The 
 glandular structure of the skin is an important element 
 in modifying and changing the aspect of the disease. 
 
 Kafka {L c, II., 463) recommends, after cutting off the 
 hairs, epilation and softening of the pustules and crusts 
 with oily rags. He gives internally Mercur. prcecip. ruber^, 
 a dose morning and evening, and uses a mild ointment of 
 red precipitate on the sycotic places. As often as fresh 
 tubercles or pustules arise, epilation must be repeated, and 
 the internal and external use of the red precipitate must 
 be continaed till every tubercle and pustule is cured and 
 no relapse takes place. In sycosis ciliarum the same 
 treatment is indicated, even when there are already 
 ulcers on the edges of the eyelids. 
 
 Treatment will be found more difiicult and tedious 
 
TINEA VERSICOLOR. 177 
 
 where infiltration has ah-eady taken place and where the 
 tubercles stand closely together. Epilation is also here 
 necessary, as we thus destroy the purulent focus at the 
 bulb, but it is more painful and can only be performed 
 gradually on account of the danger of erysipelas. After 
 epilation the phosphorus liniment (Spir. Phosph. dil. 5 i., 
 01. amygdal ^ i.) must be rubbed in two or three times a 
 day and Phosph.} taken twice a day. "Where crusts are 
 present between the tubercles they must be softened with 
 oil, and in order to keep every thing clean and neat ablu- 
 tions with soap every morning are advisable. 
 
 Baehr {I. c, II., 505) considers "tolle causam" the first 
 indication. If no amelioration follows after some time, 
 he relies on Graphit^ or ®, which cured several cases. 
 Acid, nitr., Silic, Oleand., Garb, an., Aurum mur. have 
 been recommended, but have failed to afford the expected 
 relief. He recommends after epilation Hebra's treatment, 
 to rub into the affected parts a paste of Sulphur, Glycerine 
 and Alcohol. Hughes {l. c, 468) mentions that in one 
 case Tart, emet., externally and internally, was curative 
 after the failure of Thuya and Antimon. crnd. 
 
 Toothaker {l. c, 177) regulates his remedies in accord- 
 ance with the general health and condition of the patient 
 If these conditions correspond, Cicuta and Silic. may be 
 given with hope of effecting a cure. 'Next to these, 
 Antim., Arsen., Graphit., Hepar, Lycop., Sulphur, etc. 
 
 Tinea Versicolor, 
 
 Pityriasis versicolor. Chloasma. Parasite, Microsporon 
 furfur. 
 
 Chloasma often commences as little erythematous points, 
 attended by itching, which is increased by warmth of all 
 kinds. By and by we meet patches of a fawn color, which 
 are slightly elevated, dry, rough to the touch, somewhat 
 scaly at the edge, and from which branny scales can be 
 rubbed off. They are chiefly met with on the parts cov- 
 
178 DISEASES OF THE SKIN. 
 
 ered with flannel. It is especially common on the front 
 part of the chest and ahdomen. If the scales he examined, 
 their under surface will he found studded with little col- 
 lections of spores arranged in heaps, and mycelial threads 
 freely interlacing. The minute hairs of the part are more 
 or less infiltrated and the fihres split up. It extends peri- 
 pherally, and sometimes heals spontaneously in the cen- 
 tre while it progresses on the circumference, thus forming 
 a circinate eruption. It is essentially a disease arising out 
 of a deranged or low state of health, although some der- 
 matologists look upon it as a superficial chronic inflam- 
 mation of the skin, especially in persons who sweat a 
 great deal, seldom hathe, and wear tight-fitting under- 
 clothing which are changed at long intervals. 
 
 Tonics, regular living, good diet and change of air will 
 effectually cure the disease. Fox {l. c, 466) recommends 
 first of all to have the parts washed with yellow soap, 
 then sponge with a little weak vinegar and water and 
 apply freely a lotion composed of four or six drachms of 
 hyposulphite of soda and six ounces of water. A hypo- 
 sulphite bath once or twice, if the cure be obstinate, will 
 aid us in the eradication of the parasite. 
 
 Tinea Marginata. 
 
 Tine circinata. Eczema marginatum, Ery thrasma. Para- 
 site, Tricothecium. 
 
 Eczema marginatum is often only a modified form of 
 herpes tonsurans. It may be defined as circular patches 
 of infiammation, induced by the growth equally in all 
 directions of the parasite upon the surface of the body., and 
 varying in severity according to the degree of luxuriance 
 of the fungus and the degree of susceptibility of the skin 
 of the attacked to inflame. Males are more subject to this 
 disease than females, and it is found on the genitals, on 
 the inner surface of the thigh, on the abdomen, around the 
 anus, sometimes in the axillae and also on the legs of infants 
 
TINEA MARGINATA. 179 
 
 wlio are wrapped up. It appears in the form of brownish- 
 red circles and segments of circles, spreading peripherally, 
 partly in an elevated border and partly with the formation 
 of papules and vesicles, and which in the meantime heals 
 in the centre. The longer the disease lasts the more is 
 the skin thickened and infiltrated, and the more numerous 
 are the scales on the periphery and the yellowish or 
 brownish-red crusts resulting from scratching. 
 
 An uncommon form of tinea circinata is that which 
 consists of one or several large more or less circular or 
 oval patches, often seated about the back of the hand or 
 the front of the wrist, which have the aspect of eczema 
 but without the infiltration and the free crusting, but with 
 a well-defined edge, and particularly itchy. 
 
 Where the disease has been transmitted from the horse 
 or the calf to man, the diseased surface appears to be 
 studded over with pustules in connection with much 
 swelling of the patches. 
 
 Eczema marginatum is tinea circinata occurring about 
 the fork of the legs, and modified in aspect in consequence 
 of the presence of heat and moisture in exceptional amount 
 and the luxuriant character of the mycelium of the fungus. 
 The disease begins as a red, scurfy, itchy spot, generally 
 near the junction of the thigh and scrotum; as it increases 
 in extent it festoons down over the thighs, the edge being 
 well defined and often papular, the centre fading and 
 assuming a brownish hue and giving off scales on scratch- 
 ing. The disease may spread to the pubic region, the 
 axillae and the hairy part of the chest. (Chinese, Bur- 
 mese and Tokelan ringworm are only different species of 
 one and the same disease.) 
 
 In the treatment we must be prepared for the obstinacy 
 of the disease, especially in those cases where the patient 
 must continue his business. A rapid cure can only be 
 obtained when we can keep the patient in bed and pro- 
 tect the scrotum from contact with the thigh. The parts 
 
180 DISEASES OF THE SKIN. 
 
 are rubbed with sapo viridis or spiritus saponis alkalinus, 
 or in milder eases with a solution of carbolic acid in alco- 
 hol ; they are afterward tarred or covered with the unguent, 
 diachylon alb. ; a suspensory bandage must be worn for a 
 long time after the cure and the parts often dusted with 
 starch to prevent the frequent recurrences of the disease 
 (I^eumann, l. c, 443). Fox {l. c, 457) always noticed the 
 existence in such cases of a condition of system certainly 
 not of good health. The attacked are perhaps pale or 
 debilitated, or there are faults as regards hygiene or diet. 
 Such a condition is to be met by remedies specially adapted 
 to the lymphatic temperament, and sponging with hypo- 
 sulphite lotion should be used to the parts of the skin 
 around the diseased arena (3 v. or vi. ad § vi. of fluid), 
 directing patients to use soap and water freely before 
 applying this lotion, in order to get rid of the greasiness 
 of the skin, which repels the watery solution. Linen 
 rags soaked in the lotion should be kept applied night and 
 morning for at least an hour at a time, covered over with 
 oiled silk. 
 
 On account of the lymphatic constitution, Jahr recom- 
 mends Arsen., Aurum, Baryta, Dulcam., Ledum, Phosph., 
 Petrol., Sarsap., Sulphur. 
 
 Kafka {I. c, 11. , 447), acknowledging the obstinacy of the 
 disease, recommends the steady and methodical application 
 of Rhus tox.. Sepia or Graphit. In one very obstinate 
 case a cure was at last accomplished by the internal and 
 external use of Iodine (Iodine gtt. ii., aqua dest. 5 ii., 
 Iodine^ two doses a day). Tepid baths aid in the eradica- 
 tion of the disease. "Where the itching at night is 
 unbearable, with sleeplessness. Sulphur^ or Arsen.^ ^ may 
 procure relief. The chronic eczema ani finds a simile in 
 Nitr. ac.^ or Garb. an.^. 
 
 Bsehr {L c, II., 522) considers Staphysagria a great rem- 
 edy in eczema marginatum; also Phus tox., Carb. veg., 
 Graphit., Sulphur, Ly cop. 
 
TINEA TARSI. 181 
 
 Tinea Tarsi. Parasite, Tricliopliyton. 
 
 In the scabs and pustular discharges of patients suffer- 
 ing from tinea tarsi, the spores and filaments like those of 
 puccinia favi are found, with epithelium scales and pus- 
 like granules. A vast number of poor children from the 
 dirty, over-crowded tenement houses suffer from it ; also 
 persons who habitually indulge in strong drinks and eat 
 unwholesome food. The disease may remain confined to 
 the eyelids or become associated with pustular conjunc- 
 tivitis. The hypersecretion of the Meibomian follicles 
 becomes a morbid product and destroys the cilia ; the eye- 
 lashes drop out. At a later period the edges of the eyelids 
 are covered over by dark-looking pustules and scabs, in 
 which, among children of the poor, even pediculi are some- 
 times found. In the chronic form of the disease a turnino; 
 down and thickening of the eyelids completes the miser- 
 able picture : the patient is then said to be blear-eyed. 
 
 Tonics, cod-liver oil, good food and cleanliness are the 
 remedies chiefiy to be relied upon. 
 
 Amm. carb., Baryt. carb., Calc. carb., Lact. have puru- 
 lent mucus in the lids ; pustules and vesicles we find under 
 Lycop., Mercur., Hepar, Rhus tox.. Sepia. 
 
 Ilepar. Inveterate blepharitis with purulent secretion, 
 pimples around the eyes and eyelids, nightly agglutination. 
 
 Mercurius. Chronic blepharitis; purulent ophthalmia 
 with copious discharge ; pustules and scurfs around the 
 eyes and on the margins of the lids. 
 
 Nux vom.. The canthi are redder than the eyes ; nightly 
 agglutination ; aggravation in the morning and after meals. 
 
 Sulphur. Chronic scrofulous ophthalmia ; pustules, 
 ulcers and scurfs around the eyes and on the lids. 
 
 Thuya. Frequently repeated scrofulous ophthalmise; 
 potbelliedness of children. 
 
 Tellurium. Scrofulous ophthalmia, particularly inflam- 
 mation of the upper eyelids, accompanied with lachryma- 
 tion and itching and pressure in the lids. 
 
182 DISEASES OF THE SKIN. 
 
 Mycatoma. Parasite, Chionyplie Casteri. 
 
 The Madura foot, fungus foot of India and South 
 America, morbus tuberculosis pedis. 
 
 Fox {I. c, 469) describes it as a marked swelling of the 
 affected part — generally the foot, though it may be the 
 hand or even the shoulder — which is studded over with 
 little soft buttony elevations about the size of a pea, 
 having a central aperture leading into a sinus, discharging 
 black and white pustules with thin sero-purulent fluid. 
 The soft parts of the foot are swollen, but the muscles 
 are degraded and wasted, so that it is difficult to recognize 
 them. Amputation of the part affected is the only treat- 
 ment. 
 
 Dr. Ch. McQuestin, of San Francisco {Pacific Med. 
 and Surg. Journal^ April, 1874), treated, during his resi- 
 dence in Mexico, several cases of fungous disease of the 
 foot. The characteristics of the diseased parts consisted 
 in a swelling and induration of the integuments and a 
 fungous growth sprouting out from innumerable apertures 
 at the top, bottom and sides, the top of the foot being 
 more thickly covered with the fungus than the other parts 
 while the toes were free from the disease. The sinuses 
 communicated with the bones and discharged a viscid 
 secretion. After amputation the patients rallied quickly, 
 although they were extremely emaciated when entering 
 the hospital. 
 
 Onychomycosis, 
 
 Onychia parasitica. An affection of the substance of the 
 nail, produced by fungus, and presenting the following ap- 
 pearance : the nail generally assumes the shape of a claw 
 curved over the end of the finger, and ends anteriorly in 
 a thickened extremity. Its surface becomes rough and 
 uneven, the color dirty-yellow, and the whole nail is 
 readily movable in its bed. We also find transverse fis- 
 sures of more or less light color, and yellowish spots in 
 the centre and on the under surface. The nail flakes off 
 
ONYCHOMYCOSIS. 183 
 
 readily and is shed in crumbling masses. The nails may 
 appear parasitically affected, as a complication in several 
 of the varieties of tinea already described (favosa, tonsu- 
 rans, circinata, decalvans), or may exist as an independent 
 condition. In the former case it would seem that the 
 crufsts or scales get beneath the nails from frequent 
 scratching of parts thus affected, and that the fungous 
 elements, finding there the proper condition for their de- 
 velopment, penetrate the nail-substance, whereby the lat- 
 ter is loosened and suffers the alterations described. Both 
 the powdery and crumbling masses, as also fine sections 
 of the yet dense substance of the nail, show chains of coni- 
 dia, with clearly marked nuclei and here and there free 
 cells. This condition of the nail may not only be pro- 
 duced in the persons suftering from tinea, but also in 
 those who attend to the head of children affected with 
 ringworm. 
 
 The usual treatment consists in scraping off some of the 
 loose lamellae of the nails, then apply every second or 
 third day some strong acetic acid to the seat of the 
 change, the whole nail area if necessary, taking care not 
 to make the matrix too tender, and then keep the nails 
 soaked in a solution of hyposulphite of soda (5 iv. to 
 "E vi.) water. Persevere nee with the lotion will certainly 
 cure the disease. Local baths of caustic potash and cor- 
 rosive sublimate (gr. ii. to ^ i.) and repeated frictions 
 with turpentine are also recommended. 
 
 For the homoeopathic treatment we refer to Dr. Hering's 
 Analytical Therapeutics. Where it appears as a complica- 
 tion, the treatment of the original disorder will also re- 
 move the malignant onychia ; but where it appears inde- 
 pendently, we would rely on Natr. suljph. for living in 
 damp dwellings or workshops, pale appearance, tired in 
 the morning with a dull headache, loss of appetite, chilly 
 and feverish in the evening, a blister on the ungular 
 phalanx, followed by a deep red swelling, festering at the 
 
184 DISEASES OF THE SKIN. 
 
 root of the nail, great pain, more bearable out-doors than 
 in the room. 
 
 Sepia. With such as have tetters, felon changing hands, 
 throbbing, shooting pains, sleepless. 
 
 Graphit Superficial inflammation mostly at the root 
 of nail ; violent burning, throbbing, then suppuration ; 
 often open proud flesh. 
 
 Hepar. Last joint hard, red and swollen, lymphatics 
 inflamed, lump in axilla ; sensitiveness to touch and cold. 
 
 Plica Polonica. 
 
 Plica Polonica is in reality not a parasitical disease, but 
 a peculiar felting of the hair, the result of neglect and un- 
 cleanliness, in connection with which fungi ma}^ acci- 
 dentally occur. The disease is usually confined to the 
 head, but is sometimes met with on the chin, in the ax- 
 illae and on the pubes. There is pain and great tender- 
 ness of the scalp, which bleeds at the slightest touch. 
 Hebra considers it not a distinct disease but an eczema 
 or other skin affection much neglected ; the adherents of 
 the fungoid theory on the contrary consider plica polonica 
 originating in the presence of fungi from long-continued 
 uncleanliness. The treatment is that of tinea favosa, and 
 internally the remedies indicated for the general state of 
 health. 
 
 Myringomycosis, 
 
 Otitis parasitica is the name given to the presence of the 
 fungus aspergillus nigricans or flavescens, as also the 
 graphium penicillioides in the external. The parasite is 
 located deeply, and may exist for years without exciting 
 any morbid phenomena. (Gruber.) 
 
 Mycosis vaginalis 
 
 refers to a pruritus dependent upon the vegetation of a 
 parasite upon the mucous membrane of the vagina. The 
 fungus is either the leptothrix vaginalis or vidium albi- 
 
SCABIES. 185 
 
 cans, and can be transferred from one person to another 
 by means of vaginal examinations, and may even excite 
 an aiFection of the nails in the obstetrician: i. e., the dis- 
 ease is contagious (Hausmann). A weak solution of 
 sulphate of copper will destroy the parasite and cure the 
 disease (I^eumann, I. c, 445). 
 
 Animal Parasitic Diseases of the Skin {Ecto^oa), 
 
 Scabies. 
 
 Scabies, the itch, is an artificial eczema, occasioned on 
 the one hand by the irritation of the acarus scabiei (sar- 
 coptes hominis) and on the other by the scratching nail. 
 The itch-mite is about -^ to -^ of an inch in length, 
 just visible to the naked eye. By living in the skin of 
 man it produces the disease known as the itch. The animal 
 is tortoise-shaped, the head distinct from the trunk, with 
 four pairs of jaws, eight legs, four in front and four behind ; 
 in addition to the legs there are long bristles. The male dif- 
 fers from the female in appearance as to the bell-shaped 
 suckers on the ends of the legs, and also is not so large. The 
 acarus lives in the skin, in little passages dug by itself, 
 or just beneath the epidermis. These passages extend 
 through the deeper layers of the epidermis, down to and 
 into the true skin or rete mucosum. The acarus moults 
 three times, not however specially changing in form ; the 
 eggs are oval in shape, quite large for the size of the animal, 
 and may be laid by the female to the number of fifty. 
 The acarus is an air breather, and one of its peculiar in- 
 stincts is the provision it makes for ventilating its dwel- 
 ling-place. 
 
 An acarus, when it gets on the skin, crawls till it 
 finds a suitable soft place, when it tips up on its fore legs 
 and commences to work its way in. The female as it 
 progresses lays its eggs in the burrow, and when ex- 
 hausted dies ; the eggs will be seen in a regular row 
 behind the female in the burrow. These canals which 
 
 14 
 
186 DISEASES OF THE SKIN. 
 
 the female acari make have generally a serpentine form 
 and are from ^^ to J of an inch in length, and we lind 
 the mother itch-mite always at the blind end of the bur- 
 row, where it dies. Around and beneath the burrow we 
 find papules, vesicles and pustules, in proportion to the 
 duration of the disease and the susceptibility of the skin. 
 From the irritation caused by the acarus on the papillary 
 layer and the young acari on the surface, we have the 
 feeling of itching, in consequence of which the parts are 
 scratched, the furrows laid bare, and the acari set free. 
 The mite needs a delicate part of the skin to dig into — 
 between the fingers for instance — and here the peculiar- 
 looking burrows are fast sought for. In these parts the 
 disease is first seen as solitary vesicles, and then it 
 travels to the front of the forearm, the belly, thighs, 
 and especially the upper line of the penis. Intermingled 
 with the vesicles are papules and often ecthymatous spots, 
 produced as a consequence of the scratching, whilst linear 
 abrasions and cicatrices are likewise found. 
 
 The acari may attack any portion of the skin, especially 
 such parts as are much accustomed to pressure. In infants 
 the larger number of burrows are found on the breast, ab- 
 domen and extremities, and on the face and even the 
 scalp, because all these parts come in contact with the 
 nurse and may be infected from her. 
 
 Fox (^..e., 420) gives the following diagnostic points: 
 First, absence of febrile disturbance ; second, absence of 
 rash from the face and head (as a rule) and its absence from 
 the posterior surface of the arm or body ; third, the seat 
 of the eruption, where the cuticle is thin; fourth, the 
 isolation of the vesicles and their pointed shape ; fifth, 
 the multiformity of the eruption, namely, the intermin- 
 gling of papules, vesicles, pustules, scabs, and even small 
 ulcers ; sixth, the itching at night and the peculiar linear 
 scratches made with the nails .and fringed with dried 
 blood; seventh, the cunniculus or burrow; eighth, the 
 
SCABIES. 187 
 
 evidence of contagion or the existence of the same disease 
 in a house or a family — it is in children that the greatest 
 mistakes are made, simply from the want of knowing that 
 scahies does not prefer their hands and arms but their 
 feet and buttocks — ninth, the presence of acari among 
 the crusts. 
 
 Most dermatologists consider external treatment suffi- 
 cient for the removal of the acarus, and thus for the cure 
 of the itch. The long-contin ued application of warm water 
 and soap to the skin swells up and softens the skin and 
 renders it easily scraped or rubbed off; therefore a person 
 suffering from itch must first thoroughly soak himself in 
 hot water and rub all parts of the body which are the 
 abodes of the mites with the strongest soft soap ; the more 
 delicate the skin the shorter the time required. J^ext the 
 common sulphur {styrax^ Feru balsam) ointment must be 
 rubbed thoroughly over the body. This is fatal to the 
 itch-mite, already exposed in whole or part by the burrows 
 being broken down by the soft soap and water. If it does 
 not produce too much irritation the ointment may be left 
 on over night and removed by a hot bath in the morning. 
 If one such application does not suffice it must be repeated. 
 
 Wilson {Lectures on Dermatology) writes that, as the 
 cause is local and as the art of curing disease is the re- 
 moval of the cause, we shall have no need of internal 
 treatment in scabies, but may confide in some of the well- 
 known means of destroying the life of the animalcule and 
 its ova. The acarus is highly and even painfully sensi- 
 tive to the lethal influence of certain substances, among 
 which, first on the list is sulphur, another is stavesacre, 
 styrax, and so on. The acarus is an air breather, and fats 
 and oils are known to suffocate air-breathing animalculee 
 by getting into their spiracles and obstructing the aper- 
 tures through which they receive air ; hence, greasy sub- 
 stances alone are natural cures of itch. Wilson requires his 
 patients to wash the whole body night and morning with 
 
188 DISEASES OF THE SKIN. 
 
 sulphur soap, to use sulphur soap to the hands for ordi- 
 nary ablution instead of common soap, to rub a little sul- 
 phur ointment thoroughly into the hands, the wrists, and 
 between the fingers at bed-time, and at the same time to 
 smear a little of the ointment on any part of the body 
 where there may be itching. There is no occasion to sus- 
 pend the ordinary associations and avocations of the pa- 
 tient. The quantity of sulphur ointment required for the 
 cure of scabies is marvellously small, and its odor may be 
 covered by a few drops of the essential oil of chamomile, 
 which is also an acaricide. It is important that ablutions 
 should be rigorous in respect to all articles of clothing ad- 
 mitting of washing, and woollen garments must either be 
 laid aside for awhile and sprinkled with sulphur or sub- 
 mitted to the action of a high temperature. 
 
 Teste {Diseases of Children, 184) prescribes for the itch, 
 Lobelia inflata and Croton %^mm, administered alternately, 
 and continued seven or eight days after the complete dis- 
 appearance of the exanthem. The tincture of sulphur 
 should be used only in case of consecutive ulcers, with or 
 without loss of substance of the skin, and then its use 
 should be preceded hy that of the two medicines which are 
 mentioned as specifics for the itch. Lobelia^ should be 
 given in water, three teaspoonfuls the first day, Croton^^ 
 the next day in the same manner, and so on, every alternate 
 day. The total duration of the eruption in ordinary cases 
 will not be prolonged beyond a week. 
 
 Eaue (I. c, 627) remarks (and is here in perfect accord- 
 ance with the allopathist, Hogg) that all parasites, no 
 matter whether animal or vegetable, can grow only upon 
 a suitable soil ; if this soil be made insupportable to them 
 they die or leave, and this is as good as killing them as 
 regards getting rid of the intruders, and it is infinitely 
 better for the patient, as by this means the organism is 
 not injured but rather brought into a healthy state. 
 
 Arsenicum. Inveterate cases ; eruption in the bends of 
 
SCABIES. 189 
 
 the knees ; pustular eruption, burning and itching ; better 
 from external warmth. 
 
 Cai^bo veg. Eruption dry and fine, almost over the whole 
 body ; worst on the extremities ; itching worse after un- 
 dressing ; dyspeptic symptoms, belching of wind, and 
 passing flatus ; after abuse of mercurial salves. 
 
 Causticum. After abuse of sulphur or mercury ; yellow- 
 ish color of the face, warts in the face ; involuntary dis- 
 charge of urine when coughing, sneezing or walking ; 
 sensitiveness to the cold air. 
 
 Hepar. Fat, pustular and crusty itch ; also after previ- 
 ous use of mercury. 
 
 Mercury. Fat itch, especially in the bends of the elbows. 
 
 Psorinum. Inveterate cases, with symptoms of tuber- 
 culosis ; also in recent cases with eruptions in the bends of 
 the elbows and around the wrists ; repeated outbreaks of 
 single pustules after the main eruption seems all gone. 
 
 Sepia. After previous abuse of sulphur ; itching worse 
 in evening ; especially in females. 
 
 Sulphur. Main remedy ; voluptuous tingling, itching, 
 with burning and soreness after scratching. 
 
 Sulph. ae. When itchiness of the skin and single pus- 
 tules appear every spring, after imperfectly cured itch. 
 
 Jahr {Clinical Guide^ 286) recommends for diy itch 
 Mercur. and Sulphur alternately every four, six or eight 
 days, until an improvement takes place or the symptoms 
 change ; these new symptoms generally indicate Garb. veg. 
 or Hepar, provided it is the dry itch, or Caustic, if a few 
 pustules should have supervened. The symptoms which 
 remain after Carb. veg. or Hepar. frequently yield to 
 Sepia or Yeratr. For pustular itch give first Sulphur and 
 Lycop. alternately, as above. If the itch should become 
 drier, give Carb. veg. or Mercur. Give Caustic, once a 
 day if Sulphur or Lycop. remain without effect. If 
 Caustic, should not produce a change in two or three days, 
 give a dose of mercury every forty-eight hours. If ulcers 
 
J90 DISEASFS OF THE SKIN. 
 
 should form, give Clemat. or Ehus tox.; if the pustules 
 should change to large vesicles of a yellowish or bluish 
 color, give Lachesis. 
 
 Bsehr, Hughes and Kafka, certainly three standard au- 
 thorities, resort to the sulphur ointment as the most 
 eifective mode of destroying the itch-mite. Hughes gen- 
 erally uses Sulphur internally also as being thoroughly 
 homoeopathic to the eruption, and recommends the study 
 of Croton and Hepar. Kafka uses [N'ux vom.^, Lycop.®, 
 or China\ where the patient in consequence of the long 
 duration of the itch looks cachectic, emaciated, and becomes 
 dyspeptic and melancholic. External treatment ought to 
 be very cautiously applied in patients suffering from 
 tuberculosis or heart-disease, as it may produce congestion 
 to the lungs or heart, and thus cause haemoptysis or im- 
 portant disturbances of the circulation. During menstru- 
 ation, pregnancy or the puerperal state, no external treat- 
 ment is advisable, inasmuch as the hot baths as well as the 
 sulphur inunctions might produce hemorrhage or abortion. 
 
 Frurigo Contagiosa. 
 
 Army itch ; camp itch ; ground itch ; prairie itch. 
 
 Jeffries, in his work on " Animal and Vegetable Para- 
 sites^'^ p. 50, remarks, that not only the army itch, but 
 also the so-called seven-years' itch, Jackson itch, et id 
 omne genus^ are all due to the presence in the skin of one 
 and the same animal, namely the acarus scabiei. During 
 the march and in the field, soldiers have no opportunities 
 for personal cleanliness, so as to prevent the contagion of 
 the itch disease, and therefore it spreads with great ra- 
 pidity by contact, and the effects of the mite's presence in 
 the skin become severe. 
 
 Searle {U, S. M. and S. J"., Oct., 1867), on the contrary, 
 gives the following symptoms : Prurigo contagiosa ap- 
 pears in the form of minute papules, sometimes white, 
 like those of prurigo, and sometimes with the pinkish 
 
PRURIGO CONTAGIOSA. 191 
 
 hue peculiar to lichen. Like the former its favorite seats 
 are the neck, shoulders, back and outer surface of the 
 limbs. It is rare in the face, unless in severe cases, and 
 almost always spares hands and feet. In the course of a 
 week after exposure to the disease, the patient on retiring 
 at night is annoyed by an intense and persistent itching, 
 aggravated by scratching and by the warmth of the bed. 
 In severe cases there is with the itching a sense of formi- 
 cation, as if insects were crawling over the surface and 
 stinging it, or as if the skin were pierced with hot needles. 
 As the apex of each papule is removed, a little blood ex- 
 udes and forms a blackish crust or scale, beneath which is 
 a minute red point. In cases of long continuance, large 
 surfaces become abraded and form suppurating sores, re- 
 ducing the patient to a condition of absolute wretch- 
 edness. 
 
 Dr. Searle has so far failed to detect any parasite even 
 with a powerful hand-glass, and opposes the parasitical 
 origin of the disease, because parasiticidal means have 
 failed to remove or suppress the disease, and because it is 
 speedily curable by purely internal treatment. He con- 
 siders it of malarious influence, (but is not malaria a 
 fungoid disease ? S. L.) which influence impresses the cuta- 
 neous nerves and generates a contagious excretion in the 
 manner already pointed out. 
 
 A woman took a few baths of yellow dock and was 
 cured. Since then the internal use of Rumex crispus has 
 been tried with unwonted success, and Searle considers it 
 the true specific for this horrible plague. 
 
 Dr. Rowsey , in his prize essay on prairie itch ( Z7. S. M. 
 and 8. *7., July, 1867), gives for this eruption the same 
 habitats as we find in scabies, but says it differs from the 
 latter by the exceedingly acrid and irritating fluid which 
 the vesicles always contain. N^ausea and headache, with 
 slight fever, sometimes precede the eruption (scabies is 
 always an afebrile disease). During the progress of the 
 
192 DISEASES OF THE SKIN. 
 
 eruption there exists dryness and heat of the fauces, 
 mouth and lips. As the malady progresses, the whole 
 economy gradually becomes more and more involved. 
 The tongue assumes a dirty yellow coating, and is very dry 
 in the morning. Eructations become frequent ; headache 
 is often constant. The conjunctivae look congested and 
 muddy. The appetite is variable, bowels constipated, and 
 there is often an excessive secretion of very pale or reddish- 
 brown urine, sometimes with, but often without deposit. 
 The urine is strongly alkaline, and this reaction keeps 
 pace with the eruptive disorder. Deep-seated aching pains 
 in the lower extremities, as if in the bones, are some- 
 times very troublesome, and are usually very hard to re- 
 move. The entire glandular system is primarily affected 
 in this disease. Although an intense itching is one of 
 the most prominent characteristics of the disease, it is not 
 a true skin disease (or neurosis of the skin). A specific toxic 
 cause has altered and vitiated many of the secretions, and 
 their elimination by the skin and kidneys begets this 
 annoying affection. After vomiting or some marked de- 
 rangement of the stomach, the itching becomes for a 
 while almost unbearable. He recommends hot baths and 
 strong country soap, and the best local application, judg- 
 ing from the rapidity of the cure, is a lotion of the lye of wood 
 ashes. This lye must be diluted with two or three times 
 its quantity of rain water, and applied with a sponge to the 
 diseased surface. Its strength must depend on the sensi- 
 tiveness of the skin, and in this sensitiveness of the skin 
 patients vary very much. As internal remedies he uses 
 Kali carb., Rhus tox., Yiola trie. Ledum, Mezer, Staphis., 
 Oleander, Thuya. Where every remedy fails, then nothing 
 remains but to send the patient outside of the infected 
 locality, when escape from the cause originating and sus- 
 taining the disease will speedily effect a cure. (See p. 49.) 
 
PHTHIRIASIS, 193 
 
 Phthiriasis. 
 
 The acarus lives in the skin, the pediculus on the skin. 
 There are three kinds of the latter : the pediculus pubis, 
 phthirius ingainalis, crab-louse ; the pediculus capitis, 
 head-louse ; the pediculus vestimenti, pediculus corporis, 
 body-louse. 
 
 The pediculus pubis or crab-louse resembles the head- 
 louse, but is shorter and broader. It does not run about 
 the surface, but grasps the hair close down to the skin 
 with its fore-legs, which are provided with strong crab- 
 like claws ; it deposits its eggs, the nits, on the hair close 
 to the skin. The crab-louse lives on all the haired portion 
 of the body except the scalp, which is the domain of the 
 head-louse, and they never interfere with each other. 
 The insect is transferred from one person to another by 
 contact and by the agency of clothes, linen and beds. 
 
 The head-louse is found exclusively on the hairs of the 
 head; it attaches its eggs or nits to the hairs and excites 
 an intense eczema, which may even extend to the neck 
 and face, and is accompanied with great swelling of the 
 lymphatic glands. This variety creeps about upon the 
 head, and the eggs will therefore be strung along the 
 whole length of the hair. 
 
 The body-louse inhabits the clothing of uncleanly persons ; 
 the effects produced by it on the skin vary with the 
 duration of their presence. It deposits its eggs in the 
 folds and seams of the clothes, and feeds by biting the 
 skin nearest its haunt, namely, where the clothes come 
 in most immediate and constant contact with the cutane- 
 ous surface. Hence its ravages are seen on the neck, 
 back, shoulders, around the waist and wherever bands or 
 straps give a resting-place for the insects, an opportunity 
 for the eggs to hatch undisturbed, and by lack of change 
 of apparel a constant field for food. It is the constant 
 wearing of the same clothes which affords a permanent 
 home for these insects. According to the numbers present 
 
194 DISEASES OF THE SKIN. 
 
 and the cutaneous sensibility of the individual infested 
 will be the amount of irritation produced and the conse- 
 quent amount of scratching. If the patients have had 
 them only a short time, we find only papules and superfi- 
 cial excoriations ; when the disease has lasted longer, the 
 alterations on the skin are more intense and the excoria- 
 tions greater, generally of a longish form ; they may 
 reach even into the corium, forming pustules, furuncles 
 and abscesses covered with crusts. These leave scars 
 which, on their periphery are darker colored and in the 
 centre lighter than the normal skin. Abscesses are most 
 frequent about the loins and on the shoulders, that is, on 
 those places where the lice are retained in the folds of the 
 shirt or where the clothing presses. After long continu- 
 ance of this affection the skin is stained of a dark-brown 
 or slate color (melasma). 
 
 The destruction of the pediculi is the only treatment 
 necessary, but it is not so easy at all times to get rid of 
 the irritation and its consequences. Fox (I. c, 410) recom- 
 mends for the head-louse free and repeated washings with 
 soap and water, and a weak ammonio-chloride of mercury 
 ointment (gr. v. to ^ i.) to which some essential oil (lav- 
 ender) or a few drops of Kreosote may be added, for the 
 destruction of the lice. Hebra recommends to saturate 
 the head for a day with petroleum, bound over with a 
 cloth, with a good washing of soap and water to follow. 
 The nits may be destroyed by the use of a weak acetic 
 lotion (1 to 10 or more) and by free washing. 
 
 A very good plan for the destruction of crab-lice is to 
 drop a few minims of chloroform on a layer of cotton 
 wool, and apply the latter to the part attacked by the 
 pediculi, confining the vapor by a towel ; the pediculi are 
 thus killed and may be washed away. It only then needs 
 the application of a mild staveacre ointment or bichloride 
 of mercury lotion (gr. ii. to i vi.) once or twice, or 
 a weak vinegar lotion, to be followed up with a good 
 washing or two, to get rid of all that remains of them. 
 
S YPHILITIC ER UPTIONS. 1 95 
 
 For the pediculus vestimenti our treatment is at first 
 directed against the clothing, which has to be disinfected 
 in an oven at a high temperature ; the patient only 
 requires good warm water and soap baths to cleanse the 
 skin. If much irritation is left behind, alkaline baths 
 and subsequent inunctions with oil will be of service. 
 The secondary eczema must be treated upon ordinary 
 principles. 
 
 CHAPTER IV. 
 
 VII. SYPHILODERMATA OR SYPHILITIC ERUPTIONS. 
 
 The answer to the question "what is syphilis?" still 
 awaits solution, and unitarians and duallists still adhere 
 pugnaciously to their opinions. There is Ricord on 
 one side, with eminent adherents like Bserensprung, 
 Zeissl and others, while on the other Vidal, Langlebert, 
 Hebra, Sigmund and others break a lance for the unalistic 
 theory. According to the latest researches (N'eumann, 
 347) the secretion of the soft chancre represents a concen- 
 trated poison, which induces a more acute process and 
 prevents general infection by destruction of the virus ; 
 while the secretion of the hard chancre acts more slowly 
 and produces chronic poisoning of the blood. 
 
 Cauty {Diseases of the Skin, p. 127) individualizes 
 more strictly, saying : " The growth of disease germs de- 
 pends on the state of the system and its power of resist- 
 ance, on the quantity of disease germs absorbed and on 
 the special virulency of the germs, which implies their 
 capability of causing those changes in the circulation 
 which are favorable to their growth." 
 
 N'ow, keeping these three factors in view, we can easily 
 understand that a patient infected with the syphilitic 
 germ, but of good health otherwise and with power of re- 
 sistance at a normal standard, will be able to throw off 
 
196 DISEASES OF THE SKIN. 
 
 the virus absorbed into liis system in its totality, and we 
 meet therefore in such patient the soft or primary ulcer 
 with its sharply-cut, swollen, red or yellowish border, 
 with a pultaceous base, secreting a profuse, yellowish or 
 green-colored matter. Lancereaux calls this soft ulcer 
 "local syphilis." Bumstead {Syphilitic Diseases, 316) 
 adopts the term " chancroid," as it never gains access to 
 or contaminates the general circulation ; and since its in- 
 fluence is thus confined to the neighborhood of the point 
 of implantation of the virus it must be regarded as 
 a local disease. 
 
 "What, on the contrary, are the properties of the " hard,^^ 
 "indurated^' and "infecting chancre''? Most authors ac- 
 cept now-a-days three different kinds. 
 
 First. The drypapide, a papular protuberance of small 
 size, of a dark-brown or purplish color, round or oval, 
 firm and elastic, sometimes covered with white scales of 
 epithelium or scurf, which may disappear by resolution 
 or absorption, leaving behind a slight violet, copper 
 colored or black depression. These are the most insidious 
 cases, as they frequently pass unnoticed till secondary 
 symptoms appear. 
 
 Second. The syphilitic or hard chancre erosion. It com- 
 mences as a copper-red spot, scarcely raised, papular and 
 dry. It is covered with a crust or thin scales, which des- 
 quamate, and finally the spot becomes eroded or slightly 
 ulcerated on the surface. The ulceration is circumscribed 
 within the induration and presents a flat, rose-colored sur- 
 face, projecting on a level with the summit of the swollen 
 part. It discharges a small quantity of serous fluid from 
 a diffused base, w^hich is indurated on its surface rather 
 than deeply. 
 
 Third. The indurated sore of syphilis — non-suppurating 
 chancre. Induration is the primary lesion, first as a 
 papule, over which a crust may form, and underneath this 
 crust a cup-shaped ulcer of greater or less depth rapidlj 
 
SYPHILITIC ERUPTIONS. 197 
 
 develops itself. It is indolent in its progress, and has 
 the appearance of being scooped out ; it presents raised and 
 rounded edges, a glossy iridescent surface, a base generally 
 greyish or lardaceous, bathed with a serous or water-like 
 secretion, not re-inoculable, not pus (Aitken). 
 
 The virulency of the syphilitic poison is very persis- 
 tent. It loses its power slowly and is only slowly elimi- 
 nated from the system. The special predilection of syphilis 
 is to cause stagnation, which it may be enabled to do at 
 a part or parts of the body, and its permanent character 
 allows it to lie in wait for any depression of the vital 
 powers, when it seizes the favorable moment for a demon- 
 stration of its existence. The exact action of the syphil- 
 itic germ when absorbed is to retard the circulation, and 
 syphilis may therefore be considered in all cases a disease 
 of stagnation and deterioration of the blood. (Cauty, 137.) 
 
 The virus of syphilis, like other contagious diseases, has 
 a period of incubation, in which some of its effects are man- 
 ifested. If no general treatment has been employed, the 
 first of the secondary symptoms occur, at a somewhat regu- 
 lar period, the mean being about fifty days. As in all 
 other zymotic diseases, the absorption of a sufficient quan- 
 tity of disease germs will set up irritation, but in syphilis 
 only of a transient character, and we have what has been 
 called the syphilitic fever, although this is often over- 
 looked. We meet it most frequently in persons where the 
 primary sore has not been subjected to treatment. The 
 symptoms consist chiefly of headache, which may be noc- 
 turnal, of pains, resembling neuralgia or rheumatism, in 
 various parts of the body, chiefly in the neighborhood of 
 the joints, and a general feeling of malaise or listlessness. 
 Tenderness of the sternum on pressure has been regarded 
 as so constant as to constitute a valuable symptom in 
 diagnosing syphilitic infection in doubtful cases. 
 
 Engorgement of the cervical ganglia is another impor- 
 tant symptom of the early stage of constitutional syphilis, 
 
198 DISEASES OF THE SKIN. 
 
 although other glands besides those of the neck may be 
 engorged in the same manner, or as a general rule, their 
 number and size correspond to the extent and severity of 
 the neighboring eruption on the skin or mucous mem- 
 brane. 
 
 Icterus, due to compression of the biliary ducts by lym- 
 phatic glands, is sometimes observed as an accompani- 
 ment of the first outbreak of secondary symptoms. 
 
 Constitutional or secondary symptoms are therefore, in 
 point of fact, an exanthematous fever accompanied by 
 general febrile disturbance of the economy, neuralgic 
 pains, sore throat and an eruption on the skin ; but, where- 
 as true exanthemata are regular in their progress, limited 
 as to time and not prone to recurrence, the syphilitic 
 fever is subject to irregularity in a variety of ways, is un- 
 certain in its symptoms, uncertain in duration, and liable 
 to repetition, not only at the expiration of several weeks, 
 but at successive intervals for may months and some- 
 times years. (Wilson's Lectures, 162.) 
 
 Syphilitic eruptions have their own peculiarities, as 
 slowness of their course, tendency to relapses, their infec- 
 tious character even after long continuance, and their 
 transmissibility to descendants. The copper color, al- 
 though not constant, of a syphilitic eruption will often 
 reveal its origin. They show frequently a circular form, 
 especially in the pustular and tubercular forms, which ap- 
 pear at a later period. The entire absence or small amount 
 of pruritus attendant upon the syphilodermata is a char- 
 acteristic and highly important symptom. Another im- 
 portant element of diagnosis is the frequent co-existence of 
 various forms of syphilitic eruptions on the same person 
 in the early stage of constitutional infection. The seat 
 of the eruption will also sometimes indicate its origin. 
 In fact, we see here^ again, that the totality of the symptoms 
 with a full anamnesis has to be taken into account, to 
 gain a clear diagnosis of the diseased state and of the 
 remedy similar to such a diseased state. 
 
SYPHILITIC ER UPTIONS. 199 
 
 Wilson {I. c, 162) arranges syphilitic eruptions of the 
 skin into three classes, namely, erythematous^ papulous and 
 ulcerous ; also the degenerative form. Cazenave describes 
 the exanthematous, papular, squamous, vesicular, bulbous, 
 pustular, tubercular, etc. 
 
 Boseola syphilitica^ erythema syphiliticum^ is one of the 
 earliest and most frequent of all the syphilodermata. 
 Livid, pale-red or brown spots of the size of the nail, 
 which are the result of local hypersemia together with 
 cell-infiltration along the capillaries, make their appear- 
 ance with slight febrile movement, mostly on the body, 
 more rarely on the face, sometimes, also, on the palm of 
 the hand, tongue and soft palate. The spots appear more 
 clearly under the action of cold. This syphilide passes 
 quickly into the papular form or disappears in exceptional 
 cases very rapidly ; as a rule, it remains weeks or months, 
 and generally leaves slightly pigmented patches. There 
 is usually also redness of the fauces and tonsils, or even 
 slight ulceration, enlargement of the cervical and inguinal 
 glands follows, and alopecia occurs in some cases. 3faculce 
 syphiliticce may remain after any syphilide, but are more 
 frequently observed after the erythema. The little roseo- 
 lous spots, which soon fade, assume a dirty brown aspect, 
 are circular and scattered over a large area, and subse- 
 quently become of a rather lighter hue, although they do 
 not disappear on pressure. Their special seats are the 
 neck, the breast, the face, especially the forehead, and 
 the arms. Maculae syphiliticse are unattended by desqua- 
 mation. 
 
 Fapular syphilis shows itself by hypercemia with promi- 
 nence. Syphilitic lichen also belongs to the early stage 
 of syphilis, and is in many cases preceded by the erythema. 
 Fox {l. c, 284) describes two varieties, the first, in which the 
 disease begins by follicular hypersemia, this being followed 
 by a deposit about the follicles and the formation thereby 
 of papules ; the second, in which solid little growths of 
 
200 DISEASES OF THE SKIK 
 
 syphilitic granulation-tissue are found on the skin, and 
 these papules may* be lenticular in form and shape, or flat 
 and largish, i. e., papulo-tubercular. Bumstead {l. c, 545) 
 recognizes three forms : the lenticular^ in which the pap- 
 ules are somewhat broad and flat ; the conical^ the heighth 
 of which exceeds their breadth and which most closely 
 resemble ordinary lichen ; and the miliary, which are very 
 small, and the summits of which, on their first appearance, 
 are generally surmounted by a slight efl'usion of serum. 
 
 As a rule, the first exanthem of the syphilitic fever is 
 simply hypersemia ; the congestion lasts for a few days, 
 then gradually subsides and fades away. But a recurrence 
 of the syphilitic fever after a few weeks will always be 
 attended with a prominence of the congested follicles, and 
 the case has become papular syphilis. Pathologically, the 
 first impetus of the fever has produced dilatation of the 
 capillaries, and has left behind it a susceptibility to being 
 acted upon again in a similar manner ; while the second 
 impetus not only results in dilatation of the capillaries, 
 but is accompanied with transudation and increase of bulk 
 of the inter vascular cell-structures. A second attack of 
 papular eruption will always be composed of papulae larger 
 than the first ; and so we are led onward fromsm all prom- 
 inences scarcely one line in diameter to others measuring 
 over an inch. The former we term papules, the latter tub- 
 ercles, although the pathological constitution of the objects 
 is the same. Still, the tubercle means duration and repre- 
 sents a more chronic character in relation to the disease 
 (Wilson, l. c, 170). 
 
 Papulae syphiliticse are most common upon the abdomen, 
 thorax, back, forehead and the upper and lower extremi- 
 ties ; they are rare upon the hairy scalp. Upon the fore- 
 head they constitute the most frequent variety of the cor- 
 ona veneris. They are very persistent, and rarely disap- 
 pear under one or two months. As resolution progresses, 
 the copper color fades first into a tawny and then into a 
 
SYPHILITIC ER UPTIONS. 201 
 
 grayish hue, and copious desquamation of the epidermis 
 sometimes takes place, attended by slight pruritus ; some- 
 times they suppurate at their apex and are then accompa- 
 nied with swelling of the glands. They frequently leave 
 depressions in the skin, which are due to interstitial ab- 
 sorption of the tissues, and which disappear in the course 
 of a few months. 
 
 Syphilitic squamoe {'pityriasis syphilitica^ psoriasis syph- 
 ilitica ; syphilis cutanea squamosa) occurs either on single 
 parts or over the whole surface, and is either developed from 
 macular and papular eruptions, or appears primarily with 
 febrile phenomena, by the development of fat red blotches, 
 which in a few days are covered with scales, mostly col- 
 lected on the periphery. In some places crusts are formed 
 instead of scales, which produce crescentic or circular 
 layers, especially on the hairy scalp ; with this form the 
 patients are cachectic, the glands swell and the hair falls 
 out. Semicircular patches may also form on the scrotum 
 and penis ; the skin becoming red and inflamed by their 
 long continuance, they may be taken for eczema, but this 
 form does not appear until the earlier manifestations of 
 syphilis have long passed. 
 
 Fox {l. c, 290) gives the following diagnostic hints for 
 squamous syphiloderma : First, if limited to the palms of 
 the hands and soles of the feet it is in the majority of cases 
 syphilitic. Second, the disease does not attack the el- 
 bows and knees by predilection, as in the simple forms. 
 Third, it is generally displayed in little circular patches, 
 which are isolated and not confluent. Fourth, the 
 patches have a peculiar whitish line circumscribing them, 
 due to the elevation and attachment of the cuticle. Fifth, 
 the squamse are thin, small, gray, and repose upon a 
 coppery base. Sixth, there is generally significant co- 
 existence of specific infection. Seventh, copper-colored 
 maculae follow in the wake of the disease. 
 
 Syphilitic vesicles, Wilson {I. c, 183) never saw any 
 
 15 
 
202 DISEASES OF THE SKIJS'. 
 
 form of syphilitic eruption which he should consider en- 
 titled to the designation of vesicular or pustular. Both of 
 these states may be more accurately treated of as papulae 
 vesicating at the summit, or as papulse or papular tubercles 
 suppurating at the summit, and, in fact, representing the 
 commencement of the ulcerative process. 
 
 All authorities agree that syphilodermata rarely appear 
 in the vesicular form, and when vesicles are met with it is 
 an early symptom. The parts which are most frequently 
 affected are the back, face and extremities. The vesicles 
 may either be large and globular, small and acuminated, 
 scattered irregularly over the surface or arranged in 
 groups. Many of them are found to be traversed by a 
 hair, showing that the chief seat of the eruption is the 
 hair follicles. Bumstead {l. c, 547) admits four varieties : 
 First. Where the eruption resembles varicella, and the 
 vesicles are large, scattered over the surface, in some cases 
 umbilicated, and each is surrounded by a copper-colored 
 areola. Their contents remain serous for a short time only 
 and soon become purulent. Second. In the eczematous 
 variety the vesicles are smaller and either diffused or col- 
 lected together in groups. The eruption terminates in 
 fine desquamation without the formation of scabs, some- 
 times a thin yellowish crust is found, beneath which the 
 integument is found to be superficially ulcerated. Third. 
 The herpetic variety consists of large globular vesicles 
 containing a citron-colored fluid, arranged in irregular 
 groups upon a dark-red base, resembling the patches of 
 herpes phlj'Ctenodes, or the vesicles may be smaller and 
 collected into groups which are either circular or ovoid, 
 as in herpes circinnatus. Fourth. The bases of the vesi- 
 cles are hard and firm papular elevations, which remain 
 for some time after the fluid had been absorbed or has 
 escaped by rupture of the vesicles. Syphilitic vesicles are 
 almost always accompanied by some other specific erup- 
 tion. 
 
SYPHILITIC ERUPTIONS. 203 
 
 Syphilitic hullcB. (Pemphigus syphilitica. Rupia syph- 
 ilitica.) The number of cases of this affection in adults is 
 small, but pemphigus neonatorum is of very frequent occur- 
 rence. The children are either born with a pustular erup- 
 tion, chiefly on the palms and soles, the elements of which 
 rupture a few days after birth and leave a superficial ulcer, 
 or small spots the size of a lentil come out on the parts 
 mentioned, of a dark, purplish color, which soon develop 
 into bullae. These children die a few days after birth from 
 exhaustion, in spite of the most assiduous care ; they live 
 at the longest two or three weeks. 
 
 Rupia syphilitica is known by the development of small 
 flattish bullae, surrounded by a faint areola, few in num- 
 ber, containing at the very outset transparent serosity, 
 but very soon a mixture of blood and pus, giving place by 
 dessication to thick scabs beneath which is more or less 
 unhealthy ulceration, with a dirty, fetid discharge. The 
 crusts are diagnostic ; they are dark, and stratified in such 
 a way as to be conical, like an oyster-shell. The rupial 
 spots may be seated on any part of the body, face, head, 
 limbs or trunk. It is almost invariably associated with pov- 
 erty of the blood and enfeebled vitality. Syphilitic rupia 
 is very persistent. Fresh scabs and ulcers appear in the 
 vicinity of those first formed, so that the various stages 
 of the eruption may be frequently observed on the 
 same person. During the reparative process, if the 
 scabs be allowed to remain undisturbed the ulcer granu- 
 lates up from the bottom, and when at last the scabs, 
 having become dry and brittle, fall off, may have already 
 attained a higher level than that of the surrounding 
 surface. The succeeding cicatrix is of a sombre red or 
 copper color, abruptly depressed and indelible. 
 
 Many varieties of rupia have been made, according to 
 the size and shape of the crusts and the degree of ulcera- 
 tion, although in all the different varieties it will always re- 
 main as a diagnostic mark of syphilitic rupia, that beneath 
 
204 DISEASES OF THE SKIN. 
 
 the impetiginous crust there is only an excoriation. If the 
 spots are of fair size, the disease is termed rupia simplex ; 
 if the crusts are large and prominent, rupia prominens ; if 
 the ulceration is marked and the patient cachectic, rupia 
 eschar otica ; hut all such divisions are immaterial, as a 
 slight alteration in the relative power of health or disease, 
 or an accidental or incidental change in the outward con- 
 ditions, will give one or another form. 
 
 Syphilitic pustules. (Acne, impetigo and ecthyma syphi- 
 litica — pustulo-crustaceous syphilitic eruptions.) Pustules 
 result in several ways; either from rapidly suppurating 
 vesicles, or by the tops of papular eruptions suppurating the 
 contents of these pustules dry to crusts and leave a more or 
 less deep ulcer after their removal. These syphilides are 
 generally attended with glandular indurations, axillary, 
 cervical aud inguinal; the patients have a cachectic look 
 and are frequently troubled with affections of the serous 
 membranes and rheumatic pains. 
 
 Fox {l. c, 289) adopts three primary forms of syphilitic 
 pustules and a secondary form. First. Syphilitic inflamma- 
 tion of the follicles, especially of the scalp and of the side 
 of the face. It occurs pretty early, and the spots are 
 marked by a hardish base, a copper-colored areola, an indo- 
 lent course, and the occurrence of cicatrices,with dull stains. 
 Second. Syphilitic acne is common and involves the en- 
 tire sebaceous glands, especially about the sides of the face, 
 on the scalp and the trunk ; it may even be confined to the 
 lower extremities, an important fact in establishing the 
 diagnosis. The acne spots are of small size, generally acu- 
 minated, seated upon a prominent base, show little tend- 
 ency to spread and remain stationary for several weeks 
 before becoming covered with scabs, which are small, dry 
 and of a grayish- brown color, and leave distinct cicatricial 
 pits behind, and dark-colored stains. Third. Syphilitic 
 ecthyma is seen about the trunk, but especially the limbs, 
 the lower more than the upper, and occasionally the head. 
 
 ( 
 
SYPHILITIC ERUPTIONS. 205 
 
 The pustules are phljzacious, scattered, with a coppery 
 base, and indolent ; they are scabbed over with dirty 
 brown or blackish scabs, covering ulcers with indurated 
 and dark edges, which on healing leave behind scars and 
 characteristic stains ; the crusts are peculiarly thick and 
 very adherent. 
 
 In the papular or tubercular form, which pustulates, 
 the pustules are found about the forehead and face 
 and on the trunk ; they are successive, numerous, iso- 
 lated and scattered, soon acquire a coppery hue and are 
 indolent; thick greenish crusts may form, and beneath 
 them is ulceration depressed in its centre and leaving be- 
 hind scars and copper-colored stains. This brings us to the 
 
 Tubercular syphiloderma^ which may be di voided into two 
 classes: First. Those which terminate in desquamation or 
 resolution. Second. Those which suppurate and form 
 ulcers. The former are hard, shot-like bodies, occupying 
 the whole thickness of the skin, above which they project 
 to a variable extent. They are usually of a dark-red color, 
 sometimes tense and shining or covered with thin scales, 
 which fall off and give place to others or are surmounted 
 by scabs, which are the product of an effusion of serum be- 
 neath the epidermis without deep ulceration. They are 
 neoplasmata, and a diagnostic feature of them is, that they 
 cannot be made out to be enlargements of the follicles 
 (acne) of the skin, as they never present a central point. 
 "When aggravated they form groups which are generally 
 circular, but sometimes irregular. Such groups of tuber- 
 cles form distinct patches, the edges being bounded by 
 well-marked tubercles, the whole surface of the patch 
 being scaly ; and the patch constantly tends to enlarge by 
 the subsidence of the old tubercles and the development 
 of new ones external to the first ; the size of the patch 
 augments and the increase of the growth of new tissue, or 
 infiltration, thickens the patch. In some instances, instead 
 of forming wheals, tubercles are collected into irregular 
 
206 DISEASES OF THE SKIN. 
 
 masses, in which, however, a tendency to the circular form 
 is still manifest, and if closely approximated, the general 
 thickening of the skin beneath may elevate the patch to a 
 considerable distance above the surrounding surface. All 
 tubercles are very slow in their progress and decline, and 
 often persist for many years. 
 
 Second. Further changes may take place in tubercular 
 syphilis, viz., suppuration and ulceration. Tubercles in 
 certain persons, instead of being absorbed, break up into 
 unhealthy pus, and give out an ichor that dries into dark 
 adherent crusts. In ulcerating tubercular syphiloderma the 
 ulceration in one instance may be deep and is called the 
 jperf orating form, in the other superficial or serpiginous form. 
 In the former the tubercles are large, few, livid-red, with 
 a copper-colored areola, having a tendency to ulcerate 
 deeply, and are very painful ; the ashy-colored and foul 
 ulcers, which may become confluent, crust over, the 
 ulceration meanwhile eating more deeply, the crusts being 
 repeatedly shed and reproduced. The disease is most 
 common about the face, and thus the nose may be de- 
 stroyed. Severe ulceration is generally a symptom of 
 tertiary syphilis, and accompanies marked cachexia, indu- 
 rations of the periosteum, syphilitic caries, etc. 
 
 When the ulceration is superficial, it creeps along 
 the surface in bands or circles ; the surface of the ulcer 
 becomes covered over with the blackish crusts, which 
 fall and are reproduced from time to time; the tu- 
 bercles themselves are larger, and if the ulcers heal, 
 distinct livid cicatrices remain behind; if the tubercles 
 become confluent, the ulceration is more marked. Another 
 ulcerative condition is the fissured tubercle, which is 
 small, with a lineal ulcer in the centre ; it is accompanied 
 by a good deal of pain and a thinnish ichor is exuded 
 from it ; it is seen about the side of the nose, lip, scrotum 
 and anus. 
 
 Syphilitic ulcers have sharply-cut edges and the tuber- 
 
SYPHILITIC ERUPTIONS. 207 
 
 cles around are hard, smooth, dryish, dense, shining and 
 copper-colored ; they are foul, dirty, ashy, exuding ichor, 
 and the tissues around are infiltrated and indurated. 
 
 Syphilitic alopecia is pretty common. Ulceration of the 
 hairy skin, the formation of tumors or seborrhoea may 
 cause a falling out of the hair. The hairs become harsh 
 and brittle, their bulbs become atrophied and they come 
 out with combing. The loss of hair sometimes takes place 
 over the whole body ; when this occurs, the patients are 
 generally cachectic; the hairs, however, grow again after 
 several months, when the syphilitic poison is overcome. 
 
 Onychia syphilitica. Purulent formations about the 
 ends of the fingers are always signs of debility. It may 
 attack the structure of the nail itself, or the matrix 
 especially. The skin around the nail becomes diseased, 
 is reddened, swollen and painful, which symptoms disap- 
 pear again, partly from absorption, partly from suppura- 
 tion of the skin, with shedding of the nail. Several nails 
 may be attacked at the same time, and that symmetri- 
 cally ; the progress is very indolent. The nail ma}^ also 
 become the seat of a painful tubercle, which raises up the 
 nail from its bed and it thus becomes detached. In other 
 cases of syphilis the nails simply atrophy and are lost, or 
 they become ill-formed, friable and stunted. 
 
 Syphilis cutanea ve^e/faw5 (Condylomata lata. Plaques; 
 muqueuses). They are hypertrophied papillae moistened 
 by secretion and containing rather more fibrous and elas- 
 tic tissue than usual. The walls of the vessels leading; to 
 the condylomata are afiected to a great extent, and the 
 cell accumulation is found especially along the vessels. 
 They are seen most frequently around the anus, on the 
 scrotum, perineum and prepuce, on the inner surfaces of 
 the thighs, on the vulva, the navel, the female breasts, in 
 the axillae, at the corners of the mouth and nose, and gen- 
 erally in those places where there are large sebaceous 
 glands and hair-follicles and deep folds of the skin. 
 
208 DISEASES OF THE SKIN. 
 
 "When exposed to friction the pellicle covering the patch 
 is removed, and a red, superficial, hut depressed ulcera- 
 tion takes the place of the elevated disk. Unlike most 
 syphilitic eruptions, condylomata are frequently attended 
 by pruritus, especially when seated upon the scrotum and 
 perineum, and when proper attention to cleanliness is not 
 paid or the parts have become warm and moist from exer- 
 cise or prolonged contact in bed. Mucous patches are ex- 
 ceedingly chronic and persistent, and very prone to reap- 
 pear ; they are, indeed, the most frequent evidence of the 
 renewed activity of the syphilitic poison. 
 
 Syphilodermata must be also divided into hereditary 
 and acquired. The former may depend on the male or 
 female parent ; the child may be born with an eruption, or 
 that manifestation may not appear for some months after 
 its birth ; in rare cases even several years may pass by, and 
 cases are also on record where children born of a father 
 or mother affected with syphilis escaped the infection, 
 clearly showing that a certain dispositon to receive 
 constitutional disease is necessary for the child as the 
 adult, and this may be absent. The appearances of syphi- 
 lis in children are : brown scabs on a surface more or less 
 inflamed, tubercles of every size and form, snuffling from 
 inflammation of the nasal membrane. In minor cases, 
 where the disease appears after some months, the tendency 
 is to scaly patches, the teeth are rough and imperfectly 
 formed, and the nails and hair both show diseased action. 
 We miss the copper-color in children, the maculae are pale- 
 red or dirty-brown, pustules display less infiltration, as 
 children with congenital syphilis are generally very anae- 
 mic, and the skin is correspondingly more wrinkled. 
 
 It is a pity that we know nothing whatever of the 
 character of the virus of syphilis. It acts in the most 
 minute quantity, its influence is too often protracted and 
 in some cases even permanent, and instead of manifesting 
 a definite set of phenomena and then being eliminated, it 
 
SYPHILITIC ERUPTIONS. 209 
 
 seems to change its character with time and gives rise to 
 many different forms of disease. Cauty {I. c, 135) remarks 
 on this point that the virulency of syphilis is weak but 
 very permanent, the germ losing its power slowly and be- 
 ing equally slowly eliminated from the system. Its pre- 
 dominant property is to grow and cause stagnation 
 locally; if it should increase rapidly or if there should be 
 a sufl3.cient quantity absorbed originally the germs may 
 cause general irritation, but this irritation is of a very 
 transient character. These disease germs, like other ani- 
 mal germs, cannot multiply unless they can affect the 
 circulation ; the special predilection of syphilis is to cause 
 stagnation. The exact action of the germ when absorbed, 
 is to retard the circulation. We then have all the sym- 
 toms of depression — lowered pulse, absence of color, dul- 
 ness of the eyes, lassitude, etc. The blood is rendered 
 thin and watery, the red granules decrease in number, in- 
 crease in size and become soft, pliable and easily mix 
 with the fluids, losing their separate existence; the white 
 corpuscles increase in size and become softer in texture; 
 as a consequence of this state of things, at some point or 
 points of the tissues, the enlarged white corpuscles become 
 incapable of passing through the capillaries; we then 
 have a point of stagnation around which both white cor- 
 puscles and disease germs increase and multiply. As a con 
 sequence of such increase of white corpuscles, we have 
 the various hypertrophies of scales and tubercles ; or if 
 there be exudation beneath the epidermis, papules, to all 
 of which formations the syphilitic germ gives the charac- 
 teristic sign of red granular matter, mixed with the fluid 
 exuded. Such a languid and slow state of stagnation is 
 only possible locally, for if the general system was so de- 
 pressed we should have death. The local equivalent occurs 
 in some forms of syphilitic skin disease, as ulceration or 
 death of tissue. 
 
 Treatment. For centuries mercury has been known as the 
 
210 DISEASES OF THE SKIN. 
 
 great anti-syphilitic remedy and volumes have been written 
 in its defence or in opposition to its use in syphilis. Our 
 studies must lead us to the decision that this metal is the 
 true simillirnum of the venereal poison. Headland {On the 
 Action of Medicines, p. 371) remarks, that mercury disinte- 
 grates or decomposes the blood and thus wastes the body. The 
 blood under mercurial action contains more water, and is 
 more prone to putrefaction than healthy blood. The fibrine, 
 albumen and red globules are diminished in amount, and 
 a very fetid matter is present in large quantity. Smith 
 has observed that the blood coagulates with difficulty. 
 When coagulated, it is cupped and buffed, but it is the 
 huffy coat of anaemia and not of inflammatory blood; 
 the clot appears rotten and is easily broken down. By 
 this artificial disease that it produces, it may cause, when 
 pushed to excess, various constitutional disorders of a very 
 serious kind. As agents which impoverish the blood 
 drive it to the tissues for its replenishment, and give 
 work for the absorbents, so mercury wastes the frame, 
 causes the body to become thin and feeble, the face pallid, 
 and diminishes the nervous energy. It may excite the 
 febrile or typhoid condition called " mercurial erethism," 
 or a disease of the skin of a squamous or eczematous 
 character, the " hj^drargyria." 
 
 Ringer {Handbook of Therapeutics, 213) finds it singu- 
 lar how similar the phenomena produced by mercury are to 
 those which result from syphilis, and thinks that the second- 
 ary and tertiary symptoms, which are laid to the charge 
 of mercury, can be produced undoubtedly both by syphilis 
 and by mercury salts ; so that, if these salts are given too 
 freely and for too long a time, or under improper cir- 
 cumstances, they inflict great harm by aggravating the 
 diseases they were given to cure. 
 
 If it be true that we know nothing whatever of the 
 character of the syphilitic poison, l^othnagle also, 
 {Arzneimittellehre, 229) acknowledges that it is impossible 
 
8 YPHILITIC ER UPTIONS. 21 1 
 
 to explain the mode of action of mercurj. "We may ad- 
 duce single data, but they do not suffice to disclose the 
 origin of the effects produced by mercury. And Head- 
 land coincides with him, as he remarks that " by some in- 
 scrutable chemical (?) power, of whose agency we know 
 nothing, mercury is able to decompose the blood." 
 
 Authorities disagree about the indications for the use 
 of mercury in syphiloderma. Thus Bumstead {!.. c, 559) 
 finds mercurials only required for the superficial eruptions 
 which terminate in desquamation, belonging to the sec- 
 ondary stage of syphilis (erythema papules, squamse and 
 vesicles, which are either dry or are attended by a serous 
 or thin sero-purulent secretion emanating from a superficial 
 erosion). Our own Hughes {Pharmacodynamics, 395), on the 
 contrary, finds it applicable when the local manifestations 
 of the disease become destructive, when the eruptions take 
 the form of impetigo and rupia, or when ulceration attacks 
 the skin and mucous membrane. Yeldham also recom- 
 mends a fair trial of the mercurials in syphilitic eruptions 
 (the iodides or perhaps the corrosives), unless mercury 
 has already been fully given. Bayes {Applied Homoe- 
 opathy, 117) reports the skin " similars" to mercurius 
 numerous, numbering certain vesicular, pustular and papu- 
 lar rashes, and gives the practical rule for the adminis- 
 tration of mercury in these cases, that on pressure over the 
 reddish blush which surrounds them, the color of the 
 skin remains coppery or yellowish-brown until the blood 
 returns to the surface. In very unhealthy subjects these 
 vesicular and pustular rashes have a tendency to run into 
 sores (Merc, corr.^" every second night and 3d dec. 
 twice a day.) Granier {Homoeolexique, ii, 854) uses the red 
 percipitate, the corrosive, the cinnabar and Merc, nitr., 
 and finds them indicated in pustular and squamous syph- 
 ilides, especially in psoriasis, for the cure of tubercles, 
 ulcerations, and of great value in onychia syphilitica. 
 Kafka {I. c, ii, 647) considers mercurial preparations true 
 
212 DISEASES OF THE SKIN. 
 
 antisjphilitica only in certain concrete, strictly individu- 
 alized cases. He uses the 2d dec. of Merc, corr., even 
 for the primary soft chancre, and where no amendment 
 follows after several weeks, he changes to the Merc, prsecip. 
 rubra ; in indurated chancres (infiltrations of the connec- 
 tive tissue with fibrinous coagula) he relies on iodide of 
 potash (Kali hydrojod. 5j, Aqua, dest., Spir. vin., aa. ^ij., 
 gtt. j. two or three times a day, adding one drop to 
 the dose every third day), and where this fails he has 
 recourse to the Merc, deutojoduratum given methodi- 
 cally. He considers the cinnabar (bisulphuretum hy- 
 drargyri) a grand remedy for secondary symptoms, as- 
 cribing its excellent effects to the combination of sulphur 
 with the mercury. The simultaneous use of warm baths 
 can be highly recommended in the treatment of syphi- 
 lides. Tubercular tertiary syphilis needs quick resorption 
 of the fibrinous exudations in the skin ; hence the iodide 
 of potash or the biniodide of mercury are indicated ; but 
 exulcerating tubercles as well as fissured and ulcerated 
 condylomata yield usually to the red precipitate or to the 
 biniodide. 
 
 Fox {l. c, 305) considers mercury the remedy for all 
 syphilodermata, except in those cases in which the drug 
 may, in consequence of the state of cachexia, still further 
 depress. In these cases, and those of tertiary syphilis, 
 empiricism has taught that the appropriate remedy is 
 iodide of potassium, but in some instances the combined 
 use of both remedies is of much value, as in wide-spread 
 tubercular syphilis. He discards all other preparations 
 of mercury except the bicyanide (hydrarg. cyanidi) and 
 gives it in 1-12 grain doses twice a day, in pill form, ad- 
 ministering iodide of potassium (grs. v. three times a day) 
 at the same time. 
 
 Headland (l. c, 204) considers mercury the single and 
 best remedy in primary forms of syphilis, as the chancre, 
 and early eruptions — as syphilitic lichen, roseola and le- 
 
SYPHILITIC ERUPTIONS. 213 
 
 pra — and in syphilitic iritis. It is well known that mer- 
 cury has the power of producing a decomposition of the 
 blood. Syphilis, with the eruptions and ulcerations and 
 necrosis and cachexy that result from its working, is ob- 
 viously an agency which itself tends sooner or later to im- 
 poverish the blood ; and it seems to me not unreasonable 
 to suppose that mercury in its destructive action may 
 seize first on those parts of the blood which are most dis- 
 eased, or most liable to putrefaction, that it may grapple 
 thus immediately with the fermenting and multiplying 
 virus of syphilis, decompose it, as well as those materials 
 of the blood on which it has commenced to feed, and elimi- 
 nate both these and itself together by the glandular out- 
 lets of the frame. To cure the corrosion of the vital parts 
 the mercury corrodes somewhat further and deeper and siveeps 
 all away. 
 
 Iodine and its preparations produces erythematous, papu- 
 lar, vesicular and pustular eruptions (Fischer, Vienna Med, 
 Wschft., 1860) and exerts on the blood some special cata- 
 lytic action by virtue of which the morbid actions of sec- 
 ondary syphilis are counteracted. As an anti-syphilitic its 
 use is confined to latter symptoms, as to periostitis, and to 
 late eruptions, as rupia (Headland, L c, 381). Cauty also 
 considers the action of Iodine quite unequal to meet the 
 action of the syphilitic germ at first, whether combined 
 with potash or ammonium or with iron. If you have any 
 hopes that of itself the iodide will counteract the disease, 
 it requires many months of steady administration and a 
 very feeble action of the disease to be removed. Wilson 
 (1. c, 206) on the contrary has great confidence in the 
 iodide of potassium in all the eruptions of a recent period 
 and also in the ulcerative forms, but this remedy as well 
 as the mercurials must be used properly, demanding great 
 judgment and discrimination. 
 
 Hughes (I, c, 334) acknowledges that our school also 
 uses the iodide of potassium more ex usu in morbis than 
 
214 DISEASES OF THE SKIN. 
 
 from the pathogenesis of this remedy in secondary and 
 tertiary syphilis, and most of our physicians give it there- 
 fore in material though not large doses. Lobethal {A. 
 H. Z.^ 30) prescribes it for the cutaneous affections and 
 ulcers of a sickly color, and for tubercular and papular 
 eruptions of the face. 
 
 Gold and Platina have been used by physicians of the 
 old school for the cure of syphilodermata when the sys- 
 tem has been previously subjected to the action of mer- 
 curial remedies. We find indications for the former in 
 the marked depression of spirits so often witnessed in 
 syphilitic patients, with a suicidal tendency, and in its 
 great antidotal power to the action of the mercurials. It 
 is (Hughes, I. c, 127) an admirable remedy for those con- 
 stitutions broken down by the combined influence of 
 syphilis and mercury. 
 
 Nitric acid is also well known as an antidote to syphilo- 
 mercurial poisoning. Rummel found it to act well for 
 broad red spots resembling psoriasis, subsequent to the 
 treatment of primary ulcers with large doses of mercury. 
 Fielitz cured with it isolated, burning, ulcerated surfaces 
 on the hairy scalp, accompanied by ecthymatous pustules 
 in the face, forming crusts, and surrounded by broad, red 
 areolae. Hofrichter for brown spots on the glans of the 
 size of lentils, and vanishing after their membranes be- 
 come detached, together with brown tubercles near the 
 seam of the scrotum and on the perineum as far as the 
 anus ; these tubercles are of the size of peas and ulcerate. 
 (Jahr's Verier al Diseases^ 225.) 
 
 In coming to the more simple treatment of Ferguson, 
 Boeck, Baerensprung and others, we find the expectant 
 treatment in the ascendancy, as they rely on inert reme- 
 dies or laxatives ; and even Wilson states it as a general 
 axiom that all eliminating means are useful in syphilis, 
 and that each and every successful treatment may be re- 
 solved into the two processes represented by the words 
 
SYPHILITIC ERUPTIONS. 215 
 
 elimination and restoration. Thus a famous method of 
 treatment, once in great favor, consisted in epsom salts, 
 milk diet and clinical decubitus. We may use with equal 
 benefit the milk diet and the clinical decubitus, and study 
 out what other remedies we maj^ use for the eradication 
 of syphilis, for the cutaneous affection remains to us only 
 as an outward sign of a constitutional affection. 
 
 Thuya disputes the rank for the cure of condylomata. 
 It is the great antidote to sycotic diseases showing itself 
 in the shape of warts, condylomata, cauliflower excres- 
 cences on or about the genital organs and hairy parts of 
 the body. The patient is low-spirited and desponding. 
 
 Dulcamara. Herpes preputialis, easily bleeding, brown, 
 dry, humid or furfuraceous, red, pale-red or with a red 
 areola ; round, scaly and small herpes ; suppurating yel- 
 low herpes ; thick brown crusts on the face, forehead, 
 temples and chin with reddish borders, bleeding when 
 scratched ; exostoses on the upper part of the right tibia, 
 with bluish-red spots, suppurating lumps. 
 
 Hepar s. e. Another antidote to overdosing with 
 mercury. lulling out of the hair after the abuse of 
 mercury ; pustules on the scalp, secreting copiously, with 
 glandular swellings ; rhagades of the hands and feet ; al- 
 ternate appearance and disappearance of brown spots on 
 the whole body. 
 
 Kali bichromicum. Papular and pustular eruptions ; 
 ulcers with hard bases and overhanging edges, deep and 
 generally dry ; pustular eruptions, which have a hard 
 dark scab and leave a depressed cicatrix ; small pustules 
 over the body similar to small-pox, they disappear with- 
 out bursting ; periosteal pains ; syphilitic rheumatism. 
 
 Phytolacca. Syphilitic periosteal rheumatism; second- 
 ary and tertiary syphilitic eruptions, especially psoriasis. 
 
 Staphysagria. Another sycotic remedy as well as bene- 
 ficially acting against the constitutional effects of mercury. 
 Humid, scalding-itching, fetid eruptions ; periosteal pains, 
 worse at night. 
 
216 DISEASES OF THE SKIN. 
 
 Stillingia sylvatica. Chronic secondary eruptions, com- 
 plicated with venereal rheumatism ; periostitis and nodes 
 on the tibia ; ulcers with unhealthy skin. 
 
 Other remedies might be indicated jpro re nata, as Arg. 
 nitr., Arsen., especially Ars. jod., Calcar. (especially in 
 congenital syphilis), Lachesis (phagadsena), Petrol., Rhus 
 tox., Rumex, Sanguin., Sepia, Silic, Sulphur, and many 
 more, but our space being limited we refer to the Materia 
 Medica. 
 
 Serofula-derinata, 
 
 Scrofula of the skin is only a part of a general diathetic 
 condition. We know just as little of the essence of scrofula 
 as we know of sj^philis ; we only know that it modifies and 
 deteriorates the organism. Ricord is certainly wrong when 
 he considers it always a form of hereditary syphilis ; others 
 see in it an exaggerated action of the lymphatic system, 
 and many of our school look at it as the expression of the 
 Hahnemannian psora. Raue {L c, 545) in his concise man- 
 ner terms scrofulosis a cachexia which manifests itself as 
 a nutritive disturbance in the external skin, mucous mem- 
 branes, joints, bones, organs of sense, and above all the 
 lymphatic glands. The special changes in the skin are 
 eruptions, which usually have their seat in the face and 
 on the scalp ; they consist in a superficial dermatitis with 
 exudation of lymph upon the free surface, constituting 
 eczema or impetigo, or, as they are likewise called, tinea 
 or porrigo, etc. Destructive processes, like lupus, do not 
 take place until a much later period. 
 
 Wilson {Diseases of the Skin, 367) describes the tubercu- 
 lar swellings of cutaneous scrofula as of small size, indo- 
 lent, and of a purplish red or livid color ; they soften in- 
 ternally, break after a time and give exit to a white curd- 
 like matter and to an imperfect pus, often remain open 
 or fistulous for a long time, showing very little disposi- 
 tion to close, and when the healing is at last accomplished, 
 an ugly scar is often left behind. The chronic character 
 
NEUROSES OF THE SKIN. 217 
 
 of scrofaloderma finds its explanation in the low vitality 
 of the morbid tissues from weak nutritive power, and 
 hence defective assimilation and sanguification ; we find, 
 therefore, scrofulous persons generally fair in complexion, 
 pallid, flabby in tissue, and more or less anaemic, and our 
 chief reliance must be put in the maintenance and sup- 
 port of the vital power of the patient, for we contend as 
 against a debilitated constitution. 
 
 The old school relies on phosphate of lime, cod-liver oil, 
 iodine, iron, nitr. ac, combined with tonics, for the eradi- 
 cation of this diathesis, with animal diet. Our sheet- 
 anchors are Sulphar and Calcar. Other important re- 
 medies are: Alnus rubr., Asaf., Aurum, Badiaga, Baryt., 
 Bellad., Calc. carb., Gale, phosph., Cistus, Conium, Hepar, 
 Hydrast., lodium, Lycop., Mercur., ^atr. mur., PhytoL, 
 Rhus tox., Rumex, Sepia, Silic, Stillingia. 
 
 Neuroses of the Skin. 
 
 The nervous disorders of the skin are : First, Disturb- 
 ances of Sensibility, (a) Anaesthesia (b) Hyperaesthesia. 
 Second, Motor disturbances. Third, Angio-neuroses. 
 
 First. The papillae furnish the sensation of touch, and 
 after their destruction the sensibility to changes of tem- 
 perature, pressure and relations of distances ceases. 
 
 (a) AncBsthesia. The causes of anaesthesia lie either in 
 the brain, in the course of the nerves, or in their peri- 
 pheral endings. All anaesthetic remedies produce anaes- 
 thesia through their action on the brain ; to the second 
 class, for instance, belong those in the course of Elephanti- 
 asis Grixcorum ; and to the anaesthesiae of the third class, 
 those caused by burns, injuries, the action of caustics and 
 local anaesthetics. It is mostly a secondary symptom of 
 other diseases. 
 
 (b) Hyper (Bstliesia^ or exalted sensibility of the skin, if 
 general, is secondary to brain and spinal diseases; occa- 
 sionally it is idiopathic, and when this is the case par- 
 
 16 
 
218 DISEASES OF THE SKIN. 
 
 takes of the nature of an hysterical pain. The skin is 
 morbidly sensitive to all impressions, e. ^., friction of the 
 clothes, the air pressure, and even that of lying. 
 
 Pruritus — in plain English, "itching" — may occur with- 
 out any apparent cause, but that is because we do not see 
 where the cause is ; not that it is wanting or that the nerves 
 have acquired unusual activity jper se. This sensation ac- 
 companies many diseases, as eczema, scabies, etc. As a 
 general rule, only those skin diseases itch in which the 
 papillary layer is irritated, while wounds and ulcers which 
 extend deep into the subcutaneous tissue are only painful. 
 In prurigo the itching is very intense only when new 
 papules are forming, and ceases with their destruction. 
 In many dyscrasic diseases, as syphilis, the exanthemata, 
 and lichen scrofulosorum, there is no itching, while net- 
 tles and the epizoa occasion it as soon as they come in con- 
 tact with the skin. We see, therefore, that true dyscrasic 
 diseases which come from the blood cause no itching, while 
 ever so slight an irritation may be accompanied by the 
 severest pruritus, and that, therefore, this state in most 
 cases is caused by some local process. Hebra first insisted 
 on this fact. 
 
 The sympathetic excitation of pruritus indicates its 
 nervous character, which is also manifest by the manner 
 of its attack, coming on suddenly, raging w^ith violent 
 fierceness, sometimes periodic, and subsiding for a while 
 totally. It may occasionally be general, but is more fre- 
 quently local. The former is frequently connected with 
 physiological changes in the uterus. Thus women may 
 suffer intensely from itching during the whole period of 
 their pregnancy ; morbid alterations in the uterus, anoma- 
 lies of menstruation, Bright's disease, hepatitis, icterus 
 and granular liver may produce the same ; itching is also 
 a frequent accompaniment of senility. 
 
 Pruritus senilis^ caused by retrograde metamorphosis, is 
 an afiection of old age. ]^o thing else is observed in the 
 
NEUROSES OF THE SKIN. 219 
 
 skin but laxity and thinness of the integuments, with 
 perhaps plugging up of a certain number of the follicles 
 by the exuviae shed from the sebaceous glands. It is 
 increased by heat, cold, the warmth of the bed, by 
 digestion and other things, and may take on the form of 
 stinging, creeping or burning sensation. It may also 
 appear in persons who cannot be considered old, from 
 mal-nutrition, from worry, anxiety, mental over-exer- 
 tion, etc. 
 
 Pruritus ani^ seen especially in corpulent persons, is a 
 constant result of hemorrhoidal tumors and intestinal 
 worms, but generally comes from eczema or intertrigo. By 
 reflex action it may also occur from uterine disorders. 
 The result of scratching is to give rise to the develop- 
 ment of papules, and, it may be, to considerable inflam- 
 matory thickening. 
 
 Pruritus pudendi^ or itching about the genital organs, 
 is common in women, and arises from a variety of causes, 
 as eczema, intertrigo, the presence of vegetable funo-i, 
 ovarian and uterine irritation, hemorrhoids aud varicosity 
 of veins of the genital parts. It is frequently observed 
 in amenorrhceic sterile females and those at the climac- 
 teric period. The itching aflects either the clitoris, the 
 labia mnjora or the vagina, and is often very obstinate. 
 From the friction, which may even amount to masturba- 
 tion, we have at flrst excoriation and afterward a chronic 
 infiltrated eczema or leucorrhoea. 
 
 Emollient and vapor baths and anodynes locally ap- 
 plied, are recommended, provided the general health be 
 carefully attended to. 
 
 For simple itching of the skin while undressing or 
 after getting warm in bed, or by exercise: Bryon., 
 Coccul., Nux vom., Oleand., Opium, Pulsat., Rhus tox., 
 Bilic, Sulphur. For pruritus icteroides : Chelid. For 
 pruritus senilis: Arsen., Baryt., Crotal. For pruritus 
 ani: Alum., Amnion., Calc, Garb, veg., Caustic, Ignat. 
 
220 DISEASES OF THE SKIN. 
 
 (ascarides), Lycop., Witv. ac, Sepia, Sulphur. For pruritus 
 pudendi, (a) Scrotum: Antim., Caustic, Graphit., Lycop., 
 Witr. ac. Petrol., Sulphur; (b) female genital organs: 
 Ambra (pregnancy), Calad., Carb. veg., Collins., Helon., 
 Hydrast., Hydroc, Tarant. 
 
 Collinsonia. Pruritus vaginae from hemorrhoids. 
 
 Carho veg. Itching of vulva and anus from varicose 
 veins in external genitals, producing even dysuria. 
 
 Helonias. The mucous membrane of the labia is red, 
 swollen and covered with a white, curdy deposit like 
 aphthfe ; no sexual excitement. 
 
 Hydrastis. Excessive pruritus, with profuse albuminous 
 leucorrhoea and sexual excitement. 
 
 Tarantula. Dryness and heat of the parts, intense itch- 
 ing, worse at night. 
 
 Ludlam {Diseases of Women., 160) recommends, accord- 
 ing to indications, IsTatr. mur., Sepia, Silic, Sulphur, 
 Arsen., Calc carb., Conium, Mercur. and the various acids. 
 
 Compare also Guernsey's Obstetrics., second edition, 
 p. 575. 
 
 Second. Motor Disturbances. ITeumann {I. c, 390) re- 
 presents the cutis anserina as a " motor disturbance," a 
 condition of the skin in which small papules of the size 
 of a hemp-seed appear, caused by the contraction of the 
 muscular fibres running to the base of the hair-follicle, 
 whereby the hair is erected and the follicle protruded. 
 These papules may also be produced by the electrical 
 current, during the chill of intermittent fever, and by the 
 direct action of cold upon the skin. Cutis anserina is 
 therefore no disease. 
 
 Third. Angio-Neuroses. ]^eumann puts in this class 
 the neuroses following paralysis, in which the nutrition 
 of the affected portion is retarded, the part withers, the 
 hairs and nails drop off, or whole joints are lost (see 
 JEL phantiasis Grcecorum). 
 
 There is no doubt but that a large proportion of cuta- 
 
ACUTE ERUPTIVE DISEASES. 221 
 
 neous diseases depend upon disorders of the vaso-motor 
 nerves, which cause certain derangements of the circula- 
 tion in the arteries, veins and cutaneous glands. Anaemia 
 and hypersemia of the skin happen from vaso-motor 
 irregularities, some from the brain, some from the spinal 
 cord, or from the action of cold, or the electric current ; 
 anaemia especially follows cramp and contraction of the 
 muscles. 
 
 Landois and Eulenberg consider acne rosacea a vaso- 
 motor neurosis of the ethmoidal nerve. 
 
 Baerensprung and others consider the origin of herpes 
 zoster to be an inflammation of the sympathetic fibres of 
 the small spinal ganglion. The supply of blood is 
 increased, the small arteries are distended, and as a conse- 
 quence there are serous exudation and the formation of 
 vesicles. Urticaria also depends on a circumscribed vaso- 
 motor affection, which may originate from very different 
 portions of the organism. The same is true of lepra 
 anassthetica. Of the same nature are the eruptions 
 caused by iodine, bromine, copaiva, cubebs, cod-liver oil, 
 quinine, digitalis, and that caused by malaria. 
 
 CHAPTER V, 
 
 ACUTE ERUPTIVE DISEASES. 
 
 Contagious exanthemata rather belong to works on 
 general medicine, inasmuch as the phenomena presented 
 by the skin in these diseases play a very subordinate part 
 as compared with the constitutional symptoms. Still, for 
 the sake of completeness and for the purpose of diagnosis, 
 it may be advisable to describe the eruptions themselves. 
 
 These eruptive affections derive their origin from a 
 specific cause, a zymotic (fermenting) poison, which pre- 
 sents phenomena of a special and peculiar kind. Of the 
 nature of these poisons (disease germs) we have very scanty 
 
222 DISEASES OF THE SKIN, 
 
 information ; we know only that they enter the blood, 
 that they set up in the blood a process of fermentation, 
 and that the poisonous ferment is conveyed by the blood 
 to every part of the economy. "When the disease germs 
 of the contagious fevers have been absorbed, they increase 
 imperceptibly for a certain time before showing any signs 
 of their presence. This time, which is very various, is 
 called the period of incubation. At length they are suffi- 
 ciently powerful to aifect the circulation, and commonly 
 make their presence known by causing what is termed a 
 chill, which may be very distinct or more or less marked. 
 The more distinct the chill the higher the consecutive 
 fever, which is only the reaction of the vital power, which 
 tries to resist and resents such presence, and throws it 
 out on the cutaneous (external as well as internal [mucous 
 membrane]) surface. The results of such fevers produce 
 the various eruptions we have now to consider, which 
 may be trifling or severe and even dangerous to life? 
 according to the quantity and quality of the disease germs 
 on the one side and the reactive vital power of the patient 
 on the other side. 
 
 JRiibeola. 
 Rubeola or Measles is the first, as it is the mildest, of 
 the three exanthems to be described. We designate by 
 this name a disease in which spots or papules, separated 
 from each other, appear over the whole surface of the 
 body, which eruption is accompanied with fever and a ca- 
 tarrhal affection of the mucous membrane of the respira- 
 tory tracts, runs an acute and ty[)ical course, and is con- 
 tagious. Regarding the first source of the disease, whether 
 it be organic or inorganic, we know nothing ; and the 
 question of its fungous nature is still more than doubtful. 
 The germ of measles can not only be inoculated but the 
 exhalations from the skin and lungs seem also to contain 
 the poison. The duration of the period of incubation 
 amounts to about twelve or fourteen days, but may be 
 
RUBEOLA. 22S 
 
 longer when the affected person already suffers from an- 
 other disease. Infection is possible during the prodromal 
 stage, increases while the eruption is out, and ceases 
 with the stage of desquamation. Most persons are at- 
 tacked during childhood, and this may be the reason why 
 we see so little of it among grown persons, for, as a. 
 rule, the predisposition ceases for the rest of life after an 
 attack. 
 
 Measles occur in more or less wide-spread epidemics, 
 and their duration is generally in inverse ratio to their 
 severity ; and this again to the frequency of recurrence ; 
 the shorter they are, the more severe, and the more 
 frequently they occur, so much the milder is their course. 
 
 The general symptoms, course and results of measles 
 are those produced by slight irritation ; parts which 
 habitually secrete discharge more plentifully, and the 
 congestion of the mucous surfaces is relieved by moist 
 exudations. Thus we have, as lirst symptoms of measles, 
 sneezing ; lachrymation and cough ; sickness from irrita- 
 tion of the stomach or disturbance of the alimentary 
 canal ; the pulse is somewhat over a hundred ; gradually 
 the skin, from the face downwards, becomes spotted with, 
 a rose-colored rash, leaving spaces between the spots 
 or clusters of spots free from the eruption. The 
 eruption is not attended by any marked increase of 
 fever, and as soon as it is fully developed the febrile 
 symptoms diminish. Three or four days elapse before 
 the eruption makes its appearance, and nearly two days, 
 more before it covers the body; the redness then gradually 
 disappears, and the subsequent desquamation takes place 
 in the same order that the rash has become visible, 
 the scales thrown oft' being small and thin. 
 
 The diagnosis of rubeola as an exanthem rests first 
 on the crimson color; second, on the punctated rash; 
 third, the disposition of the puincta in small clusters 
 obscurely oval in their figure. It is a well-established 
 
224 DISEASES OF THE SKIN. 
 
 fact with regard to the exanthemata, that the hypersemia 
 is always greatest on those parts of the skin which are 
 habitually exposed to the air ; hence we find the papulse 
 more prominent on the face than elsewhere, while the 
 clustering is more distinct on the body. According to 
 Simon, the papules arise from the collection of small 
 quantities of inflammatory exudation in circumscribed 
 places, mostly where the hairs penetrate the skin. 
 
 The general fever may cause suppuration of latent 
 tubercle, may aggravate scrofula, may lead to bronchitis, 
 pneumonia, enteritis or dysentery ; ophthalmia morbillosa 
 is also a frequent complication. Besides the synochal 
 form, we have also the asthenic, nervous, torpid or septic 
 measles (morbilli nigri) ; and this form may become com- 
 plicated with lobar pneumonia, in which the temperature 
 may rise to an unusual height and the heart's activity, 
 which was at first increased, becomes weakened and 
 paralyzed. Children who pass safely through the ealier 
 stages die in a profound collapse, sopor, and with a small 
 and greatly accelerated pulse. 
 
 All medicinal interference is unnecessary in mild cases 
 of measles, and our attention should be confined to proper 
 regimen. The temperature of the sick-room should be 
 maintained at about 65° F. and the air in the room 
 changed daily. The patient may be washed with luke- 
 warm water and the linen changed, with the precaution 
 that the linen be dry and well warmed and that the body 
 does not remain too long uncovered. The room should 
 be only moderately darkened, corresponding to the amount 
 of conjunctivitis present. The fever indicates the diet, 
 which, during its continuance should consist of thin soup 
 and dry bread; cooked fruit maybe allowed when the 
 bowels are confined ; meat-broth and milk are not given 
 till the fever has ceased, after which the diet may gradu- 
 ally be made more nourishing. The patients should keep 
 their room while the stage of desquamation and cough 
 
SCARLATINA. 225 
 
 lasts. The therapeutics of complications must be regu- 
 lated according to their requirements, and one must not 
 be led astray by the exanthem. jN'eumann (l. c, 117). 
 Raue {L c, 590) recommends that after fever and catarrhal 
 irritation have passed away, the patient be given a warm 
 bath and on the following day a cool wash all over, taking 
 care that it be done quickly and that the patient be well 
 rubbed and dried with flannel afterwards. After that time 
 he may be allowed to go into the fresh air, provided the 
 weather allows of it. 
 
 Remedies usually found beneficial are : Aeon., Bell., 
 Bry., Gels., Puis., Ant. cr.. Apis, Arsen., Camph., Garbo 
 veg., Gham., Goff., Bros., Euphr., Hep., Ipec, Kali bichr., 
 Merc, ^ux vom., Phosph., Stram., Sulph., Yeratr. 
 
 Boseola., (Rotheln), an erythema of a rosy hue, is likely 
 to be confounded with measles ; but it possesses no 
 catarrhal symptoms, there is no relation between the 
 febrile symptoms and the amount of eruption, there is no 
 epidemic influence at work in its production, it is irregular 
 in its distribution, non crescentic, not uniform, not dark- 
 colored, but irregular, rosy, and often commencing in 
 ^ther parts of the face. Little is known as to the cause of 
 roseola, but a few doses of Aconite or Gelseminum fre- 
 quently suffice for its removal. 
 
 Some American writers call this eruption Rubeola and 
 the genuine measles Morbilli, but Fox, ^N'eumann, Hebra, 
 Cauty, Wilson and others consider Rubeola as measles. 
 
 Scarlatina. 
 
 Scarlatina or Scarlet Fever is an acute contagious disease, 
 characterized by a scarlet -red rash over the w^hole or a 
 greater part of the surface of the body, accompanied with 
 fever, sore throat, and a slight hypersemia of the kidneys. 
 The contagion of scarlatina is quite as unknown to us as 
 that of measles ; it appears to be contained in the exhala- 
 tions of the patient and to be communicated to the sur- 
 
226 DISEASES OF THE SKIN, 
 
 rounding atmosphere. The period of incuhation appears 
 to be shorter than that of measles and to amount to about 
 eight days. The disposition to take the disease ceases 
 mostly after a single attack for the whole life, although 
 there are also exceptions to this rule. 
 
 In most cases there is but little if any disturbance of 
 the health during the stage of incubation ; sometimes we 
 have lassitude, depression and malaise. The prodromal 
 stage is ushered in by febrile sj^mptoms, frequent chills 
 alternating with dry burning heat, pulse 140, and an 
 elevation of temperature to 104° F. With these are soon 
 associated dizziness or severe headache, nausea or vomit- 
 ing, redness and swelling of the tonsils and soft palate. 
 (In scarlatina and measles the soft palate is early reddened, 
 but in measles this is in patches, while in scarlatina it is 
 more evenly punctated.) There is a feeling of dryness 
 and burning in the throat, which is increased by attempts 
 to swallow. Young children are very apt to have 
 convulsions during this stage, which cease with the break- 
 ing out of the eruption; but convulsions after the eruption 
 is fully out are far more dangerous and too frequently 
 fatal. The prodromal stage may last a few days and in 
 some cases may be entirely absent. The stadium eruption 
 begins with an increase of fever and of all other phenom- 
 ena. On the second day the rash appears on the neck and 
 face, and is made up of small red dots which crowd to- 
 gether, forming patches of various size and extent ; after 
 a while the whole surface becomes of uniform hue ; on 
 the third day the eruption is seen on the body generally, 
 the upper extremities, and the mucous surfaces visible to 
 the eye ; on the fourth day the lower limbs are scarlet, 
 whilst the surface is hot, dry and harsh. The eruption is 
 most marked about the third or fourth day, and it is in 
 general more intense in color towards evening, especially 
 on the loins and flexures of joints. On the trunk it is 
 often patchy. The eruption fades on the fifth day, first 
 
SCARLATINA. 227 
 
 on the face ; desquamation follows on the eighth and ninth 
 day, the epidermis being exfoliated according to the in- 
 tensity of the eruption, on the extremities frequently in 
 great pieces, or in fine scales. 
 
 Cauty (1. c, 193) considers scarlatina the perfection of 
 an irritant germinal disease, both in the severity of the 
 symptoms and in the protection it affords against further 
 attacks, as one attack of scarlet fever, however mild, is 
 usually a safeguard for the future. The danger in scarlet 
 fever arises from three sources, the putrefactive, the irri- 
 tative and consecutive. In malignant scarlatina the putre- 
 factive action has free course and the rash is imperfect, 
 irregular, of a purple color ; the patients are very weak 
 and lie listless or are entirely comatose. The pulse is very 
 small and can hardly be counted ; the tongue dry and 
 covered with sordes ; the body is very hot, y/hile the ex- 
 tremities are cold ; the pupils are dilated ; spasms or general 
 convulsions often occur, and death too often follows with 
 symptoms of collapse, often accompanied with oedema 
 of the luno-s. 
 
 In the irritative form the weight of the disease may be 
 thrown on the throat. This parenchymatous tonsillitis 
 may occur on the appearance of the eruption, or more 
 rarely in the stage of full development, and produces great 
 difficulty of deglutition and obstruction of the nostrils. 
 ^IsTot only are both tonsils general 1}^ attacked, but the 
 tissue around the tonsils is also involved in the process, 
 which ends in the formation of abscesses, or gangrene 
 in the worst cases, which may be recognized by the 
 cadaverous smell before it is perceived by the eye. It 
 soon extends to the surrounding parts and terminates life 
 with a filiform pulse, quickened respiration, cold extrem- 
 ities and retention of urine and feces. Or the tonsillitis 
 may take on a diphtheretic character. There is then in 
 the beginning not so much difficulty in swallowing, but the 
 nasal cavities and fauces are almost always simultaneously 
 
228 DISEASES OF THE SKIN. 
 
 attacked, and the at first apparently harmless secretion 
 from the nose soon changes into a yellowish offensive one, 
 irritating the skin over which it flows. On inspection of 
 the mouth, fauces and pharynx, dingy Avhite patches 
 may be seen adhering to the red oedematous mucous 
 membrane, which soon become detached and leave un- 
 health3^ ulcers. 
 
 The cervical glands on both sides are swollen. The 
 patients lie in a comatose condition ; the pulse is small 
 and very frequent and the temperature 106 to 107° F. 
 Sometimes a laryngitis, showing itself more by hoarseness 
 than by cough, complicates the disease and hastens death. 
 These complications have no influence upon the eruption, 
 if the patients survive this stage. The inflammation 
 sometimes extends throuo-h the Eustachian tube into the 
 cavity of the tympanum, and gives rise to an internal 
 otitis, which nvdy lead to a perforation of the membrane 
 and to caries of the os petrosum, causing an obstinate 
 otorrhoea and a more or less considerable deafness during 
 life. 
 
 During or shortly after the eruption is out, inflamma- 
 tion of the subcutaneous cellular tissue and the submaxil- 
 lary glands may lead to great danger. This affection is 
 similar to the typhous metastases. This painful swelling 
 is recognized rather by its hardness than by redness and 
 swelling of the skin ; it increases sometimes rapidly in size 
 and seldom ends in resolution ; much oftener in the forma- 
 tion of abscess or gangrene. (I^eumann I. c, 123.) 
 
 The third danger arises from the affection of the kid- 
 neys. In all such cases we find too often a very mild 
 eruption with hardly any fever, the throat may also be 
 only slightly affected or not at all, and still the kidneys 
 are seriously involved from the very start and may show 
 afterwards that notwithstanding the absence or mildness 
 of the febrile symptoms they have been disorganized 
 by the result of germinal disease. Cauty says (l. <?., 196) 
 
SCARLATINA. 229 
 
 111 all fevers in wliich there is pain in the loins the kid- 
 neys are affected ; in scarlet fever we have the renal secret- 
 ing surfaces especially attacked, at the same time the 
 blood is forced into these glands, and the compensating or 
 relieving action of the skin arrested. As a consequence of 
 the state of congestion thus produced, we may have perma- 
 nent disease or disorganization of these glands, or more fre- 
 quently imperfect action for a time more or less prolonged; 
 during which time the aqueous constituents of the blood 
 exude into the areolar tissue, causing general dropsy, 
 which may or may not be connected with albuminuria. 
 
 It is no uncommon thing to see rheumatoid affections 
 with swelling of the joints, with much pain and tender- 
 ness, during the eruption, and even continuing during the 
 stage of desquamation. 
 
 The prognosis depends on the amount of germinal 
 matter taken into the circulation and the power of resis- 
 tance possessed by the patient. The scrofulous diathesis 
 offers an unfavorable soil, and glandular complications are 
 here frequently noticed. 
 
 Therajpeutics. Hydropathic Treatment The wet-sheet 
 pack once or twice a day should be applied as long as the 
 fever is high, and tepid sponging frequently used. Where 
 the feet incline to be cold, particular care must be taken 
 to have them warm and comfortable whenever the pack 
 or any general bath is resorted to, and hot bottles or hot 
 footbaths answer this purpose. The anginose form may 
 be treated with the constant application of cold wet linen 
 cloths, well but loosely covered. In the putrid form the 
 coldest water or pounded ice should be frequently applied 
 round the neck and bits of ice occasionally taken into the 
 mouth. Where there is great sickness and nausea during 
 the eruptive effort, apply very cold compresses to the ab- 
 domen. Excessive restlessness, anxiety, delirium, head- 
 ache may be relieved by a hot foot-bath, or a warm hip- 
 bath and cold compresses to the head. 
 
230 DISEASES OF THE SKIN. 
 
 Hygieve and Prophylactics. Belladonna gained a deser- 
 vedly high reputation as a prophylactic, but it acts only as 
 such in the smooth variety ; whereas we see now far more 
 frequently the papular and even vesicular form, for which 
 Eh us answers a better purpose. The separation of the 
 well from the sick may be recommended, especially for 
 scrofulous children, and in malignant epidemics it is im- 
 peratively demanded. The temperature of the sick 
 chamber should be kept cool, about 59° F., and well ven- 
 tilated; it ought to be thoroughly aired twice a day. The 
 dry, harsh, hot skin demands careful sponging. Fresh 
 cool w^ater or lemonade are appropriate drinks; as nourish- 
 ment, gruels made pleasant to the taste, milk and water, 
 stale bread, and after a while milk ; we had better be 
 careful not to give animal food to early. Even in malig- 
 nant cases with a typhoid character we w^ould not advise 
 alcoholic stimulants, or only in exceptional cases. In- 
 stead of sponging, some physicians use inunctions with 
 lard in order to soothe the inflamed skin. 
 
 Our old school friends recommend to begin the treatment 
 with a mild purgative to remove irritating ingesta or 
 acrid secretions from the alimentary canal, and a lew hours 
 later liquor ammonite acetatis. Carbonate of ammonia, 
 the dose according to the age of the patient and the 
 severity of the disease, is a favorite mode of treatment, as 
 it calms irritability, tranquilizes the nervous system, in- 
 duces sleep, promotes the eruption, subdues fever, heat 
 and delirium, soothes the throat and alimentary canal, and 
 diminishes the quantity of viscous matter secreted by the 
 mucous membrane of the fauces. Gargles pro re nata for 
 the throat, of chlorate of potash and nitric acid aa. 5 i. 
 to i viii. water. 
 
 Homoeopathic Treatment. The precursory stage is far 
 better controlled by Veratrum vlride than by Aconite, 
 and in moderate cases this remedy alone may carry the 
 patient safely through. Cerebral symptoms may indicate 
 
SCARLATINA. 231 
 
 Bell.; the angina requires Bell., Baryt., Calc, Merc. sol. or 
 Jod.; when gangrene threatens, Amm., Arum, Ars. jod., 
 Laeh., Chin., Arsen., Chin, sulph. Calc. carb. is nearly spe- 
 cific for the parotitis which sometimes sets in during or 
 after the disease. The dropsical symptoms hint at Apis, 
 Arsen., Digit., Helonias,Helleb., Hepar, Rhus, Terebinth. 
 As special indications we would mention : 
 
 Ailanthus: Adynamic malignant scarlatina with general 
 prostration and strongly marked cerebral affection ; violent 
 vomiting, dizziness and photophobia, muttering delirium, 
 stupor and insensibility; pupils dilated; pulse small, 
 weak, often irregular; skin harsh, hot and dry; livid 
 eruption, more profuse on forehead and face ; great thirst 
 with dry, parched tongue ; the throat congested, dark- 
 colored, in some cases ulcerated and attended with great 
 glandular swelling. 
 
 A-pis. Dry nose., dryness of the throaty skin very red, hot 
 and sensitive, somewhat relieved by cold sponging ; great 
 restlessness and nervous agitation; an cedematous appear- 
 ance around the ulcers of the throat, with stinging pains ; 
 suppression of urine more frequent than repeated and 
 painful urination; redness, heat, burning and dryness of 
 the tongue ; post scarlatinal dropsy, especially with hydro- 
 cephalic symptoms ; scarlatina typhosa, the whole nervous 
 system resting under the paralyzing influence of the 
 poison. 
 
 Ammonium carh. Enlarged and livid tonsils covered 
 with a rapidly degenerating, sticky, offensive mucous 
 slime; burning pains in the throat; sticky salivation; 
 faintly developed eruption; heaviness of the head; drow- 
 siness; stertorous breathing; involuntary stools. Hard 
 swelling of the right parotid and lymphatic glands of the 
 neck, with tendency to gangrene. 
 
 Arsenicum. The eruption delays or grows suddenly 
 pale, livid, or is intermixed with petechise; malignant sore 
 throat; different dropsical affections; dyspnoea; extreme 
 
232 DISEASES OF THE SKIN. 
 
 restlessness and anxiety ; rapid prostration and emaciation ; 
 burning heat internally with a cold external surface ; 
 frequent weak pulse ; cold jjerspiration. British writers 
 recommend Arsen. to hasten desquamation and repair of 
 the skin and to restore the lost tone of the kidneys. 
 
 Arum trijohyUum. Malignant scarlatina. Complete 
 stoppage of the nose with constant discharge ; breathing 
 with open mouth ; wings of the nose ulcerated ; upper 
 lips sore and red from the excoriating discharges ; moist 
 cough with excoriated feeling in the fauces and larynx 
 during the day and spasmodic night cough compelling 
 him to sit up ; redness of the tongue with elevated 
 papillae; putrid sore throat; submaxillary glands swollen; 
 urine abundant and pale; eruption all over the body with 
 much itching and restlessness; stiffness of the neck; dur- 
 ing desquamation. 
 
 jBajjtlsia. Typhoid scarlatina; extensive ulcerations of 
 the throat ; great fetor of the breath ; nausea followed 
 by vomiting; tonsils inflamed; diphtheritic ulcers; dry 
 sore tongue, coated at first white with reddish papillae here 
 and there, followed by a yellowish-brown coating in the 
 centre, the edges red and shining; slight delirium ; burn- 
 ing heat of face ; opressed breathing ; dysenteric stools ; 
 scalding, high-colored urine; continued fever with great 
 prostration. 
 
 Baryta carh. Enlargement and induration of the parotids 
 and glands of the neck, with pains in the head and ears; 
 salivation or else dryness of the throat, and pressing, 
 stinging pains when swallowing; glandular sequelae of 
 scarlet fever. 
 
 Belladonna. Congestion to the brain, with delirium ; 
 horrible illusions on closing the eyes ; wants to sleep and 
 cannot sleep; anxious sleep full of dreams, with starting; 
 throbbing of the carotid arteries ; involuntary movings 
 of the hands to the head ; bending the head backwards ; 
 head hotter than other parts of the body ; eyes injected ; face 
 
SCARLATINA. 233 
 
 fiery red, or pale and puffed, or sunken ; tongue white with 
 red edges, or else red all over with raised papillae ; violent 
 infiammation of the throat and tonsils, with stitch ings, 
 pains and spasmodic contraction; inability to swallow 
 liquids, which frequently return through the nostrils ; 
 violent thirst, with or without dread of water; suffocating 
 sensation on turning the head or touching the pharynx ; 
 external swelling of the neck ; vomiting. 
 
 Bryonia. Delay or sudden retrocession of the eruption, 
 with symptoms of pleuritis or meningitis. 
 
 Calcarea carb. A perfect specific for the throat affec- 
 tions, parotitis or swellings around the neck, especially 
 when the eruption is already fading ; also for the affec- 
 tions of the chest, even when a tendency to paralysis pre- 
 vails ; aphthse on the tonsils and roof of the mouth ; scro- 
 fulosis. 
 
 Camj^hora. In desperate cases ; commencing rattling 
 in the throat ; forehead and breath hot ; hot perspiration ; 
 limbs cold and purple ; sudden and complete prostration 
 of the vital forces, with great coldness of the surface ; 
 sudden retrocession of the eruption, with cold skin and 
 great prostration. 
 
 Carbo veg. Last stage (in articulo mortis) with rattling 
 in throat and complete sinking of vitality ; cool breath 
 and extremities, and still the patient wants more air or 
 wants to be fanned all the time ; sticky, cold perspiration. 
 
 Cuprum. Convulsions before the eruption breaks out, 
 or when it quickly disappears, with shrieks ; rolling of 
 the eyes ; distortion of the face, mouth and of all the 
 flexor muscles ; great restlessness, throwing the body 
 about ; vomiting ; cold face, blue lips, coldness all over ; 
 sopor ; delirium ; aggravation by contact. 
 
 Gelseminum. Intense fever, with nervous erethism dur- 
 ing the prodromal stage ; asthenic forms of scarlet fever, 
 with profound and intense prostration of the whole mus- 
 cular power ; cerebral intoxication ; pulse frequent, soft, 
 
 17 
 
234 DISEASES OF THE SKm. 
 
 weak, sometimes imperceptible; impaired vision; spasms 
 and paralysis. Symptoms are often remittent. 
 
 Helleborus. Dropsical symptoms in consequence of ne- 
 phritis. 
 
 Hepar sulph. For all sequelae which retard conva- 
 lescence. Croupy inflammation of the nasal mucous mem- 
 brane during proruption and efflorescence ; swelling of the 
 parotid and submaxillary glands ; decrease of the urinary 
 secretion, with traces of albumen or cylindrical tubuli ; 
 fully developed dropsy, with albuminuria; scrofulosis. 
 
 Hydrocyanic acid. The eruption in its early appearance 
 is dark-colored and soon becomes livid, only slowly re- 
 gaining its color after pressure of the finger ; rapid, feeble 
 pulse. 
 
 Hyoscyamus. Great nervous excitability without much 
 cerebral hypersemia ; convulsions, with jerking of the 
 limbs ; stupid drowsiness or else great nervous excita- 
 bility and sleeplessness ; either stupidity or illusions 
 of the imagination and senses ; vacant staring at things 
 or else sparkling, red, prominent eyes ; embarrassed, in- 
 distinct speech ; answers no question or else indistinct 
 muttering loquacity ; mouth and throat dry and red ; 
 inability to swallow ; abdomen distended, tympanitic ; 
 paralysis of the sphincter muscles. 
 
 Kali carb. Swelling of the right parotid gland ; fever 
 and restlessness ; always worse about three o'clock in the 
 morning ; smell from the mouth like that of old cheese ; 
 great dryness of the skin ; oedematous swellings, like 
 little bags, between the eyebrows and upper eyelids. 
 
 Lachesis. Scarlatina maligna ; threatening gangrene ; 
 deep redness of the tongue and fauces ; the sore throat 
 and the membranous deposit commence in the left tonsil 
 and spread towards the right ; external swelling of the 
 neck and glands, with great sensitiveness even to the 
 slightest touch ; saliva abundant and tenacious ; torpid 
 peripheral circulation, with cool surface and cold perspi- 
 
SCARLATINA. 235 
 
 ration ; passive hemorrhages of dark fluid hlood ; urine 
 very dark colored ; dullness of the cerebral functions ; 
 heaviness of the head and pains deep in the brain, aggra- 
 vated by external pressure ; muscular prostration. 
 
 Lachnanthes tinctoria. Stiff neck, the head being drawn 
 to one side, after scarlatina and diphtheria. 
 
 Mercurius sol. Sore mouth, studded with small vesi- 
 cles, with ptyalism and excessively foul-smelling breath ; 
 dirty-yellow coating of the tongue ; great thirst ; ulcer- 
 ated throat and tonsils ; swelling of all the glands of the 
 neck ; itching and restlessness ; sweating only makes the 
 patient feel worse. 
 
 Mercurius protojod. Excessively intense angina; indur- 
 ation of the parotid and cervical glands and tonsils ; diph- 
 theritic affections, with excessive muscular prostration ; 
 desire to lie down, but feels worse during rest and in a 
 warm room ; sharp, throbbing, boring pains from within 
 outwards deep in the left ear ; urine dark red and copious ; 
 after Lachesis, when there is loss of voice, hoarseness, 
 can only lisp. 
 
 Muriatic acid. Intense redness all over the body, with 
 great drowsiness, or the eruption is scanty and inter- 
 spersed with petechise; typhoid condition, with anxiety 
 and restlessness ; excessive dryness of the mouth and 
 tongue, or aphthae and ulceration of the mouth and throat, 
 with fetid breath ; acrid discharge from the nose, excori- 
 ating the nostrils and upper lip ; gangrene, with slough- 
 ing of the mucous membranes. 
 
 Nitric acid. Scarlatina miliaria with very hot skin ; 
 intermittent breathing; tonsils swollen and sore, with 
 great difficulty of swallowing ; the angina extends up to 
 the nares, with thin, purulent discharge ; especially suita- 
 ble to cachectic children. 
 
 Opium. Cerebral oppression, with sopor and heavy 
 snoring ; convulsions, with coma and stertorous breath- 
 ing continued between the spasms ; cerebral vomiting. 
 
236 DISEASES OF THE SKIN. 
 
 Phosphorus. Sudden disappearance of the eruption 
 without any cause, the chest symptoms becoming very 
 alarming; typhoid condition, with dry, hard tongue and 
 lips, covered with blackish crusts ; loss of speech and 
 hearing ; difficult deglutition ; the patient sinks into an 
 apathetic mood, wants nothing and cares for nothing, 
 nevertheless there is much restlessness ; inability to re- 
 tain the urine ; falling oif of the hair. 
 
 Hhus tox. Eruption vesicular or like millet-seeds ; the 
 rash itches violently ; the fever keeps rising, even after 
 the dark looking eruption is out, with great restlessness 
 at night ; ichorous discharge from the nostrils with swell- 
 ing of the glands of the throat, or epistaxis at night ; 
 tongue red and smooth ; sopor with delirium ; rheumatism 
 of the joints, worse during rest ; oedema of the scrotum 
 and penis ; the swollen parotid glands break open, dis- 
 charging ichor copiousl}^ ; impure, deep cavity, as if one 
 could see into the throat ; skin peels ; relieved by scratch- 
 ing, worse from cold and wet. 
 
 Silicea. Scrofulosis, where the glands are greatly in- 
 volved and threaten to suppurate. 
 
 Stramonium. Violent convulsions, excited by the 
 touch or at the sight of bright, shining things, with spas- 
 modic jerking of the limbs ; paralytic trembling of the 
 arms and hands, especially of the right, with which he 
 constantly reaches into the air and attempts to ,2^rasp 
 some imaginary object ; restlessness, with itching of the 
 skin ; rash of a coppery-red color, dry and hot skin ; 
 coma, with rattling respiration and bloody froth at the 
 mouth ; rapid alternation of laughing, crying and sing- 
 ing ; stupor ; great dryness of the throat, compelling fre- 
 quent drinking; swelling of the tongue, so that it hangs 
 from the mouth ; paralysis of the tongue. 
 
 Sulphur. Efflorescences coalesce into large spots as 
 red as a boiled lobster, and around these spots the skin is 
 unusually white. Cerebral affections with sopor, sudden 
 
VARIOLA. 237 
 
 starting, distortion of the eyes, not yielding to Bellad. on 
 account of the psoric condition of the patient ; bloated 
 and shining red face ; dry nose ; dry, cracked, red tongue, 
 covered with a brownish mucus ; hot flashes, the skin 
 hot and itching ; thirst, and difficulty of swallowing. 
 
 Terebinthina. Albuminuria and uraemia following scar- 
 latina ; intoxication, confusion, languor, relieved by pro- 
 fuse urination ; aching pains in the whole head, with 
 vomiting ; excessive fulness and pressure in the head 
 causing her to scream, the pains come and go ; thirst, 
 but drinking causes nausea and vomiting of yellow 
 mucus ; urine scanty, dark, of a black shade ; ascites, 
 oedema, more of the upper parts ; frequent waking and 
 tossing about in bed. 
 
 Veratrmn viride. During the febrile stage intense arte- 
 rial excitement, with cerebral congestion or irritation of 
 the spinal centres ; convulsions, with greatly dilated 
 pupils ; perfect sleeplessness. It is also useful in certain 
 sequelae of scarlatina, as acute rheumatism, dropsy, when 
 inflammatory symptoms are present. 
 
 Zincum. When the dark looking eruption fully covers 
 the body, or when the eruption has retroceded and the 
 child lies motionless and unconscious ; involuntary jerk- 
 ing and twitching of the muscles ; grinding of the teeth ; 
 screaming spells ; loss of speech ; occiput very hot and 
 forehead covered with a cold perspiration ; the face is dis- 
 torted ; body and limbs cold, and of a bluish hue ; pulse 
 thread-like and difficult to count ; all symptoms clearly 
 pointing to an impending paralysis of the brain. 
 
 Variola, Small-pox, 
 
 Variola is an acute contagious (germinal) disease, of 
 febrile character, during the course of which an erythema 
 appears on the skin, giving, even at an early period, the 
 sensation of granulation to the touch, changing to papules, 
 which soon develop into vesicles, pustules and crusts, and 
 
238 DISEASES OF THE SKIN. 
 
 which runs a definite course. This development may he 
 arrested at either of these progressive stages, giving us 
 the difference between variola and varioloid. 
 
 Wilson {Lectures^ p. 159) remarks that there is much 
 interest in observing the progressive advance in develop- 
 ment of the variolous pock : — at first a mere point repre- 
 sented by the congested aperture of a follicle ; then a 
 conical papule, the follicle being still further congested ; 
 thirdly, a vesicle caused by effusion of liquor sanguinis 
 around the papule, the centre of the vesicle being, as it 
 were, pinned down by its connection with the epithelial 
 sheath of the follicle. Effusion now becomes more abun- 
 dant and active, the vesicle swells by its circumference, 
 while it is depressed or, as it is technically termed, um- 
 bilicated in the centre, and so the pathognomonic vesicle 
 of variola and vaccinia is produced. Later on the cavity 
 of the vesicle is invaded by pus, the pas accumulates and 
 breaks through the central point of adhesion of the vesi- 
 cle, and so the arched dome of the mature small-pox pus- 
 tule is produced. Subsequently the pustule and pus both 
 dry up into an amber-colored scab, which remains for 
 some time imbedded in the skin, and when at length 
 the scab falls off a permanent cicatrix is left behind. 
 
 There are four stages in small-pox. The prodromal 
 stage is characterized by fever, pain in the joints and 
 back and in the scrobiculus cordis. The intensity of the 
 symptoms does not always indicate the severity of the 
 disease, for very severe febrile phenomena may precede 
 a mild attack. The skin is sometimes reddened by an 
 erythematous blush. Exacerbations occur in the even- 
 ing. This stage lasts from twenty-four to seventy-two 
 hours, and if longer gives an unfavorable prognosis (in 
 drunkards and in pregnant and puerperal women). 
 
 The stadium eruptionis follows, the eruption making its 
 appearance on the third day after the first occurrence of 
 constitutional disturbance, and traveling over the entire 
 
VARIOLA. 239 
 
 body within a day, thus relieving the febrile onset. The 
 spots appear first of all on the face, about the forehead, 
 and then extend to the trunk and limbs. On the second 
 day of eruption — fourth of disease — the papules are trans- 
 formed into vesicles. On the third day of eruption — fifth 
 of disease — umbilication commences as a central depres- 
 sion, the vesicles change into whitish pustules, surrounded 
 by an inflamed areola. The pustule matures on the fifth 
 or sixth day, and is complete on the eighth day. Between 
 the eighth and eleventh day of the eruption secondary or 
 suppurative fever sets in, when the stage of dessication is 
 reached. The crusts fall ofif in the next three or four 
 days (fifteenth day of disease), exposing raw, red surfaces, 
 which desquamate and by and by leave behind red-look- 
 ing marks, which gradually fade, and too often assume 
 the well-known aspect of small-pox marks. 
 
 Small-pox is said to be discrete when the pustules are 
 scattered over the surface ; coherent when the eruption is 
 plentiful but the closely packed pocks are still distinct ; 
 confluent when they run together; modified when the 
 disease succeeds to a prior attack or occurs after inocula- 
 tion. 
 
 The mucous membrane is involved in the variolous 
 process and presents eruptions similar to those of the skin, 
 but the course of the eruption dififers, and this difiference 
 finds its explanation in the structure of the mucous mem- 
 brane and its glands, in the quantity and temperature of 
 its secretion, and in the limited access of atmospheric 
 air ; each of these peculiarities tending to efifect a rapid 
 development, a speedy collapse, and finally a complete 
 detachment of the eruption. While, therefore, on the 
 beginning of the fourth day the swollen follicles on the 
 outer integument are in the form of papules, we notice 
 already on the mucous membrane, white, aphthous-like 
 efilorescences of the size of the head of a pin, on a red- 
 dened and swollen base ; these efflorescences increase in 
 
240 DISEASES OF THE SKIN. 
 
 number and size, and when the formation of vesicles is 
 hardly completed on the outer integument, those on the 
 mucous membrane are found to be in the stage of des- 
 quamation. Thus we also find them on the mucous 
 membrane of the nose, pharynx and upper third of the 
 oesophagus, sometimes in the stomach, on the epiglottis, 
 in the larynx and trachea, on the bronchi to the third 
 division, in the urethra and rectum, on the labia, on the 
 conjunctiva palpebrarum et bulbi, and in the external 
 auditory canal. The symptoms caused by small-pox on 
 the digestive and respiratory tracts are: great pain in 
 swallowing (with infants sometimes so severe that they 
 refuse all nourishment and die of starvation), flow of 
 saliva, hoarseness and symptoms of bronchitis from the 
 catarrhal inflammation of the mucous membranes. Ca- 
 tarrhal ulcers in the intestinal canal may produce diar- 
 rhoea. 
 
 Variola has long been considered one of the most fatal 
 of all diseases, which fatality is due to the association of 
 great and persistent putrefactive virulence in the disease 
 germs ; and we find, therefore, already in the prodromal 
 stage, great depression from the excess of putrefactive 
 force; and sleeplessness and delirium are permanent fea- 
 tures of the variolous fever, and frequently last during the 
 whole disease. This putrefactive agency is sometimes 
 seen in the sanguineous contents of the vesicles or hemor- 
 rhage round their bases ; and even after pustulation, the 
 intermittent fever that may replace the continued fever 
 shows that this agency is still permanent and influential. 
 
 Thus patients may die of small-pox at any period of its 
 course from the putrefactive action. They may also die 
 from its irritative action, exhausted by the contest under 
 unfavorable circumstances ; they may die from the me- 
 chanical results of the swelling and oedema that accom- 
 pany the eruption ; and they may die from effusion into 
 various cavities, or from the inflammations of various 
 
VAEIOLA. 241 
 
 organs, tbat are concomitants of continued fever. Hebra 
 states that he has noticed that when any one marked 
 with small-pox has a second attack it is always fatal. 
 
 It may be well to remember that the severity of small- 
 pox is always in direct ratio to the number of pustules 
 formed ; for the more numerous the points formed by the 
 irritant action, the more favorable is the case to the 
 growth of the disease germs, with their putrefactive 
 action. 
 
 Simon remarks that the urinary secretion of variola 
 midergoes changes having relation to the various stages 
 of the disease. During the prodromal fever, the urine 
 is diminished in quantity and increased in specific gravity, 
 its color is deep and red, it is frequently turbid, and often 
 contains a small quantity of albumen. During the erup- 
 tive stage the urinary secretion is diminished, is of an un- 
 pleasant odor, turbid, with an apparently purulent mucous 
 sediment, and continues in the same state during the 
 suppurative stage ; during the period of desquamation, it 
 is either normal or ansemic ; in the putrid form the urine 
 appears decomposed, ammoniacal, and not unfrequently of 
 a dark-red color, from the presence of heematin. 
 
 Therapeutics. Hydropathic treatment : First. During 
 the prodromal stage packs in sheets wrung out of tepid 
 water, and cold compresses on the head, frequently 
 changed. Second. Tepid full-baths during the eruption 
 and during the suppurative stage, at least three times a 
 day. We find that the patient sleeps quietly for several 
 hours after each bath. Third. During dessication, full- 
 baths again, which hasten the falling off of the crusts but 
 do not prevent the formation of pits. 
 
 Proper ventilation is the most important point in the 
 treatment of all acute germinal diseases. With a current 
 of air all the exhaled gases pass away, lessening the 
 danger of re-absorption and of communication. Perfect 
 ventilation can only be obtained by a good open fire, 
 
242 DISEASES OF THE SKIN. 
 
 in winter or summer, and a moderate sized room. With 
 these conditions the temperature can be kept neither too 
 cold nor too hot, and without draughts. (In Vienna, 
 small-pox patients are kept in tents open to the air, and 
 they recover better and quicker than when kept in bar- 
 racks or in a hospital.) The room should be devoid of 
 every article but such as are absolutely necessary, and 
 to lessen the danger of the disease spreading, the air 
 should be kept impregnated with carbolic acid vapor, 
 all clothes placed in carbolized water before removal, all 
 toys, books, newspapers and other perishable articles 
 burnt in the room, and after the case is over, the room 
 should be fumigated with sulphur fumes and woolen 
 articles should be baked in an oven. 
 
 The uncomplicated form of small-pox requires only ex- 
 pectant treatment, a cooling regimen, sponging the skin 
 with tepid water and, where the tongue is coated, open- 
 ing the bowels by gentle purgatives. 
 
 The Carbonate of Ammonia treatment is the only one 
 yet known which appears to have any decided elFect 
 upon variola. Vaccination has been observed to possess 
 the power of modifying variola, even when an attack of 
 the latter has commenced. As regards local treatment, 
 every precaution should be taken to prevent the rupture 
 and laceration of the pustules by the nails of the patient, 
 in efforts made to relieve the itching by which the dessi- 
 cating process is accompanied. To relieve the heat and 
 dryness of the skin, some recommend anointing the sur- 
 face plentifully, especially the face and hands, with the 
 benzoated ointment of oxide of zinc. This should be 
 applied pretty thickly, and repeated as often as it dries 
 up or becomes thin from wiping or rubbing. Some frag- 
 ments of tissue paper pressed gently on the ointment will 
 further contribute to the protection of the skin. 
 
 Great benefit is derived from opening the ynatured pustules 
 with a sharp lancet in a horizontal direction^ gently pressing 
 
VARIOLA. 243 
 
 from them their contents, and removing the latter hy means of 
 a sponge moistened with carholized water or with an infusion 
 of pojjpies. This plan accelerates materially the healing 
 of the ulcerations, and prevents the formation of deep and 
 disfiguring cicatrices. The sponges ought to be frequently 
 renewed and those used burnt up. Others recommend 
 the mercurial ectrotic treatment {^, Mercurj^ 95 parts, 
 balsam of sty rax 48, common plaster 312, wax, resin, tur- 
 pentine, equal parts 16, gum ammoniac, bdellium, oliba- 
 num, myrrh, aa 5, saffron 3, spirits of lavender 2. Misce, 
 f. emplastrum). The plaster should remain on for at least 
 three and up to seven days, the whole face being covered 
 with a mask made of this plaster, merely leaving a space 
 for the mouth, nostrils and eyes. The proper period for 
 its application is the second or third day of the eruption. 
 Bennet, of Edinburgh, uses a more simple mercurial oint- 
 ment with equal benefit (^. Unguentum Hydrargyri fort. 
 5 i., powdered starch ^ i.), applying it morning and even- 
 ing. 
 
 The application of collodion for ectrotic purposes is 
 highly recommended. It possesses the advantages of ex- 
 treme cleanliness and of enabling the physician to see 
 what is passing beneath. Its contractility also increases 
 its usefulness, and its application is free from the objec- 
 tion of producing salivation. 
 
 Many authorities assert that pitting can be entirely 
 obviated if the light be fully shut out. In proportion to 
 the exclusion of light and air from the pustules their de- 
 velopment is checked, they become shrivelled and quickly 
 dry up. 
 
 Concomitant symptoms or diseased states, as pneumo- 
 nia or pleurisy, etc., must be treated pro re nata. They 
 frequently have no infl.uence whatever on the course of 
 the cutaneous eruption. 
 
 Besides the pits, which frequently remain during life, 
 special mention should be made of some affections of the 
 
244 DISEASES OF THE SKIN, 
 
 hair follicles and sebaceous glands whicli appear soon 
 after the termination of variola, and disfigure the skin of 
 the face, especially that of the nose, and may even result 
 in the formation of painful tumors, which are designated 
 as false keloid. Such affections take on the form of 
 comedo, of acne pustulosa and indurata, of wart-like 
 elevations, in whose centre the orifice of the follicle is 
 seen (variola verrucosa), of teat-like, soft, pendant tumors, 
 or of cicatricial hands. The same remedies which are of 
 service in seborrhoea and acne will also be used with suc- 
 cess here. The excrescences and bands of skin are to be 
 removed with the scissors. 
 
 Westphal {Archiv f. Dennatologie, 1872) directs our 
 attention to morbid states of the central nervous system, 
 showing themselves by disturbances of speech, by ataxia 
 of the extremities, and by paralysis of the sphincter ani 
 et vesicae, with decubitus. 
 
 Homoeopathic Therapeutics, During the fever period : 
 Aeon., Bellad., Gelsem., Veratr. vir. During the eruptive 
 fever : Ant. crud., Bellad., Cauloph., Cimicifuga, Hydrast., 
 Mercur., Stramon. During maturity : Baptisia, Carbol. 
 ac, Hydrast., Mercur., Sulphur, Thuya, Variolin. During 
 dessication: Mercur., Sulphur, Thuya, Variolin. For 
 hemorrhagic pocks : Amm. carb., Arsen., Crocus, Baptisia, 
 Ipec, Hamam., Solan, nigr., Sulph. ac. 
 
 Aconite. First and early part of the second stage. Ap- 
 prehension of a fatal issue ; high fever ; great restlessness. 
 
 Ammonium mur. The eruption is well developed upon 
 the trunk and upper extremities, but scanty on the lower 
 extremities ; sore throat with swelling about the neck ; 
 hemorrhages. 
 
 Ammonium carb. Hemorrhagic diathesis from fluidity 
 of the blood and dissolution of the red blood corpuscles. 
 
 Antimonium crud. Gastric state, with vomiting and 
 heavily coated tongue, especially during the prodromal 
 stage. 
 
VARIOLA, 245 
 
 Apis met. Erysipelatous redness and swelling, with 
 stinging, burning pains in the skin and throat ; absence 
 of thirst. At the later period, when there is great 
 dyspnoea, restlessness and scantiness of urine. 
 
 Arsenic, Asthenic cases, with great sinking of strength, 
 burning heat, frequent small pulse, great thirst, great 
 restlessness ; irregularly developed variola with typhoid 
 tendency ; hemorrhagic variola ; metastasis to the mouth 
 and throat, in the last part of the eruptive period. 
 
 Bai)tisia. Typhoid symptoms ; fetid breath ; pustules 
 appear thickly upon the palatine arch, tonsils, uvula and 
 in the nasal cavities, but scantily on the skin ; profuse 
 salivation ; great prostration, with excessive pains in 
 sacral region. After taking Baptisia the appetite im- 
 proves and the patient is able to take and to retain nour- 
 ishment. 
 
 Belladonna. Cerebral congestion, with high fever dur- 
 ing the first stage ; intense swelling of the skin and of 
 the mucous membrane, with tickling cough, dysuria and 
 tenesmus of the bladder; sleeplessness with desire to 
 sleep ; delirium and convulsions ; photophobia ; ophthal- 
 mia. 
 
 Bryonia, Precursory stage with gastric symptoms, or 
 later when the chest symptoms indicate it. 
 
 Camphora. Sudden collapse with coldness of surface, 
 the swelling of the skin suddenly sinks in, and the pus- 
 tules seem to dry up from the complete giving out of the 
 life-forces ; excessive weakness ; the patient though cold, 
 cannot bear to be covered. It must be given low and 
 frequently repeated. 
 
 Cantharis. Hemorrhagic variola ; patient passes bloody 
 urine with cutting, burning pains. 
 
 Carbo veg. Asthenic variola, with cold breath and ex- 
 cessive prostration ; great desire for fresh air ; livid, purple 
 look of the eruption ; Hippocratic face. 
 
 Chamomilla. Great fretfulness of children during the 
 eruptive stage, with the usual crossness. 
 
243 DISEASES OF THE SKIN. 
 
 China. Variola hemorrhagica, with great exhaustion 
 from the copious, painless stools ; very useful for the ex- 
 hausting debility following a severe attack. 
 
 Cimicifuga. In the precursory stage, for the muscular 
 pains ; during the eruptive stage, great wakefulness, 
 mental excitement, as if the brain would burst out ; it 
 modifies the disease, prevents the development of pus- 
 tules, and thus reduces the danger of pitting. 
 
 Coffea. Restlessness and bilious vomiting at the com- 
 mencement of the disease. 
 
 Gelseminum. Intense and painful fever at the com- 
 mencement of the disease, with tendency to convulsions ; 
 predominance of nervous symptoms, as nervous chills, 
 restlessness. 
 
 Hamamelis. Hemorrhagic variola, the blood dark, 
 venous. 
 
 Hejpar. Croupy cough ; during the suppurative fever. 
 
 Hydrastis. Great swelling of the skin, with redness 
 and itching ; great soreness of the throat and buccal 
 cavity, which are full of pustules ; dark pustules ; prostra- 
 tion. 
 
 Hyosciamus. Eruption does not come out at the proper 
 time, causing great nervous excitement, with rage, anguish, 
 delirium, coming on in paroxysms ; patient wants con- 
 stantly to get out of bed and to be uncovered. 
 
 Ipecacuanha. Gastricism during eruptive stage, with 
 constant nausea. 
 
 Mercurius. It is especially indicated during the stage 
 of maturation ; ptyalism ; tendency of blood to the head ; 
 irritation of the mucous membranes ; moist swollen 
 tongue, with great thirst ; diarrhoea or dysentery, with 
 tenesmus, especially during the period of dessication. 
 
 Phosphorus. Hemorrhagic diathesis ; bloody contents 
 of the pustules ; hard, dry, exhausting cough, with pain 
 or feeling of rawness in the chest; bronchitis; hemor- 
 rhage from the lungs. 
 
VAETOLA. 247 
 
 Phosphoric add. Confluent variola, with typhoid con- 
 dition ; the j^ustules do not fill with pus, but degenerate 
 into large blisters, which, bursting, leave an excoriated 
 surface; the patient is stupid, does not want anything, 
 not even a drink ; answers questions, but does not talk 
 otherwise ; watery diarrhoea. 
 
 Hhus fox. Typhoid symptoms, dry tongue, great rest- 
 lessness, patient wants to get out of bed in spite of his 
 great debility ; sordes on the lips and teeth ; confluent 
 small-pox, with great swelling at first, but afterwards the 
 eruption shrinks and looks livid. 
 
 Sarracenia. '^o reliable indications yet, though highly 
 commended. When given, it should be in the form of 
 an infusion. 
 
 Silicea. The suppurative stage exhausts the strength of 
 the patient and dessication is delayed. Also for caries of 
 bones following severe attacks of small -pox, with fistu- 
 lous openings and discharge of thin pus and bony frag- 
 ments. 
 
 Solanum nigrum. Hemorrhagic variola. 
 
 Sulphur. May be indicated during any stage of the 
 disease as an intercurrent remedy when others seem to 
 fail, or when there is any tendency of metastasis to the 
 brain. It also acts well during dessication. 
 
 Tartarus emet. When the eruption is tardy in coming 
 out, with nausea, vomiting, sleepiness, or for suppression 
 of the eruption. (Some allopathic physicians rub Tart, 
 emet. ointment on the sternum, and as the pustules form 
 on the chest the head and throat will be relieved.) Putrid 
 variola with typhoid symptoms, especially pneumonia 
 typhosa, with tendency to paralysis of the lungs ; variola, 
 with vomiting of viscid mucus, clogging the air passages ; 
 pustules in the larynx, mouth, throat and digestive 
 organs. 
 
 Thuya occidentalis. Pains in upper arms, fingers and 
 hands, with fulness and soreness of throat ; the areola 
 
248 DISEASES OF THE SKIK 
 
 around the pustules is very marked and dark red ; pustules 
 milky and flat, painful to the touch. Bonninghausen 
 used it as a preventive. 
 
 Variolinma. Especially where the disease throws it- 
 self with full force on the throat. Given steadily during 
 the disease its progress will be milder. It changes imper- 
 fect pustules into regular ones, which soon dry up, pro- 
 motes suppuration and exsiccation, and prevents all scars. 
 (Raue's Pathology^ p. 605.) 
 
 Varioloid, Variola Modificata. 
 
 ^N'eumann (l. c, 91) assumes three forms of small-pox, 
 each according to the intensity of the process : fiirst, 
 Variola vera, duration thirty-one days ; second. Vario- 
 loid, duration twenty-one days ; third. Varicella, dura- 
 tion fourteen days. He considers the morbid process the 
 same in all the three forms ; the eruptions, as well in their 
 anatomical structure as in their appearance, are entirely 
 identical, and the intensity of the disease only varies ; 
 the duration of the morbid process^ which stands in exact 
 relation to the number of efflorescences and the in- 
 tensity of the phenomena, serves as the peculiar charac- 
 teristic of the different forms of variola. The eruption 
 occurs also on the mucous membrane of the mouth and 
 pharynx, and the central depression of the pustule is not 
 solely characteristic of variola, for we see it in most 
 affections of the hair-follicles, and it may be entirely 
 absent when the vari are not large. 
 
 Fox {I, c., 83) remarks, that the distinction of variola 
 and varioloid is well marked in the extreme degrees of 
 either disease, but they shade the one into the other by 
 insensible stages. At times cases are met where the 
 eruption is simply papular and scarcely reaches the vesi- 
 cular stage, yet is traceable to the action of the small-pox 
 poison. In modified variola the secondary fever is ab- 
 sent ; the only stages present are those of primary fever 
 
VARICELLA. 249 
 
 and eruption, and it may abort in any of the stages which 
 are passed through by ordinary variola. 
 
 Hillier {L c, 295) considers varioloid the form which 
 small-pox assumes when it occurs after vaccination or a 
 previous attack of small-pox. The eruption often appears 
 earlier, and is first seen on the wrist and on the nose. 
 The eruption runs a more rapid course. Some pustules 
 are regularly formed and present the central depression, 
 but they are usually small. Some papules do not advance 
 to the vesicular stage, and some vesicles dry up without 
 suppuration. The constitutional disturbance is almost at 
 an end when the eruption has appeared. 
 
 Varicella. Chicken-pox. 
 
 The disease germs of varicella are very contagious, but 
 not very virulent. Children are the usual patients, and 
 they have generally the disease only once. A short and 
 usually not very sharp febrile attack of twenty-four hours' 
 duration, is followed by the eruption of papules on various 
 parts of the body, which quickly become vesicles, and 
 these more or less purulent. The eruption takes place in 
 successive crops ; each batch lasting, from their com- 
 mencement to final disappearance, about a week, and then 
 leaving a permanent scar or mark. Varicella varies 
 greatly in severity, but is never of great importance. 
 Adults have occasionally considerable sickness, and much 
 more fever than the slightness of the accompanying erup- 
 tion would lead us to expect. The eruption may also ap- 
 pear on the mucous membrane of the buccal cavity and of 
 the eye. Henoch {Berlin Klin. Wochenschrift, 18, 1874) 
 and Kassowitz deny that varicella is a modified small- 
 pox, as, though the number of efflorescences may be very 
 great, it still runs a distinct course, never shows the 
 depression of variola, and never leaves any mark. Though 
 varicella may rage epidemically, no case is ever observed 
 where from its contagion persons are stricken down by 
 
 18 
 
250 DISEASES OF THE SKIN. 
 
 variola. The disease germs must be, therefore, entirely 
 diflerent from those of variola and varioloid. 
 
 It seldom needs any treatment. The occasionally 
 attending symptoms may be met by Aeon., Ant. crud., 
 Bell., Merc, Puis., Ehus., Tart, emet., etc. 
 
 West and other authorities assert that measles and 
 varicella are often observed to follow one another in quick 
 succession in the same patient, but the question is still 
 undicided whether there is any relationship between the 
 two disease germs. 
 
 Vaccinia, 
 
 Yariola vaccinia, the small-pox of cattle, is a contagi- 
 ous inj&ammation of the skin, prevalent among cattle and 
 occasionally communicated to man. It is characterized 
 by the development, upon an inflamed basis, of multilocu- 
 lar and umbilicated vesicles, which pass by degrees iiito 
 the pustular form, and terminate in hard, dark-brown 
 scabs, the latter leaving behind deep and permanent 
 cicatrices. Constitutional symptoms accompany the 
 eruption, which are mild during the first stages of the 
 vesicle, but become more severe and constitute a second- 
 ary fever when the local inflammation arrives at its 
 height and the suppurative process is about to be estab- 
 lished. Although vaccination gives no absolute protec- 
 tion against small-pox, yet the severity of the process is 
 so modified thereby, that those who have been vaccinated 
 well mostly have modified variola, and the mortality of 
 the vaccinated to the non-vaccinated is as 4 to 14. 
 
 In performing vaccination, either the cow-pox lymph or 
 humanized virus is used. Great care should be taken to 
 get reliable lymph, as cow-pox lymph quickly loses its 
 virtue, and when using humanized virus only that of 
 healthy children, sprung from healthy parent stock, ought 
 to be used. A dose of Sulphur should be given on the 
 fourth day after the operation. If any unpleasant symp- 
 
VACCINIA. 251 
 
 toms, such as erysipelas, eruptions, etc. — the off-shoots of 
 latent dyscrasia — are developed, Silicia^ in a high potenc}^ 
 and in a single dose, is indicated. Psorinum may be 
 needed, or even some other remedy, according to the pre- 
 senting symptoms, such as Graphites, Petroleum, etc. 
 
 There are authorities who deny the co-existence of 
 different exanthemata in the same patient ; and wherever 
 this is said to have happened, they term it an erythema 
 variolosum, or affirm that one exanthema followed the 
 other, and consider it as impossible that two disease germs 
 can produce their efflorescences at the same time, and that 
 such eruptions can run their courses simultaneously. We 
 have seen that varicella and measles may co-exist, and 
 Dr. Auspitz, of Vienna, in the Archiv. /. Derynatologie, 
 Z, 1874, publishes two cases where, in adults, variola 
 and scarlatina ran their course simultaneously. A 
 boy, eet. 17, entered the hospital with variola in its 
 fourth day, showing pustules already on the face and 
 upper extremities and vesicles sparsely diffused over the 
 trunk and lower extremities, but the whole body was 
 covered by a diffuse erythema. On the eighth day of the 
 variola the whole body was covered with a deep scarlet 
 redness ; the uvula and palatine arch and fauces livid ; on 
 some points dried variola pustules. On the ninth day of 
 the variola the scarlatina was more intense, but the variola 
 pustules were drying up ; some albumen in the urine; final- 
 ly desquamation in large pieces. The second interesting 
 case is a variola post-variolam. A boy, set. 19, entered the 
 hospital on the fifth day of the disease, which ran a normal 
 course, and on the eighth day dessication began. On the 
 sixteenth day from the beginning of the first eruption, a 
 new febrile attack set in, with pain in the loins, pulse 
 120, temp. 104; this prodromal stage lasted three or four 
 days, when the whole body became again covered with 
 variola papules, running their regular course to suppura- 
 tion and dessication. Richter describes a similar case of 
 
252 
 
 DISEASES OF THE SKIN. 
 
 variola after variolam on the thirteenth day of the dis- 
 ease, and Speyer another, after ten days. 
 
 Tables of Differential Diagnosis. 
 
 Rotheln. 
 
 Scarcely any precursory stage, 
 the eruption ushers in the dis- 
 ease. 
 
 Eruption on the first day and 
 generally spreads rapidly all 
 over. 
 
 Eruption closely resembles 
 measles. In some cases more 
 general efflorescence ; fades rap- 
 idly ; all gone by the second or 
 third day ; little or no desquama- 
 tion. 
 
 Catarrhal symptoms rarely 
 present and quickly disappear. 
 
 Bronchial symptoms esi)eci- 
 ally absent. 
 
 No sequelae. 
 
 An attack of measles does not 
 and vice versa. 
 
 Rotheln. 
 
 No precursory symptoms. 
 
 Eruption on the first day on 
 the face and spreads rapidly over 
 the body. 
 
 Eruption rarely confluent, dis- 
 crete, crescentic, papular; gone 
 by the second day, followed by 
 no desquamation. 
 
 Rarely sore throat or bron- 
 chitis, some coryza. 
 
 Tongue white with red edges. 
 
 No sequelae. 
 
 Measles. 
 Preliminary symptoms. Fever 
 and catarrhal symptoms. 
 
 Eruption on the fourth day, 
 spreads from the face all over in 
 about forty-eight hours. 
 
 Eruption crescentic, with inter- 
 vening healthy skin, lasts about 
 five days, followed by desquama- 
 tion. 
 
 Catarrhal symptoms character- 
 istic. 
 
 Bronchial symptoms always 
 present. 
 
 Generally sequelae, 
 protect from an attack of rotheln 
 
 Scarlatina. 
 Precursory symptoms severe. 
 Eruption on the second day, 
 first on neck and chest. 
 
 Eruption efilorescent, uniform 
 desquamation after the seventh 
 day. 
 
 Sore throat, rarely coryza or 
 bronchitis. 
 Red " raspberry" tongue. 
 Sequelae. 
 
TABLES OF DIFFERENTIAL DIAGNOSIS. 
 
 253 
 
 An attack of scarlatina does not protect from an attack of rotheln 
 and vice versa. ( U. S. M. & S. J., Oct., 1871.) 
 
 Measles. 
 
 Rash appears on the fourth 
 day. 
 
 Begins near roots of the hairs 
 in spots slightly elevated. 
 
 Color brownish-red. 
 
 Crescentic arrangement, with 
 normal skin between redness. 
 
 Slight branny desquamation. 
 
 Accompanying symptoms, co- 
 ryza and cough, heat of skin 
 moderate. 
 
 Scarlatina. 
 Rash appears on the second 
 day. 
 Begins on neck and face. 
 
 Color rose-red or crimson. 
 Punctiform, almost uniform. 
 
 Copious desquamation. 
 
 Accompanying symptoms, sore 
 throat, strawberry tongue, great 
 heat of skin, rapid pulse. 
 
 Variola. 
 Rash on third day. 
 
 First on forehead. 
 
 Shotty papules, go- 
 ing on to umbilicated 
 vesicles and then to 
 pustules, with much 
 inflammation around ; 
 often confluent. 
 
 Thick scabbing and 
 scars left. 
 
 Accompanying 
 symptoms, pain in 
 back, vomiting and fe- 
 ver; secondary fever. 
 
 Varioloid. 
 
 Rash on second or 
 third day. 
 
 First on wrists. 
 
 Shotty papules, soon 
 becoming vesicles on- 
 ly, others pustular, but 
 pustules small and not 
 confluent. 
 
 Scabs seldom leav- 
 ing scars. 
 
 Symptoms as in va- 
 riola, but milder at 
 first ; no secondary fe- 
 ver. 
 
 Varicella, 
 
 Rash on first or sec- 
 ond day. 
 
 First on back. 
 
 Papules, some not 
 advancing, others ve- 
 sicular, a few pustular, 
 without umbilication ; 
 eruption irregular in 
 progress. 
 
 Usually no scars. 
 
 Constitutional symp- 
 toms insignificant. 
 
 Hillier {I. c, 299). 
 
 JBJrysipelas, 
 
 Erysipelas is a diffuse inflammation of the skin, as a 
 rule contagious (caused by disease germs), and consists in 
 
254 DISEASES OF THE SKIN. 
 
 a highly hypersemic state of the cutis, in a profuse infil- 
 tration of serum within the cutis and subcutaneous areolar 
 tissue, and in a participation of the lymphatics in the 
 inflammatory process. 
 
 The common features of the disease termed erysipelas 
 are irritation and putrefaction ; the special features are 
 absence of protective power against future attacks, and 
 the increase locally of the disease germs. The erysipela- 
 tous germs are very contagious, and their virulence grows 
 with increase of quantity. The disease generally begins 
 with a sharp chill, during which the temperature of the 
 body rises to 104° F. and over. Accompanying this are 
 disturbances of the brain and stomach, which increase 
 with the advance of the disease, and disappear with the 
 abatement of the skin symptoms, which follows in the 
 course of from eight to fourteen days. As the disease 
 subsides, the skin becomes of a pale-red color, the swell- 
 ing decreases, but some cedematous thickening may 
 remain for some time; the skin is now covered with 
 abundant scales or crusts, and suppuration of the cellular 
 tissue often occurs ; also abscesses and furuncles. The 
 hairs fall from the head and beard, but grow again after- 
 ward. Occasionally a gangrenous destruction of some 
 portion of the skin occurs. It is usually divided into 
 E. simplex and E. phlegmonodes. 
 
 In erysipelas simplex the inflammatory action is sthenic, 
 the general symptoms are not grave, and the structures, 
 though perhaps extensively are not very deeply implicated. 
 In erysipelas phlegmonodes the general sj^mptoms of in- 
 vasion are severe, rigors are severe, fever runs high, deli- 
 rium is commonly present, typhoid symptoms often set 
 in at an early date, and the patient is in considerable 
 danger and death may ensue. The characteristic of the 
 local disease is the great rarity of the occurrence of reso- 
 lution ; suppuration ensues which may be very extensive, 
 the cellular tissue, the fascial, the intermuscular septa, all 
 
ERYSIPELAS. 255 
 
 partake in the diseased action ; the erysipelatous blush 
 nearly disappears, but the swelling increases. About the 
 fifth or sixth day either improvement sets in, or, where the 
 virus is very active or the patient's health markedly bad, 
 the sloughing and the destruction of the cellular tis- 
 sue may be extensive (E. gangrsenosum). Death mostly 
 ensues by pyaemia, pneumonia and oedema cerebri. Ery- 
 sipelas is also divided into idiopathic, arising from consti- 
 tutional causes, and symptomatic or traumatic erysipelas, 
 following a wound or injury in any part of the body; a 
 blood-poisoning, a disease germ, in either case spreading 
 by lymphatic absorption and diffusing itself all over 
 through the veins, is the cause of the erysipelas, although 
 we may not always be able to detect the source of the 
 infection. 
 
 Erysipelas simplex hardly needs any treatment. A 
 favorite remedy with the old school is the tincture of the 
 perchloride of iron, ten to twenty drops every two hours. 
 Authorities differ greatly as to external applications. 
 Great relief is obtained by dusting the parts affected with 
 powdered starch or flour; others praise carbonate of 
 ammonia or quinine, with a little acid for internal treat- 
 ment. As to whether erysipelas should be treated with 
 warm or cold, even ice-cold, applications, is still undecided, 
 most authors preferring cold applications when there is 
 high fever and great tension of the skin, and at the 
 decline of the disease or where suppuration threatens, 
 changing to warm poulticing. To check the progress of 
 the inflammation, pencilling with iodine, tincture of can- 
 tharides or a strong solution of nitrate of silver has been 
 recommended. 
 
 Homoeopathic Treatment. During the febrile stage ; 
 Aeon., Gels., Veratr. vir. ; for simple erysipelas: Apis, 
 Bell.; where bullae arise: Canth., Rhus; for gangrene: 
 Ars., Garb, veg., Lach. 
 
 Aconite. General feverishness, with local inflammation 
 and tenderness. 
 
256 DISEASES OF THE SKW. 
 
 Ammonmm carh. Erysipelas of old people, with cerebral 
 symptoms while the eruption is still out. 
 
 Apis. Erysipelas of the face and scalp, with typhoid 
 tendency ; swelling on the side of the face and temples, 
 whitish or inclining to a delicate pink color ; puffiness of 
 the face, especially of the eyelids, with burning and sting- 
 ing of the skin ; sphacelated spots here and there ; suita- 
 ble in many cases after Bell., or in persons suffering fre- 
 quently from the disease, and especially in women and 
 children. 
 
 Belladonna. Smooth, bright-red eruption, nearly shin- 
 ing ; cerebral symptoms predominate ; delirium ; stitching 
 headache, furious look, beating of the carotids, twitch- 
 ings and convulsions, violent thirst, constipation, brown- 
 red, jumentous urine ; especially when the right side is 
 affected. 
 
 Borax. Erysipelas of the left side of the face, painful 
 when laughing ; very nervous, cannot sleep well, starts at 
 the least noise. 
 
 Cantharides. Erysipelas bullosum, with much irritation 
 and burning; serous exudation; typhoid erysipelas, with 
 great restlessness, unquenchable thirst and disgust for all 
 kinds of drink ; vomiting with violent retching. 
 
 Comocladia. Burning on face and eyes, worse towards 
 evening ; excessive swelling of the face, with tormenting 
 itching and swelling ; corrosive itching of the head, with 
 shooting pains, relieved by movement. 
 
 Graphites. Tendency to repeated attacks of erysipelas 
 bullosum, spreading from the nape of the neck to the 
 face, and even perspiration does not relieve ; phlegmonous 
 erysipelas of the head and face, with burning, tingling 
 pain, glutinous exudation, with congestion to the head 
 and roaring in the ears, swelling and induration of the 
 lymphatics and glands. 
 
 Lachesis. "When the swelling assumes a purplish hue, 
 and the patient begins to talk deliriously as soon as he 
 
TYPHUS AND TYPHOID FEVER. 257 
 
 shuts his eyes ; bloated red face, attended with heat, 
 headache and coldness of the extremities ; one sided tense 
 headache, extending from occiput to eyes, with vomit- 
 ing, vertigo, tendency to faint and numbness ; E. gangrse- 
 nosum. 
 
 Fhosphoric acid. E. in consequence of wounds by 
 which the periosteum is affected. Perfect apathy. 
 
 Pulsatilla. E. migrans ; E. caused by indigestion, or 
 when the patient suffers from indigestion when the erup- 
 tion fades. 
 
 Hhus radicans. Phlegmonous erysipelas, especially 
 when it begins at the ankle and gradually moves up the 
 leg, running up in the deeper tissues. 
 
 Bhus toxicodendron. Vesicular erysipelas, whether on 
 the scalp, face or elsewhere, with swelling and large 
 shining redness ; great restlessness ; tendency rather to in- 
 vade surface, than to penetrate deeply into the tissues ; 
 rheumatoid pains all over. 
 
 Silicea. Injuries of the bones ; excessive suppuration, 
 with hectic fever, caused by deep-seated phlegmonous 
 erysipelas. 
 
 Sulphur. To eradicate the tendency to repeated attacks 
 of erysipelas. 
 
 Veratrum viride. Vesicular erysipelas with cerebral 
 symptoms. 
 
 Typhus and Typhoid Fever. 
 
 As it is hardly right to describe these zymotic diseases as 
 " an irritation and eruption on the skin and mucous mem- 
 brane of the intestinal canal, with fever of an infectious 
 and contagious kind," we consider it a better plan to 
 leave the description and treatment of these diseases to 
 writers on general medicine, mentioning in this place only 
 the cutaneous symptoms. 
 
 The typhus rash consists of two component parts : 
 Eirst. A subcutaneous mottling of a more or less livid 
 
258 DISEASES OF THE SKIN. 
 
 hue, and diiFused generally over the body. Second. Pete- 
 chige, small, scattered all over the body and showing out 
 from the mottling ; at first these are slightly raised and 
 their color increases gradually in intensity ; they do not 
 fade by pressure, except slightly in the very early stages. 
 The eruption of typhus is not prolonged by successive 
 crops. It makes its appearance between the fifth and 
 eighth day of the disease, and disappears a few days 
 before convalescence. 
 
 The typhoid rash is characterized by the appearance 
 between the eighth and twelfth day of disease of the rose- 
 colored, elevated, circular, softish spots, about a line or so 
 in diameter, on the abdomen, back of hand, arms, chest 
 and back (if kept warm). They disappear by pressure 
 and they appear in successive crops, each spot lasting 
 three to four days and then gradually fading. There 
 may be from half a dozen to a score of these spots present 
 at one and the same time. Sudamina often co-exist with 
 them. (Fox, L c, 87.) 
 
 Indications for JRemedies for the Exanthe- 
 Tnata, 
 
 FROM THE LECTURES OF PROF. A. R. MORGAN. 
 
 Scarlatina, 
 
 Belladonna. Great nervous anxiety and restlessness ; 
 dilated pupils (with stupor, Hyosc, Laches., Opium, 
 Stramon.). The delirium is fantastic, especially on clos- 
 ing the eyes. Rapid speech (Arsen., Laches., Hepar s. c, 
 Mercur.). Grinding the teeth (Apis, Arsen., Hyosc, 
 Stramon.). (Arsen. patients grind their teeth when 
 asleep.) Chay^acteristics. Sore throat, with stitches extend- 
 ing to right parotid gland and ear (Hepar s. c, Ignat., 
 Mercur., I^ux vom.). The internal throat is of a bright 
 
REMEDIES FOR THE EXANTHEMATA. 259 
 
 scarlet-red color (Aeon., Laches., Mercur.). Constriction 
 of the oesophagus (Alum., Arsen., Lobel.). Chokino; sen- 
 sation in the throat, which prevents swallowing [Canthar. 
 Laches., l^ux vom.). Pain worse on swallowing; aggra 
 vated by talking (Mercur., Rhus tox., Staphis.) ; very 
 much worse on turning the head (Brjon., Hepar s. c. 
 Laches.). Continual inclination to swallow (Laches. 
 Mercur.) ; feels as if he would choke if he did not swallow 
 Constant desire to drink ; drinks hurriedl}^, spilling the 
 fluid all over him. (Aversion to drink, Canthar.). Ex- 
 cessive dryness of the throat. Urine either suppressed 
 or scanty, dark-red and frequently turbid, and of strong 
 odor (Benz. ac). Great desire to sleep, but can't sleep, or 
 stupor, with snoring (Rux vom.. Opium). Diffused red- 
 ness of surface of body. 
 
 Ailanthus, Sudden and terrible attacks, almost im- 
 mediately insensibility ; violent vomiting ; intense head- 
 ache. Great sensitiveness to noise ; photophobia. Great 
 congestion of head ; pulse exceedingly rapid ; drowsy and 
 restless. Muttering delirium ; rash in patches ; skin livid 
 between the little miliary points, skin cold and dry. The 
 livid color of the skin when pressed out with the finger 
 returns very slowly. 
 
 Ammonium earbonicum. The eruption is scanty at the 
 outset, with rapid pulse. Threatened paralysis of the 
 brain, with excessive vomiting (Arsen.). Repelled erup- 
 tions (Cupr. ac), after which dysenteric, slimy, fetid stools. 
 Attack comes on and the patient is decidedly chilly in 
 the evening, with aversion to being moved. The erup- 
 tion comes out first on the upper part of the body, with 
 smarting and burning of the skin, aggravated by scratch- 
 ing. Hard swelling of the right parotid and submaxillary 
 glands, red bloated face, ulcerated corners of mouth (Carb. 
 veg., Bellad., Arum trif , Mercur., E'itr. ac). Putrid sore 
 throat ; nausea and vomiting after taking food, accom- 
 panied by sensitiveness and soreness at pit of stomach 
 
260 DISEASES OF THE SKm. 
 
 (Apis, Calc. cark, Laches., IsTux vom., Sulphur). Consti- 
 pation, with flow of blood from anus. Involuntary urina- 
 tion at night (Calc. carb., Carb. veg., Caustic, E"atr. mur., 
 Pulsat., Sepia). Exceedingly sensitive to talking and 
 noise ; awakes about 2 or 3 a.m. with a dry cough, which 
 is very troublesome. 
 
 Apis meL High fever, with chilliness from least move- 
 ment (Merc, cor., Rhus tox., Silic). Heat of feet and 
 hands when the patient complains of chilliness. Head- 
 ache, holds the head in hands. Burning and stinging of 
 skin ; dryness of throat ; tongue dry, of deep red color, 
 swollen and inflamed, often covered with blisters ; ina- 
 bility to swallow ; dryness of mouth, without thirst 
 (Calad. and Pulsat.) ; tonsils swollen and hard ; nausea and 
 vomiting, with soreness of pit of stomach to touch. The 
 nose is sometimes stufied up. Complains of being swollen 
 (abdomen retracted, Cupr. Chamom., Pulsat.). Urine 
 scanty and high colored, voided with diflaculty. Anasar- 
 cous condition, with very scanty urine ; oppressed respira- 
 tion; great trembling. The heat of skin and fever is 
 changeable, comes in flashes. Delirium, the patient is 
 inclined to scream out. Many typhoid forms. Post-scarla- 
 tinal dropsy, aggravated by heat, relieved by cold. 
 
 Arsenicum. Typhoid forms, especially at the commence- 
 ment ; total loss of strength ; mild delirium ; convulsive 
 twitching of tendons, with excessive vomiting ; violent 
 diarrhoea brought on and aggravated by taking drink or 
 food. Contradictory symptoms ; there seems to be a fair 
 eruption with great loss of strength. Tendency towards 
 gangrene (Carbo veg.). Lips dry, black, often bloody. 
 Grinding of teeth while asleep ; tongue dry, brown and 
 cracked. The patient is troubled with thick, slimy, fetid 
 saliva in mouth ; longing for cold drinks and acids. 
 Bitter taste in mouth, especially after eating or drinking. 
 Vomiting of brown substances ; stools, brown or black, 
 fetid, excoriating. Urine dark colored and bloody, voided 
 
REMEDIES FOR THE EXANTHEMATA. 261 
 
 with difficulty. Great emaciation ; trembling all over ; 
 dyspnoea. Constantly changing position. Aggravated 
 after midnight ; pains often felt during sleep. Cold per- 
 spiration, cold extremities ; puffiness of eyelids. Sinks 
 down in bed (Mur. ac). Worse from cold, better from 
 warmth. (The reverse of Apis.) 
 
 Arum triphyllum. Intense fever; soreness of mouth 
 and fauces, which spreads to posterior nares ; the nose is 
 stuffed up, can't breathe through it. Ichorous discharge 
 from nose, excoriating and furrowing the upper lip ; 
 discharge from nose thick and yellow, filling the whole 
 nasal cavity and throat. The whole mouth is covered 
 with ulcers, with intense soreness and burning; feels as if 
 excoriated ; saliva acrid. The mouth is so sore that the 
 child refuses drink and cries when it is offered. Tongue 
 red and sore, with elevated papillae. Throat sore, feels as 
 if excoriated. Cannot swallow ; putrid sore throat ; swol- 
 len submaxillary glands ; ulcerated corners of mouth. 
 Eruption all over the body, with great itching. The 
 child picks at the skin until it bleeds. Great restlessness. 
 Urine abundant, but pale. 
 
 Calcarea carbonica. Scrofulous subjects. Threatened 
 paralysis of lungs. Scarlatina miliaria. Sore throat, 
 difficult deglutition, loud rattlmg in wind pipe, hot 
 breath ; difficulty of breathing, with precordial anxiety. 
 'No cough ; rattling during expiration. Otorrhoea. The 
 parotid glands are inclined to suppurate. 
 
 Camphor. Collapsed conditions ; mind in a serene con- 
 scious state ; a peculiar staring wild look (Bellad., Hydr. 
 ac, Lauroc). Purple colored or pale, changeable, hot face, 
 with hot perspiration and cold extremities. Hot, burning 
 pains. Great sensitiveness of the stomach and abdomen. 
 Involuntary blackish stools (Arsen., Yerat.). Dyspnoea, 
 with sensation of constriction about the throat — with hot 
 breath (Arsen., Sulphur). Accumulation of mucus in the 
 air passages. Cold extremities, skin shrivelled (Carb. veg.). 
 
262 DISEASES OF THE SKIN. 
 
 Capsicum. The patient is capricious ; exalted sensi- 
 bility of all the senses. There is a peculiar redness and 
 burning of the face, which is not proportionate with the 
 heat of the rest of the body. The throat smarts and 
 burns and is of a deep red color. Burning vesicles on 
 tongue and in mouth. {Characteristic. The pain in the 
 throat is always worse between the acts of deglutition.) Tena- 
 cious mucus in the throat, which is difficult to dislodge. 
 Dry tongue without thirst (Apis, Pulsat.). 
 
 Cup>rum aceticum. Eruption disappears suddenly, with 
 a tendency to metastasis to the brain. Quick, small, 
 irregular pulse ; the temperature is reduced ; sopor ; con- 
 vulsive movements of the body ; rolling of the eyes ; facial 
 distortion ; spasmodic action of the chest. 
 
 Gelseminum. Great prostration from poisoning of the 
 system. Cerebral intoxication. Pulse quick and weak. 
 Almost entire loss of muscular action. The feet and ex- 
 tremities are cold. Heat, with languor and drowsiness ; 
 when sleeping the patient talks in delirious mutterings 
 or half aw^akes at times ; crimson flush of the face in all 
 positions; sufi:usion of the eyes, heav^y looking; throat 
 feels as if swelled or filled up (Pulsat.), is diffusely red ; 
 tonsils red and slightly swelled ; when the eruption re- 
 cedes all the viscera are threatened. Impaired vision ; 
 spasms and paralysis. 
 
 Hyosciamus. Great stupidity; complains of nothing 
 except thirst ; difficult speech (Laches.). Does not reply 
 to questions, or answers slowly and relapses into an un- 
 conscious state. (Tendency to repeat the last w^ord, 
 Laches.) At times great nervous excitability and sleep- 
 lessness ; "illusions of the imagination or else utter stupi- 
 dity ; sparkling, red, prominent eyes, or vacant staring at 
 things ; indistinct muttering loquacity. Bluish face ; the 
 mouth is open or the jaws are locked ; constriction of the 
 throat, can't swallow fluids ; salt taste (Thuya) ; paralysis 
 of the sphincters ; paralysis of the trachea ; rattling respi- 
 
REMEDIES FOR THE EXANTHEMATA. 263 
 
 ration. The patient ceases coughing on sitting up in bed 
 (Katr. sulph.). Repelled eruptions, with tendency to 
 paralysis, accompanied by watery diarrhoea. Subsultus 
 tendinum. Aggravation in the evening. 
 
 Hydrocyanic acid. In the early stages of the disease 
 the skin is dark and livid, the pulse feeble and scarcely 
 perceptible. 
 
 . Ipecacuanha, Suppressed eruptions. Gastric symptoms 
 predominate, with nausea and vomiting, accompanied by 
 dyspnoea ; sighing respiration ; worse in the evening. 
 When he sleeps his eyes are half open, he moans and 
 groans in sleep. 
 
 Lachesis. Advanced stages; typhoid state. Smooth 
 red or black and dry tongue, frequently cracked ; trem- 
 bling of the tongue and inability to protrude it ; it strikes 
 against the lower teeth ; patched or map tongue (Arsen., 
 Nitr. ac, J^atr. mur., Tarax.). Loquacious delirium. 
 Accumulation of dried mucus in nose (Kali bichr.). 
 Throat very dry and sore ; aggravated by sleep. Can't 
 bear the touch of the bed clothes about the throat, it 
 causes a feeling of suffocation. Throat symptoms aggra- 
 vated by turning the head. Paralysis of the organs of 
 deglutition. Throat symptoms are made worse by swal- 
 lowing. When swallowing the pain extends to left ear 
 (Kali bichr.). Liquids return through the nose. Left 
 side of throat most affected. Suppuration of glands of 
 the neck. Black urine (Colchic). Offensive stools. All 
 symptoms aggravated after sleep. Aphasia (Iodide of 
 Merc). Delayed desquamation. 
 
 Mercuriiis sotuhilis. After Bellad ; aggravation at night 
 in bed, etc. 
 
 Muriatic acid. Eruption scanty, with petechise, or 
 the skin is intensely red. Great restlessness, with desire 
 to throw off the clothing ; burning heat of body, dark 
 redness of face, purplish color of skin. The whole vital 
 forces are prostrated, the patient sinks down in bed, pulse 
 
264 DISEASES OF THE SKIN. 
 
 intermitting in regular intervals, weak. Sighing, groan- 
 ing respiration. Discharge of thin, acrid pus from the 
 nose, excoriating the nose and lips; severe sore throat, 
 fauces dark, bluish-red, with aphthous patches ; foul breath. 
 
 Nitric acid. Diphtheretic conditions. Profuse discharge 
 from the nose and throat of a thin purulent ichorous 
 matter ; tonsils swollen ; difficult deglutition ; indistinct 
 speech ; deafness ; intermittent breathing ; burning hot skin. 
 After ]Sritr. ac, Phosphor, follows well. 
 
 JPhosphorus. Typhoid forms — sopor, delirium ; glandu- 
 lar enlargements; diarrhciea; burning sensations, which 
 make him constantly change his position. Pulmonary 
 complications. 
 
 Hhus tox. Vesicular types. Symptoms occurring 
 about the third day; tongue dry, red and smooth, with 
 triangular red tip. The eruption looks dark; drowsy 
 state, with delirium ; great restlessness ; swimming eyes ; 
 rheumatic symptoms ; oedema of scrotum and penis ; bleed- 
 ing from nose at night ; swelling and suppuration of paro- 
 tid glands, first left then right, with copious ichorous dis- 
 charge. 
 
 Sulphur. Scrofulous subjects who have had suppressed 
 eruptions (Hyosc, Stramon., Lauroc). Lethargic condi- 
 tion ; burning heat of skin. Eruption red at first but soon 
 grows purple; diarrhoea, worse in the morning. 
 
 Zincum metallicum. Threatened paralysis of brain ; com- 
 plete stupor. The patient lies perfectly motionless ; pulse 
 small, thread-like, can scarcely be counted; extremities 
 cool ; jerking of the whole body or twitching of single 
 limbs. The color of the body is bluish-red (Hydroc. ac). 
 The body is of a bluish color, while the forehead and face 
 are pale ; forehead cold and covered with cold perspira- 
 tion. White distorted face ; frightful shrill screams ; 
 short, quick breathing, but not rattling; occiput very 
 hot ; grating of teeth ; involuntary discharge from bladder 
 and bowels. 
 
PART II. 
 
 REPERTORY. 
 
INTRODUCTION 
 
 I^otwitlistanding the fact that we liave been taken 
 somewhat to task for not comprising under the therapeu- 
 tical portion of the first part of this treatise the symp- 
 tomatology of all the medicines enumerated in the Materia 
 Medica, we thought it best to continue the plan of record- 
 ing only the results of clinical experience as guides to the 
 selection of remedies ; leaving the enumeration of the 
 sjaiiptoms of the skin and their concomitants as produced 
 by provers for the second part or repertory. 
 
 This second part will be arranged after the excellent 
 method employed by Bell, Dunham and others; i. e.^ the 
 remedies will be enumerated in alphabetical order, with 
 their arranged indications, and then will follow the re- 
 pertory proper. 
 
 S. L. 
 
REMEDIES. 
 
 Aconitum napellus. 
 
 Nosological. Adenitis. Boils. Burns. Erysipelas. 
 Erythema. Eczema. Gangrene. Herpes squamosus et 
 solare. Lichen. Measles. I^ettle-rash. Pemphigus. 
 Purpura miliaris. Scarlatina. Small-pox. Ulcers. Yari- 
 cellee aquosse et conoicles. 
 
 Objective, Blackness and swelling of lips; of skin all 
 over body. Boils, on tip of nose ; on back ; on nates. 
 Blotches, red, on lingers of right hand. Desquamation. 
 Bloated face. Discharges of bloody mucus, yellow. Erup- 
 tive fevers. Eruptions ; vesicular on both temples ; fiery 
 red like nettle-rash. Erysipelatous exanthemata. Ery- 
 thema from sunshine, papulous. Hot skin. Inflammation 
 of external ear ; of ulcers of sexual parts. Injuries bleed- 
 ing profusely. Pimples, reddish, filled with acrid fluid, 
 size of a pin's head, filled with serum, on forehead, nape 
 of neck and face ; soon dry up and peel oft". Spots like 
 fleabites on face and hands. Swellings, red, hot ; shining 
 of parts aflected ; inflamed and yellow color of skin. 
 
 (269) 
 
270 DISEASES OF THE SKIJSJ. 
 
 Subjective. Burning heat in injured parts. Burning 
 itching all over. Contracting sensation in glands. Gnaw- 
 ing as if caused by electro-magnetism. Heat in glands. 
 Hair feels as if pulled at. Itching, in pimples, of affected 
 parts. Pinching, pressing, picking, as if caused by electro- 
 magnetism. Stinging soreness in various parts. Tearing, 
 drawing pains. Tingling of affected parts. Sensation as 
 if the epidermis were separated from the cuticle by some 
 intermediate substance, with creeping and shivering. 
 
 Aggravations. At night in bed. Lying on left side. 
 From getting wet, and on exposure to dry, sharp wind. 
 In ijhildren. In lying-in-women. 
 
 Amelioration. In the open air. 
 
 Accompaniments. Catarrhal inHammation from eyes to 
 bronchi. Cough, dry, croupy, hacking, with stitches in 
 chest. Convulsions. Dyspnoea, distressed face, gasping. 
 Fever, full quick pulse, and thirst. Epistaxis. Headache. 
 Nervousness. Pain in stomach and bowels, with nausea 
 and diarrhoea. Peevishness. Great restlessness ; restless 
 sleep, with jerking and starting, grating of teeth and 
 groaning ; or sleeplessness with agitation and anxiety. 
 Swelling of whole body and protrusion of tongue and 
 eyes. 
 
 Aethusa cynapium. 
 
 Objective. Boils on small of back. 
 
 Agaricus muscarius. 
 
 Nosological. Boils. Chilblains. Frostbites. Miliary 
 eruptions. 
 
 Objective. Boils on nates. Discharges watery. Erup- 
 tions, red, yellowish, close-grained, dense, white miliary 
 on hands. Falling off of eyelashes. Pimples on thigh ; 
 inflamed, on back of hand. Eedness of toes as if frost- 
 bitten. Tubercles on forearm. 
 
 Subjective. Burning itching as if frozen in eruption on 
 hands and toes. Burning in fingers, lower limbs and 
 
REMEDIES. 271 
 
 toes ; gnawing-itching. Itching and titillation on arms 
 forcing one to scratch. Smarting in pimples. Tearing 
 pains in bones. 
 
 Aggravations. After coition. After moving. From out- 
 ward pressure. After scratching (smarting changed to 
 burning). Right arm and left leg most affected. 
 
 Amelioration. By walking slowly. 
 
 Objective. Scurvy ; gums swollen and bleeding. Dark 
 purple blotches on legs, which are swollen, painful, and of 
 stony hardness. 
 
 Accompaniments. Appetite poor. Constipation. Counte- 
 nance pale and dejected. Pulse small and feeble. 
 
 Agnus castus. 
 
 Objective. Excoriations and rhagades at anus. Herpes 
 on cheeks. Hardness and induration of glands. 
 
 Subjective. Itching relieved by scratching, but return- 
 ing again at once. Gnawing-itching. 
 
 Aggravation. From getting wet. 
 
 Ailanthus glandulosa. 
 
 J^osological. Scarlet fever (typhoid and black). Syphi- 
 lis. 
 
 Objective. Eruption, on forehead and face, almost 
 livid ; miliary ; irregular and patchy ; on body and 
 extremities, disappearing on pressure and reappearing 
 slowly ; violet hued ; scaly and evanescent, and long 
 delayed ; consisting of large maculae and buUse, filled with 
 dark serum. Skin hot, harsh and dry. Petechiae. Chancre 
 on prepuce. Syphilitic rash. 
 
 Accompaniments. Apathy. Anxiety and fear. Fright- 
 ful delirium, with muttering. Dizziness, worse when 
 rising up. Vomiting, followed by high fever, pulse small 
 and rapid. General malaise. Pupils dilated, or photo- 
 phobia. Severe headache. Sleeplessness and restlessness. 
 Hot, red face. 
 
272 DISEASES OF THE SKIN. 
 
 Alnus rubra. 
 
 Nosological. Chronic herpes. Impetigo. Porrigo. 
 Scrofula. Syphilis. 
 
 Ampelopsis quinquefolia. 
 
 Nosological. Scrofula. Old ulcers. 
 
 Alumina. 
 
 Nosological. Boils, Felons. Injuries. Lepra vera. 
 Scrofula. Tetters. Tinea capitis. Herpes. 
 
 Objective. Boils over the ear ; on and in the nose ; on 
 left cheek ; on right side of lip ; on right hip ; on thighs. 
 Humid crusts on scalp and arms. Inflammation of slight 
 injuries of skin. Bulhous eruptions. Leprous pimples. 
 Bleeding rhagades on hands. Humid scurfs and scalds 
 on forearms. Serous bleeding after scratching. Moist 
 tetters. Varices about anus. Blotches. Discharges copi- 
 ous, corrosive, flesh-colored, of thick mucus, slimy, tena- 
 cious, yellow. Eruption on temples Furfuraceous erup- 
 tion on hands. Hedness of toes. Tubercles. 
 
 Subjective. Burning in anus and toes. Gnawing in 
 tetters. Gnawing itching. Itching, in evening in tetters 
 on neck ; in eruption. Gnawing itching. Itching and 
 pain in soles of feet and toes, as if frozen. Stinging in 
 corns. Eruption sore, as if excoriated. 
 
 Aggravations. In afternoon and evening. On alternate 
 days and periodically. At new moon, during its increase 
 and at its full. From eating potatoes. After using 
 mercury. After lead poisoning. On getting warm in 
 bed. 
 
 Accompaniments. Hemorrhage from mouth and gums. 
 
 Ambra grisea. 
 
 Nosological. Corns. Herpes. Tetters. Scabies. 
 Objective. Arthritic swelling of feet. Cancerous ulcers. 
 Bones of forearm aflfected. Dryness of skin. Discharges 
 
 I 
 
REMEDIES. 273 
 
 gray and salty. Eruption painless, on cheeks. Herpes 
 between thumb and index finger. Scabies and herpes 
 suppressed. 
 
 Subjective. Burning in herpes, tetters, and soles of feet. 
 Itching on scalp, on occiput, and in soles of feet and toes. 
 I^umbness of arms as if gone to sleep. Soreness in warts 
 and corns. Tearing in glands. Tenderness and pain in 
 bones. 
 
 Aggravation, Early in morning on waking. In even- 
 ing, while lying in bed. After lying down and having 
 risen. In lean, aged persons. 
 
 Amelioration. From lying on painful side. 
 
 Ammonium carbonicum. 
 
 Nosol gical. Boils. Corns. Eczema. Ephelides. Fu- 
 runculi. Ganglion. Herpes. Miliary eruptions. Purple 
 rash. Rachitis. Scarlet fever. Scrofula. Tetters. Ulcers. 
 Warts. 
 
 Objective. Boils around the ear; in the nose and on 
 its tip ; on face and cheeks and at corners of mouth ; on 
 chin ; neck ; in scapular region ; on right side of chest ; 
 on shoulders and arms and right hip, with watery, bloody 
 suppuration. Desquamation. Discharges copious, corrosive 
 and watery. Eczema in bends of extremities. Excoria- 
 tion between legs, and about anus and genitals. Eruption 
 on face, flat, red, peeling off. Freckles. Ganglia on hands. 
 Glands of neck, lower jaw and about ear affected. Red 
 inflamed herpes on face. Pimples on nape of neck and 
 forearms. Purple rash on chest. Blotches and vesicles 
 after scratching. Rash on left side of neck and lower 
 arm. Swelling of the cutaneous veins. Blue spot above 
 knee. Redness of whole upper part of body, like scarlatina. 
 Red and scarlet spots. Mealy tetters. Red ulcerating 
 tubercles around elbow and neck. Ulcers, with fetid pus. 
 Varices about anus. 
 
 Subjective. Burning in pimples, pustules and blisters on 
 
274 DISEASES OF THE SKIN. 
 
 face. Excessive burning in blue spots on thighs. Burn- 
 ing and itching in herpes. Burning, shooting and pulling, 
 in corns, as if ulcerated. Cutting in tubercles. Itching 
 on scalp, and in feet and toes as if frozen. Sensitiveness 
 to cold. 
 
 Aggravation. In evening. At new moon. In cold air. 
 During hot weather. After working in water. When 
 touched. After scratching. After scarlet fever. In chil- 
 dren. While chewing and eating. From hot poultices. 
 On the right side. 
 
 Amelioration. From lying on right side and on the 
 painful side. From warmth. From external pressure. 
 
 Accompartiments. Aversion to washing. Emaciation 
 Profuse hemorrhages from bowels, gums and nose. Hectic 
 fever (in scurvy). Hard swelling of right parotid, of cer- 
 vical glands, and those of the axillae. Muscles soft and 
 flabby. Teeth fall out. 
 
 Ammonium muriaticum. 
 
 Objective. Boils on forehead. Large blotches and 
 indurations deep under skin ; inflamed, with brown red 
 scurf and swelling of the parts. Blisters on right shoulder, 
 forming; a scurf. Blisters and vesicles on hands. Dis- 
 charges corrosive and watery. Eruption on corners of 
 mouth, peeling off. Miliary eruptions. Pimples on backs 
 of hands, desquamating the next day. Fine rash all over 
 for two weeks. Eed spots on left chest. Flat ulcers 
 on scrotum. Small inflamed vesicles at wrist. 
 
 Subjective. Beating and throbbing in nails. Biting on 
 skin. Burning itching in spots on chest. Burning in 
 blisters. Gnawing pain in bones. Itching and titilla- 
 tions. Itching on scalp. Itching in blotches and indura- 
 tions deep under skin, burning after scratching. Pain as 
 if ulcerated. Painful throbbing of finger-joints, as from 
 a felon. Pinching, tearing pains. 
 
 Aggravation. In evening and at night. During men- 
 
REMEDIES. 275 
 
 struation. After rising from bed. By scratcliing (itch- 
 ing changed to burning). On the right side. 
 
 Accompaniments, Hemorrhage from anus. Swelling of 
 axillary glands. 
 
 Anacardium. 
 
 Objective. Eruptions painless and herpetic. Eczema. 
 Dryness of hands. Pimples, with red areola and pus at 
 tips, on lower portion of upper arm. Pustules on index 
 linger, with red areola and exudation of red and white 
 lymph on pressure, forming a scurf with a plug of pus 
 beneath. Flat painful sores after rubbing. Varicose 
 veins. Warts even on palms of hands. 
 
 Subjective. Burning itching in lower limbs and soles of 
 feet. Drawing sore pains in ulcers. Pressure in bones. 
 Stinging and voluptuous itching. Stin2i:ing itching on 
 thighs. 
 
 Aggravation. In evening in bed. Periodically. Lying 
 on the side. On moving affected part. After rubbing 
 and by scratching. 
 
 Amelioraiion. While eating. In open air. After scratch- 
 ino;. 
 
 Accompaniments. Hemorrhages from nose and anus. 
 Chilliness. 
 
 Anatherum muricatum. 
 
 Nosological. Adenitis. Abcesses. Boils and ulcers. 
 Erysipelas. Herpes. Miliaria. Measles. Pruritus. Sycosis. 
 Syphilis. Scurvy. Small-pox. Scarlet fever. 
 
 Objective. Abscesses. Ulcers and fissures on hands. 
 Abscesses, boils, ulcers, scabs, and pustular herpes on face. 
 Skin cold and frigid, and pale or violet. 
 
 Eruptions, whitish and reddish, like sycosis, in vulva ; 
 pustular like confluent small-pox ; like measles and scarlet 
 fever. Excoriation of nipples. Erysipelatous swelling 
 of arms and legs. Boils, abscesses and ulcers on legs. 
 Red pimples, like miliaria or urticaria. Bluish scorbutic 
 
276 DISEASES OF THE SKIN. 
 
 spots on body. Painful swelling of various parts, extend- 
 ing to suppuration ; especially of sub-maxillary and cervi- 
 cal glands. Red and yellow spots on face. Scarlet redness 
 of skin. Ulcers, yellowish, violet, swollen, everted, 
 syphilitic, on lips, on penis and in groin, on hands and 
 legs and soles of feet. Ulcerated, indurated tumor in 
 breast. Herpes and ulcers on scalp, with compact thick 
 humid scabs and jDrurigo. Growths like warts and rupia 
 on eyebrows. 
 
 Subjective. Formication and itching as of ants, with 
 loss of sensibilit3\ Lancinating, burning, deep seated 
 pains (in tumors). Stinging and burning heat. 
 
 Aggravation. From coifee, which subsequently relieves. 
 
 AccomjMTiiments. Drowsiness, difficulty of speaking 
 (in adenitis). Swelling of ganglia of axillae and chest 
 (with breast tumor). 
 
 Angustura. 
 
 Objective. Ulcers, flat (appear after rubbing), eating 
 into bones. Bones of arms affected. 
 
 jSubjiCtive. Pains in bones of head. Squeezing pains. 
 Tenderness and pains in ulcers. 
 
 Aggravation. After rubbing. In bed. 
 
 Anthracinum. 
 
 Objective. Carbuncle. Sloughing. Abundant, ichorous, 
 offensive pus. Gangrene. Whitlow. 
 
 Subjective. Violent burning pain not relieved by 
 Arsenicum alb. 
 
 Accompaniments. Cerebral symptoms. Pyaemia. ("When 
 Arsenicum alb. seems indicated and fails to relieve, An- 
 thracinum should be exhibited). 
 
 Anthrakokali. 
 
 Objective. Chronic erysipelas. Herpes. E"ettle-rash. 
 Purulent pimples like papulse. 
 
 I 
 
REMEDIES. Til 
 
 Subjective. Itching. 
 Aggravation. During the night. 
 
 Antimonium crudum. 
 
 Nosological. Boils. Corns. Chilblains. Conoid chicken- 
 pox. Erysipelas. Ecthyma. Eczema. Freckles. Fungus 
 articularis. Impetigo. Miliaria. E"ettle-rash. Ulcers. 
 Yaricellse agnosse et conoides. 
 
 Objective. Boil on perineum. Large red bullse on left 
 buttock. Blotch on right knee like a mosquito bite. 
 Blotches and bullae as from stings of insects, especially 
 on face and joints of extremities. White blotches with red 
 areolae on face and limbs. Chilblains with redness. Horny 
 callosities on feet. Corns. Discharges tenacious and 
 yellow. Eruptions flat, horny, like nettle-rash ; purulent, 
 on cheeks and around nose ; miliary. Pustules, with 
 3^ellow-brown scurf; hard below neck, like blisters filled 
 with pus ; on face. Pimples ; small, red, on right shoulder ; 
 red on knee ; like vesicles resembling chicken-pox ; in 
 band of elbow ; rash-like on middle of upper arms ; itch- 
 like at carpal joint of left thumb, with brown scurf; on 
 ball of hand and flexor brevis pollicis ; large at stytoid 
 process of left radius ; on neck, under chin, and on face ; 
 red, vesicular, like varicellae. Herpetic spots. Brown 
 liver colored spots on both shoulders. Light brown dots 
 on arms like herpetic spots. Bluish spots on thighs and 
 tibiae. Skin hard, horny, callous, thick. Hard pea- 
 shaped swelling on left side of nape of neck under skin. 
 Red stigmata with little white tips in the centre, on 
 anterior side of neck. Chest dotted with fine red points. 
 Eash behind ears, between scapulae, and on nape of 
 neck. Inflammatory swellings. White tubercles on legs, 
 surrounded by a small red circle. Ulcers, deep, flat, 
 fistulous. Varices about anus. Red vesicles with yellow 
 tips on shoulder, soon look like cutis anserina and peel oflT. 
 
278 DISEASES OF THE SKIN. 
 
 Vesicles at styloid process of right ulna and on left 
 hand. E"ails discolored and deformed. 
 
 Subjective. Burning pain spreading far around from a 
 boil. Violent burning and fine stinging in nettle-rash. 
 Gnawing itching in pimples. Itching ; violent in fine 
 points on chest ; in tubercles on leg ; with tensive pains 
 in bullae; on neck, back and limbs. Pain in bones of 
 head. Stinging in pimples when touched. Soreness in 
 corns. Titillating, itching. Stitches from within out- 
 ward, especially in upper arm and below right buttock. 
 
 Aggravation. In afternoon, evening and at night. In 
 summer (chilblains). In the sun. When touched. From 
 sour food, vinegar, etc. From wet poultices. From 
 bathing and working in water. In drunkards. 
 
 Accompaniments. Aversion to washing. Dropsy. 
 Gastric derangement. Violent thirst and nausea. Pain 
 in ears. White-coated tongue. 
 
 Apis mellifica. 
 
 Nosological. Boils. Carbuncles. Erysipelas. Gangrene. 
 Hives. Sudamina. Variola. Whitlow., 
 
 Objective. Boils on pubes, large. Erysipelas, with redness 
 and swelling, and gangrene. Eruption recedes (m variola) ; 
 is confluent, with cedematous swelling of skin during des- 
 quamation. Ped and inflamed raised patches of hives. 
 Whitlow, after abuse of sulphur. 
 
 Subjective. Burning heat all over, or heat in some 
 parts and coldness in others. Stinging burning pains. 
 
 Aggravation. From heat. In cold weather. After 
 scarlet fever, hives, and variola. 
 
 Amelioration. From cold water. 
 
 Accompaniments. Asthma after hives. Fatal adypsia or 
 great thirst; croupy cough; violent cough like whooping 
 cough. Thick, white, bloody, fetid coryza. Convulsions. 
 Intestinal catarrh, with slimy diarrhoea ; muttering deli- 
 rium. Dyspnoea. Inflamed eyes. Loss of consciousness. 
 
REMEDIES. 279 
 
 Trembling of limbs. Prostration. Restlessness. Sleepless- 
 ness. Stinging pain in throat. Sopor. Abdomen sore to 
 touch. Tongue deep red, covered with blisters, which 
 become sores and ulcers, with stinging pains. Tonsillitis. 
 Urine scanty and dirty red. Micturition painful. Uterine 
 catarrh. 
 
 # Apocynum androssemilfolium. 
 
 Objective. Syphilis ; chancres. Coldness of skin. 
 
 Subjective. Violent itching of face and body. Swollen 
 sensation in skin. 
 
 Accompaniments. Profuse night sweats. Dropsy after 
 scarlatina. 
 
 Argentum foliatum. 
 
 Objective. Discharges copious. Boil near last rib. In- 
 flammation of arms. Eruptions. 
 
 Subjective. Burning pains as if excoriated. Burning 
 itching of face and hands. Intolerable itching as from 
 crawling on head and body. Stitches as from electric 
 shocks. Stinging as from flea-bites. Soreness as if 
 excoriated (in eruptions). Tenderness, tearing pressure 
 and pains in bones. Paroxysms of burning in corns. 
 
 Aggravation. In afternoon. After masturbation and 
 use of mercury. 
 
 Argentum nitricum. 
 
 Nosological. Traumatic erysipelas. Eczema. Ecthyma. 
 Scabies. Syphilis. Sycosis. 
 
 Objective. Red blotches on back of hand and index 
 finger, changing to yellow blisters on a red base. Pimple- 
 like blotches on lower limbs at night. Pustulous ecthyma 
 coming on after itching and pain. Eczema on genitals. 
 Pimples on back and chest. Small itch-like pimples, bleed- 
 ing when scratched, and becoming covered with bleeding 
 scurfs. Skin blue, gray, violet or bronze, to black 
 (Argyria). 
 
280 DISEASES OF THE SKFN. 
 
 Subjective. Itching (in pimples). Itching-biting all 
 over, especially thighs and axillae. Pricking itching. 
 
 Aggravation, At night. On getting warm in bed. After 
 scratching. 
 
 Accompaniment. Dropsy. 
 
 Arnica. 
 
 Nosological. Bed sores. Boils. Chilblains. Erythema 
 nodosum. Ecchymosis. Erysipelas. Miliary eruptions. 
 Purpura. Varices. Wheals. 
 
 Objective. Boils, many, small, on face. Bites of insects. 
 Eruptions, red, sanguineous, in spots. Erysipelas with 
 swelling. Injuries bleeding profusely. Pimple with in- 
 flamed border, on side of neck. Itching pimple between 
 thumb and index finger. Pimples on prepuce. Red spot 
 on glans penis. Yellow, blue, and reddish-blue spots. 
 Swelling of glands of neck, of face and cheeks, of cutane- 
 ous veins. Black swellings. Skin blue and dry. 
 
 Subjective. Burning pains. Digging up sensation and 
 heat in glands. Cold feeling in skin, now here and now 
 there. Cutting pains in skin. Drawing pains. Itching in 
 pimples and spots on glans. Fine prickings, especially in 
 nose, eyebrows, eyelids, hands and fingers. Pains as if 
 beaten. Stinging as if a splinter were in the flesh. Dull stit- 
 ches deeply penetrating in limbs. Soreness and sensitive- 
 ness of corns. Tearing pains in glands. Tingling in ulcers. 
 
 Aggravation. In the evening and at night. On being 
 touched. Erom exertion. From sweating. In the open 
 air. In lying-in-women. From peruvian bark. 
 
 Amelioration. From l^nng with the head low. 
 
 Accompaniment. Epistaxis. 
 
 Arsenicum album. 
 
 Nosological. Burns. Acne rosacea. Abscesses. Crusta 
 lactea. Cancer. Chilblains. Chlorosis. Crusta serpiginosa. 
 Erysipelas. Eczema. Ecthyma. Fungus hsematodes et 
 
 I 
 
REMEDIES. 281 
 
 articularis. Gangrene. Herpes labialis, facialis, phlycte- 
 noides et furfuraceous. Impetigo labialis et rodens. In- 
 flammatory swellings. Jaundice. Lichen. Lepra alba 
 et vera. Purpura senilis. Pemphigus. Prurigo senilis. 
 Pruritus. Psoriasis. Rupia. Sycosis labialis. Scabies. 
 Sudamina. Ulcers. Urticaria. Varioloid. Varicella. 
 Varices. 
 
 Objective. Abscesses suppurating. Blotches on hands. 
 Lentil-sized colorless blotches. Black blistei's on feet. 
 Blisters under feet at night, discharging a light-yellow 
 fetid water. Dark-brown color of body. Blisters spread- 
 ing. Cancer of nose, lips, and mouth. Discharges brown- 
 ish, blood-streaked, copious, corrosive, salty, tenacious, 
 yellowish, watery, fetid, purulent. Eruptions ; fine like 
 sand, in bends of knees ; flat ; red, granular, copper col- 
 ored ; whitish ; with sanguineous edges ; in pimples, blis- 
 ters, and vesicles ; suppurating on scalp ; about lips and 
 mouth ; too early or suddenly appearing ; on hands, be- 
 coming pale or livid, or is mixed with petechia, scaling 
 off; red and scorbutic, colorless on neck, shoulders, and 
 sides. Eczema on face, genitals, and legs, and back of left 
 hand. Erysipelas, gangrenous, inflamed, and vesicular. 
 Face bloated. Gangrenous spots, and gangrene of the 
 sexual parts. Induration and thickening of soles of feet. 
 Inflammation of sexual parts. Inguinal and submaxil- 
 lary glands affected. Pimples ; small, on forehead and 
 under jaw ; acuminated ; whitish ; filled with watery fluid ; 
 on abdomen and hands and between fingers, like millet- 
 seed, with white tips oh hands, feet, and scalp. Pustules ; 
 red (changing to ichorous, crusty, burning, spreading, 
 ulcers), on scalp and in whiskers ; sink in and areola be- 
 comes livid, in small-pox. Petechia-like spots, moist 
 after scratching. Black pox on arms. Skin cold and 
 blue, dry and parchment-like, peels off* in large scales like 
 fish-scales, of pale earthy color. Spots and ulcers as if 
 burnt. Brown spots on head, and streaks or ridges on 
 
 19 
 
282 DISEASES OF THE SKIN. 
 
 thighs. Scurfs and crusts on scalp and face. Red spots 
 on feet ; yellow spots on chest ; blue spots on whites of 
 eyes, abdomen, and genitals. Inflammatory swelling of 
 face, feet, and body ; of right side of body and hip, and 
 of left lower limb. Dark-red hot swellings. Elastic 
 swellings. White spots. Scabies, inveterate, pustular in 
 bend of knees. Suppressed swelling of the arms. Ten- 
 derness and pain in bones. Painful tubercle on right arm. 
 Lips black and blue. Ulcers, with red shining areola and 
 a blue-black or greasy ash-colored base ; with thin bloody 
 pus ; with high edges ; with fetid ichor and proud-flesh 
 turning blue and green; with thin scurf; with inflamed 
 edges; wart-shaped; on lower extremities, feet, and heels; 
 on feet, bleeding ; on scalp ; on hands ; turning black on 
 bottom ; bleeding on edges ; flat ; hard ; with hard spongy 
 edges, exuding bloody pus. Varices about anus. 
 
 Subjective. Aching, pressing in glands. Boring pain 
 in blisters and in inflammatory swellings. Burning in 
 herpes, spots on feet and pimples in margins of ulcers, 
 and of skin on arms and lower limbs. Burning sensation 
 from contact of the discharges. Itching in pimples, edges 
 of ulcers, on scalp and occiput. Itching creeping on 
 thighs, limbs, and buttocks. Pricking in edges of ulcers 
 and in tetters. Smarting of colorless eruption (on neck, 
 shoulders, and sides). Painfulness of skin, stinging in 
 eruptions, and in varices about anus. Violent tearing 
 pains in edges of ulcers when exposed to cold. Soreness 
 as if excoriated in anal region. Edges of ulcers are sen- 
 sitive. 
 
 Aggravation, After midnight (1 to 3 a.m.). In the 
 evening. Periodically before falling asleep. On waking. 
 While lying down on the painful side. After drinking. 
 After lying down and having risen. After moving. 
 From exertion. During catarrh and putrid fever. In 
 children. In glandular aftections. In cold air (ulcers). 
 During contact. From poison of glanders. From cold 
 
REMEDIES. 283 
 
 food, and from wine. From running. During the first 
 hours of sleep. After the use of quinine and iodine. 
 Complaints from scalds. 
 
 Amelioration. On getting warm in bed. From warm 
 applications. From lying with the head high. 
 
 Accompaniments. Anguish (from burning itching) which 
 drives him about. Aphthae in mouth and fauces. Chills 
 and fever. Crying for cold water. Cold hands. Cold 
 sweat. Colic. Distended abdomen and offensive diar- 
 rhoea. Excessive debility. Great despondency. Dysp- 
 noea. Desire for liquor. Eyelids weak and swollen. 
 Epistaxis. Gums bleed readily, and there is a fetid odor 
 from the mouth. Internal heat and external coldness. 
 Immobility and stiffness of knees and feet. Palpitation 
 of heart. Great restlessness. Malignant sore throat. 
 Violent thirst, patient drinks little at a time, very fre- 
 quently. Small quick pulse. 
 
 Arsenicum hydrarg. 
 
 Objective. Dark-brown color of body. Whitening of 
 hair on deadened parts. Vesicles on glands and prepuce, 
 leaving round flat ulcers after breaking. 
 
 Arsenicum iodidum. 
 
 Objective. Chronic, obstinate, scaly eruptions on scalp. 
 Dry scaly eruption. Erythema. Cancerous diseases. Im- 
 petigo. Lepra. Psoriasis versicolor. Pityriasis. Tinea 
 furfuraceous. 
 
 Subjective. Burning heat in lumbar region, as if clothes 
 were on fire. Burning-itching, and formication in erup- 
 tions. Chilliness of left thigh followed by formication 
 and weight in left foot. Clothes feel cold when extend- 
 ing the left limb ; formication and weight extending to 
 right foot, relieved somewhat by walking. Formication 
 on both ankles and on exterior border of left foot, followed 
 
284 DISEASES OF THE SKIN. 
 
 by burning in tbe instep. Itching, especially on the back. 
 Itching of back of left hand, followed by stinging itching 
 of back of right hand. 
 
 Arum triphyllum. 
 
 Objective. Eruption like scarlatina, followed by desqua- 
 mation. Dry feverish heat of skin. Face swollen and 
 red. Lips and corners of mouth swollen, sore, cracked, 
 and bleeding. 
 
 Subjective. Itching, with desquamation, following a 
 scarlet rash. 
 
 Accompaniments. Child picks at lips, cheeks, and chin 
 until raw (in scarlatina). Submaxillary glands swollen. 
 l^ose stopped, with or without profuse yellow discharge. 
 Putrid sore throat. Red tongue with elevated papillse. 
 Urine pale and profuse. 
 
 Asafcetida. 
 
 Objective. Adenitis. Dark-red, hot swellings. Cold 
 swellings. Adhesion of the skin in caries. Suppurating 
 abscesses. Arthritic swelling. Curvature, interstitial 
 distension, and softening, and caries of bones. Copious 
 discharges. Eruption flat. Scrofulosis. Cold gangrene 
 and suppuration of injuries. Ulcers, with thin, fetid, 
 ichorous, bloody, serous pus ; with bluish, raised, hard 
 edges. Ulcers ; aflfecting bones ; deep ; flat ; fistulous. 
 Bright red, raw appearance of wounds, covered with a 
 crust of tenacious lymph. 
 
 Subjective. Darting jerking in glands and ulcers. 
 Pricking, darting pain in the edges of ulcers. Quivering 
 in skin. Tenderness, jerking pain, scraping, and darting 
 in bones. 
 
 Aggravation. After mercury. During contact. 
 
 Amelioration. From touching and scratching. 
 
» 
 
 REMEDIES. 285 
 
 Asarum Europaeum. 
 
 Objective, Discharges of bloody and slimy raucus (from 
 ulcers). 
 
 Aggravation. In cold air. During dry weather. In 
 the evening. 
 
 Amelioration. From washing or wetting affected parts. 
 In damp weather. 
 
 ♦ • • 
 
 Asclepias syriaca. 
 
 Accompaniments. Dropsy following scarlatina (in con- 
 sequence of nephritis). 
 
 Asclepias tuberosa* 
 
 Objective. Hot, moist skin. Scrofulosis. Syphilis. 
 Vesicles. Pimples and pustules all over body, especially 
 on arms, legs, and face. 
 
 Subjective. Itching of thighs and nates, but no eruption. 
 
 Accompaniments. Dry, hard cough, worse at night and 
 in the morning ; sputa frothy or yellow. Soreness in 
 lower part of chest ; respiratory murmur and dulness in 
 right lung. Chills towards noon. Fever in afternoon. 
 Mght-sweats and emaciation (in scrofulosis). 
 
 Aurum foliatum. 
 
 Nosological. Arthritic nodes. Adenitis syphilitica. 
 Herpes prseputialis et vulvaris. Ehagades. Scrofulosis. 
 Syphilis. Ulcers. Tetters. 
 
 Objective. Large and small blotches of a dingy yellow 
 color, on legs and calves. Blotches on leg below knee, 
 changing to thick hard nodosities when rubbed. Dry 
 crusts. Scaly eruption on face. Inguinal glands affected. 
 Inflammation of nose. iTails blue. Pustules on face, 
 neck, and chest. Bony swellings on scalp, arms, and legs. 
 Swellings of face and cheeks. Dry scurfs. Swelling and 
 
286 DISEASES OF THE SKIN. 
 
 caries of hones of ear, nose, face, and mouth. Ulcers ; 
 cancerous and syphilitic ; fistulous ; deep ; hluish. 
 
 Subjective. Aching pressing in glands. Burning in 
 blotches and blisters. Cramplike feeling in bones. For- 
 mication all over body. Itching, burning, shooting like 
 rays. Laming mercurial pains in bones. Pains in bones, 
 especially of head. Soreness as if excoriated in eruption. 
 Tenderness, pain, pressure, and tearing in bones. 
 
 Aggravation. Iri the morning. In winter. From cold. 
 In the open air. While lying down ; after lying down 
 and having risen. When blowing the nose. From mer- 
 cury. 
 
 Amelioration. From moving, getting warm, when walk- 
 ing, and by warmth. 
 
 Aurum muriaticum. 
 
 Objective. Boils on nates and thighs. Condylomata on 
 prepuce and at anus. Dry crusts. Herpetic exanthema 
 speedily forming a scurf. Inflammation of nose. Purple 
 redness of skin. Dry scurfs. Swelling on wrist-joints 
 (ganglion). Flat ulcers on scrotum. 
 
 Subjective. Intolerable itching in herpes. Stitches in 
 ganglion on wrist when grasping anything. Tension in 
 ganglion on wrist when bending hand backward. 
 
 Badiaga. 
 
 Objective. Adenitis. Bruised spots from falls or blows. 
 Buboes. Chilblains. Scrofulosis. Syphilis. Tetters on 
 forehead. 
 
 Subjective. Itching on scalp. Skin sore to touch. 
 
 Balsamum Peru. 
 
 Objective. Cracks in nipples, fingers, and hands. Indo- 
 lent ulcers. 
 
REMEDIES, . 287 
 
 Baptisia. 
 
 Objective. Small-pox ; confluent tardy eruption. 
 
 Baryta carbonica. 
 
 Objective. Adenitis. Cystic tumors. Panaritia. Moist 
 crusts on scalp. Excoriation and oozing. Dry exanthe- 
 mata. Falling ofl:' of hair on vertex. Skin of hands dry 
 and rough. Swelling and induration of glands. Warts. 
 
 Subjective. Burning itching. Burning stitches in corns. 
 Itching here and there, with pain after scratching. Prick- 
 ing over whole body. Tingling and burning pricking not 
 relieved by scratching. Pricking as from burning needles. 
 Tension in skin. 
 
 Aggravation. While sitting. While lying on the pain- 
 ful side and on the left side. On thinking of his disease. 
 In aged, dwarfish people and scrofulous children. From 
 outward pressure. 
 
 Accompaniments. Dropsy after scarlet fever. Emacia- 
 tion. Putrid breath. Swelling of the parotids, tonsils, 
 and submaxillary glands ; with much saliva or dryness in 
 the throat ; with pressing, stinging pain on swallowing. 
 Pale swelling of throat. 
 
 Baryta muriatica. 
 
 Objective. Adenitis ; neck and abdomen particularly 
 aflected. Yellowish scaly eruptions. Itch-like pimples^ 
 on head, nape of neck, abdomen, and thighs. Tetters. 
 Fetid, ichorous ulcers in inguinal region. 
 
 Subjective. Biting in skin. Burning biting in excori- 
 ated parts. 
 
 Aggravation. After scarlet fever. 
 
 Accompaniments. General dropsy after scarlet fever. 
 
288 DISEASES OF THE SKIN. 
 
 Belladonna. 
 
 Nosological, Adenitis. Acne disseminata et punctata. 
 Anthrax. Boils. Bites of insects. Chilblains. Cancer- 
 ous aiFections. Erysipelas. Papulous erythema. Eczema. 
 Gangrene. Herpes labialis, facialis, et phlyctsenoides. 
 Glandular inflammations and indurations. Impetigo. 
 Measles. E'ettlerash. I^sevi materni. Phlebitis. Pem- 
 phigus. Scrofulosis. Sycosis labialis. Scarlet fever. 
 Ulcers. Varioloides. Varicellee agnosse et conoides. 
 Warts. 
 
 Objective. Bleeding and soreness ,of bends of joints. 
 Boils on shoulder. Cold blotches and swellings. Blis- 
 ters on sternum containing water; on fingers with inflam- 
 mation ; from burns, with white margins ; with black scurf 
 and oedema of the parts. Cold and hot gangrene. Dry- 
 ness and desquamation of the skin. Eruption like measles. 
 Eed scaly eruption on lower part of body as far as the 
 abdomen. Eczema on face. Exanthema, flat, smooth, 
 and red. Heat of skill with moisture. Hot swellings. 
 Inflammation of skin and of glands. Indurations follow- 
 ing inflammation. Large red pimples on back and scap- 
 ulae, and redness of all the skin. Dark-red pimple on left 
 arm. Scattered pimples on left breast. Pustule close to 
 nail of right index-flnger, discharging matter. Pustules 
 on arm and nape of neck covered with a crust. Red radii 
 extending from a centre (in naevi materni). Redness and 
 swelling of whole skin. Red, hot, shining swellings. Small 
 dark-red spots of diflferent sizes on chest and thighs. Red 
 spots on backs of both hands. Red spots like fleabites, 
 or bloody spots like petechise, on chest, abdomen, face, 
 and neck. Scarlet-red spots and scarlet redness on face, 
 neck, hands, chest, and abdomen, with hot swelling of the 
 parts. Soft, painless tumor on glans penis. Scrofulous 
 and mercurial ulcers. Ulcers with a black bloody crust, 
 v^ith bloody ichor, hard, and swollen. Watery vesicles 
 
REMEDIES, 289 
 
 on palms of Lands and on tibia, so painful that he would 
 like to scream. , 
 
 Subjective. Burning in skin, in ulcers, when touched, 
 and at night. Boring in glands. Creeping, crawling 
 itching. Cutting, dragging pain in ulcers. Painfulness 
 and pricking in glands. Pricking, darting, biting in skin. 
 Soreness about ulcers and in heads of joints. Painfulness 
 of skin to touch. Fine stinging in tips of pimples. Ting- 
 ling itching. Biting itching. 
 
 Aggravation. In the afternoon, evening, and after mid- 
 night. During profuse menstruation, pregnancy, and con- 
 finement. From sun-burning and in the sunshine. From 
 drinking, perspiring, and suppressed perspiration. After 
 touching and rubbing the parts. From a draught of air, 
 and after having hair cut, and taking cold, on moving 
 and walking in wind. During sleep. After scarlet fever. 
 In children. 
 
 Amelioration. While lying with head high. While 
 standing. While lying down. 
 
 Accompaniments. Asthma. Violent, hollow, barking, 
 croupy cough ; in paroxysms causing redness of face, 
 moaning, and drowsiness. Convulsions, Delirium on 
 closing eyes, with increased memory power. Drowsiness, 
 with inability to sleep. Diphtheritic sore throat. Epis- 
 taxis. Head bent backward. Jerking and starting of 
 limbs. Lips dry and parched. Lameness of the affected 
 parts. Metastasis to brain in small-pox. Involuntary 
 moving of hands to head. Mortification. Quick, small, 
 soft pulse. Dilated pupils and eyes injected. Scalp 
 tender to touch. Difficulty in swallowing. Starts in 
 sleep. Constant drowsy sleep. Thick white-coated 
 tongue. IlTausea and vomiting. 
 
 Bellis perennis. 
 
 Objective. Boils on neck and all over. Bruises, with 
 extravasated blood. Whitlows. 
 
290 DISEASES OF THE SKIN. 
 
 Berberis vulgaris. 
 
 Objective. Blotches like nettlerash on upper arm. Scal- 
 ing off. Formation of a crust about the anus. Small, 
 flat, semi4ransparent pimples or rudimentary warts on 
 fingers. Bright-red inflamed pimples on cheeks and lips, 
 ulcerated in centre ; single pimples on scalp and face, most 
 numerous on occiput, forehead, and temples ; clusters of 
 red pimples with red areola and small tips, containing 
 pus, changing to brown spots. Petechise, small, dingy, 
 and red, with spots on forearm and backs of hands. 
 Dingy red, bluish spot on inner side of lower lip. Dark- 
 red spot on cheek, preceded by a chilly feeling there, grad- 
 ually spreading over whole face. Pea-shaped vesicles on 
 lower lip. 
 
 Subjective. Biting gnawing on scalp and face. Burn- 
 ing pricking along the edge of hair on head. Burning 
 itching, with stitches and a sensation of warmth, passing 
 off after scratching, and reappearing in another place ; on 
 face, ears, and lips. Chilly feeling on cheek. Itching, 
 burning itching. Stinging. Gnawing. Soreness, with 
 burning, and pain to touch of skin about arms when sit- 
 ting. 
 
 Aggravation, After rubbing. 
 
 Borax. 
 
 Objective. Eczema on scalp and face. Erysipelatous in- 
 flammation. Intertrigo of infants between thighs. Skin 
 difficult to heal ; every injury tends to suppuration. Pus- 
 tules with red areola on middle finger of right hand, with 
 swelling and stiffness of finger, suppurating for a long 
 time. Dark-blue spot at orifice of urethra, as if excori- 
 ated. Ulcers in the axillse. 
 
 Aggravation. After menstruation. 
 
 Accompaniments. Chills, with thirst. Acrid diarrhoea. 
 Dreams of falling; dread of downward motion. Child 
 
REMEDIES. 291 
 
 cries and starts screaming from sleep while being laid 
 down in the cradle. Epistaxis. Uneasy sleep. Throb- 
 bing headache in temples. Vomiting of food and of bile. 
 
 (Lycoperdon) Bovista. 
 
 Objective. Moist, scurfy herpes, like red pimples. Hard, 
 red, lentil-sized pimples on chest. Red pimples on foot. 
 "Whitish pimples with red areola on chest. Red, hard, 
 suppurating tubercle on penis. 
 
 Subjective. Itching and burning. 
 
 Aggravation. In the evening. 
 
 Bromine. 
 
 Objective. Boils on arm and in face. Cystic Tumors. 
 Eczema capitis, with profuse oozing of a dirty, nasty- 
 smelling discharge ; scalp covered as with a cap. Goitre. 
 Scrofulosis, particularly swelling. 
 
 Subjective. Scalp tender. 
 
 Aggravation. In the evening, before midnight. In the 
 warm room. At rest. 
 
 Accompaniments. Discharge from ears. Flatulence. 
 Glands of neck swollen. Mouth dry and parched. E'er- 
 vousness, with forcing pain in temples and nape of neck, 
 preventing stooping. High-colored urine. 
 
 Bryonia. 
 
 Nosological. Acne punctata. Arthritic nodes. Chil- 
 blains. Erysipelas of joints. Eczema. Herpes furfura- 
 ceus. Lichen. White and red miliaria, i^ettlerash. 
 Prurigo mitis. Purpura h8emorrhagica. Petechise. Sca- 
 bies. 
 
 Objective. Eczema in bends of extremities, eruption 
 slowly coming forth ; eruption all over, especially on back. 
 Dry, burning heat of skin. Ichor from ulcer, staining 
 linen black. Pimple between thumb and index-finger. 
 
292 DISEASES OF THE SKIN. 
 
 Small, red, elevated pimples brought oat by scratching. 
 Pimples on abdomen and hips. Pustules below knees and 
 on the labia majora, with swelling of the parts. Rash, 
 of lying-in women, and in infants ; on glans penis ; on 
 arms, chest, and above knees, red in the evening and re- 
 cedes after getting warm in bed. Red rash on forearm 
 and at nape of neck. Hard, inflamed, pale, shining swell- 
 ings. Scabies ; itch-like eruption on inner side of wrist- 
 joint, in bend of elbow, on olecranon, on knee, and in 
 bend of knee. Sometimes dry and red. Red spots on 
 side of neck. Small, round, red spots on arms and feet. 
 Hard tubercles here and there. Vesicles which burst and 
 scale off. Yellow color of skin. 
 
 Subjective. Aching, soreness, and burning stinging (in 
 corns), relieved by pressure. A sore, painless spot burns 
 violently. Burning and burning-itching. Coldness and 
 pain in ulcers. Griping and itching about legs, knees, 
 and thighs. Gnawing-itching pain. Itching and smart- 
 ing, violent itching. Pricking, darting pains (in corns). 
 Prickings all over. Painfulness of skin, as if flesh were 
 loose. Stinging pains when touched, and during motion. 
 Soreness after scratching. Smarting (in ulcers). Stitches 
 in affected parts. Tearing drawing pains. Throbbing 
 like stitches in scurf. 
 
 Aggravation, In the evening. In dry and warm wea- 
 ther. During the first hours of sleep. During motion 
 (exertion of body, getting heated, walking or running), 
 or while mounting an eminence. After scratching, and 
 by touch. On bending downward. During sweat, and 
 from suppressed catarrh and sweat. After taking cold. 
 After suppression of an eruption. From eating cabbage, 
 sour krout, and warm food. From thinking of his symp- 
 toms. 
 
 Amelioration. From eating cold things. After getting 
 warm in bed. "While lying down in bed on back. While 
 reposing and sitting. 
 
REMEDIES. 293 
 
 Accompaniments. Dry painful cough. Constipation ; 
 dry, hard stool, as if burnt. Dry feeling in mouth with- 
 out thirst, or great thirst ; bitter taste in mouth ; dysp- 
 noea. Inflammatory affections of chest. Dropsical symp- 
 toms. Fever and rheumatic pains, worse upon motion. 
 Meningitis. [N'ausea on sitting up. White or yellowish 
 coated tongue. 
 
 Bufo. 
 
 Objective, Carbuncles. Erysipelas. Panaritium. Ulcers. 
 Subjective. Burning pain in ulcers. 
 
 Caladium. 
 
 Objective. Eczema on the genitals. Hard, light-red 
 pimples on the inner side of the forearm and chest. White, 
 suppurating pimples surrounded by a red areola. Rash. 
 
 Subjective. Corrosive burning. Itching and burning. 
 Soreness (of pimples) to touch. 
 
 Aggravation. At night and in the evening. 
 
 Amelioration. From perspiration. After sleep. 
 
 Accompaniynents. Violent oppression of the chest fol- 
 lowing the disappearance of the pimples. 
 
 Calcarea aceticum. 
 
 Objective. Erysipelas, with swelling of the cheek. Pim- 
 ple on the cheek, moist when scratched, leaving a yellow 
 crust. Inflamed swelling below the knees. Yellow color 
 of the skin. 
 
 Calcarea carbonica. 
 
 Nosological. Adenitis. Boils. Corns. Dandruff". En- 
 cysted tumors. Ecthyma. Eczema. Erysipelas. Freck- 
 les. Herpes. Leprosy. Measles, i^ettlerash. Kaevi 
 materni. Psoriasis. Prurigo. Pemphigus. Panaris. 
 Rhagades. Steatoma. Scald head. Scarlatina. Warts. 
 Ulcers. 
 
294 DISEASES OF THE SKIN. 
 
 Objective. Boils on the forehead where the hair begins ; 
 on the back joint of the ring finger ; on the back of the 
 left hand. Blisters on the left heel changing to boils. 
 Eed band on tibia composed of rashlike risings. Dandruff 
 accumulating evenly over the scalp, which is smooth and 
 seems to be thickened. Erysipelas in the face. Encysted 
 tumors, which are renewed and suppurate every month. 
 Eczema, thick, moist (or dry) crust on the face, legs, and 
 bends of the extremities ; thin, moist porrigo on scalp. 
 Eruptions, vesicular all over, inflamed, grape-shaped around 
 the anus, tardy, rashlike, chronic, white, elevated, hard 
 nettlerash. JS^aevimaterni of arterial capillaries. Pimples 
 under whiskers, on small of back and nates, on chest, fore- 
 head, and about mouth and lips, whose angles are ulcer- 
 ated. Pustules on the back. Rhagades of people who 
 work in water. Scald head, thick scabs with yellow pus 
 beneath, or in the form of a ringworm. Skin dry, un- 
 healthy, and easily suppurates. Lenticular, red, raised 
 spots. Large, dark spots, without swelling, on the legs. 
 Tubercle at the border of the labia. Ulcers on the legs, 
 on the cheek, fistulous, carious, with redness, swelling, and 
 hardness of the surrounding parts. 
 
 Subjective. Stinging-burning. Itching, with heat. Lan- 
 cinating. Pricking. Stinging-smarting. 
 
 Aggravation. In the morning and evening. In wet 
 weather. In cold air. On waking. After washing. 
 When rubbed (?). In plump, fat children. During den- 
 tition. Before the menses. From suppressed perspira- 
 tion. In stonecutters. In people who work in the water. 
 From drinking milk. From wet poultices. 
 
 Amelioration. In rising dry weather. Idi the fresh air. 
 From rubbing, scratching, and being touched. After lying 
 down. 
 
 Accompaniments. Aphthae on tonsils and roof of mouth. 
 Anorexia and much thirst. Longing for boiled eggs. 
 Sore throat. ITose sore and obstructed. Glands of the 
 
REMEDIES. 295 
 
 neck swollen. Infant very uneasy. Stools have a chalky 
 appearance. Scrofulous diathesis, child pale and languid. 
 
 Calcarea caustica. 
 
 Objective. Brown-red spots (scattered or clustered), of 
 the size of a dime, on the anterior part of the leg, with 
 swelling of the skin and pimples. Vesicles filled with 
 lymph, and surrounded by a red areola. 
 
 Subjective. Burning. Violent itching and stinging on 
 the neck, back, and chest. 
 
 Calcarea phosphorata. 
 
 Objective. Acne rosacea ; red vesicles filled with yellow 
 lymph. Carious ulcers. 
 
 Subjective. Burning. Itching. Formication. 
 
 Camphora. 
 
 Objective. Erysipelas in the face. Erythema from ex- 
 posure to the rays of the sun. Face pale. Large pimple 
 on the buttock. Pustules suddenly dry up and the swell- 
 ing sinks in (in small-pox). Skin cold, bluish or purple, 
 pale, and withered. 
 
 Subjective. Burning pain when touched. Aching in 
 the skin. Violent itching. 
 
 Aggravation. In the evening in bed. From cold and 
 cold air. 
 
 Amelioration. From warmth (water), and being in the 
 warm air. 
 
 Accompaniments. Child refuses to be covered. Limbs 
 cold and purple. Breath, forehead, and perspiration hot. 
 Rattling in the throat. Utter prostration and spasmodic 
 stifl:hess of the body. Painful and difficult micturition 
 (seq.). 
 
 Cannabis sativa. 
 
 Objective. Acne rosacea ; large nodosity surrounded by 
 
296 DISEASES OF THE SKIN. 
 
 red swelling on nose. Pimples on the nates and thighs. 
 Bright red spots on the prepuce. Small white vesicles on 
 the thighs, with large red smooth edges, leaving brown- 
 red spots. 
 
 Subjective. Burning like fire. 
 
 Aggravation. In the forenoon. 
 
 Cantharis. 
 
 Objective. Carbuncles. Erythema from exposure to the 
 rays of the sun. Eczema. Fissure and exfoliation of 
 lips. Gangrene of external parts. Pimples on backs of 
 hands, or between thumbs and under fingers, surrounded 
 by a red areola on sternum. Petechise. Ecthymatous 
 pustules. Pemphigus. Erysipelatous inflammation of 
 skin, with exudation of serous liquid, raising the epider- 
 mis like a blister. Yellow spots above the umbilicus. 
 Red stigmata on thumb, as if pimples would form. Ulcers 
 with increased suppuration. Vesicles between chin and 
 lips, on forehead and cheek, and on palm of hand. 
 
 Subjective. Biting. Burning (in pimples) when touched ; 
 and a titillating pain after dinner, as if the parts were 
 raw. Itching and lacerating (in ulcers), and acute draw- 
 ing. Pricking. Stinging. Tearing. Ulcerative pain 
 when touched. 
 
 Aggravation. After dinner. Every seven days. In 
 changeable weather. When touched. After exanthe- 
 mata. 
 
 Amelioration. From rubbing. 
 
 Accompaniments. Hands and feet cold. Stinging, smart- 
 ing during micturition, and yellow urine. 
 
 Capsicum annuum. 
 
 Objective. Fissures and ulcerations in the lips. Corrod- 
 ing herpes on the forehead. Measles. Red spots or points 
 on the face. 
 
 Subjective. Creeping here and there as from a fly. Cor- 
 
REMEDIES. 297 
 
 rosive itching. Stinging-burning itching. Gnawing-burn- 
 ing itching, as from vermin in the scalp. 
 
 Aggravation. In the evening. In children. From 
 changing the position and scratching. 
 
 A melioration. From continued motion (walking). 
 
 Accompaniments. Urgent brain symptoms. Restless- 
 ness. 
 
 Carbo animalis. 
 
 Objective. Adenitis ; hard swelling. Boils on the arms. 
 Corns. Chilblains. Erysipelas of the face. Copper-col- 
 ored eruption on the face. Pimples on the face. Hard, 
 elevated ridge near the wrist around the arm. Red or 
 rose-colored spots on the cheeks. Yellowness of the face. 
 Vesicles on the lips, which are chapped and bleeding. 
 
 Subjective. Burning pain. Itching. Stitches. 
 
 Aggravation. In the forenoon, and evening in bed. 
 
 Carbo vegetabilis. 
 
 Nosological. Adenitis. Boils. Carbuncles. Chilblains. 
 Eczema. Herpes. Intertrigo. Moles, i^sevi materni. 
 Kettle-rash. Prurigo. Scald head. Ulcers. Scabies. 
 
 Objective. Adenitis ; glandular and lymphatic swellings, 
 suppurations, and indurations. Boil on the upper arm, 
 with pimples all around it ; before the ear, and under the 
 jaw. Blotches on calves of the legs. Pine blotches like 
 dry itch. Large red blotch, with a black pimple in the 
 centre, close to the rectum. Blotches on the wrists and 
 feet. Carbuncles, dark, blackish, and of a fetid odor. 
 Eczema on the legs. Fine eruption on the hands. Herpes, 
 moist, on chin and at commissures of lips. Intertrigo, 
 much rawness of parts opposed. Lips cracked, blistered, 
 and ulcerated. Reddish-brown moles, i^eevi materni ; 
 brigl it-red, round, flat aneurisms by anastomosis (venous 
 capillaries), bleeding profusely when irritated or wounded. 
 Pimples on the nape of the neck. White pimples on the 
 
 20 
 
298 DISEASES OF THE SKIN. 
 
 backs of the hands turning red after scratching. Red 
 pimples on the face in young persons. Scabies ; eruption 
 dry and fine (or humid) all over, but worse on the ex- 
 tremities. Single, scattered, red spots on the neck. Red 
 sore spots about the pudendum, looking like little ulcers. 
 Ulcers discharging pus of a cadaverous odor. A healed 
 ulcer breaks open and discharges corrosive bloody lymph. 
 Varices Vesicles on the knees. 
 
 Subjective. Burning pain. Itching changed to burning 
 by scratching. Itching and soreness in the axillae. Pres- 
 sure and tension around ulcers. Tingling. 
 
 Aggravation. In the morning. In wet weather. In 
 very warm weather. From wrapping up. From cold (?). 
 From scratchino;. After undressino;. After mercurial 
 salves. From abuse of Peruvian bark. From eating 
 butter and pork. 
 
 Accompaniments. Breath, extremities, and perspiration 
 cold. Dyspepsia, belching wind and passing flatus. Pu- 
 trid sore throat, sloughing away of the smaller parts of 
 the fauces. Rattling in the throat. Utter prostration. 
 Persistent hoarseness. 
 
 Carbolic acid. 
 
 Objective. Acne. Carbuncles. Cancerous afl:ections. 
 Eruption, vesicular, all over. Eczema. Pustular erup- 
 tion. Impetigo. Lupus. Leprosy. Psoriasis inveterata. 
 Prurigo. Pityriasis. Pediculi. Scabies. Scarlatina ma- 
 ligna. Confluent small-pox. Indolent irritable ulcers 
 with unhealthy granulations and fetid pus. 
 
 Subjective. Itching of various parts. 
 
 Carburetum sulphuris. 
 
 Objective. Burns and scalds. Herpes exedens ; tetter- 
 like eruption, produced by scratching with the finger- 
 nails, spreads, and is covered by yellowish-brown scabs. 
 
REMEDIES. 
 
 299 
 
 Herpes pblyctsenoides covering the dorsum of the left 
 hand ; vesicles on a red, swollen, painful basis ; mostly 
 separated from each other ; contain an opaque yellowish 
 fluid, which discharges and forms thick yellow scabs. 
 Subjective. Itching. 
 
 Causticum. 
 
 Objective. Burns. Blisters on the feet after rubbing. 
 Dry eruption, size of a pin's head, with hollow tips, leav- 
 ing red spots when scratched open, on the forehead, arms, 
 and abdomen. Encysted tumors. Felons. Herpes on 
 the ring finger and the nates ; humid at the nape of the 
 neck. [N^odosities under the skin. E^ettle-rash. Pimples 
 here and there on the face ; pimple changed to a wart. 
 Pemphigus. Rash on the thighs. Scarlet fever. Sca- 
 bies. Ulcer on the lips. Large vesicles on the chest and 
 back. Varices. Warts. Yellow color of the face and 
 the warts upon it. 
 
 Subjective. Burning after scratching. Formication. 
 Gnawing itching. 
 
 Aggravation. In the evening. During diVj weather. 
 From cold. During perspiration. On waking. After 
 Sulphur and Mercury. 
 
 Amelioration. During wet weather. From being in 
 warm air. From cold w^ater (?). 
 
 Accompaniments. Involuntary micturition when sneez- 
 ing, coughing, or walking. Sensitiveness to cold air, 
 Orthopnoea with chill, heat, and sweat. 
 
 Objective. 
 
 Cerasus Virginiana, 
 
 Ulcers and scrofula. 
 
 Ghamomilla. 
 
 Objective. Erysipelas in the face. Excoriation of chil- 
 
 Lips excoriated, 
 
 dren and infants between 
 
 thisrhs. 
 
300 DISEASES OF THE SKIN. 
 
 cracked, and ulcerated. Miliary eruption on the cheeks. 
 Pustulous pimples on the face. Pimples about an ulcer, 
 with scurf and suppuration. Thick clusters of red pim- 
 ples on red spots on the skin in the lumbar region, and 
 on the side of the abdomen. Pash of infants and lying- 
 in women. Ped rash on cheeks and forehead. Small 
 red spots on the skin, covered with rash-pimples. Ped- 
 ness and swelling of ulcers. Skin yellow and unhealthy ; 
 small injuries suppurate. Ulcers. 
 
 Subjective. Burning. Creeping and sensitiveness to 
 touch. Bruising pain and smarting. Itching. Lanci- 
 nating and darting in ulcers. Stinging pain, leaving 
 soreness after scratching. Smarting. Shuddering all 
 over. 
 
 Aggravation. In the evening and night. In children ; 
 when the child has been kept too warm. After taking 
 cold. After scarlet fever. During the menstrual flow. 
 During pregnancy. During perspiration, and after sup- 
 pressed perspiration. 
 
 Amelioration. From warmth. After perspiring. 
 
 Accompaniments. Painful, acrid, watery diarrhoea. 
 Child fretful, and must be carried up and down to be 
 relieved. 
 
 Chelidonmm. 
 
 Objective. Elevated exanthema on the face. Eruption 
 on face like miliary rash, measles, and herpes. Pimples, 
 pustules, and vesicles on the face. Spots above the tendo 
 Achillis. Ped round spots on the forearm. Skin yellow 
 all over. Old putrid spreading ulcers. 
 
 Subjective. Burning pain and stinging. Skin feels cool. 
 
 Aggravation. In the morning. From motion. 
 
 China or Cinchona. 
 
 Objective. Bleeding after scratching. Boils on the 
 chest. Erysipelatous swelling of the whole body. Humid 
 
REMEDIES. . 301 
 
 gangrene. ITettle-rash coming out after scratching. 
 Pimples on the loins, arms, and chest. Pemphigus. Skin 
 placid and dry. Hard dark-red swelling on the calf of 
 the leg, terminating by suppuration. Arthritic and 
 rheumatic hard red swellings. Ulcers with fetid ichor. 
 
 Subjective. Biting itching. Beating in ulcers. Burn- 
 ing and pressure. Boring. Itching. Pulling and titil- 
 lation. Stinging itching in wounds. Painful sensitive- 
 ness of the skin, even of the palms of the hands. 
 
 Aggravation. At night. Periodically. In wet wea- 
 ther. In the heat of the bed. From washing. After 
 scratching. After suppressed perspiration. Prom drink- 
 ing milk. 
 
 'Accomyaniments. Anasarca. Threatened anaemia, with 
 diarrhoea or lienteria. Swelling of the limbs. 
 
 Chininum sulphuricum. 
 
 Objective. Cancerous ulcers. Thick, livid, humid crust, 
 which becomes dry and black, with red, humid, and 
 finally yellowish dilated margins. Erysipelas gangrenosa. 
 Gangrenous mortifications. Inflammation of the skin. 
 Deadness and livid redness of the skin, with the forma- 
 tion of a gelatinous pseudo-membrane or thin superficial 
 scurf. Fetid suppurations. Skin placid and sensitive to 
 the touch. An ichorous ulcer changes to one secreting 
 mucus. 
 
 Subjective. Sensitiveness and tightness of the scalp, 
 and soreness of the roots of the hair. 
 
 Chloral hydrate. 
 
 Objective. A purple discolored band two inches wide 
 along each side of the vertebral column. General des- 
 quamation in round patches like blisters, from which serum 
 had been absorbed, leaving the skin beneath of a purple 
 (and in some places yellow) color ; arms red and speckled 
 
 h 
 
302 . DISEASES OF THE SKIN. 
 
 with shreds of white dead epidermis partially separated 
 from the subjacent cutis. Bright-red or bluish erythema 
 over the whole body, permanent under pressure, mot- 
 tled with livid patches and deep red spots. Erysipelas. 
 Herpes circinnatus. ]^ettle-rash. Purpura hsemorrhagica. 
 Amass of minute points or stigmata upon the red surface 
 of the left arm, of a much deeper red, permanent under 
 pressure. Pruritus of the whole skin and of the mucous 
 surfaces of the upper outlets of the body. Scarlatina. 
 Large greenish spots at the base of the spine. 
 
 Subjective. Sensation as if a hair were on the nose or 
 cheeks, compelling scratching, when it shifts to another 
 place. 
 
 Accompaniments. Lips, mouth, and fauces red and ra'w, 
 gums spongy, and tongue blistered and ulcerated. Lips 
 covered with sordes and dried blood. Left arm swollen 
 and indurated. Pulmonary congestion. Great prostra- 
 tion, tendency to somnolence, weak, irritable pulse (threat- 
 ened paralysis of the heart), and deeply coated tongue. 
 
 Cicuta virosa. 
 
 Objective. Eruptions, purulent, suppurating in the face, 
 with yellow scurf on chin like dried honey. Eczema on 
 the face. Humid, scabby herpes. Lentil-sized, dark-red 
 pimples in the face and on the hands, becoming confluent. 
 Pustules on both hands and balls of thumbs running to- 
 gether into one dark-red pustule. Scald head; thick 
 white scurfs on the chin and upper lip which secrete a 
 dampness ; sometimes scurfs in the nose. Swelling of the 
 neck from wounding the oesophagus. Vesicles on the 
 upper lip ; red vesicle on the right scapula. Painful ulcer 
 on the lips. 
 
 Subjective. Burning-itching of the whole body. 
 
 Cimicifuga (Actea) racemosa. 
 Objective, Papular eruption on backs of hands and 
 
REMEDIES. 303 
 
 wrists. White pustules on face and neck, sometimes 
 large, red, papular. 
 
 Subjective. Heat in one side of the face. Pricking and 
 heat all over. 
 
 Cina. 
 
 Objective. Red pimples. 
 
 Subjective. Fine burning stitches. Violent itching at 
 night. 
 
 Amelioration. By scratching. 
 
 Accompaniments. Child bores nose with fingers ; very 
 fretful, and nothing pleases. Urine milky on standing. 
 Colicky pains. Frequently called for in minor skin affec- 
 tions of scrofulous children ayid infants. 
 
 Cinnabaris. 
 
 Objective. Sycosis. Small red spots on glans penis. 
 Eed spots and points on the neck and chest changing to 
 little blotches. Warts on the prepuce bleeding when 
 touched. 
 
 Subjective. Burning and itching. 
 
 Aggravation. After scratching. 
 
 Cistus Canadensis. 
 
 Objective. Adenitis. Vesicular erysipelas. Herpes on 
 the ears. Lupus on the face. Scrofulosis. Mercurial 
 and syphilitic ulcers. 
 
 Aggravation. In the evening and at night. From cold 
 air. 
 
 Clematis ereeta. 
 
 Objective. White blisters on the face, as if burnt by the 
 sun. Fungous excrescences. Humid eruption, with cor- 
 rosive ichor, redness, and swelling of the skin. Dark, 
 miliary eruption, exuding a dampness, which dries into 
 crusts. Vesicular and herpetic eruptions. Herpes, scaly, 
 
304 DISEASES OF THE SKIN. 
 
 with yellowisli, corrosive ichor ; herpes red and humid 
 while the moon increases, and pale and dry while it de- 
 creases. Eczema on the face inflamed during the increas- 
 ing and dry during the decreasing of the moon. Large 
 pustules around the loins. Psoriasis. Scabies sarcoptica. 
 Scald head. Cancerous ulcers. 
 
 Subjective. Burning pain or sensation of heat. Itch- 
 ing and heat. Tingling and throbbing in ulcers. 
 
 Aggravation. During the increase of the moon. From 
 washing. From the heat of the bed. From wet poultices. 
 
 (Erythroxylon) Coca. 
 
 Objective. Dry, papulous eruption on the backs of the 
 hands. 
 
 Cocculus. 
 
 Objective. Adenitis ; cold, hard, glandular swellings. 
 Hard, dry blotches, surrounded by red borders on limbs, 
 wrists, and back of fingers. Blister on edge of hand 
 where finger commences. Boil on the inner side of the 
 thigh. Hard blotches containing no fluid, surrounded by 
 a red areola. After scratching, oozing of hardy lymph. 
 Eed miliary pimples on face, back, and chest in the even- 
 ing after undressing. Red pimple under the shoulder. 
 Single pimples filling with pus, and then drying up and 
 disappearing, on nose, temples, chest, and between scapu- 
 lae. Pimples covering the inner side of the thighs. Wine- 
 colored (red) irregular spots on the chest and behind the 
 ears. 
 
 Subjective. Burning and itching as from nettles. Burn- 
 ing-itching stitches and dull stitches. Itching on chest, 
 tibiee, and in axillse. Lacerating. Stinging pain and heat, 
 as from a needle-point, when touched. Tearing pains. 
 Sticking pains. 
 
 Aggravation. During pregnancy. In the open air. 
 
REMEDIES. 305 
 
 After scratching. From warmth. When covered up. 
 "When touched. 
 
 Coffea. 
 
 Objective. Purple miliary eruption all over. Measles. 
 Scarlatina. Small-pox. 
 
 Subjective. Itching all over changes to burning. Ex- 
 cessive sensitiveness of the skin. 
 
 Accompaniments. Short, dry, hacking cough. I^ervous 
 restless agitation, preventing all sleep. Palpitation of the 
 heart. Weeping and irritability. 
 
 Colchicum. 
 
 Objective. Eruption and yellow spots on the face. 
 
 Subjective. Itching as from nettles. Lacerating jerks, 
 and tension. Stinging. Tingling. 
 
 Aggravation. In the evening and at night. 
 
 Amelioration. While reposing. 
 
 Accompaniments. (Edematous swellings and anasarca. 
 IsTephritis ; urine blood}^ and inky, and contains albumen. 
 
 Colocynthis. 
 
 Objective. Boils on the neck and face. Carbuncles. 
 Corns. Herpes (scabby) on the face. Itchlike eruption. 
 Pimples on the face. Skin peels ofl" all over. Painless 
 tumor, size of a pigeon's egg, on the right tarsus. 
 
 Subjective. Burning, jerking, tearing pain. Smarting- 
 itching, followed by perspiration. 
 
 Aggravation. In the evening in bed. During rest. 
 . Accompaniments. Restlessness, followed by perspira- 
 tion. 
 
 Commocladia dentata (Guao). 
 
 Objective. Erysipelatous swelling of various parts of the 
 (body, followed by yellow desiccation and desquamation. 
 [Vesicular, pustulous, ulcerative eruption on the legs. 
 Herpes zona. Inflammation of the skin, followed by deep, 
 
306 DISEASES OF THE SKIN. 
 
 hard-edged ulcers, discharging thick, purulent, greenish- 
 yellow matter of a fetid odor ; the parts appear like raw 
 meat, and the skin is covered by small shiny scales. 
 
 Subjective. Painful burning on the face and arms. Vio- 
 lent itching. 
 
 Conium. 
 
 Nosological. Adenitis. Cancer (scirrhus) and cancerous 
 ulcers. Gangrene. Herpes. Impetigo capitis. Lichen 
 agrius. Nettle-rash. Petechise. 
 
 Objective. Bleeding from ulcers. Blueness of the whole 
 body. Cancer on the lips, breast, etc., and in the middle of 
 long bones. Gangrene of one part of an ulcer. Edges of 
 ulcer turn black, with effusion of fetid ichor. Chronic, 
 humid, or crusty herpes. Pustule on the foot. Large 
 pimple on the mons veneris. White transparent pimples 
 filled with an acrid humor, which forms scabs resembling 
 those of scabies. Fine rash on face, back, and body. 
 Yellow spots on the fingers. Chronic, brown, frequently 
 recurring red spots on the body. Ulcers on the face and 
 lips. Skin hot. 
 
 Subjective. Burning. Creeping. Itching and stinging. 
 Pricking-itching. Shifting, evanescent itching. Itching- 
 burning stitches. Intolerable pains in affected parts. 
 Tingling. Stinging like flea-bites, always one stitch at a 
 time. 
 
 Aggravation. At night. In the snow air. When walk- 
 ing (?). Prom rubbing. After contusions. From drink- 
 ing milk. From suppressed menstruation. 
 
 Amelioration. From continued motion (walking?). 
 From outward pressure. While fasting. 
 
 Accompaniments. Black crusts on lips and teeth. 
 Dropsy. Delirium or senselessness. Parotid and submax- 
 illary glands swollen as hard as a stone. Fecal, fetid, smart- 
 ing perspiration (with pimples). 
 
REMEDIES. 307 
 
 Copaiva. 
 
 Objective. Eczema, consisting of small vesicles smaller 
 and flatter than the mercurial eczema. Measle-shaped 
 exanthem, dark-red (or bright), elevated, lentil-sized, clus- 
 tering together, and becoming confluent. ISTettle-rash, 
 isolated patches. Groups of papules and pustules. Spots 
 like those of a tiger, scarlet-red or rose-colored. Roseola. 
 
 Subjective. Itching of raw spots. 
 
 Accompaniments. Pains in limbs and stomach. Great 
 restlessness of the extremities. Urine scanty and full of 
 sediment, with burning in the urethra after micturition. 
 Sleeplessness. 
 
 Corallium rubrum. 
 
 Objective. Psoriasis. Smooth red spots on the palms 
 of the hands ; at first coral-color, then darker red, and 
 finally copper-colored. Red flat ulcers on the glans penis 
 and inner surface of the prepuce, with yellow ichorous 
 discharge. 
 
 Cornus circinata. 
 
 Objective. Fine scarlet rash on the breast. Copious, 
 clammy perspiration. 
 
 Subjective. Itching in paroxysms, mostly at night. 
 
 Cosmoline. 
 
 Objective. Burns. Bruises. Blisters. Cuts. (Haemor- 
 rhoids.) Acute inflammation of the skin. Scalds. 
 Sprains. In the above, used locally especially. Also ec- 
 zema, and herpes zoster. 
 
 Crocus sativa. 
 
 Objective. Chilblains. Livid complexion. Scarlet red- 
 ness of the whole body. Circumscribed red spots on the 
 face. 
 
308 DISEASES OF THE SKIN. 
 
 Subjective. Burning. Tingling. 
 
 Aggravation. In the morning. During pregnancy. In 
 the warm room. 
 
 Amelioration. In the open air. 
 
 Crotalus cascavella. 
 
 Objective. Yellow complexion. Pustules on toes of left 
 foot. Eed pimples with white tips all over. Pimples 
 like flea-bites, becoming raised, exfoliating, and leaving a 
 black point in the centre. Pimples on the scalp. Bright 
 yellow spots on the upper part of the right hand. Round 
 spot between the breasts, black above and red below. 
 
 Subjective. Formication (in face and feet). Itching (on 
 thighs, calves of legs, and soles of feet). Pricking (in the 
 bends of knees especially) all over. 
 
 Crotalus horridus. 
 
 Objective. Abscesses on the elbow discharging a red- 
 brown matter, with shiny particles. Blisters and livid 
 spots on the body. Little blotches on the skin. Small 
 blisters around the eyes. Eruption in five stages, redness, 
 vesicles, pustules, desiccation, and desquamation. Vesicu- 
 lar eruption on the septum narium. Scarlet erythema 
 over the whole body. Eruption around the mouth. Es- 
 chorise, dry, and finally black. Erysipelas of the face. 
 Herpes on the scrotum. Gangrene, separated from the 
 muscles by a fetid fluid ; black spots, with red areola, and 
 dark blackish redness of adjacent tissues. Pimples on 
 the face. Scarlet redness, with rashlike vesicles. Yellow 
 and black spots all over. Yellow-greenish and bluish 
 spots, with decreased swelling. Swelling on the wrist 
 containing serum. Swelling of the whole body, and of 
 the submaxillary glands and tonsils especially. Malig- 
 nant ulcer where the bite was inflicted (fourteen years 
 before), with swelling of the parts. 
 
REMEDIES. 309 
 
 Accompaniments. Complexion and urine yellow. In- 
 difference. Shivering and diarrhoea. ^Nausea, headache, 
 and irregular stool. Frequent raising of mucus, with a 
 burning sensation in the throat and rectum. Frequent 
 fainting fits, with imperceptible pulse. 
 
 Croton tiglium. 
 
 Objective. Eczema on the face and genitals. Eschorise 
 dry, and finally black. Scarlet erythema all over, with 
 rash-like vesicles. Erysipelas of the face ; oedematous 
 indented eyelid covering the eye, and large water-blisters 
 on the chin. Herpes, redness of the skin, formation of 
 vesicles and pustules ; desiccation, desquamation, and fall- 
 ing off of the pustules. Impetigo. Prurigo. Pustules. 
 Vesicular and erysipelatous redness of the skin. 
 
 Subjective. Painful burning and itching. 
 
 Accompaniments. Salivary submaxillary glands and ton- 
 sils irritated and swollen. 
 
 Cundurango. 
 
 Objective. Pustular eruption. Open epithelioma. Ery- 
 sipelas. Salt rheum ; rhagades on the hips and in the 
 bends of the knees, discharging an ichorous fluid, irritat- 
 ing the surrounding parts. Scrofulosis. Small-pox. 
 Syphilis. Teleangiectasis. Cancerous (open) ulcers. 
 
 Cuprum aceticum. 
 
 Objective. Leprous eruption, consisting of spots, with- 
 out 'itching. Repercussion of the eruption, and metas- 
 tasis to the brain. Face pale and twitching. Measles. 
 Scarlatina. 
 
 Aggravation. After the use of Pulsatilla. 
 
 Accompaniments. Convulsions. Vomiting and gagging. 
 On falling asleep begins to talk, scold, scream, turn, and 
 twist ; when awakened is rational. 
 
310 DISEASES OF THE SKW. 
 
 Cupri arsenitum. 
 
 Objective. Boils on the scrotum. Eruptions of various 
 kinds. Pustular tumors on the wrists and ankles. 
 Subjective, Itching of the arms and legs. 
 
 Cuprum metallicum. 
 
 Objective. Contraction of the skin all over the body. 
 The eruption quickly disappears. Eruptions resembling 
 lepra, dry itch, measles, and scarlatina. Herpes in the 
 bend of the elbow forming yellowish scales. Rash on 
 chest and hands. Spots on the arms. Old ulcers. Wa- 
 tery vesicles on the tips of the fingers. 
 
 Subjective. Burning-itching. 
 
 Aggravation. At night. Before the menses. 
 
 Amelioration. During the sweat. From being mes- 
 merized. 
 
 Accompaniments. Convulsions, rolling of the eyes, and 
 distortion of the face, mouth, and flexor muscles. De- 
 lirium. Grreat restlessness. Sopor. 
 
 Cyclamen. 
 
 Objective. Eczema on the face. Bright red spots on 
 both thighs. Red vesicles at the middle joint of the little 
 finger of the left hand. 
 
 Subjective. Itching-gnawing. Stinging-itching. Press- 
 ing, drawing, or tearing pains. Sudden, sharp, continu- 
 ous pricking, leaving a numb sensation. 
 
 Aggravation. In the afternoon, and in the evening in 
 bed. From eating fat food. After the itching. 
 
 Amelioration. Erom moving and walking. From 
 scratching, wiping with the hand, and being touched. 
 
 Digitalis. 
 
 Objective. Cyanosis. Desquamation all over. Black 
 pores in the skin, which ulcerate. Pimples on the back. 
 
I 
 
 REMEDIES. 311 
 
 East on the hands. Skin is pale and yellow. Elastic 
 swelling of the legs, and then of the hands and arms. 
 White elastic swelling of the whole body. 
 
 Subjective. Corrosive itching darting. Gnawing itching 
 increasing to intolerable burning pricking, alternately in- 
 creasing and decreasing. Skin painful to the touch. Titil- 
 lation in the affected parts. 
 
 Aggravation. In the warm room. 
 
 Amelioration. Temporary, by scratching. 
 
 Accompaniment. Increased urine. 
 
 Dolichos pruriens. 
 
 Objective. Dry tettery eruptions on arms and legs,, 
 resembling zona. Prurigo. 
 
 Subjective. Violent itching all over; sometimes with 
 no perceptible eruption. 
 
 Aggravations. At night. During pregnancy. From 
 scratching. 
 
 Drosera. 
 
 Objective. Measles. Red spots on back of hand and 
 behind wrist. Deep ulcer on the back of the right hand 
 with discharge of bloody water. 
 
 Subjective. Burning after rubbing. Itching stinging. 
 
 Aggravations. By rubbing. On getting warm in bed. 
 While lying down. After midnight. 
 
 Accompaniment. Cough like hooping-cough, with draw- 
 ing together of the abdomen. 
 
 Dulcamara. 
 
 Nosological. Adenitis. Dandruff. Eczema. Herpes. 
 Impetigo. Measles. Nettle-rash. Pemphigus. Scar- 
 latina. Scald-head. Warts. 
 
 Objective. White blotches with red areola on arms and 
 thighs. Vesicular eruptions ; suppressed eruptions ; humid 
 eruption on the cheek. Herpes, oozing after scratching, 
 
812 DISEASES OF THE SKIN. 
 
 reddish with red areola, bleeding when scratched, with 
 red edges sensitive to touch and cold water; small round 
 herpes, dry or humid, spreading and forming brown or 
 yellow crusts ; herpes on the labia and hands especially. 
 Bright red acuminated pimples, filling with pus. Small 
 pimples on the chest and abdomen. Pimples and small 
 ulcers about the mouth. Pustules which close, itching 
 after scabbing over. Suppurating pustules. Red spots 
 with vesicles. Scald-head, thick brown crusts with reddish 
 borders on temples, forehead, and chin, which bleed when 
 scratched. Hot dry skin. Warts on the hands. Wens. 
 
 Subjective. Burning when rubbed. Burning itching, 
 like the rapid crawling of insects. Itching stinging. 
 
 Aggravation. At night. After taking cold ; from cold 
 damp air. By washing. When rubbed. From suppressed 
 nienstruation. By scratching at first and then ameliora- 
 tion. 
 
 Amelioration. In dry weather. From warmth. From 
 continued motion. After scabbing over. 
 
 Accompaniments. Constipation and painful strangury. 
 Griping pain in the bowels, nausea, and diarrhoea. Glan- 
 dular aftections. Soft, full, slow, bounding pulse. 
 
 Electricitas. 
 
 Objective. Blister filled with a greenish, sanguineous 
 fluid on the hand. Carbuncles. Eruptions like measles 
 and itch. Miliary eruption. Eruptionof small nodosities. 
 Eed spot on the knee. Whitish spot on palm of left hand. 
 Crusty ulcers on the extremities. White vesicles. Wheals. 
 
 Subjective. Itching and burning. Tingling. 
 
 Eugenia iambos. 
 
 Objective. Pimples (sore acne) on the face. 
 
 Euphorbium. 
 
 Objective. Boils. Chronic and erysipelatous eruptions. 
 
REMEDIES. 313 
 
 Herpes. Swelling of the face with pea-sized yellow vesicles. 
 Scarlet red streaks on the left forearm, disappearing 
 when moving the finger over them. Old, indolent ulcers. 
 Warts. 
 
 Subjective. Biting, stinging, gnawing, and burning itch- 
 ing. Sensation as if a thin cord lay under the skin. 
 
 Aggravation. From contact. While lying down. From 
 changing one's position. 
 
 Amelioration. From continued motion. 
 
 Euphrasia. 
 
 Objective. Condylomata. Fine eruption around the 
 eyes and on the nose. Measles. Rash on the face. 
 
 Subjective. Burning. Formication and numbness of the 
 parts. Shooting itching. Stitches here and there all the 
 night. 
 
 Aggravation. In the evening. When touched. 
 
 Accom'paniments. Tosses about in bed, and cannot get 
 warm. Streaming of hot acrid tears from the eyes, with 
 great photophobia and profuse and fluid coryza. Cough 
 only by day. 
 
 Euonymus Europseus. 
 
 Objective. Small reddish dry spots and pustules on the 
 chest. 
 
 Ferrum aceticum. 
 
 Objective. Inflammation and suppuration of dark 
 hepatic spots. Fiery redness of the face, which is covered 
 by 3^ellow spots. Varices on the feet. 
 
 Ferrum metallicum. 
 
 Objective. Chlorosis. "Where Ferr. aeet. seems indicated 
 and fails. Scrofulosis. 
 
 Subjective. Burning sensation, with pain as if excoriated 
 when touched. 
 
 Aggravation. Periodically. After midnight. From 
 
 21 
 
314 DISEASES OF THE SKIN. 
 
 changing one position. While lying down. From hot 
 food. From abuse of quinine and tea. 
 Amelioration. From continued motion. 
 
 Fluoric acid. 
 
 Objective. Bed-sores. ^NTsevi materni. Pimples. Ulcers 
 with red borders and vesicles. Varicose veins on the left 
 leg (in an old man). Small, bright red, round, elevated 
 blood vesicles, resembling flesh warts. 
 
 Subjective. Burning. Itching of cicatrices of ulcers. 
 
 Galvanismus. 
 
 Objective. Blisters becoming painful, brown, and swell- 
 ed ; or else discharging much corrosive serum. Miliary 
 eruption, like scarlatina, over the whole body except the 
 face ; scarlet redness of the neck, chest, arms, and legs. 
 Reappearance of suppressed scabies. The margins of ulcers 
 become inflamed. 
 
 Galium. 
 
 Objective. Scurvy. Aphthae. Cancerous tumors on the 
 tongue. Dropsy. Inveterate skin diseases. 
 
 Gelseminum. 
 
 Objective. Erythema of the face and neck. Papulous 
 eruption on the face like measles. Eruptions recede. 
 Erysipelas, not vesicular or phlegmonous, but a milder 
 variety. Measles (especially catarrhal symptoms). Scar- 
 latina Pimples on the forehead and neck. 
 
 Aggravations. At night. When moving. 
 
 Accompaniments. Chilliness. Deep-red, flushed heavy 
 face, as if the patient were intoxicated ; eyes suflFused and 
 heavy. Delirious muttering. Profound prostration of 
 muscular power. Throat feels filled up, and is red and 
 swollen. 
 
REMEDIES, 815 
 
 Ginseng. 
 
 Objective. Erythema on right cheek, ala nasi, and chin, 
 followed by chapping of the parts. Mealy herpes with 
 desquamation after fifteen days. Lips dry, red, cracked 
 and bleeding, especially the lower lip. iMiliary rash. 
 Pimples on neck and chest. 
 
 Subjective. Burning. Itching. Tingling. 
 
 Granatum. 
 
 Objective. Chilblains. Painful corns. Adenitis. Pus- 
 tules on forehead and temples, leaving small tubercles. i 
 Ulcers. 
 
 Subjective. Burning-itching. Sensation as if the parts 
 w^ere excoriated. Dry heat all over. 
 
 Graphites. 
 
 Nosological. Adenitis. Boils. Dandruff. Phlegmon- 
 ous and vesicular erysipelas. Encysted tumors. Eryth- 
 ema. Eczema. Felons. Freckles. Falling off of the 
 ?iair. (Zona.) Herpes. Intertrigo. Lichen agrius. Pru- 
 rigo. [N'odosities. Scrofulosis. Scald-head. Ulcers. 
 
 Objective. Small boils on the neck, back, and arms. 
 Phagedenic blister on the little finger, suppurating and 
 discharging pus. Dandruff, with transparent, glutinous 
 discharge. Eczema on genitals, calves of legs, bends of 
 extremities, and head and face, and hands and forearms ; 
 worse on the left side of the face ; and thick crusts and a 
 raw surface and deep rhagades ; scald-head, with transpa- 
 rent, glutinous discharge, forming crusts ; worse on the 
 left side of the face, and on the chin, and behind the ears. 
 Eruptions humid and scabby, sometimes with secretion 
 of corrosive serum on the face, as if the skin were raw ; 
 vesicular, below the ankles ; humid on the scrotum, over 
 the nates and thighs, with but little moisture ; like red 
 spots on the arms. Erysipelas (phlegmonous and vesicular) 
 
316 DISEASES OF THE SKIN. 
 
 near the navel, with large vesicles ; with transparent gluti- 
 nous exudation ; chronic, running in streaks. Excoriation 
 in children, especially behind the ears and between the 
 thighs, with transparent glutinous exudation. Felons ; 
 superficial inflammation about the root of the nail. Her- 
 pes, especially on face, tibia, and upper part of thighs ; 
 humid, like an inflamed swelling. Proud flesh and fetid 
 pus in ulcers ; deformity and thickening of the nails. 
 Pimples moist on face, on labia ; small red tips full of 
 pus at night, and gone the next day ; full of acrid water. 
 Skin of the neck hard, nodulous, and rough. Obstinate 
 chronic dryness of the skin. Skin unhealthy, every in- 
 jury tends to suppurate. Eed spots like flea-bites. Eed 
 spots all over, especially on the calves of the legs, for 
 seven days. Red spots on the thighs. Innumerable red 
 tips on the thighs. Enc3^sted tumors. Inveterate ulcers. 
 Scurfy ulcer on the tibia, with inflamed edges and swell- 
 ing all around ; scurf from the ulcer smells like herring 
 pickle. Painless vesicles on the swollen prepuce. Corro- 
 sive vesicles. Small vesicles after scratching. Pustules 
 on the toes. Small pustules on the chin and chest. 
 
 Subjective. Burning-throbbing. Burning-stinging spread- 
 ing in rays in the face during erysipelas. Burning in an 
 old cicatrix. Gnawing-itching. Itching. Tearing-burn- 
 ing shooting. Pressure. Violent pain in the ulcerated 
 limb, as if the bone were being dashed in pieces. Smart- 
 ing. Stinging. Stitches. 
 
 Aggravation. At night and in the evening (itching). 
 In women with feeble catamenia (herpes). During, after, 
 and from suppressed menstruation. On the left side, espe- 
 cially face. In a draught of air. From cold and wet. 
 After drinking. In the warmth of the bed. After 
 scratching. 
 
 Accompaniments. Face pale and bloated. Diarrhoea 
 after menstruation. Constipation. Stools large, and almost 
 impossible to evacuate. 
 
REMEDIES. 317 
 
 Gratiola officinalis. 
 
 Objective. Acne punctata. Small boils. Running, cor- 
 rosive, eruption-like scabies or herpes. Herpes. Itchlike 
 pustule below the left buttock. Miliary pimples with 
 yellow tips. Redness of the face. 
 
 Subjective. Itching, with burning. Tension and ting- 
 ling, and sensation of swelling in the face. 
 
 Aggravation. In the afternoon. After eating. After 
 scratching. 
 
 Amelioration. From contact. 
 
 Guaco. 
 
 Nosological. Cancerous ulcers and tumors. Obstinate, 
 indolent ulcers. Syphilis (chancres). 
 
 Guaraca trichloides. 
 
 Objective. Acne rosacea. Adenitis. Eruption behind 
 the ears. Dry eruptions. Eruptions of vesicles. Stea- 
 toma. Red spots on the legs. Yellow spots on the tem- 
 ples. Lupus of an ochre-red color. 
 
 Aggravation. In the room. After acids. After physi- 
 cal exertion. 
 
 Amelioration. From warm coverings. 
 
 Gummi gutti. 
 
 Objective. Papulae on both hands, at first pale, and after- 
 wards red. Pemphigus. Swelling and redness of the 
 affected parts. Burning vesicles on the inner side of the 
 lips. 
 
 Subjective. Burning, stinging, gnawing, and ulcerative 
 pains. Itching and formication here and there all night. 
 Pain as if bruised. 
 
 Aggravation. In the evening and at night. After 
 scratching. 
 
 Amelioration. While walking in the open air. 
 
318 DISEASES OF THE SKIN. 
 
 Gymnocladus Canadensis. 
 
 Objective. Erysipelas in the head and face, which is 
 swollen and hot. 
 
 Subjective. Sensation as if flies were crawling over the 
 right side of the face. 
 
 ^ Aggravation. In the evening. After eating. From 
 walking. 
 
 Haracleum sphondilium. 
 
 Objective. Humid eruptions like scabies. 
 Subjective. Much itching. 
 
 Helleborus. 
 
 Objective. Miliary eruptions. Falling out of hair and 
 nails. Peeling off of the epidermis. White vesicles on 
 the lips. Skin pale. Scald-head ; moist scales, with en- 
 gorgement of the glands of the neck. Small vesicles on 
 the fingers of the right hand, humid for a long time, and 
 then covered with scurf. 
 
 Subjective. Pricking. Pressing. Sharp tearing stitches 
 here and there. Soreness of the bone under vesicles. 
 Smarting when touched. Sensation as if swollen parts 
 were too heavy, and were being pressed asunder. Tear- 
 ing pains. 
 
 Aggravation. From 4 to 8 p.m., and in the evening es- 
 pecially. In the cold air. In warm weather. 
 
 Accompaniments. Sudden dropsical swelling of the 
 whole body from repercussion of scarlet fever or purpura 
 miliaris. 
 
 Hepar sulphuris calcarea. 
 
 Nosological. Adenitis. Acne punctata. Boils. Ec- 
 zema. Erysipelas, simple, vesicular, and phlegmonous. 
 Crusta lactea and serpiginosa. Herpes. Intertrigo. E'et- 
 tlerash. Panaris. Scald-head. Scabies. Scrofulosis. 
 Scurvy. Syphilis. Encysted tumors. Ulcers, chancrous, 
 chancroid, inveterate. Varices. 
 
REMEDIES. 319 
 
 Objective. Boil on the buttock. Large bolls. White 
 blisters after scratching, discharging a whitish fluid. 
 White blisters on the lips, chin, and neck. Eczema on the 
 face and genitals, with a purulent secretion. Scaly erup- 
 tion on the hands. Eruption of pimples and tubercles. 
 Humid herpes, especially on the face. Intertrigo, spread- 
 ing by new pimples beyond the main excoriation, which 
 become merged into the old sore. ^tTettlerash on the 
 hands and fingers, chronic form. Pimples around the 
 knee, painless on the nape of the neck. Suppurating 
 pimples on the sternum. Pimples on the forehead and 
 chin. Crusty pimples on the faces of young people. Skin 
 chapped, and rhagades on the hands and feet. Fat, pus- 
 tulous, crusty scabies. Scald-head spreading as does the 
 Hepar intertrigo (see above). Scurfy eruption on the 
 right half of the nose, extending to the lip, with a deep 
 fissure. Skin yellow and unhealthy ; every small injury 
 suppurates. Eed tubercle on the right buttock. Ulcer on 
 the last rib of .the right side. Chancrous ulcers on the 
 prepuce. Ulcers bleed easily when gently rubbed, and 
 discharge pus, smelling sour, putrid, and like old cheese. 
 Inveterate, putrid, and cancerous ulcers. Vesicles on the 
 chin. Varices. 
 
 Subjective. Burning-itching. Burning and throbbing in 
 ulcers at night. Gnawing corrosive pain in ulcers. 
 Pricking tension. Pulsative pain in ulcers. Stinging 
 soreness. Severe stitches in ulcers while laughing. 
 Stinging-burning in corns. Shooting in ulcers. Violent 
 throbbing gathering pain. 
 
 Aggravation. At night. In the morning. From cold 
 air. In dry weather, and in clear, fine weather. In the 
 east wind. After the abuse of mercury. From exercise. 
 From contact and outward pressure. From denudation. 
 After injuries (falling, knocking, bruising, etc.). From 
 lying on the painful side. On the right side. During the 
 intermittent fever. 
 
320 DISEASES OF THE SKIN. 
 
 Amelioration. In damp weather. From warmth, wrap- 
 ping up, and in warm air. In the open air. When at 
 rest. 
 
 Accompaniments. Urine blood red. Dropsy after sup- 
 pressed eruptions. Croupy cough with rattling in the 
 chest, and without expectoration. Hepar hastens, in- 
 creases, and shortens the supprative process. 
 
 Hippomane mancinella. 
 
 Objective. Face swollen and covered with small desqua- 
 mating vesicles. Scarlet fever. 
 
 Subjective. Burning. Itching-stinging. Stitches. 
 
 Aggravation. At night. After eating. 
 
 Amelioration. From heat. From lying down. 
 
 Accompaniments. Sore throat in scarlet fever ; dryness 
 and burning in the throat ; difficult deglutition. Stitches 
 in the throat. Much thirst. 
 
 Hydrastis Canadensis. 
 
 Objective. Eczema along the borders of the hairy scalp. 
 Erysipelas of the face ; erysipeloid rash on the face, neck, 
 palms of hands, wrists, and joints of the fingers. Erup- 
 tion like small-pox on the face. Small-pox with redness and 
 swelling. Exfoliation of the skin. Infantile intertrigo. 
 Pimples about the mouth and chin. Scurvy ; ulcers on 
 the legs 
 
 Subjective. Burning heat and itching. 
 
 Accompaniments. Sore throat (ulcerated). G-reat phys- 
 ical prostration, faintness, and weakness. 
 
 Hydrocyanic acid. 
 
 Objective. Eed pustules on the inside of the hip. Skin 
 dry and pale, with a blue tinge. Scarlatina, at first dark 
 and then livid. Vesicles on the arms and the neck. 
 
 Subjective. Itching especially between the chin and the 
 lips. 
 
REMEDIES. 321 
 
 Hyoscyamus. 
 
 Objective. Abscesses on the left side of the neck. Large 
 boils frequently. Miliary eruption especially after the 
 abuse of Belladonna. Gangrenous spots and vesicles here 
 and there on the lower limbs. Herpetic spots on the nape 
 of the neck. Two pimples at the elbow. Eruption of 
 dry pimples like confluent small-pox. Large pustules on 
 the chin. Scarlatina. Skin dry and brittle, or else soft 
 and warm ; inflamed vermilion red. Brown spots on the 
 skin. Bleeding ulcers. 
 
 Subjective. Painful warmth after applying the hand to 
 the parts. Pricking stitches from within outward. 
 
 Aggravation. In the evening. During and from ap- 
 proaching menstruation. With children. After taking 
 cold. From eating and drinking. From contact. 
 
 Accompaniments. Mouth dry ; cannot swallow. Obsti- 
 nate dropsy. Abdomen distended and tympanitic. Stools 
 watery and involuntary^ and are unnoticed by the patient. 
 Stupid drowsiness, or sleeplessness and nervous restless- 
 ness. Vacant staring or else red prominent eyes. Speech 
 embarrassed and indistinct muttering ; delirious loquacity. 
 
 Hypericum perfoliatum. 
 
 Objective. Eruption like nettlerash on both hands at 
 4 o'clock P.M., and in the evening. Wounds from nails, 
 splinters, needles, mashed fingers, etc. When nerves have 
 been injured, Hypericum is a prophylactic to lockjaw. 
 
 Subjective. Violent itching. Smarting. 
 
 Aggravation. At 4 p.m. In the evening. 
 
 Accompaniments. Oppression of the chest. Chilliness 
 all over. Vesical tenesmus. Much thirst. 
 
 Ignatia. 
 
 Objective. Blotch at the anus. Boil on the inner side 
 of the thigh. Chilblains, excoriation, and vesicles (pru- 
 ritus). Eruption on the face. E'ettlerash. 
 
322 DISEASES OF THE SKIN. 
 
 Subjective. Burning in ulcers. Itching relieved by 
 scratching. Fine pricking like flea-bites. 
 
 Aggravation. In the morning. In the evening. After 
 sweating. During the (chill in) intermittent fever. After 
 eating. From coffee, sweet food, and tobacco. After get- 
 ting warm in the open air. 
 
 Amelioration. From scratching. By changing one's 
 position. When lying on the affected part. 
 
 Indigo. 
 
 Objective. Boils on the neck and buttocks. Blotches 
 on the hands. Small blisters on the left side of the face 
 from the forehead to the neck. Pimples on the face and 
 body. 
 
 Subjective. Excessive itching (preceded by a dull head- 
 ache), especially on right elbow-joint. 
 
 Aggravation. In the afternoon and evening. 
 
 Amelioration. From rubbing, pressure, and motion. 
 
 Iodine. 
 
 Objective. Adenitis. Flat blister on the knee as if full 
 of bile. Large boil between the scapulae, with gangrene 
 of the legs. Small boil on the posterior surface of the 
 right upper arm. Furfuraceous eruptions. Eruption like 
 scarlet-rash. Fungus articularis after measles. Felons. 
 Goitre. Glandular swellings on nape of the neck, in the 
 axillae and the groins. Herpes. Glandular indurations. 
 Blue-red nodosities (furfuraceous) in the integuments of 
 both mammae, with desiccated points at their tips. . Pap- 
 ulae. Small dry red pimples on the arms, chest, and 
 back. Redness on the neck and chest as if ecchymosed. 
 Scrofulosis. • Scald-head. Small yellow scurf at each 
 nostril and concha. Yellow spots on the neck. Round 
 spot between thumb and index finger covered with two 
 whitish vesicles. Red spots on the nose below the eye. 
 Skin dry, rough, thickened, brown like parchment. Scales 
 
REMEDIES. 623 
 
 off, leaving a greasy sweat under the scales. (Edematous 
 dropsical swellings. Hot, dark-red lymphatic swelling in 
 the right axilla, size of a walnut, discharging a cheesy 
 pus. Ulcers, also on the cheek. Skin insensible, and of 
 a dirty yellow color. 
 
 Subjective. Burning-itching. Drawing-burning. Intense 
 warmth. Jerking sensation (in pimples while appearing). 
 
 Aggravation. In the night. In the morning and in the 
 evening. From movement. From contact and outward 
 pressure. From warm air and warmth generally. From 
 lying in bed and on the painful side. 
 
 Amelioration. From rubbing. From cold. 
 
 Accompaniments. Ulcers in the throat. Everything in 
 the distance appears blue to him. 
 
 Ipecacuanha. 
 
 Objective. Aphthae and eruptions on the lips. Herpetic 
 eruption at the wrist-joint and anus, with red blotches 
 after scratching. Miliary eruptions and bad effects of 
 their repercussion. Measles, eruption tardy in appearing, 
 Eash on the face. Scarlet fever. 
 
 Subjective. Violent itching. Pricking-burning pains. 
 
 Aggravations. From motion. From eating veal. In 
 lying-in patients. From abuse of Cinchona. 
 
 Accompaniments. During the nausea the patient scratches 
 until relieved by vomiting. Constant nausea and occa- 
 sional vomiting. Short hurried breathing, and incessant 
 violent cough with every breath. 
 
 Iris versicolor. 
 
 Objective. Tinea capitis ; crusta lactea ; porrigo ; eczema 
 of the face. Pustular eruption on the face around the 
 nose and lips, and on the cheeks, secreting a sanious 
 irritating pus. Obstinate lepra vulgaris on the arms. 
 Psoriasis in relievo, skin fissured and irritable ; irregular 
 
324 DISEASES OF THE SKIN. 
 
 patches on the knees and elbows and all over the body, 
 with shining scales, and slightly raised and irregular 
 edges. 
 
 Jacea. 
 
 Objective. Scald-head. 
 
 Subjective. Violent itching. 
 
 Aggravation. At night. 
 
 Accompaniment Urine smells strong, like cat's urine. 
 
 Jacaranda Garoba. 
 
 Objective. Pimples on the glans penis. Syphilis, with 
 characteristic eruptions. Ulcers on the legs. 
 
 Accompaniments. Chordee, in gonorrhoea. Phimosis. 
 Gonorrhoeal rheumatism. 
 
 Jatropha Curcas. 
 
 Objective. Ulcers in the nose and mouth. 
 
 Juglans Cinerea, 
 
 Objective. Erythema of the face. Peculiar exanthema- 
 tous eruption like scarlet fever. Eruptions, pustular, 
 vesicular, and like simple eczema. Erysipelatous inflam- 
 mation of the body and extremities. Pemphigus. 
 
 Kali bichromicum. 
 
 Objective. Eruption on the face like small-pox. Dry 
 eruption all over like measles. Papular eruption on the 
 forearms, lasting a few days, and frequently recurring. 
 Vesicular eruptions. Eruption of small pustules, like 
 small-pox, all over, which die away without breaking. 
 Eczema. Ecthyma. Impetigo, pustules. Eeddish hard 
 knots on the thighs and legs, from the size of a pin's head 
 to a pea, with depressed dark scurf in the centre, sur- 
 rounded by an inflamed base (preceded by itching and heat). 
 Small red elevation, with dark centre, and elevated cir- 
 cumference. Inflamed feet, with ulcers breaking out in 
 
I 
 
 REMEDIES. 325 
 
 twenty-four hours; Small pimples on the legs, which 
 spread into large scarlet blotches, discharging yellow mat- 
 ter. Small round pustules on the hands, secreting a wa- 
 tery lymph when opened ; if left alone the secretion con- 
 solidates into a yellow viscid mass. Small pustules at the 
 roots of the nails on both hands, extending back over the 
 hands to the wrist ; the arm becomes highly inflamed, and 
 the axillary glands suppurate. Pustules on the arms the 
 size of a split pea, with a hair in the centre. Swelling of 
 the arm, followed by a boil-like elevation, which turned 
 into a large ulcer with overhanging edges. Redness, 
 swelling, and suppuration at the wrist. Skin hard, dry, 
 and red. Ulcers on the forearms and arms. Painful ulcer 
 under the thumb-nail. Oval dry ulcers, with overhang- 
 ing edges, and bright-red areola, hardened movable base, 
 with a black spot in the centre. Ulcers corrode, and be- 
 come deep, but don't spread in circumference. 
 
 Subjective. Itching and heat at night, followed by the 
 appearance of the eruption. 
 
 Aggravation. In the morning, at night, and periodi- 
 cally. In hot weather. After eating. In fat, fair-haired 
 children. 
 
 Amelioration. From heat. From drinkins; hot tea. 
 
 A ccompanimenis. Punning of water from the eyes, with 
 burning in them when opened. Watery discharge from 
 the nose, with great sensitiveness and ulceration of the 
 parts. Pustules on the cornea. Stitches in the left ear, 
 extending into the neck and head, with swelling of the 
 glands. Thirst, with dryness of the mouth and tongue. 
 Watery diarrhoea, followed by tenesmus. Loud rattling 
 cough, with stringy expectoration. 
 
 Kali carbonicum. 
 
 Objective. Bleeding of ulcers, especially at night. 
 Blotches after scratching. Chilblains of a reddish hue. 
 Freckles. Herpes on the legs and thighs. J^ettle- 
 
326 DISEASES OF THE SKIN. 
 
 rash. Odor from the moutli like oM cheese. Pimples 
 on the nape of the neck. Ulcerated pimples at the 
 anus. Small pimples on the chest and back. Pimples on 
 the face and eyebrows, with redness and swelling. Yel- 
 low scaly spots on the abdomen and about the nipples, be- 
 coming moist when scratched. Red and yellow spots on 
 the body, oozing after scratching. Skin on the hands 
 rough and chapped. Scald-head. Spreading vesicles on 
 the left index finger, discharging a Avatery humor. Vesi- 
 cles on the tibia, with inflamed areola. Corrosive vesicles. 
 Vesicles and rhagades on the lips. Old warts on the face. 
 Wens on the scalp. 
 
 Subjective. Aching. Burning as from a vesicatory. 
 Burning lancinating-itching. Cutting pain. Itching- 
 stinging. Violent itching, especially on the abdomen and 
 thighs. Pricking. Sensation as if painfully ulcerated. 
 
 Aggravation. After midnight (at 3 o'clock a.m.). From 
 cold, and in the cold air. After eating. From gettiug 
 heated. During and from suppressed menstruation. 
 
 Amelioration. From warmth. Warm air. 
 
 Accompaniment. Obstructed respiration. 
 
 Kali causticum. 
 
 Objective. Warts and ephelides. 
 
 Kali chlorieum. 
 
 (chloride of potash.) 
 
 Objective. Miliary and venereal eruptions. Inflamed 
 flaws in the nails. Pimples on the forehead, face, and be- 
 tween the lips and chin. Phlyctsenoidal pimples on the 
 backs of the hands. Rash, with single pimples. 
 
 Subjective. Itching. 
 
 Kali hydriodicum. 
 
 Objective. Small boils on the neck, face, head, back, and 
 
REMEDIES. 327 
 
 chest, of various sizes, coDsisting of slightly red blotches 
 in the skin, growing rapidly to abscesses, with slightly 
 reddish cuticle, breaking and discharging spontaneously. 
 Blotch on cheeks, surrounded by swelling and redness. 
 Blotches at the corners of the mouth. Herpes on the 
 face. Herpes, size of a dime, on the cheek. Goitre. 
 Itchlike pimples and vesicles. Purpura hsemorrhagica. 
 Papulous eruption all over, but especially on the face and 
 shoulders. Pimple near the nostril. Small pustule on 
 the chin, discharging water. Tip of the thumb ulcerates 
 and turns yellow. 
 
 Subjective. Itching. Burning. Painful sensitiveness. 
 
 Aggravation. At night. 
 
 Accompaniment. Dry throat. 
 
 Kali nitricum. 
 
 Objective. Boil at the lower part of the thumb. Fatal 
 inflammation and gangrene. Pimples on the right fore- 
 arm, which discharge water when scratched. Small pus- 
 tule on the face. Vesicles full of thin 3'ellow fluid. 
 
 Subjective. Burning. Formication in the hands and 
 feet. Itching. 
 
 Aggravation. In the afternoon and evening. In bed. 
 From smelling of camphor. 
 
 Kalmia latifolia. 
 
 Objective. Red inflamed spots like incipient boils here 
 and there. 
 
 Kreosotum. 
 
 Objective. Acne. Carbuncles. Eruption of nodosities 
 and blisters like bug-bites. Furfuraceous, mealy, dry or 
 humid, and pustular herpes. Red scaly skin in the bends 
 of the knees like herpes. Blotches like nettlerash. Pus- 
 tulous pimples, with yellow scabs on the chin and cheek. 
 Large, greasy, pock-shaped pustules all over. Skin on 
 
328 DISEASES OF THE SKIN. 
 
 hands cracked and rigid. Scrofulous and psoric affec- 
 tions. Scald-head. Pimples on the forehead. Grangre- 
 nous, cancerous, and putrefying ulcers. 
 
 Subjective. Itching, with violent burning after scratch- 
 ing on the extremities, whereas on the abdomen the itch- 
 ing is relieved by scratching. 
 
 Accompaniment. Swelling and stiffness of the feet. 
 
 Lachesis. 
 
 Nosological. Aneurisms. Boils. Malignant carbuncle. 
 Chilblains. Erysipelas. Eczema. Ecchymosis. Ery- 
 thema papulosum and nodosum. Fungus haematodes. 
 Felons. Gangrene. Herpes. Intertrigo. Leprosy. 
 Measles. I^ettlerash. Pemphigus. Malignant scarla- 
 tina. Scabies. Cancerous, syphilitic, and mercurial ul- 
 cers. Warts (also on horses). 
 
 Objective. Boils on the thighs and lingers. Gangre- 
 nous blisters. Ped suppurating blotches under the jaw. 
 Carbuncles of a bjuish, purplish appearance ; can't bear 
 any bandage about the parts, especially around the neck; 
 cerebral symptoms supervene. Inflammation and sup- 
 puration of old chilblains. Eczema on the legs. Erup- 
 tions about the eyes. Simple, phlegmonous, and vesicular 
 erysipelas of the face, especially under the left eye, with 
 pimples, vesicles, rhagades, and corrosive oozing on the 
 elbow. Ecchymosis. Ulcers and wounds bleed readily 
 and profusely. Fungus hsematodes on the right mam- 
 mae, as large as a peony, with profuse hemorrhages. Fel- 
 ons with proud flesh. Old reddish herpes, with thick 
 scurf in the region of the whiskers ; reappearance of sup- 
 pressed herpes in the face. Herpes on the back. Vesic- 
 ular eruption, with a red crown. Leprosy ; loss of sensa- 
 tion ; toes fall oft'. Miliary rash, like nettl crash and 
 measles. Measles with livid eruption. Pustules. Pap- 
 ulae. Pimples on the face and back ; on the arms, thighs, 
 and legs after scratching. Psoric eruptions on the fingers 
 
REMEDIES. 329 
 
 and legs. Deep rhagades in the toes and on the hands. 
 Scabies. Dry miliary itch ; small and large yellowish 
 and bluish-black vesicles. Rash all over ; small smooth 
 spots of the size of a needle-point. Small reddish spots 
 on the face, neck, and arms. Red spots, with vesicles on 
 the fingers and thighs. Scarlet spots on the back. Yel- 
 low, red, and copper-colored spots. Scarlet fever, and 
 scarlet eruptions, with swelling of the cervical glands, 
 and black lips and reddish tongue. Red lumps and tu- 
 bercles. Ulcers small, and scattered about upon the neck 
 and face. Black, gangrenous ulcers and wounds on the 
 legs. Ichorous ulcers. Chronic, indolent ulcers, with an 
 uneven, bluish bottom, and an offensive ichor. Ulcers 
 surrounded by pimples, vesicles, and other small ulcers. 
 Cured ulcers break out again. Superficial ulcers foul at 
 the bottom, with red crowns, on the legs. Cancerous ul- 
 ceration, or putrefaction of the fiesh, which falls off piece- 
 meal. Skin around ulcers and wounds is yellow^, green, 
 lead-colored, bluish-red, and black. Vesicles on the hands, 
 fingers, and back. Small, hard, Avhite, deep vesicles. 
 Warts and excrescences on the hands and fingers. 
 
 Subjective. Burning, itching, and formication as from 
 ants. Pain in old cicatrices of ulcers. Pricking in the 
 face and about the eyes. Stinging. 
 
 Aggravation. In the evening and before midnight (from 
 noon to midnight). Periodically (every spring or fort- 
 night). After spirituous liquors. After the abuse of 
 mercury. After sleeping, rising from the bed. From 
 the heat of the sun. After violent bleeding. On the left 
 side. In damp, hot, changeable weather. 
 
 Amelioration. In the open air. From warmth. 
 
 Accompaniments. Constipation. Convulsions. Dropsy 
 in delayed desquamation. Diphtheritic inflammation of 
 the throat. Fainting, nausea, spasmodic and bilious vom^ 
 iting. Inflammatory fever. Sordes on the teeth. Tongue 
 coated dark-brown, ulcerated, and can't be protruded, or 
 
 22 
 
330 DISEASES OF THE SKTK 
 
 is run out with great difficulty, and trembles. Weak, 
 quick, intermittent pulse. Cold sweats. Urine almost 
 black. 
 
 Lactuca Virosa. 
 
 Objective. Inflammation of the skin. Various kinds 
 of eruptions. Dropsical swellings. 
 
 Subjective. Subcutaneous lancinating, pinching, and 
 smarting, with shootings. 
 
 Accompaniments. Asthma. Dulness and pain in the 
 head. Short cough and dyspna3a. Small, slow pulse. 
 Chilliness, with great distress when lying on the back. 
 
 Lamium Album. 
 
 Objective. Blisters on the heel from the parts being 
 rubbed by the shoe, changing to a long-lasting ulcer. 
 Ulcers, with redness and swelling of the surrounding 
 parts. 
 
 Subjective. Biting. Pain as if excoriated. Pricking, 
 gnawing, itching of the arms, hands, and neck. Smart- 
 ing, stinging, and shooting. 
 
 Aggravation. In the morning and evening when lying 
 in bed. 
 
 Lappa Major (Arctium L.). 
 
 Objective. Adenitis (especially affecting the axillary 
 glands). Boils on the face, eyelids, and all over. Erup- 
 tion on the head, face, and neck. Moist, bad-smelling 
 eruption on the heads of children. Various forms of 
 eczema. Chronic erysipelas of years' standing. Styes 
 and ulceration of the eyelids. Scald head ; grayish-white 
 crust ; most of the hair gone, and the eruption extends 
 to the face. 
 
 Accompaniments. Headache from a suppressed eruption 
 of the scalp. 
 
 Laurocerasus. 
 
 Objective. Eruption around the mouth. Yellow spots 
 
REMEDIES, 331 
 
 on the face. Skin dry, and rough and scaly between the 
 fingers. Pimples on the right upper arm. 
 
 Siihjedive. Burning when touched by water. Itching 
 stitches. 
 
 Aggravation. In the evening. While lying down. 
 
 Amelioration. In the open air. At night (?). 
 
 Accompaniments. Painlessness with all complaints. 
 Patient feels cold. I^ausea on approaching a stove. Dry 
 cough, aggravated while lying down. 
 
 Ledum Palustre. 
 
 Objective. Boils on the forehead. Eruption (eczema) 
 in the bends of the extremities. Miliary eruption on the 
 wrist. Eruption, like rot in sheep, on the chest and arms, 
 with desquamation. Dry, scaly furfuraceous herpes on 
 the face. Felons from external hurts (splinters, etc.). 
 Fine pimples on the dorsum of the foot. Small red pim- 
 ples on the back and chest. Pimples on the forehead. 
 Rash on the wrist-joint. Bluish spots on the body like 
 petechise. Red humid spot above the arms. Small, 
 round, red, insensible spots on the inner side of the arms, 
 and on the abdomen and feet. Dropsical swellings. Hot, 
 tense, hard swellings. Hard tumor on the dorsal side of 
 the wrist. Red tubercles on the forehead. Yaricellse on 
 the chest and upper arms, peeling off in five days. 
 
 Subjective. Constant itching. Itching-gnawing on the 
 abdomen and arms, with burning in the open air and 
 after scratching. Itching-pricking relieved by scratch- 
 ing, but returning soon with more violence. Lacerating. 
 Smarting. Fine stinging-itching. Stinging when touched. 
 Tearing pains are quite characteristic of Ledum. 
 
 Aggravation. In the evening and before midnight. On 
 moving. While walking. In the open air. On getting 
 warm in bed. 
 
 Amelioration. While reposing. 
 
 Accompaniment. Anxiety. 
 
332 DISEAfiES OF THE SKIN. 
 
 Lobelia Inflata. 
 
 Objective. Eruptions (between the fingers, and on the 
 backs of the hands and forearms) of small vesicles. 
 Subjective. Tingling, pricking, itching. 
 
 Lupulus. 
 
 Objective. Face swollen and covered with an eruption. 
 Vesicles on the face and hands, increasing, and finally 
 bursting spontaneously. 
 
 Lycopersicum Esculentum. 
 
 Objective. Inveterate herpes on the palmar surface of 
 both hands. 
 
 Lycopodium. 
 
 Nosological. Adenitis. Aneurisms. Baldness. Boils. 
 Chilblains. Dandruff. Erysipelas. Ecthyma. Eczema. 
 Erythema nodosum. Freckles. Felons. Goitre. Herpes. 
 Intertrio-o. Lichen ao;rius. N'ettlerash. J^eevi materni. 
 Arthritic nodosities. Prurigo. Pityriasis. Scrofulosis. 
 Scarlet fever. Scald-head. Scurvy. Ulcers. Varices. 
 Warts. 
 
 Objective. Boils returning periodically. Boils in the 
 axillae. Small boils on the hands. Dandruff, smelling 
 badly. Eruptions on the face, neck, chest, lips, chin, and 
 at the anus. Secondary eruption of dark-red blotches on 
 the face, hands, back, and thighs. Erysipelas on the face 
 and forearms. Eczema on the face, genitals, legs, neck, 
 and fingers of the right hand ; bleeds easily, and is cov- 
 ered with thick crusts, with fetid secretion beneath. 
 Scald-head, begins on the back of the head. Felons, with 
 many constitutional symptoms. Insensible yellow-brown 
 shrivelled herpes. Humid suppurating herpes, full of 
 deep rhagades, and covered with thick crusts. Herpes 
 on the tibiae. Scaly furfuraceous herpes, yellow at the 
 
REMEDIES. 333 
 
 base, and bleeding on the face at the corners of the mouth. 
 Herpes on the nape of the neck, in the axillae, on the 
 arms, thighs, and calves of the legs. Intertrigo of chil- 
 dren, which becomes offensive, and bleeds much. Venous 
 and arterial nsevi materni. 
 
 Objective. Pimples on the lower arms, filled with pus. 
 Pimples between the scapulae, and on the nape of the 
 neck. Red pimples in clusters around the neck. Pim- 
 ples on the chin. Prurigo, an (itching) eruption of the 
 anus. Pityriasis in spots on the scalps of fair-haired 
 strumous girls. Skin dry. Brown spots on the abdo- 
 men. Large red spots on the legs and epigastrium. He- 
 patic spots on the chest. Painful maculae hepaticae on 
 the chest and arms. Dropsical and glandular swellings. 
 Large suppurating swelling on the forearm (carbuncle ?). 
 Dark-red spots on the face, covered with pustules. Large 
 inflamed swelling like erysipelas, suppurating like a boil, 
 on the forearm. Ulcers, callous, carious, mercurial, fistu- 
 lous, and inveterate, with hard, red, shining, everted 
 edges, profuse hemorrhages, and inflamed swelling of the 
 affected parts. Old ulcers on the legs. Varices of preg- 
 nant women especially. Warts on the fingers and arms. 
 
 Subjective, Burning. Burning-itching. Itching as if 
 from fleabites, also violent and corrosive. Pricking-itch- 
 ing. Shooting. Stinging pains. Smarting. Tingling- 
 stitches. 
 
 Aggravation. In the afternoon and evening, from four 
 to eight. Before midnight. Periodically. "While lying 
 in bed on the side. When touched. From pressure 
 from without {e.g.^oi clothing). From wrapping one's 
 self up when heated. From wet, warm poultices. Before 
 and from suppressed menstruation. On beginning to 
 move. After rising from sleep. After eating cabbage, 
 cold food, vegetable with husks, oysters, and from drink- 
 ing wine [not spirits). After the abuse of mercury. From 
 strong odors. 
 
 Amelioration. On getting cool. From uncovering, 
 
334 DISEASES OF THE SKIN. 
 
 especially the head. From moving (continued). From 
 hot food. 
 
 Accompaniments. Comatose state. Great feverishness 
 and crossness on waking. Mental irritability. Cerebral 
 congestion. Stoppage of the nose. Deafness, and puru- 
 lent discharge from the ears. Diphtheritic sore throat, 
 and rattling in the throat. Much distress in the stom- 
 ach, twisting, crawling, emptiness, burning, heaviness, 
 pressure, etc. Frequent belching of wind and bloated 
 abdomen. Colic during the desquamation, with costive- 
 ness. Extreme costiveness, especially after prolonged 
 attacks of acute disease. Scanty, dark-red, hot^ albumin- 
 ous urine, with strangury. Dropsy. Frequent yawning. 
 Cold feet. 
 
 Magnesia Carbonica. 
 
 Objective. Small boils on the forehead, neck, chest, and 
 especially on the thighs. Falling oiF of the hair. En- 
 gorged glands. Small, elevated, red, smooth herpes, scal- 
 ing off, on the chest, calves of the legs, and about the 
 mouth. Hard nodosity on the right temple. l!^odes 
 under the skin, in the axillse, above the elbow-joint, and 
 in front of the left shoulder. Pimples after scratching. 
 Psoriasis or pityriasis palmarum or plantarum. Small 
 red spots on the chest. Red spots on the thighs after 
 scratching. Scrofulosis. Tubercle on the wrist pouring 
 out clear water when pressed. Spreading, corroding 
 vesicles on the hands. Clear vesicles after scratching. 
 Dryness of the skin. 
 
 Subjective. Burning-pricking of the skin. Violent itch- 
 ing. Formication here and there at night in bed. Sting- 
 ing. Shooting pain. 
 
 Aggravation, In the evening. At night. When at 
 rest. 
 
 Amelioration. In the open air. 
 
 Accompaniment. Shuddering all over at night in bed. 
 
REMEDIES. 335 
 
 Magnesia Muriatica. 
 
 Objective. Blotches on the face. Boils. Eruption of 
 small red papillae. Engorged glands. Pustular eruptions. 
 Pimples on the face. Large transparent vesicles on the 
 lips, which are cracked. Yellow, earthy complexion. 
 
 Sahjective. Burning after scratching. Formication. 
 Itching. Tingling in the skin. 
 
 Aggravation. In the evening and at night. From 
 touch. When at rest. In a warm room. 
 
 Amelioration. From pressure from without. 
 
 Magnesia Sulphuriea. 
 
 Objective. Hard blotches or as if from a nettle sting. 
 Eed herpes. iTettlerash. 
 
 Subjective. Burning after scratching. Itching. 
 
 Aggravation. In the evening. At night. During 
 menstruation. 
 
 Magnetis Arctieus. 
 
 Objective. Eed eruption on the palms of the hands. 
 Felons. Herpes. Pimples. Itchlike pustules. Deep 
 lentil-sized ulcers. 
 
 Subjective. Burning and burning-tearing. Crawl ing- 
 itching on the outer side of the limbs, terminating in sore- 
 ness. Itching of the soft parts. Pricking in small spots 
 in the soles of the feet. Single stitches. Tingling, and 
 lacerating itching. 
 
 Accompaniment. Sensation while moving the jaw as if 
 dislocated, with squeezing pain in the maxillary joint. 
 
 Magnetis Australis. 
 
 Objective. Felons. Ingrowing toe-nails, which pene- 
 trate the flesh ; the great toe most frequently affected. 
 Varices of pregnant women. 
 
 Subjective, Itching stinging-tearing here and there. 
 
336 DISEASES OF THE SKIN. 
 
 Lancinating, pulsative pains in the roots of the nails as 
 if they would suppurate. 
 
 Manganum. 
 
 Objective. Excoriations, soreness, and fissures of the 
 bends of the joints. Herpes on the forearm. Pimples 
 on the thigh with scurf on the tips. Skin unhealthy ; 
 every injury tends to suppurate. Small tubercles on the 
 mammae and on the left buttock. Malignant ulcer with a 
 blue border following a slight scratch of the finger-nail. 
 Small vesicles or deepseated little blotches after scratching. 
 
 Subjective. Burning on rising from bed in the evening, 
 w^orse on lying down again. Burning-itching. Violent 
 itching. Lancinating pains. Tension and soreness. 
 
 Aggravation. At night. From touch. While lying 
 on a feather bed. 
 
 Menispermum Canadense. 
 
 Objective. Chronic herpetic eruptions. Easily bleeding 
 pimples on the face. Tertiary syphilis. 
 Subjective. Itching all over. 
 Aggravation. From warmth. 
 
 Menyanthes. 
 
 Objective. Injuries to nerves (teeth broken in pulling, 
 etc.). Pimples on the face. 
 
 Aggravation. In the evening. While lying down. 
 During rest. After the abuse of Cinchona. 
 
 Amelioration. From pressure from without. 
 
 Accompaniment. Otorrhoea after measles and scarlet 
 fever. 
 
 Mephitis Putorius. 
 
 Objective. Corns. Erysipelas of the ear, with heat, red- 
 ness, and blisters. Pimples on the thighs, forehead, face, 
 neck, and nates. 
 
 Subjective. Burning. Itching. 
 
REMEDIES. 337 
 
 Mercurius Acetatus. 
 
 Objective. Pimples breaking when scratched. Ulcers. 
 Subjective. Burning like fire when scratched. Itching. 
 Edges of ulcers painful. 
 
 Aggravation. When scratched. 
 
 Mercurius Corrosivus. 
 
 Objective. Blisters on the arms and abdomen. Condy- 
 lomata, especially with children. Rash. Skin cold with 
 sweat. Purple spots. Scorbutic spots over the whole 
 body mingled with itchlike eruptions, herpes, and boils. 
 Vesicles on the arm extending up to the shoulder. 
 
 Aggravation. In the evening. At night. From contact. 
 
 Mercurius Dulcis. 
 
 Objective. Bleeding from ulcers at night. Erythema 
 spreading from the genitals all over. Eczema mercuriale. 
 Desquamation from the hands and feet. Skin bright red. 
 Blue-red tumors on the neck and body. Phagedenic 
 ulcers, with white bases and inflamed edges, in the mouth, 
 on the palate, face, genitals, and other parts. 
 
 Mercurius Protiodatus. 
 
 Objective. Chronic and acute glandular affections. 
 Scarlatina. Syphilis. 
 
 Aggravation. In the evening. At night. During rest. 
 After Lachesis. 
 
 Accompaniment. Loss of voice, hoarseness, can only 
 whisper. Fauces ulcerated, bluish-red. 
 
 Mercurius Solubilis. 
 
 Nosological. Adenitis. Buboes. Large boils. Chan- 
 cres. Dandruff. Papulous erythema. Simple and phleg- 
 monous erysipelas ; erysipelas of syphilitic origin. Ec- 
 zema. Felons. Herpes. Intertrigo. Measles. ^N'ettle- 
 
338 DISEASES OF THE SKIN. 
 
 rash. Pemphigus. Rash. Scabies. Scrofulosis. Scurvy. 
 Scarlatina maligna. Small-pox, especially the suppura- 
 tive stage. Scald-head. Fungous, chancrous, phagedenic, 
 carious, and syphilitic ulcers. Varicellse. 
 
 Ohjective. Blisters full of watery fluid on the inner side 
 of the wrist. Little blotches and ulcers on the calves of 
 the legs and the abdomen. Desquamation all over, es- 
 pecially from the backs of the hands and from the feet. 
 Eczema, yellow crusts, and inflamed surroundings after 
 scratching, on the face, legs, and the bends of the ex- 
 tremities. Vesicular eruption on the lower limbs. Hot, 
 small, red elevations, whose tips become white and scaly 
 on the left arm, especially on the elbow, and also on the 
 nates. Eruption on both thighs, especially on the inner 
 side (preceded by heat in the head and dorsa of the feet), 
 with a discharge of burning water after scratching. Felons; 
 the inflammation extends to the sheaths of tendons and 
 the ligaments of joints. Herpes on the right forearm, 
 wrist, and hand, the skin peeling ofl:'. Herpes behind the 
 thigh ; the epidermis comes olf while scratching. Herpes, 
 spots, and suppurating pustules, surrounded by a border 
 of large scales (on the forearm and knee), discharging a 
 good deal of moisture. Herpes, raised and dry, on the 
 limbs, wrist-joints, hands, and between the fingers. Im- 
 petiginous and furfuraceous herpes. Intertrigo, worse at 
 night, raw and bloody, ^ettlerash changing to red 
 spots. Ulcerated incrusted pimples. Pimples on the 
 labia. Small pimples, changing to ulcers, with desquama- 
 tion during the healing. Pock-shaped eruption above the 
 arms. Papulae whose tips are filled w^ith pus on the ex- 
 tremities. Small pimples on the inner side of the thighs. 
 Deep fissures and rhagades in the hands and fingers, 
 looking like incisions, especially on the inside of the 
 fingers, sore and bleeding at the base. Pash on the fore- 
 arm, measle-shaped, over the whole body, but particularly 
 on the chest, thighs, and the lower part of the back. 
 
I 
 
 REMEDIES. 339 
 
 Small ulcerated sores at the linger-joints. Healthy and 
 malignant suppurations. Yellowish scab on the face, dis- 
 charging a fetid humor and bleeding when scratched. 
 Scabies ; itchlike eruption on the hands, thighs, and ab- 
 domen ; eruption, like scabies ; sarcoptica on the lower 
 limbs, sexual parts, neck, abdomen, and the bends of the 
 knees, a red raised humid eruption ; dry, readily bleed- 
 ing itchlike rash ; fat itch, especially in the bends of the 
 elbows. Red, shining, hard swelling on the right tibia. 
 Suppuration of the glands with shining redness. Skin 
 yellow. Red raised hepatic or scorbutic spots. Large, 
 red, round, scaly spots on the forearm and wrist. Gray 
 flat scurf on a swollen spot. Round stigmata on the 
 thighs and legs, changing gradually to ulcerated spots, 
 and becoming covered with scurf. Tubercles on the labia. 
 Red tubercle on the back of the hand. Tumor on the 
 upper part of the left thigh. Fetid putrid ulcers on the 
 legs ; ulcers discharging an acrid corrosive ichor, with un- 
 equal elevations and depressions; spongy, bluish, readily 
 bleeding ulcers ; spreading ulcers ; ulcerated sores on the 
 left leg, which begin as pimples ; ulcers on the outer side 
 of the left thigh. Small red vesicles at the termination 
 of the glans behind the prepuce, changing to ulcers, dis- 
 charging yellow-white, strong-smelling matter; the ulcers 
 are round, with raw overhanging edges and cheesy lined 
 bottoms, and bleed freely. Small transparent vesicles full 
 of watery fluid. Vesicles on the forepart and sides of the 
 glans, penetrating deeply and spreading, discharging and 
 soon disappearing. Yaricellse ; water blotches turn yellow 
 and maturate. 
 
 Subjective. Burning. Beating and stinging. Gnaw- 
 ing-itching. Itching. Itching changed to burning by 
 scratching. Voluptuous itching. Pressive pulsative 
 pains. Stinging and stinging-itching as from flea-bites. 
 Shooting and tensive pains. 
 
 Aggravation. In the evening. At night. In cold, 
 
340 DISEASES OF THE SKIN. 
 
 damp weather. "When sitting and walking. In the heat 
 of the bed. When scratched. After dropsical swellings. 
 Accompanijnents. [N'ervousness and sleeplessness ; the 
 child does not sleep at night. Eaging pain in the fore- 
 head. Bright red face. Sore throat, tendency to ulcera- 
 tion, difficnlt deglutition, and the glands much swollen. 
 Great flow of saliva. Some thirst. Acrid diarrhoea, with 
 pain in the bowels, and tenesmus ; dysenteric, slimy, blood- 
 streaked stools. Soreness and inflammation of the geni- 
 tals. Unequal, quick pulse. Cold clammy sweat upon 
 the lower limbs and abdomen, especially about midnight. 
 General night-sweats. 
 
 Mercurius Vivus.* 
 
 Objective. Adenitis. Small, flat, light-red blotches on 
 the sexual parts, abdomen, chest, and the inner side of the 
 thighs. Buboes. Exanthemata spreading from the pit 
 of the stomach over the abdomen and chest. Erysipelas 
 spreading from the back around upon the abdomen. 
 Syphilis. Scabies easily bleeding. Swelling of the glands. 
 Crusts and pimples on the lips and chin. Red spots cov- 
 ered with small vesicles, of the size of a millet-seed, filled 
 with purulent lymph. Ulcers, corroding, and easily bleed- 
 ing, also syphilitic. 
 
 Subjective. Burning after scratching. Violent itching. 
 
 Aggravation. In the evening. At night. With wo- 
 men with leucorrhoea. With children. Before falling 
 asleep. From the heat of the bed. After taking cold. 
 From cold air. While lying on tbe right side. During 
 sweat. From motion. Scratching and touching. 
 
 Amelioratioyi. In the morning. While at rest. 
 
 * We use Merc. sol. and Merc. vlv. indiscriminately, and have regarded 
 the pathogenesis as identical ; but as some writers on Materia Medica 
 make a distinction, we give separate symptomatologies, as we have found 
 them. 
 
REMEDIES. 341 
 
 (Daphne) Mezereum. 
 
 Objective. Blotches on the right forearm about the size 
 of small peas, becoming hard after scratching. Boils on 
 the face. Crusty eruptions, white scabs, bleeding when 
 touched. Ulcerated eruption like pimples at the finger- 
 joints. Engorged glands. Desquamation. Herpes, ooz- 
 ing eruption behind the ears. Chronic miliary eruption. 
 Single pimples on the thighs. Smooth red pimple on the 
 right side of the neck. Red pustules on the outer side of 
 the extremities. Rash on the nape of the neck, back, 
 and thighs. Red rash sometimes in clusters on the head 
 and arms. Red spots like flea-bites on the chest. Moist 
 scald-head. Honey-like scab around the mouth. Scrofu- 
 losis, with constant excoriation in the throat and at the 
 nose. Inflamed, easily bleeding ulcers forming scabs, and 
 surrounded by vesicles. Vesicles on the ball of the thumb. 
 
 Subjective. Burning after the spots have disappeared. 
 Burning, and stitches from within outward in the hands. 
 Tickling-burning. Gnawing as if excoriated. Gnawing- 
 itching. Itching. Stinging. Shooting. 
 
 Aggravation. In the evening and at night. When 
 touched. After scratching. After Mercury. 
 
 Amelioration. In the open air. 
 
 Accompaniments. J^euralgia intercostalis following 
 herpes. 
 
 Millefolium. 
 
 Objective. Condylomata. Fistulous and cancerous 
 ulcers. Painless varices of pregnant women. 
 
 Morphium Aceticum. 
 
 Objective. Conical blotches, either red or skin color, 
 more easily felt than seen. 
 
 Subjective Itching, particularly on the face, neck, loins, 
 and genitals. 
 
342 DISEASES OF THE SKIN. 
 
 Moschus. 
 
 Objective. Eruption on the ears. Mercurial and vene- 
 real herpes. Small pimples in the face. Pimples on the 
 dorsum of the foot, between the toes, on the shoulders, 
 and the left upper arm, bleeding after scratching. 
 
 /Subjective. Burning after scratching. Intolerable burn- 
 ing. Violent griping. Itching. 
 
 Aggravation. On getting cold. 
 
 Amelioration. On getting warm. 
 
 Muriatic Acid. 
 
 Objective. Eed tensive blotches on the right side of the 
 neck. Small boils on the back and temples. Blotches on 
 the forearms and elbow^s. Scalj^ eruption on the lips, 
 backs of the hands, and upper part of the fingers. Her- 
 pes. Ephelis. Black pocks and pustules. Pimples on 
 the face. Pustules on the forehead and temples. Pound, 
 rough, herpetic spots on the inside of the thighs. Scrofu- 
 losis. Scurvy. Scarlatina, intense redness breaking out 
 all over ; or scanty eruption interspersed by petechiae ; 
 purplish skin, and burning heat. Scabies, eruption on 
 the lips, of pimples on the face, forehead, and pustules. 
 Putrid ulcers on the legs, of fetid odor, and covered with 
 scurf. 
 
 Subjective. Burning on the edges of ulcers. Itching- 
 stinging. Shooting when touched. Voluptuous and lan- 
 cinating tickling. 
 
 Aggravation. In the evening and before midnight. 
 When touched ? During motion. In persons who work 
 in salt works, and those who inhale or take Muriate of 
 magnesia. 
 
 Amelioration. From touching and scratching. 
 
 Accompaniments. Dropsy and cachexia. Coma. Great 
 anxiety and restlessness. Patients constantly uncover 
 themselves and slide down in the bed. Pulse intermitting 
 
REMEDIES. 343 
 
 in regular intervals. Severe sore throat, dark bluish-red 
 fauces, and aphthse in the mouth. Foul breath. Sigh- 
 ing, groaning respiration. Discharge of thin acrid pus 
 from the nose, excoriating the nose and lips. 
 
 Nabulus Serpentaria. 
 
 Objective. Pimples on the face about the nose, upper 
 lips, and chin. 
 
 Subjective. Itching. Pricking sensation all over. 
 
 Accompaniments. Chilliness not removed by heat. Pro- 
 fuse dysenteric diarrhoea. 
 
 Natrum Carbonicnm. 
 
 Objective. Pose-colored blotches in leprous patients. 
 White bullge, with red areolae on the index-finger. Blis- 
 ters on the toes. Excoriation between the toes. Itch- 
 like eruption. Humid eruption around the nose and 
 mouth, and on the lips. Freckles on the face. Herpes, 
 discharging a purulent fluid. Herpes on the outside of 
 the hands. Spreading and suppurating herpes. Yellow 
 rings like the remains of herpes. Herpes around the nose 
 and mouth, and on the lips. Herpes circinnatus. Lep- 
 rosy ; leprous tubercles. Black ulcerated pustules on 
 heel ; pustules on the small of the back. Pimples on face 
 and lips. White pimples on the nose. Red spot on big 
 toe, as if contused. Skin dry, rough, and chapped. Scrof- 
 ulosis. Ulcers around the nose and mouth, and on the 
 lips. Ulcers on the heels. Red vesicles filled with fluid, 
 in the bend of the elbow, and in the fold between the 
 genitals and the thigh, and on the chin. Warts on the 
 arms and backs of the hands. 
 
 Subjective. Burning in injured parts, with shootings, 
 and incisive pains. Itching as from fleas. Tingling. 
 
 Aggravations. After midnight. During a thunder- 
 storm. In the sunshine. In the forenoon. From sweats 
 and from smoking. From pressure and motion. 
 
344 DISEASES OF THE SKIN. 
 
 Ameliorations. From cold and uncovering. B}^ touch. 
 By \y\ng on the left side. By rubbing and scratching. 
 Accomjmniments. Profuse sweat after violent work. 
 
 Natrum Muriaticum. 
 
 Nosological. Acne punctata. Boils. Corns. Eczema. 
 Felons. Goitre. Herpes ; herpes circinnatus. Nettle- 
 rash. Scrofulosis. Varices. Warts. 
 
 Objective. White blotches on the arms and hands, be- 
 coming red after friction. Large red blotches over the 
 whole body, especially on the neck. Miliary eruption 
 all over. Eczema, raw and inflamed ; scurfy, and dis- 
 charging a corrosive fluid, which eats among the hair ; 
 worse in the edges of the hair, and on the genitals and 
 legs. Herpes about mouth, and on the arms and thighs ; 
 humid on the scrotum and thighs. Herpes in the bend 
 of the knee, oozing an acrid fluid ; hard crusts, and deep 
 cracks. Herpes on the face. Pimples on the face. Round 
 herpetic spots on the arms. Red spots (of the size of a 
 pin's head) all over. Rash on the legs, and in groups all 
 over. Tubercles. Warts on the palms of the hands. 
 Small red vesicles on the arms. 
 
 Subjective. Itching. Itching-stinging. Gnawing-itch- 
 ing. Shooting pains. 
 
 Aggravations. Periodically. At 10 o'clock a.m. At 
 night. When touched. While tying dow^n. After vio- 
 lent exercise. From warmth. From working with the 
 hands. From Peruvian bark. 
 
 Amelioration. While fasting. In the open air. While 
 lying down. While lying on the right side or back. On 
 perspiring. 
 
 Natrum Sulpliuricum. 
 
 Objective. Felons at the root of the nail ; deep red 
 swelling of the whole phalanx. Watery blisters between 
 thumb and index-finger. Vesicles and pimples on the 
 face. 
 
REMEDIES. 345 
 
 Subjective. Violent itching. Shooting and shooting- 
 tearing. 
 
 Aggravation. In the morning and evening. Before 
 breakfast. When walking. On rising. After exposure 
 to damp, in damp cellars, etc. 
 
 Amelioration. By movement. In the open air. 
 
 Accompaniments. Patient looks sickly and pale, feels 
 (especially in the morning) heavy, and dull in the head. 
 jSTo appetite. Chilly and feverish in the evening. Pains 
 easier while out of doors. 
 
 Niccolum Carbonicum. 
 
 Objective. Eruptions on the lips. Herpes on the lips 
 and cheeks. Pimples on the inner side of the lower lip. 
 Small tubercles after scratching. 
 
 Subjective. Burning-stiDging as from bees. Itching of 
 back and small of the back. 
 
 Aggravation. In the evening and at night. 
 
 Amelioration. In the open air. 
 
 Nitrum. 
 
 Objective. Tubercles of the size of a pea on the face. 
 Ulcer discharging a bloody corrosive ichor. Vesicles 
 filled with yellow serum, bursting when scratched. 
 
 Subjective. Lancination as from needles. Burning. 
 
 Aggravation. In the afternoon and evening and after 
 midnight. In the morning. Prom eating veal. Prom 
 cold. 
 
 Nitric Acid. 
 
 Nosological. Adenitis. Abscesses. Boils. Carbuncles. 
 Chilblains. Corns. Condylomata. Erysipelas. Eczema. 
 Ecthyma. Preckles. Herpes. Lichen agrius. JSTettle- 
 rash. Prurigo. Psoriasis. Syphilis. Scurvy. Scrofu- 
 losis. Scarlatina. Ulcers. Warts. Wens. 
 
 Objective. Phagedenic blisters on the toes. Large 
 
 23 
 
346 DISEASES OF THE SKIK 
 
 boils on the scapulae, on the nape of the neck, and on the 
 thighs and legs. Large blotches, and bleeding after 
 scratching. Blackness of the pores of the skin. Chil- 
 blains, especially on the big toes and hands. Eczema at 
 the edge of the hair, in the internal ear, and on the geni- 
 tals. Small flesh-colored excrescences on the glans penis, 
 emitting a fetid humor, and bleeding when touched. 
 Miliary eruptions. Erysipelas of the face. Herpes in the 
 whiskers, between the fingers, and on the alse nasi. Dry 
 herpes on the outer side of the thigh. Pimples on the 
 face, forehead, and temples. Pustules, with large red 
 margins, on the face, covered with scabs. Pimples on the 
 glans penis and perineum. Pimple on the inner surface 
 of the prepuce, which changes into a flat ulcer, yellow as 
 if covered with pus, and red all around it. Scarlatina, 
 fine eruption. Skin dry and burning hot. Eeddish- 
 brown, copper-colored, and violet spots. Brown and red 
 spots on the glans penis, becoming covered with scabs. 
 White spots and flaws in the nails. Large blue tubercles 
 and spots on the hands. Ulcers with sanious, sanguineous, 
 and corrosive suppuration. Ulcers below the right hip. 
 Chancrous ulcers on the inner surface of the prepuce and 
 in the urethra, with ulcerated edges. Deep ulcer on the 
 glans penis, with elevated lead-colored edges. Small 
 ulcers on the inner side of the prepuce, secreting fetid 
 bloody pus. Small vesicles on the prepuce, breaking and 
 becoming covered with a brown scurf. Suppurating 
 spreading vesicle at the tip of the thumb. Scurfy vesi- 
 cles on the tip of the nose. Wens on the arms. Two 
 small warts on the sternum. Small warts on the neck. 
 
 Subjective. Burning itching. Itching, especially in the 
 bends of the extremities. Itching mostly at night. Itch- 
 ing-pricking. Violent lancinations, as from splinters, all 
 night. Prickino; in the face. Pains in old scars on a 
 change of weather. Stitches and a sensation as of peck- 
 ing. Tensive pains. 
 
REMEDIES. 347 
 
 Aggravatioyi. In the evening and at night. Before 
 breakfast. On waking. In the open air. During per- 
 spiration. From contact. On change of weather. From 
 drinking milk. After the abuse of mercury. 
 
 Amelioration. In the cold air. On lying down. 
 
 Accompaniments. I^ausea and fever. Dryness of the 
 mouth. Diphtheritic sore throat extending into the nose, 
 discharging profusely a thin purulent matter. Tonsils 
 swollen. Difficult deglutition. Tongue dry and fissured. 
 Indistinct speech. Deafness. Intermitting breathing. 
 
 Nuphar Lutea. 
 
 Objective. Eruptions like psoriasis. 
 Subjective. Violent itching. 
 
 Nux Juglans. 
 
 Nosological. Adenitis. Acne pustulosa. Boils. Ec- 
 zema. Herpes. Lichen. Syphilis. Scrofulosis. Ulcers. 
 
 Objective. Acne pustulosa, small pimples in the face, 
 chiefly about the mouth. Little dry blotches, on both 
 insteps, especially upon the left (and redness), forming a 
 hard scab ; the tubercles leave after a time, and the spot 
 is bluish-red, and hard. Large boils on the shoulder, arm, 
 and hip, suppurating profusely, and indurating. Large 
 boil on the right thigh, hard and red all around, and dis- 
 charging a good deal of thick bloodj^ pus. An abrasion 
 on the penis after an embrace changes to an ulcer, with 
 hard edges, suppurating and forming a scurf. Eczema 
 rubrum ; small blisters in the axillae, appearing suddenly 
 and emitting a discharge, which colors the linen a green- 
 ish-yellow. Old herpes. Lichen ; little tubercles with a 
 hard scurf on the instep, with redness and thickened skin. 
 Hard swelling on the left cheek. A red spot of the size 
 of a dollar, in the centre of which is a little tubercle 
 filled with pus, on the right forearm near the bend of the 
 
348 DISEASES OF THE SKIN, 
 
 elbow. Hard, red, painless spots, of the size of a buck- 
 shot, on the right upper arm. Ulcer on the penis. 
 
 Subjective. Violent itching and burning. Pricking- 
 itching. Violent itching of old herpes, with great sore- 
 ness of the parts. 
 
 Aggravation. In the evening in bed and at night. 
 From sweating. From motion (of the arms ?). 
 
 Nux Moschata. 
 
 Objective. Chilblains. Freckles. Pustules with broad 
 red borders, on the chin. Blue spots. Dry cool skin. 
 Scrofulosis. Old ulcers on the leo;s. 
 
 Aggravation. In cold and damp weather. After a 
 •chill. In the open air. While lying on the painful side. 
 In women and children. 
 
 Amelioration. In dry weather. From warmth. 
 
 Accojnjmniments. Sleepiness. Tendency to fainting. 
 
 Nux Vomica. 
 
 Objective. Tendency to boils ; small boils on the knee 
 stiffening the whole leg ; also on the thigh. Corns. Chil- 
 blains, with bleeding rhagades. Eruption on the puden- 
 dum. Ecchymosis ; blue spots as if ecchymosed. Mil- 
 iary eruption on arms and thighs. White miliary erup- 
 tion. Herpes on the inside of the right forearm. Inflam- 
 mation and redness around an ulcer on the leg. Measles. 
 I^ettlerash. l!^8evi materni, venous capillaries. Pimples 
 on the face. Small purulent pimples on the cheeks and 
 head. Pash on the knee. Hot suppurating swelling of 
 the thumb. Scarlatina. Scrofulosis. Scurvy. Ulcers 
 with pale red raised edges. 
 
 Subjective. Burning-pricking like flea-bites. Itching- 
 burning. Gnawing-itching. Eruptions usually painful. 
 Stinging pains. Skin sensitive as if sore, or feels as if 
 asleep. Single long stitches, with soreness. Soreness in 
 corns. Violent throbbing in chilblains in suramer. 
 
REMEDIES. 349 
 
 Aggravation. In the morning. After midnight. In 
 dry and in windy weather ; in fine clear weather. On one 
 side (usually the right). During the fever. After drink- 
 ing. After drugging. From coffee,' wine, alcoholic 
 liquors and tohacco. From contact. From motion. From 
 lying on the right side and the back. After the measles. 
 From cold. In the open air. During a catarrh and from 
 suppressed catarrh. On getting cold and after taking 
 cold. From cold food. After menstruation. 
 
 Amelioration. In the room. From warmth. From hot 
 food. During wet weather. 
 
 Accompaniments. 'Nose stopped. Cough dry in the 
 evening and loose in the morning. Small fetid ulcers in 
 the mouth and fauces ; difiicult deglutition. Mouth very 
 sore and flow of bloody saliva. Gastric derangement. 
 Constipation. 
 
 Oleander. 
 
 Objective. Itch-like eruption. Tuberculous eruption on 
 the face and forehead. Humid eruption on the head. 
 Excoriation and redness. Eczema. Herpes and ulcers on 
 the ears and around the ears. Oozing behind the ears. 
 Scurfy pimples. Skin gets raw by the rubbing of the 
 clothing. Vesicles on the thighs. 
 
 Subjective. Gnaw^ing-itching while undressing. The 
 skin is sensitive and sore. 
 
 Accompaniments. Absence of mind. Fainting. 
 
 Oleum Animale. 
 
 Objective. Excoriation in the bend of the hip. Pimples 
 in the bend of the elbow. Oozing pimples on the nose. 
 Papulse on the cheek and under the skin of the occiput. 
 Vesicles like scabious pimples. Eed watery vesicles after 
 scratching. 
 
 Subjective. Burning. Biting-itching relieved by rub- 
 bing. Itching. Gnawing-itching. Itching like flea- 
 
350 DISEASES OF THE SKIN. 
 
 bites disappearing suddenly, or changing to burning and 
 heat. 
 
 Oleum Jecoris Morrhuse. 
 
 Objective. Eruption of small red spots. Herpes. Scald- 
 head. Skin red all over. Scrofulous ulcers discharging 
 a large quantity of mucus. 
 
 ^Subjective. Itching. 
 
 Aggravation. In bed. At night. 
 
 Opium. 
 
 Objective. Red blotches after scratching. Small round 
 colorless elevations. Chilblains on the fingers and toes. 
 Pustules. The whole body looks red. Skin of a pale 
 blue, especially on the genitals. Small red spots. Blue 
 spots. Scarlatina. 
 
 Subjective. Burning pain. Itching and creeping. Itch- 
 ing from the chest upward, especially on the nose. Smart- 
 ing-itching after sweating. Stinging-itching. 
 
 Aggravation. On getting heated. At night. After a 
 fright. 
 
 Accompaniynents. The brain seems affected. Delirium: 
 a soporous condition with snoring. Convulsions. Obsti- 
 nate constipation ; faeces are small, hard, dry, black balls. 
 Painlessness with all complaints. Vomiting. After 
 belladonna when it does not relieve. 
 
 Origanum Vulgare. 
 
 Objective. Vividly red efilorescence and spots on the 
 abdomen and legs. 
 
 Osmium. 
 
 Objective. Scarlet red rash on the thighs and ankles. 
 
 Oxalic Acid. 
 
 Objective. Eruption in circular patches, with redness. 
 
REMEDIES, 351 
 
 Pimples on the nose. Skin mottled in circular patches. 
 Warts. 
 
 Subjective. Itching. Smarting and soreness. 
 
 Aggirivation. Periodically. On the left side. 
 
 Pseonia. 
 
 Objective. A running fetid ulcer on the verge of the 
 anus. 
 
 Subjective. Burning-smarting, with itching. Pricking, 
 itching, stinging. 
 
 Accompaniments. Ulcers and rhagades very painful and 
 sensitive in the rectum. 
 
 Palladium. 
 
 Objective. Pimples on the face, nose, and behind the 
 ears. Warts on the knuckles. 
 
 Subjective. Itching. Itching-crawling as from fleas. 
 
 Paris ftuadrifolia. 
 
 Objective. Felons. Herpes about the mouth. Puru- 
 lent pimples under the nose and on the chin. Pimples on 
 the forehead. Sanguineous pimples on the lower jaw. 
 Red spots on the cheeks and lower jaw. Red curved 
 streak above the umbilicus. 
 
 Subjective. Pain as of excoriation. Violent itching. 
 Subcutaneous tingling. 
 
 Paulinia Pinnata. 
 
 Objective. Red spots on the face. Suppuration behind 
 the head. Ulcers on the lower limbs. 
 
 Subjective. Itching in the hands and fingers, behind the 
 head, and in the ulcers. 
 
 Pediculus Capitis. 
 
 Objective. White blotches above the left breast. The 
 face red and bloated. The skin on the left thigh peels off. 
 Small pimples, black in the centre, on the left knee and 
 
352 DISEASES OF THE SKIN. 
 
 right side of neck. Small red miliary pimples on the 
 calves and thighs. Whitish pimples on the forehead. 
 Pimples on the face and chin. Vesicular pimples, with a 
 black point in the centre. Miliary pimples on a red base 
 on the nape of the neck. Red pimples on the hands. Red 
 inflamed pimples on the temples, shoulders and arms. Red 
 inflamed pimples, with a black point in the middle of a 
 white centre, on the back. 
 
 Subjective. Itching. Pricking. 
 
 Petroleum. 
 
 Nosological. Boils. Corns. Chilblains. Erysipelas. 
 Eczema. Herpes. Intertrigo. ^N'ettlerash. Psoriasis. 
 Scrofulosis. Scald-head. Ulcers. Warts. 
 
 Objective. Blisters on the heels. Blotches on the calves 
 of both legs. Eruption between the toes. Reddish erup- 
 tion on the glans penis. Moist eczema on the genitals. 
 Tuberculous eruption on the calves of the legs Erysipelas 
 on the arms. Chapped rough tips of the fingers : chapped 
 hands, with rhagades. Herpes on the malleolus, on the 
 chest, nape of neck, perineum and kuee. Intertrigo be- 
 hind the ears. Small pimples between the scrotum and 
 the thigh. Pimples on the abdomen and face. Pustules. 
 Bleeding rhagades, with thick crusts in the hands and 
 fingers. Scurf at the edge of the anus. Large red spot 
 on the left knee. The skin is unhealthy ; every inj ury 
 tends to suppurate. Excoriated running spots on the 
 skin. Yellow spots on the arms. Brown spots on the 
 wrists. Tumor in the axilla. Ulcers, with proud flesh. 
 Obstinate superficial ulcers on the toes, with elevated 
 margins, red bases, and much oozing. 
 
 Subjective. Burning. Itching, with chills. Stitching 
 and cutting pains. Smarting. Shooting pains. Titillating. 
 
 Aggravation. In the morning. In the open air. 
 
REMEDIES. 353 
 
 Phosphorus. 
 
 Nosological. Lymphatic abscesses. Boils. Chilblains. 
 Corns. Erysipelas. Eczema. Fungus heematodes. Gan- 
 grene. Herpes. Hsematophilia. Measles. I^ettlerash. 
 Petechise. Psoriasis. Scrofulosis. Scarlatina. Scald- 
 head. Ulcers. Small-pox. 
 
 Objective. Abscesses and indurations of the mammse. 
 Blotches on the edges of the tibia. Hard blotches here 
 and there. Brownish and bluish-red blotchlike spots. 
 Blisters on the heels. Black blood oozes from an old 
 cicatrix. Boils on the abdomen. Small boils on the nape 
 of the neck, chest, and thighs. Copious bleeding from 
 small wounds. Hard blisters. Cracked skin of the 
 finger-joints, as if by cold. Desquamation. Scaly herpes 
 on the arms and knees. Scabby herpes on the face. Dry 
 and furfuraceous herpes. Fatal inflammation and gan- 
 grene. Pimples on the face, in the bend of the elbow, 
 and in the axillae. Psoriasis on the knees, elbows, legs, 
 and eyebrows. Repercussion of eruptions. Excoriated 
 spots, with rhagades on the skin. Yellow spots on the 
 chest. Small spots, like freckles, on the lower part of the 
 tibia. Blue-red spots, like petechise, on legs and feet. 
 Sanguineous spots. Brown spots on the body. Round 
 herpetic spots all over. Red streaks after scratching. 
 Hepatic spots. Small-pox, the pock containing blood. 
 Suddenly formed red inflamed tumor between the calf of 
 the leg and the bend of the knee. Ulcers on the prepuce. 
 Fistulous ulcers, with callous margins and fetid colorless 
 pus. Large vesicles all over. Vesicles between the fingers 
 and in the bend of the knee ; vesicles around the joints of 
 the extremities. 
 
 Subjective. Burning, compelling change of position. 
 Burning-itching Burning when scratched. Itching. 
 Gnawing-itching. Smarting. Shooting pain. Piercing 
 pain. Stinging-burning. 
 
 k 
 
364 DISEASES OF THE SKIN. 
 
 Aggravation. In the morning. In the evening in bed. 
 From evening till midnight. In lean, slender persons. 
 After the measles and scarlatina. From salt and cam- 
 phor. From warm food. From strong smells. When 
 lying on the left side. When the weather changes. In the 
 wind. 
 
 Amelioration. When \ymg on the right side. From 
 rubbing. After sleep. After eating cold things, and 
 drinking cold water. 
 
 Accompaniments. Hectic fever. Painless diarrhoea. 
 Hfemorrhagic diathesis. Great sensitiveness of all the 
 senses, and yet apathy. Bronchitis and pneumonia ; tight- 
 ness across the chest, with dry, tight cough ; i^attling in 
 the throat. Muriatic Acid is often useful after Phosphorus. 
 
 Phosphoric Acid. 
 
 Nosological. Boils. Corns. Chilblains. Condylomata. 
 Erysipelas. Herpes. Intertrigo. Pemphigus. Psoriasis. 
 Small-pox. Scrofulosis. Scarlatina. Warts and wens. 
 
 Objective. Boils in the axillae, on the shoulders (es- 
 pecially the right shoulder) and nates. Deep, hard bullae 
 on the ball of the thumb. Blisters on the balls of the 
 toes. Crusts on the face. Erysipelatous inflammations 
 and suppressed erysipelas. Dry and humid herpes ; herpes 
 on the face and chin. Pimples on the knees and calves of 
 the legs, becoming confluent, and forming easily bleeding 
 ulcers. Red pimples of the size of a pin's head, with a 
 whitish elevation in the centre, on and between the fingers. 
 Ped pimples on the neck, chest, back, scrotum, and back 
 of the penis. Smooth red pimples, with a red areola on 
 the forearm and neck. Large pimples on the face and 
 chin. Itch-like pustules on the nates and the balls of the 
 toes. Rash all over; clusters of red, fine rash. Reper- 
 cussion of scarlatina. Scarlet exanthems. Red spots 
 on the backs of the hands and limbs. Redness of the 
 whole body, with single large red spots on the shoulders, 
 
REMEDIES. 355 
 
 and red streaks from the hips to the umbilicus and on the 
 patellae. Sraall-pox ; the pocks don't fill with pus, but de- 
 generate into large blisters, bursting and discharging 
 Avater, and leaving excoriated places. Inveterate or flat 
 ulcers, with dirty pus or indented bases. Ulcers on the 
 legs. Vesicles in various parts. "Warts between the 
 metacarpal bones. 
 
 Subjective. Anaesthesia. Burning after scratching. 
 Burning-pricking here and there. Burning-stinging. 
 Grawling-tingling under the skin. Itching. Stitching 
 pressure. Smarting pain in wounds, even of the bones. 
 Skin feels sore all over. 
 
 Aggravation. During repose. From suppressed ernp- 
 tions. From loss of animal fluids. After sweating. 
 
 Accompaniments. Diarrhoea. Typhoid condition. Fear 
 of death. Great restlessness. 
 
 Phytolacca Decandra. 
 
 Objective. Abscesses of various kinds, especially of the 
 mammae. Boils, especially on the back and behind the 
 ears. Drawing in of cicatrices. Cancers. Eruption on 
 the upper lip. Eruption like lichen. Excoriation and 
 ulceration of the nipples. Lupus (which variety?). 
 Psoriasis. Pityriasis. Suppuration of painless tumors. 
 Spots of the size of a lentil on the chest. Scald-head. 
 Tardy appearance of the eruption in scarlet fever. Syphil- 
 itic eruptions. Ulcers and scaly eruptions on the face. 
 Ulcers on the legs. 
 
 Subjective. Itching. Pressing and shooting. 
 
 Accompaniments. Delirium. Diphtheritic sore throat. 
 Acrid discharge from the nose, excoriating the nose and 
 the upper lip. Suppression of the lochia. 
 
 Plantago Major. 
 
 Objective. Eruption on the forehead. Small, red, rough, 
 scaly erj^thematous patches of the size of a pea, on the 
 
356 DISEASES OF THE SKIN. 
 
 face, especially on the left side. Dry scaly eruptiou on 
 the lower lip. Erysipelas of the mammse. Red papulae 
 around the nose. Hard, white, flattened, isolated papulae 
 on the inside of the thighs ; some of the papulae have a 
 red point in the centre. Papulae which exude a yellowish 
 tumor and form a crust. Eedness, swelling, and vesicles 
 on the hands and face. Incised wounds become highly 
 inflamed, erysipelatous, and even gangrenous. 
 
 Subjective. Burning after rubbing, and when scratched. 
 Violent itching. Pricking-stinging pains. Tensive sen- 
 sation. 
 
 Aggravation. When rubbed and scratched. 
 
 Platina. 
 
 Objective. Ulcers on the fingers and toes. 
 
 Subjective. Pain, as if excoriated. Itching, or burning- 
 pricking. Tingling-gnawing pains. Shooting pains. 
 
 Aggravation. In the evening. At rest. While lying 
 down. In the open air. 
 
 Plumbum Aceticum. 
 
 Objective. Blue color of the body and limbs. Burns 
 become inflamed, with swelling, and vesicles full of yellow 
 ichor ; often become gangrenous. Swollen red spots on 
 the fingers. Dark-brown spots all over. The skin is dry. 
 Suppuration ceases. Vesicles on the forehead and nose. 
 Stab wounds become inflamed, suppurate, and heal rapidly. 
 
 Subjective. Burning and smarting as from fire. 
 
 Accompaniments. Constipation. Delirium. Dryness 
 of the mouth. Swelling of the submaxillary and sub- 
 lingual glands. 
 
 Plumbum Metallicum. 
 
 Objective. Bed-sores. Excoriations. Erysipelas on the 
 nose. Gangrene. Dark-brown spots. Serous infiltration 
 of the skin. Skin rough, dry, scaly, yellowish, pale, clay- 
 
REMEDIES. 357 
 
 colored, and dingy. Small wounds inflame and suppurate 
 easily. Ulcers. 
 
 Subjective. Burning in ulcers. Skin sensitive to touch, 
 especially on the arms and eyelids. 
 
 Aggravation. At night. 
 
 Amelioration, By rubbing. 
 
 Podophyllum. 
 
 Objective. Skin sallow, moist, and hot. Flesh soft. 
 Accomimniments. Great debility with children. Pain- 
 less diarrhoea of chalky stools. 
 
 Polygonum Hydropiper. 
 
 Objective. Superficial ulcers and sores on the upper 
 extremities. 
 
 Polygonum Punctatum. 
 
 Objective. Chronic erysipelas, sprains, bruises, etc. 
 Scarlet eruption in a band about three inches wide around 
 the waist, like zo7ia. Old, indolent ulcers. 
 
 Subjective. Burning and itching. 
 
 Psorinum. 
 
 Objective. Dry or moist, fetid eruptions on the head. 
 Humid eruption on the face. Suppressed eruptions. Both 
 inveterate and recent cases of itch ; in the bends of the 
 elbows and around the wrists ; repeated outbreaks of 
 single pustules after the main eruption seems gone. Herpes. 
 Psoriasis. Pimples on the face. Pustules on the forehead, 
 chin, and chest. IN^ettlerash ; frequent attacks, w^ith fine 
 vesicles on the top, which dry up and peel off in fine 
 scales. Scald-head. Ulcers on the face and legs ; old 
 ulcers with fetid pus. 
 
 Aggravation. In the evening and before midnight. In 
 the open air. After exertion. After suppressed itch. 
 
358 DISEASES OF THE SKIN. 
 
 Pulsatilla. 
 
 Nosological. Boils. Chilblains. Erysipelas. Herpes 
 zona. Measles. K'ettlerasli. Scrofulosis. Ulcers. Varices. 
 Conoid varicellae. 
 
 Objective. Chilblains, with bluish-red swelling and 
 rhagades. Phlegmonous erysipelas of the face, with 
 swelling and desquamation. Repercussion of measles. 
 Reel nodosities on the cheek-bones. Pimples from the 
 scalp to the middle of the back. Pimples on tlie side of 
 the neck. Pimples on the neck below the chin. Pimples 
 (or blisters ?) on the leg, discharging a watery fluid. Pim- 
 ples or blisters between the Angers, containing water. 
 Small pustules in the groins. The redness around an ulcer 
 becomes hard and shining. Red, elevated spot on the 
 dorsum of the foot. Red, hot spots like nettlerash. 
 Swelling of the limbs. Small swellings under the skin 
 above the elbow-joints. Ulcers bleed easily. Inflamed 
 and putrid ulcers, with shining hardness and* easy bleed- 
 ing. Callous ulcers. Varices, especially of pregnant 
 women. Highly inflamed varices. 
 
 Subjective. Burning and biting pain. Biting itching. 
 Gnawing. Heat and throbbing. Itching. Itching-sting- 
 ing as from flea-bites. Burning as from a hot coal above 
 an ulcer. Stino-ino- and numbness. Shootino-. Stino-ino;- 
 smarting pain in, Avith itching all around, an ulcer. 
 
 Aggravation. In the evening. Before midnight. Earl}^ 
 in the morning in bed. In the afternoon. Before and 
 during menstruation, and from suppressed menstruation. 
 In women. During pregnancy. In lying in women. 
 In the sunshine. During a catarrh. From beino; frost- 
 bitten. Before the fever. During the sweat. From 
 touching, rubbing, and scratching. When getting warm 
 in bed, or while walking. After contusions. After the 
 loss of animal fluids. After moving. While lying on the 
 left side, and on the painless side. On waking. After 
 
REMEDIES. 359 
 
 eating fat, pork, ices, fruits, pastry, warm food, bread and 
 butter, butter, pancakes, and buckwheat. After taking 
 Quinine, Mercury, Chamomile, and Sulphur. After using 
 tobacco. 
 
 Amelioration. At noon. In the open and cold air. 
 From slow motion. From cold food and cold in general. 
 From washins;. After risino- from the bed. 
 
 Accompaniments. Hardness of hearing after measles. 
 Inflammation of the eyes and photophobia. Thick yellow 
 coryza. Dry mouth without thirst. Gastric derange- 
 ment. Rumbling in the bowels at night, followed by 
 diarrhoea. Delayed and scanty menses. Loose, rattling 
 cough, with thick yellow expectoration. Mild, yielding, 
 tearful disposition. 
 
 Pulsatilla Nuttalliana. 
 
 (American Pulsatilla.) 
 
 Ohjective. Erythema of the scalp. Eruption of a dark- 
 blue or red color on the back, legs, and ankles. Eruption 
 standing out from the skin and looking like measles. 
 Face hot and red from 4 p.m. till bedtime. Kettlerash ; 
 nodules of irregular form, round, elongated, and annular, 
 with a red base, turning white on scratching. 
 
 Subjective. Violent itching, especially intolerable at 
 night in bed. 
 
 Ranunculus Acris. 
 
 Objective. Gangrene. Feet red, hot, and covered with 
 blisters here and there. Obstinate ulcers. 
 
 Ranunculus Flammula. 
 
 Objective. Gangrene. 
 
 Ranunculus Repens. 
 
 Objective. Blisters and gangrenous places on the feet. 
 
360 DISEASES OF THE SKIN. 
 
 Ranunculus Bulbosus. 
 
 Objective. Blisters between the fingers, emitting a thin, 
 yellow fluid. Blisters on the lower limbs. Horny and 
 other excrescences. Herpes all over. Pemphigus. Pity- 
 riasis palmarum et plautaris ; psoriasis. Flat corrosive 
 ulcers, with sharp edges. Dark-blue vesicles emitting 
 dark-yellow lymph, and becoming covered with a horny 
 herpetic scurf. Vesicles on the lower limbs. 
 
 Suljjective. Burning. Intolerable burning-itching. 
 Itching. Lancinating changing to itching. Pricking 
 terminating in itching. Stinging. 
 
 Aggravation. In the moruing and evening. From a 
 change of temperature. From contact and motion. For 
 drunkards. On entering a cold place. 
 
 Ranunculus Sceleratus. 
 
 Objective. Obstinate ulcers. Vesicles emitting a thin, 
 acrid, yellowish ichor. 
 
 Subjective. Burning. Biting. Boring. Gnawing. 
 Itching. Tingling. 
 
 Aggravation. In the evening till midnight. From 
 touch. 
 
 Ratanhia. 
 
 Objective. Suppurating boil on the sole of the right 
 foot. Small red spots on the abdomen, over the stomach. 
 Small granular swelling on the occiput. Large tubercle 
 on the right hip. Vesicles on the upper lip. 
 
 Subjective. Burning. Itching. 
 
 Rheum. 
 
 Objective, Pash on the forehead and arms, with itching. 
 
 Rhododendron. 
 
 Objective. Small red blotches on the inner surface of 
 the thigh. Corns. Dark-red spots on the inner surface 
 
REMEDIES. 361 
 
 ^ of the right thigh. Red swellings of the joints. Vesicles 
 on the lips. 
 
 Subjective. Gnawing. Itching. Shooting-stitches (in 
 corns). 
 
 Aggravation. In the morning. During wet, cold 
 stormy weather. 
 
 Ehus Radicans. 
 
 Objective. Lymphatic abscesses. Small watery blisters 
 on the backs of the hands. Hard, red blotches on the 
 extremities, face, eyelids, and neck, w^ith raised, swollen 
 appearance of the surrounding parts. Boils on the face. 
 Red inflamed tuberculoid elevations of the skin. Ery- 
 sipelas of the face. Eczema. Hard, red eruptions. Erup- 
 tion of small granules across the forehead. Heat and 
 redness of the face. Inflammation of gunshot wounds. 
 Circumscribed redness on the ball of the thumb. Watery 
 pimples bleeding and scabbing. Pimples and pustules on 
 the face. Lymphatic swellings. Vesicles on the wrists 
 and hands, on the scrotum, and on the face. Vesicular 
 eruption between the fingers of the right hand. 
 
 Subjective. Burning. Itching. Tickling. Tingling. 
 Pricking. 
 
 Aggravation. In w^arm weather. 
 
 « Ehus Toxicodendron. 
 
 WL Nosological. Acne rosacea. Carbuncles. Corns. Chil- 
 ^R)lains. Vesicular erysipelas. Eczema. Felons. Herpes. 
 ^^^ONA. Intertrigo. Measles. J^ettlerash. Petechipe. Pity- 
 ^B'iasis palmaris et plantaris. Pemphigus. Malignant pus- 
 tule. Papulous erythema. Rhagades. Small-pox. Scar- 
 latina and scarlatina maligna. Scald-head. Scrofulosis. 
 Varicella. Warts. Wens. 
 
 Objective. Acne rosacea on the mouth and chin. In- 
 flamed blotch on the middle joint of the ring finger. Blis- 
 ters break, leaving red (sore) places. Chilblains, with 
 blotches after scratching. Humid eruption on the scro- 
 
 24 
 
362 DISEASES OF THE SKm. 
 
 turn, with swelling of the prepuce and glans penis. Ec- 
 zema on the inner surface of the thighs after vaccination ; 
 eczema, with thick moist crusts on the face and genitals. 
 Chronic suppurating eruption on the face. Eruption on 
 the scrotum, prepuce, eyelids, arms, and hands, with 
 swelling of the parts, and sm.aU yellow vesicles, which be- 
 come confluent and moist ; the larger vesicles suppurate, 
 being surrounded by a red areola, while the smaller ones 
 scale off. Felons with erysipelatous redness. Herpes 
 alternating with pains in the chest and dysenteric stools ; 
 herpes, moist and dry ; herpes zona {-Rhus will usually 
 cure without the supervention of neuralgia). Intertrigo 
 of infants between the thighs. Suppressed measles and 
 scarlatina. I^ettlerash, the skin is red and swollen. Pus- 
 tules on the arms, hands, and feet. Pustules on the 
 hands and forearms, which break and emit clear moisture. 
 Black pustules, with a high grade of inflammation, 
 rapidly spreading. Pemphigus, each bullae surrounded by 
 a red, inflamed base. Itchlike pimples on the inner side 
 of the carpus, and on the cheeks. Hard pimples on the 
 hands. Pimples on the right side of the chest. Fine 
 rash, with moisture, on the scrotum where it touches the 
 thigh. Scarlatina, dark ei^uption. Scald-head ; a bright- 
 red edge of inflammation surrounds every portion of the 
 eruption ; thick crusts, and bloody ichor, with much fetor. 
 Small-pox, livid eruption which shrinks in. Skin hard 
 and tough like leather, with much desquamation. Scurfs 
 all over. Spots near the frsenulum. Red spots on the 
 inner surface of the prepuce. Red, hot spots on the right 
 hip. Black spots. Red, hot spots and streaks on the 
 inner side of both knees, with small vesicles. Dark-brown 
 marks or spots on the inside of the ankles. Petechial 
 •spots. Red spots, size of a lentil, with small vesicles in 
 the centre. Tubercles on the knees, hips, and shoulders. 
 Tubercles here and there. Small vesicular tubercles, like 
 insect-bites, on the joints of the hands and feet, especially 
 
REMEDIES. 363 
 
 on the outside of the ankles. Glandular swellings and 
 indurations. Ulcers from small vesicles, with violent 
 fever. Vesicles around the mouth and nose. Small vesi- 
 cles with red skin all over. Small vesicles between the 
 fingers and on the right hand, with swelling. Vesicles 
 filled wdth a yellow fluid on the face. Vesicles on the 
 knees, hips, shoulders, and glans penis. Confluent vesicles 
 containing milky or watery fluid, peeling ofl* in three days. 
 Varicella in spreading blisters. Warts all over, especially 
 on the hands and fingers. Wounds become inflamed and 
 covered with small vesicles. 
 
 Subjective, Burning pain. Burning and smarting. Itch- 
 ing-burning pain sometimes passing into a slow stitch. 
 Itching, especially of hairy parts. Stinging-corrosive 
 itching. Sore excoriated feeling, and fine stitches from 
 within outward. Stitching in the scurf on an ulcer early 
 in the morning on waking. Smarting as from salt, at 
 night, w^aking the patient frequently from sleep ; also, the 
 same during the day, worse in the open air. Tingling. 
 
 Aggravation. In the morning. In the evening. After 
 midnight. In the spring. In the autumn. In the month 
 of July. In lying-in women. After getting wet and 
 cold, especially while perspiring. In cold air, from cold 
 food, and cold in general. From cold bathing. After 
 drinking. From exercise, from being heated. From 
 denudation. From w^et poultices. During perspiration. 
 Before falling asleep. From lying on the painful side, 
 and w^hile lying down. From a change in the weather, 
 and during wet weather. On rising. After contusions 
 and sprains. During the small-pox. 
 
 Amelioration. After the perspiration. When walking 
 and getting warm, and from warmth in general. From 
 warm food. In dry weather. From wrapping up. 
 
 Accompaniments. Debility and tired feeling ; free per- 
 spiration after slight exertion. Weeping and moaning. 
 Restlessness at night. Much thirst. Typhoid symptoms. 
 
364 DISEASES OF THE SKIN. 
 
 Eyes appear swimming, as if the person were intoxicated. 
 Bleeding from the nose at night ; ichorous or thick yellow 
 discharge from the nose. Tongue red, smooth, dry, and 
 cracked. Swelling and suppuration of the parotid glands 
 which discharge ichor ; Jlrst the left, and then the right side 
 affected. Sore throat, with swelling of the glands. Acrid 
 diarrhoea. Rheumatism of the joints, w^orse during rest. 
 (Edema of the genitals. 
 
 Rhus Venenata. 
 
 Objective. Boils on the forehead, neck, right thigh, and 
 arms. Phlegmonous erysipelas ; vesicular erysipelas of 
 the face, with much swelling. Fine vesicular eruption on 
 the forearms, wrists, backs of hands, between the fingers, 
 and on the scrotum and ankles. Fissures in the ends of 
 the fingers, w^hich bleed easily. Face very red and swollen, 
 and covered with vesicles. Scrotum swollen, deep red, 
 and covered with vesicles. Watery vesicles on the palms 
 of the hands, ankles, feet, and toes. Groups of watery 
 vesicles on the fingers. Vesicles on the upper lip and ears. 
 
 Subjective. Burning. Itching. 
 
 Aggravation. From warmth. Before a rainstorm. 
 
 Rhus Vernix.^ 
 
 Objective. Hard, elevated blotches, with watery vesicles 
 on them, on the hands. Blotches on the palms of the 
 hands, deep under the skin. Red, elevated callosities. 
 Eczema. Phlyctsenoidal eruptions. Red spots on the 
 face. Groups of watery vesicles on the fingers, and be- 
 hind the ears. 
 
 Subjective. Itching. 
 
 Aggravation. After midnight, toward morning. 
 
 "^ Some claim that Rhus vernix and Rhus rod. are identical in their 
 action ; but we give distinct pathogeneses as ^ye have found them. — Ed. 
 
REMEDIES. 365 
 
 Rumex Crispus. 
 
 Objective. Eruptions from wearing flannel. Vesicular 
 eruptions. Psoric itch. Dense rash of small red pimples 
 on the legs. 
 
 Subjective. Itching. Pricking-itching, and stinging- 
 itching. 
 
 Aggravation, When uncovered (undressing) and ex- 
 posed to the air. After scratching. 
 
 Ruta Graveolens. 
 
 Objective. Acne rosacea. Contusions and injuries ot 
 the bones. Erysipelatous inflammation in the forehead, 
 with swelling ; erysipelas of the hands. Intertrigo from 
 walking, or riding on horseback. Pimples on the lips. 
 Inflamed ulcers. Fistulous ulcers on the legs. Warts. 
 
 Subjective. Gna wing-itchi ng. 
 
 Aggravation. From uncooked food. While lying on 
 the painful side. After injuries of the bones. 
 
 Sabadilla. 
 
 Objective. White blister, with a red edge, on the right 
 knee. Desquamation about the nails. Erysipelatous in- 
 flammation on the right tibia. Marbled and herpetic 
 appearance of the face. Small pimples on both forearms. 
 Red spots of the size of a pin's head on the abdomen, 
 chest, and hands. Small red spots on both hands. Yellow 
 spots on the fingers. Red spots on the left arm. Red 
 spots, and streaks or bands in difi^erent parts of the body. 
 
 Subjective. Burning. Burning-creeping. Burning- 
 itching. Hot sensation in the arms. Pricking, especially 
 in the fingers and toes. Shooting pains. Tingling. 
 
 Aggravation. In the forenoon. Before midnight. Peri- 
 odically. During the full moon. From cold, cold air, and 
 getting cold. During rest. 
 
 Amelioration. While moving. On getting warm. When 
 wrapped up. 
 
366 DISEASES OF THE SKIN. 
 
 Sabina. 
 
 ObJecHve. Acne punctata. Boils on the buttock. Inter- 
 trigo and ulceration. Large spot on the right thigh, ex- 
 coriated after scratching and oozing water, which in three 
 days forms a scurf, leaving a raw, bleeding surface when 
 scratched off; the skin is finally left tender, red, and 
 cicatrized ; there are similar spots on the left ear. Ulcers 
 on the buttocks. Ulcers on the inner side of the left leg, 
 with impure bases under a loose scurf ; small areola in the 
 evening, which is redder in the morning. Sarcomatous 
 ulcers on the tibia. 
 
 Subjective. Burning. Violent itching. Stinging. 
 Shooting. 
 
 Aggravation. At night. In women. During preg- 
 nancy. From touch. On getting warm in bed. In a 
 warm room. 
 
 Amelioration. In the open air. 
 
 Sanguinaria. 
 
 Objective. Carbuncles. Dryness of the skin. Scaly 
 eruptions. Fungoid growths. ISTettl crash. Pustules on 
 the fingers and other parts. Indolent ulcers, with callous 
 edges and ichorous discharge. Ulcerations at the roots 
 of the nails. "VYarts. 
 
 Subjective. Heat. Itching. Pain in the tips of the 
 fingers, as from ulceration. Burning of the soles of the 
 feet and palms of the hands at night. 
 
 Aggravation. In the morning. In the evening. During 
 motion. 
 
 Sapo Domesticus. 
 
 Objective. This remedy is almost absolutely specifically 
 homoeopathic to burns. Use externally as a salve, and 
 internally in a dilution. 
 
 Sarracenia Purpurea. 
 
 Objective. Psoriasis. Small-pox. 
 
REMEDIES. 367 
 
 Sarsaparilla. 
 
 Objective. Blotches, as from nettles. Miliary eruption 
 on the forehead. Herpes prseputialis. Herpes on the left 
 leg, upper lip, and hands. Kettlerash. Red, dry pimples. 
 Deep rhagades on the fingers and thumbs. Red herpetic 
 spots on the calves of the legs. Skin shrivelled. Rough, 
 pale-red spots on the face. Thick scabs on the face. 
 Scabby eruption on the nose and face, like milk crust. Big 
 hot swellings. Purulent ulcers. Vesicles on the fingers 
 and chin. Warts. 
 
 Subjective. Burning. Burning-itching, with chilliness. 
 Itching. Pain, as if from subcutaneous ulceration in the 
 tips of the fingers. 
 
 Aggravation. After the use of Mercury. After gon- 
 orrhoea suppressed by Mercury. 
 
 Accompaniment. Haemorrhoids. 
 
 Secale Cornutum. 
 
 Objective. Boils. Bloody blisters on the extremities, 
 becoming gangrenous. Carbuncles. Extensive ecchymoses. 
 Miliary eruption on the chest and nape of the neck. Gan- 
 grena senilis ; gangrene of the extremities. Black gan- 
 grenous pustules. Petechiae. Spots on the feet like flea- 
 bites. Skin dry and brittle, peels off all over, is shrivelled 
 in places, and insensible and bloodless. Emphysematous 
 swellings. Watery, soft, painful swelling on the w^rist- 
 joint. General desquamation in scarlatina. Tumors on 
 the neck discharging yellow pus. 
 
 Subjective. Burning. Drawing and creeping increasing 
 to spasms. Eormication in the fingers and all over. 
 Tingling. 
 
 Aggravation. From warmth and w^arm applications. 
 During motion. During pregnancy. 
 
 Accompaniments. Watery discharge from the nose, and 
 yet it is stopped. Bloody and albuminous urine. Con- 
 traction of the limbs. Profuse sweats. 
 
368 DISEASES OF THE SKIN. 
 
 Selenium. 
 
 Objective. Miliary eruption on the forearm. Painful 
 hangnails. Prolonged oozing from scratched parts. Scabi- 
 ous pimples on the hands. Pimples on the buttocks and 
 thighs, near the scrotum. Small pimples on the back, and 
 hands, and below the ear. Red rash all over. Flat ulcers 
 on the legs. 
 
 Subjective. Biting in the skin. Tingling-itching. 
 
 Aggravation. After sleep. In the sunshine. From a 
 draft of air. From tea, lemonade, and wine. 
 
 Sempervivum Tectorum, 
 
 Objective. Burns. Corns. Erysipelas. Herpes circin- 
 natus and '' shingles." Stings of insects. Ulcers on and 
 under the tongue. Warts. 
 
 Senega. 
 
 Objective. Bites of venomous or enraged creatures. 
 Scarlatina. Vesicles at the commissures of the lips. 
 
 Subjective. Burning. Itching. 
 
 Accompaniments. Dyspnoea. Rattling in the chest, 
 and loose but feeble cough- Hydrothorax. 
 
 Sepia. 
 
 Nosological. Adenitis. Acne punctata. Boils. Corns. 
 Dandruff. Eczema marginatum. Ichthyosis. Pustular 
 erysipelas ? Felons. Herpes. Herpes circinnatus. Scir- 
 rhns ; glandular indurations. Intertrigo, ^ettlerash. 
 Prurigo. Psoriasis and pityriasis palmaris and plan- 
 taris. Pemphigus. Scabies. Scurvy. Scrofulosis. Scald- 
 head. Tinea tonsurans. Ulcers. Warts. 
 
 Objective. Red lentil-sized blotches on the hands, emit- 
 ting a humor when pricked. Blotches on the face and 
 feet. Blisters on the heels becoming ulcers. Large blis- 
 ters on both upper arms. Boils on the thighs. Corns on 
 
REMEDIES. 369 
 
 the feet. Dandruff in circles like " ringworm." Desqua- 
 mation of cuticle from the hands and feet. Humid erup- 
 tion on the inner labia, with swelling. Eczema on the 
 face, genitals, legs, and bends of the extremities. Hot 
 glans, with pale-red eruption. Eed little induration on 
 the inner side of the prepuce and glans. Scaly herpes on 
 the hands. Moist and scaly herpes. Herpes, and yellow 
 color about the mouth. Herpes on the neck and behind 
 the ears. Humid herpes in the axillae, and on the backs 
 of the hands. Humidity and intertrigo in the bends of 
 the joints. Erysipelatous inflammation of the face from 
 a carious tooth. Deformed nails. I^ettlerash, chronic 
 form, especially on the face, arms, and thorax ; breaks out 
 during a walk in the cold air, and disappears in the warm 
 room. Pimples on the legs, and in the bends of the joints. 
 Small red pimples. Pustules on the arms. Scurf at each 
 elbow. Herpetic scurf on the face. Dry scabies ; itchlike 
 eruptions. Brown spots on the chest, on the elbow, sur- 
 rounded by herpetic skin. Claret-colored spots on the 
 neck and under the chin. Red herpetic spots on both 
 sides of the neck. Pedness and red rash all over. Swell- 
 ing in the wrist, elbow, and tarsal joints, and of the whole 
 body. Glandular and lymphatic swellings. Scald-head, 
 the eruption is very moist and discharges puslike matter. 
 Livid spots on pregnant or nervous women. Yellow spots. 
 Yellow streak like a saddle on the nose and cheeks. 
 Herpetic scurf on the face. Inflammatory swelling of the 
 face, with yellow, scurfy pimples. Ped tip on the glans. 
 Indolent ulcers. Ulcers in the joints, on the heels, instep, 
 and tips of the toes. Eruption of vesicles, like pemphigus. 
 Vesicles in the face, and on the hands and feet. Varicella ; 
 the pocks ulcerate and wont heal. Warts on the hands 
 and feet. Scabies, after the abuse of Sulphur and in 
 women. 
 
 Subjective. Burning. Itching changing to burning. 
 Violent itching. Lancinating. Soreness in joints. Shoot- 
 ing. Excessive sensibility. 
 
370 DISEASES OF THE SKIN, 
 
 Aggravation. In the forenoon. In the evening, and at 
 night. In the morning ? In cold and dry weather. In 
 the snowy air. During menstruation and pregnancy. 
 While nursing the child. During and after the sweat. 
 During the fever. Before falling asleep. After sexual 
 excesses and the loss of animal fluids. After washing. 
 After riding on horseback and in a carriage. After bee- 
 stings. After milk and pork. After taking cold in the 
 head.. From contact. In women, especially. 
 
 Amelioration. In the morning. Lying on the painful 
 side. After running. After smoking. After cold food 
 and drink. 
 
 Accompaniments. Alternate chill and heat. Fever. 
 Dyspnoea. The child jerks its head to and fro. 
 
 Silicea. 
 
 Nosological. Abscesses. Adenitis. Boils. Corns. Car- 
 buncles. Dandruff. Ecthyma. Eczema. Felons. Fungus 
 hsematodes. Ganglions. Herpes. Intertrigo. Scirrhous 
 indurations. Ingrowing toenails. Suppurations. Scar- 
 latina. Scrofulosis. Scald-head. Scrofulous, mercurial, 
 scorbutic, cancerous, fistulous, phagedenic, fungoid, and 
 malignant ulcers. Varicella. Warts. 
 
 Objective. Boils on the calves of the legs, thighs, arms, 
 nape of the neck, and chin. Rose-colored blotches. Hard 
 bullae on the lower arm, on a red base, of the size of a pea. 
 Hands and arms chapped. Small crack in the index 
 finger, which becomes inflamed, and on the sore spot a 
 blister is formed. Caries. Carbuncles, during the ulcera- 
 tion. Silex clears wounds and sores of decayed masses, 
 and promotes healthy granulations. Scabious eruption on 
 the tips of the fingers. Eruption all over, like varicella. 
 Felons ; deepseated inflammation, the bone is afiected ; and 
 there is proud flesh. Ganglion on the back of the hand, 
 between the third and fourth metatarsal bones. Herpes 
 on the chin. Pimples at the mons veneris, and on the 
 
REMEDIES. 371 
 
 nape of the neck. Pustules on the forehead, occiput, and 
 vertebral column, forming ulcers. Eash on the sternum. 
 The skin is unhealthy and ulcerates easily. Humid spots 
 on the scrotum. Scurfy, elevated spot above the fold 
 near the os coccygis. Red spots on the glans penis and 
 right tibia. Scarlatina. Suppuration of the glands. 
 Putrid ulcers, with proud flesh and corroding sanies. 
 Purulent ulcer on the back. Ulcers on the lips, backs of 
 hands, thighs, and ankles. Purulent vesicles on the 
 fingers. Aifections following vaccination. Warts on the 
 arms and hands. Old scars open and become painful. 
 Ulceration of the great toe. 
 
 Subjective. Boring-shooting. Burning-stinging. Itch- 
 ing and burning. Itching and biting, after lying down, 
 not relieved by scratching. A kind of crawling, shooting 
 pain. Smarting. Stinging-aching in a spot where an 
 ulcer was. Stitches in corns jerking the feet. The skin 
 is very sensitive. 
 
 Aggravation. At night. When the weather changes. 
 In the open air. From uncovering. Prom getting cold 
 or wet, especially after having cold feet. While lying on 
 the painful side. After drinking, especially wine. From 
 pressure from without. With children. 
 
 Accom'paniments. Fever worse at night. Sleep disturbed 
 by earache. Child wakes and throws its arms about and 
 screams ; puts its hands behind the ears ; otitis interna ; 
 likes to be covered and wrapped up warmly. Children 
 with large bellies, w^eak ankles, and much sweat about 
 the heat. 
 
 Amelioration, From warmth, wrapping up, and in the 
 warm room. 
 
 Solanum Mammosum. 
 
 Objective, Vesicular erysipelas. Herpes. 
 
 Spigelia. 
 
 Objective. Wart-shaped excrescences on the second toe, 
 
372 DISEASES OF THE SKTN. 
 
 leaving a white cicatrix. Large pimples on the neck. 
 Hard, reddish pimples on a spot on the palm of the left 
 hand. Pimples on the middle finger of the right hand, 
 which discharge yellow pus when pressed. Small hlack 
 pimples on the upper lip. Skin pale and wrinkled. 
 
 Subjective. Burning and itching followed by an erup- 
 'tion. Itching. Pain as if excoriated. Painful sensi- 
 tiveness. 
 
 Aggravation. In the afternoon. After washing. From 
 contact. After exposure to cold. 
 
 Spongia. 
 
 Objective. Adenitis. Large blisters on the right lower 
 arm. Red blotches. Goitre (also. Iodine). Herpes. 
 Large pimples below the chin. Spot of the size of a 
 silver dollar between the scapulae, densely covered with 
 pimples. Red spots on the skin. Red, hot spot covered 
 with miliary vesicles. 
 
 Subjective. Burning. Stinging-itching after scratching. 
 Creeping in a small spot. Itching. Gnawing-itching in 
 a small spot, as though a flea were walking on it. Itching 
 in other parts while scratching a particular spot. Itch- 
 ing-shooting. Continuous itching stitch, as if from a fine 
 needle. Painful stitching. Titillating. 
 
 Aggravation. From the use of tobacco, especially 
 smoking. In the warm room. 
 
 Squilla (Scilla) Maritima. 
 
 Objective. Eruption like pustulous scabies. Cold gan- 
 grene. Intertrigo in the bends of the joints. Pimples on 
 the neck. Red pimples on the back, the tips filled with 
 pus ; the next day the pimples are covered with a crust. 
 Small red spots all over, but especially on the hands, chest, 
 and feet. Scirrhous tumors. Yesicles on the hands. 
 
 Subjective. Burning-itching, especially after scratching. 
 Stinging-itching. 
 
REMEDIES. 373 
 
 Aggravation. In the morning. From exercise. From 
 uncovering. 
 
 Amelioration. While wrapped up and lying in bed. 
 
 Stannum. 
 
 Objective. Blotch on the left side of the anus. Chil- 
 blains on the hands. Flaws in the nails. Pimples on the 
 face. Round red spot on the front of the neck, with a 
 white pimple in the centre. Small red spots on the backs 
 of the hands. Round yellow spots on the legs. Vesicles 
 at the orifice of the urethra. 
 
 Subjective. Itching, burning, pricking. Gnawing-itch- 
 ing while undressing. Itching-shooting. 
 
 Aggravation. At rest, and from motion ? 
 
 Staphysagria. 
 
 Nosological. Adenitis. Boils. Cancerous affections. 
 Caries. Eczema. Herpes. Lichen. Scald-head. Scurvy. 
 Scabies. Scrofulosis. Ulcers. Sycosis. 
 
 Objective. Blotches all around the anus. Herpetic 
 eruptions. Chronic miliary eruptions on the chest. Scabi- 
 ous eruptions. Eczema ; yellow acrid moisture oozes 
 from under the crusts ; upon the surface denuded of these, 
 new vesicles at once form and soon burst, forming a crust 
 as before. Dry crusty herpes in the bends of the joints. 
 Herpes on the hands, thighs, and legs. Inflammations. 
 Glandular indurations. Lichen on the face and behind 
 the ears, dry, pimpl}^ eruption, and rough skin. Oozing 
 nodosities. Red and white pimples on both thighs and 
 legs, whose tips contain pus. Pimples on the leg and 
 nape of the neck. Small red pimples, close together, on 
 the lower ribs. Rash on the chest becoming red. Chronic 
 miliary rash. Skin unhealthy and easily suppurates. 
 Red swelling on the forearm, with a pustule in the centre. 
 Sycosis ; white humid excrescences behind the corona 
 glandis, and upon it. Scald-head ; yellow, moist, offensive 
 
374 DISEASES OF THE SKIN. 
 
 scales. Ulcers covered with a thin crust, and discharging 
 yellow water. Vesicles on the inner surface of the right 
 tibia. Wounds from sharp instruments (for such injuries 
 Staph, is second only to Calend.). 
 
 Subjective. Burning when scratched. Wandering 
 creeping-crawling. Darting and jerking. Itching-burn- 
 ing. Itching-burning-stinging, as from nettles. Smarting- 
 itching. Itching, sharp stitches. Lancinating. Deeply 
 penetrating sharp stitches. Scratching in one place re- 
 lieves the itching, which appears in another. Smarting. 
 Tearing-shooting. Tingling as if from insects. Ulcera- 
 tive pain when touched. 
 
 Aggravation. In the morning and evening. After 
 sexual excesses and masturbation. From loss of animal 
 fluids. After rubbing and contact. After fasting. After 
 tobacco and Mercury. When warm. After cuts. 
 
 Accompaniments. Chilly creeping in affected parts. 
 Chilliness in the epigastrium. E'octurnal convulsions. 
 
 Stillingia Sylvatica. 
 
 Objective. Elephantiasis. Vesicular eruption on the 
 ear. Pustular eruption on the arm. Chronic eruptions. 
 Lepra. Scrofulosis. Syphilis. Ulcers. 
 
 Subjective. Itching. 
 
 Aggravation. Upon exposure to cold. 
 
 Stramonium. 
 
 Objective. Blisters. Large boils, boils on the feet. Ery- 
 sipelas of one side of the face. Eruptions, with swelling 
 and inflammation. Felons, when the pain is unbearable, 
 driving the patient to despair ; Stram. hastens benign 
 suppuration. Measles. Inflamed pustules on the right 
 leg emitting an acrid water. Red rash on the chest and 
 back, pale in the morning, redder and more frequent in the 
 afternoon ; scaling off after some days. Skin on the left 
 
REMEDIES. 375 
 
 knee is copper-colored. Small swelling on the tibia, with 
 a red point. Malignant scarlatina. 
 
 Subjective. Creeping. Itching. Tingling. 
 
 Aggravation. Early in the morning after w^aking. In 
 the afternoon. After sleep. From contact. During 
 perspiration. After moving. 
 
 Accompaniments. Delirium ; visions of rats and mice, 
 etc., at which the patient starts and tries to hide. Difficult 
 deglutition, as from spasm of the oesophagus. 
 
 Strontiana Carbonica. 
 
 Objective. Pimples in different parts. 
 Subjective. Burning-itching. Tension of the skin. 
 Aggravation. In the evening and at night. From cold 
 and cold air. From uncovering. From w^ashing. 
 
 Sulphur. 
 
 Nosological. Adenitis. Acne punctata. Boils. Chil- 
 blains. Corns. Crusta lactea et serpiginosa. Caries. 
 Dandruff*. Eczema. Ichthyosis. Erysipelas. Erythema. 
 Ecthyma. Felons. Herpes. Intertrigo. Freckles. 
 Glandular indurations. Lichen. Measles. ^N'ettlerash. 
 Moles. Porrigo favosa. Pemphigus. Psoriasis and 
 pityriasis palmarum or plantaris. Prurigo. Rhagades. 
 Scurvy. Scarlatina. Small- pox. Tinea, humid and dr}^ 
 Ulcers. Varicella. Varicose veins. Warts. 
 
 Objective. Blotches on the neck, as if from the heat. 
 Blotches all over, especially on the hands and feet. Pro- 
 fuse bleeding from ulcers ; bleeding after itching. Red 
 blotches on the face. Crusta serpiginosa on the face, 
 worse on the cheeks and around the eyes ; hands and arms 
 cold, bluish, and swollen. Chapped skin, especially hands. 
 Chilblains, with redness, swelling, and suppuration ; thick 
 red chilblains on the fingers. Inflamed corns. Dry, scaly 
 eruption. Fiery scarlet eruption all over. Scurfy erup- 
 tion, consisting of small vesicles with red areola. Eczema 
 
876 DISEASES OF THE SKIN. 
 
 around the margin of the hairy scalp from ear to ear 
 posteriorly. Eczema under the toes. Eczema of the ex- 
 tremities, marginatum, and impetiginoides. Eczema, with 
 crusts, pimples, and an easily bleeding surface ; genitals, 
 legs, and bends of the extremities specially affected. Ery- 
 thema nodosum et papulatum. Erysipelas in very herpetic 
 subjects ; phlegmonous erysipelas, especially of the leg and 
 foot. Papulous eruptions. Felons, when Apis seems indi- 
 cated and proves insufficient. Red spotted herpes, with 
 vesicles ; humid herpes. Herpes miliaris, phlyctsenoides, 
 circinatus et squamosus. Crustaceous herpes. Herpes 
 on the nape of the neck and ankles. Moist herpes, with, 
 small wbite vesicles in groups, forming scabs over the 
 whole face, but chiefly above the nose and around the eyes. 
 Reappearance of repelled herpes. Greenish-yellow herpes. 
 Intertrio^o of infants between thio;hs and behind ears. 
 IN'odosities on the fingers. Flaws in the nails. ^NTettle- 
 rash, chronic cases, after Pidsat. White pimples between 
 the toes. Pimples on the inner part of the thighs. Pim- 
 ples all around the pudendum. Red pimples on the nose, 
 chin, forearms and arms. Prepuce fissured and hangs 
 far over the glans penis. Porrigo favosa ; pustules on the 
 head, forming thick, yellow, adherent crusts. Psoriasis 
 inveterata ; dry, scaly eruption on the dorsum of both 
 hands. Pimples on the face. Bluish spots on the legs. 
 Skin rough and scaly. Scald-head ; the eruption spreads 
 all over the body. Suppurations. Hard, hot swelling on 
 the left upper arm. Swelling and suppuration of the 
 glands. Thick yellow-gray scurfs. Small-pox, suppura- 
 tive stage. Red spots on the arms after washing them 
 with soap. Hepatic spots on the back and chest ; yellow 
 and brown spots. Scarlatina, rapidly growing red all 
 over ; eruption at first bright, soon growing purple, and 
 very hot. Purulent tumors on the buttocks. Fistulous 
 ulcers, with elevated edges surrounded by pimples, red or 
 blue areola ; bleed easily and profusely, with sanious, 
 
REMEDIES. 377 
 
 thick, fetid, yellow pias and proud flesh. Vesicles on the 
 pudendum. Suppurating vesicles in the bend of the 
 elbow. Vesicular eruption on the back of the hands. 
 Ulcerated vesicles on the soles of the feet. Varicella, the 
 pocks don't heal and ulcerate. Varicose veins on the 
 legs. Horny warts. 
 
 Subjective. Burning after scratching. Formication. 
 Itching. Burning-itching. Itching-stinging. Pricking 
 after getting warm in bed. Stinging and tearing. Sting- 
 ing-itching. Smarting after scratching. Stitches and 
 feeling as though pressed by the shoe, in corns. Volup- 
 tuous tingling-itching, with burning and soreness after 
 scratching. 
 
 Aggravation. In the evening. After midnight. Peri- 
 odically. Before menstruation, and from suppressed 
 menstruation. From wet poultices and washing. After 
 sleep. Prom exertion. During sweat, and from sup- 
 pressed perspiration. From contact. On getting warm 
 in bed. After the use of milk and Mercury. 
 
 Accompaniments. Fever, burning heat of the skin. 
 Arthritic rheumatism. Catarrh during and chronic 
 cough after measles. Chronic acrid diarrhoea, with and 
 after measles and scarlatina. Hardness of hearing, and 
 chronic discharge from the ears after measles. Vomiting. 
 Sopor and tendency to metastasis to the brain. Burning 
 heat in the soles of the feet, the patient puts them out of 
 bed to keep them cool. Children very sensitive and averse 
 to cold water. Sleep broken and in short naps at night. 
 
 Sulphuric Acid. 
 
 Objective. Boils. Bedsores. Bruises, contusions, 
 injuries by falling, knocking, etc. Chilblains. Corns. 
 Excoriation, with ulceration like gangrene ; very easy ex- 
 coriation while walking or riding on horseback. Small 
 dark-red elevations on the back of the hand, covered with 
 scabs, beneath which are pus. Erythema nodosum. Pur- 
 
 25 
 
378 DISEASES OF THE SKIN. 
 
 purea. Scabies, single pustules appear each spring. Bluish 
 spots on the forearm, as if ecchymosed. Red spots on the 
 tibia, with blotches in the ceatre, swelling after scratching. 
 Suppurating sore as if mortified. Warts. Ulcers. 
 
 Subjective. Burning-itching. Corrosive sensation in an 
 ulcer. Itching. Gnawing. Tearing and shooting. 
 
 Aggravation. In the forenoon. In the evening. In 
 the open air. After violent bleeding. After drinking 
 coffee. 
 
 Sumbul. 
 
 Objective. Acne punctata, black pores on the face. 
 Porrigo, in infants, on the left side of the scalp; spots 
 round and dry, slightly raised, and reddened at the edges, 
 with branlike scales in the centre. Skin cold, white, 
 shrunken, and dry as if washed in acrid water. Miliary 
 spots on the back, right shoulder-blade and hip. Reddish 
 spots on the forehead, chin, and cheeks, containing either 
 water, or thick, white, curdy matter. 
 
 Subjective. Itching. 
 
 Syphilinum.* 
 
 Objective. Adenitis, leaving almond-shaped kernels (of 
 varying sizes), abundant about the neck. Eruption all 
 over the body, not elevated, but can be felt by the hand 
 on the skin. Eruptions discharging pus. Eruptions of 
 pustules discharging an ichor, and leaving pockmarks of 
 a lardaceous coppery hue when healed. Eruption resem- 
 bling small-pox. Eruption covering the eyes and making 
 the patient blind. Eruption discharging pus. Herpes in 
 the mouth and fauces. Rawness between the toes. Swell- 
 ing of the glands. Dull^ reddish, copper-colored spots all 
 over. The skin is bluish. Sore one and a half inches in 
 diameter on the middle of the occipital bone, covered with 
 
 * For this pathogenesis we are indebted to Samuel Swan, M.D., of 
 New York City. 
 
REMEDIES. 379 
 
 a thick, yellow-white scab. Soreness of the left side of 
 the nose, inside and out scabbed over. Sores on the lips 
 and chin, especially on the left side, scabbing over. 
 
 Subjective. Burning in chancre. Whole body ex- 
 tremely cold. Terrible itching, but extreme sensitiveness 
 which prevents scratching. Pain in the right groin, fol- 
 lowed by glandular swellings. Pricking, as though punc- 
 tured with pins, in chancre. 
 
 Aggravations. From 2, 3, or 4 p.m. until daybreak. 
 From the warmth of the bed. 
 
 Accompaniments. Gradual rigidity of all joints after 
 the eruption ; flexors seem contracted. Peculiar disa- 
 greeable odor from the body. Headache and great debil- 
 ity. E'ight-sweats between the shoulders and down to the 
 waist. Breath fetid. Tongue red and thick ; two deep 
 cracks running lengthwise in it ; one each side of the me- 
 dian line. Suifusion 2iMdifull feeling in the face, throat and 
 head, with innumerable small enlarged cervical glands. 
 
 Tabacum. 
 
 Objective. Red eruption on the back. Pimples on the 
 chest and fingers. Pustules on the nape of the neck and 
 upper limbs. Miliary rash on both cheeks. Red spots 
 on the face and right shoulder. Increased turgescence of 
 the skin, which is yellow, hot, and dry. Vesicles contain- 
 ing a yellow serum, and surrounded by a red areola. 
 
 Subjective. Burning when touched. Itching as from 
 flea-bites. 
 
 Aggravation. At night, and on the left side. 
 
 Aceompaniment. Slight perspiration. 
 
 (Leontodon) Taraxacum. 
 
 Objective. ;N"ettlerash. Pimples on the cheeks, wings 
 of the nose, corners of the mouth, and hands. Vesicles 
 on the dorsum of the risrht foot. 
 
 Subjective. Itching. Stinging itching. 
 
330 DISEASES OF THE SKIN. 
 
 Aggravation, While resting. From fat food. 
 Amelioration. From moving and walking. 
 
 Tartarus Emeticus. 
 
 Nosological. Boils. Ecthyma. Erysipelas. Scabies. 
 Small-pox. Ulcers. Varicella. 
 
 Objective. Miliary eruption on the nape of the neck 
 and on the arms. Furunculo pustulous eruptions. Pim- 
 ples on the arms and wrists. Pustular eruptions all over. 
 Pustules on the genitals. Pustules seem filled with shot. 
 Small red pustules. Large, round, full pustules, with red 
 areola. Pustules drying up and leaving deeply penetrat- 
 ing malignant ulcers (in small-pox and varicella). Pale, 
 livid, depressed, black pustules, containing a bloody or 
 black fluid. Suppurating rash on the occiput, chest, and 
 arms. Rash all over, with heat of the skin. Scabies ; 
 itchlike eruption, especially on the wrist and upper arm. 
 Small red spots on the hands, like flea-bites. Dark-yellow 
 spots on the fingers. Skin pale, cold, and clammy, es- 
 pecially about the head and extremities. Erysipelatous 
 swellings. Erysipelatous ulcers. Gangrenous ulcers. 
 Pound and inveterate ulcers. Vesicles and blotches filled 
 with pus like varicella or variola. 
 
 Subjective. Itching. Skin insensible. 
 
 Aggravation. In the evening. From warmth. 
 
 Accompaniments. Headache. Violent fever. Thirst. 
 Profuse sweats. Dyspnoea. 
 
 Taxus Baccata. 
 
 Objective. Phlegmonous erysipelas. Miliary eruption 
 on the left forearm. Eruptions with symptoms of gan- 
 grene. Dry herpes in the external angle of the left eye, 
 red at the base. Petechiae. Hard, round, red pimples on 
 the back of the right forearm about the wrist. Broad 
 flat pimples on both arms. Large, slightly elevated pim- 
 ples (like red spots) on both forearms. Red-brown spot 
 
REMEDIES. 381 
 
 on the nose, with a pimple in its centre, speedily scaling 
 off. 
 
 Subjective. Burning itching. Tickling. 
 
 Aggravation. In the evening. At night. 
 
 Accompaniment. Profuse sweat. 
 
 Tellurium. 
 
 Objective. Herpes circinatus (" ring- worm ") all over; 
 red elevated rings, distinctly marked, especially on the 
 lower extremities. Psoriasis. Sweat in spots, causing 
 itching of the same. 
 
 Terebinthina. 
 
 Objective. Sudden, erythematous, papulous, and vesic- 
 ular eruptions. Scarlet exanthem on the affected knee, 
 spreading over the whole body. Herpes. Inflammation 
 and redness of the skin, with large blisters on hands and 
 feet, and finally on the thighs. 
 
 Subjective. Itching. Soreness of the skin. 
 
 Teucrium Marum Verum. 
 
 Objective. Ingrowing and ulcerated toe-nails. Psoriasis 
 on the back of the index finger of the right hand ; the 
 skin is hard and hypertrophied, and covered with thick 
 whitish scales. 
 
 Theridion Curassavicum. 
 
 Objective. Is'odosities on various parts, especially the 
 buttocks. Scrofulosis. 
 
 Subjective. Violent itching. 
 
 Thuja Occidentalls. 
 
 Nosological. Acne punctata. Adenitis. Boils. Corns. 
 Chilblains. Condylomata. Erysipelas. Eczema. Herpes 
 and herpes zona. Ichthyosis. Pemphigus. Small-pox. 
 Scabies. Varicella. Ulcers. Warts. 
 
 Objective. Red blotches at the anus like fig-warts. Boil 
 
382 DISEASES OF THE SKIN. 
 
 near the small of the back, with large red borders. White 
 blotches on the calves of the legs. Erysipelas of the 
 finger. Eczema on the genitals. Red excrescences on the 
 inner surface of the prepuce, like fig-warts ; smooth red 
 excrescences behind the glans penis under the prepuce. 
 Herpes on the elbow. White, scaly, dry, mealy herpes. 
 E,ed nodosities on the temples. White nodosities on the 
 toes. I^ails, crippled, discolored, and crumbling. Pim- 
 ples on the lips and chin; on the right buttock; on thighs 
 and knees. Small red pimples on the neck close together. 
 Humid pimples on the scrotum. Pimples on the knee 
 like varicella ; also the same with the tips full of pus, 
 and surrounded by a red areola, especially also on the 
 thighs, elbows, and forearms. Small-pox on the inner 
 surface of the prepuce, humid and suppurating, and de- 
 pressed in the centre. Purulent pimples like small-pox. 
 Pemphigus, especially when painful. Scabious eruption 
 on the face. Brown spot under the arms like n^evi ma- 
 terrii. Cold, painless, glandular swellings. Red spot on 
 the dorsum of the foot. Red spot on the prepuce chang- 
 ing to an ulcer, with scurf. Brown or red mottled spots 
 on the skin. Skin blue over the clavicles. Ulcers on the 
 thighs. Flat ulcer, with blue- white bottom. Whitish 
 ulcer on the inner surface of the labium majorum. Round, 
 flat, unclean ulcer on the corona glandis. Small flat vesi- 
 cle on the glans penis. Bad efiPects from vaccination. 
 Warts on the hands. Wartlike easil}^ bleeding growth 
 on the right labium, after a fall. 
 
 Subjective. Burning. Creeping sensation. Itching. 
 Itching changed to burning and soreness by rubbing. 
 Lancinating and burning (in corns). Stinging burning 
 when rubbed. Stinging and burning while urinating (in 
 condylomata). 
 
 Aggravation. In the afternoon at 3 p.m. In the night, 
 especially after midnight, at 3 a m. During menstruation. 
 From cold and uncovering. From washing, wet, and wet 
 
REMEDIES, 383 
 
 poultices. After overheating and in the heat of the bed. 
 After eating fat meat, onions, acids, and sweets. After 
 drinking beer, wine, and tea. After using and abusing 
 Tobacco, Sulphur, and Mercury. In the open air. On 
 the left side. 
 
 Amelioration. From drawing up the limb. 
 
 Triosteum Perfoliatum. 
 
 Objective. ITettlerash, vesicular eruption on the fore- 
 head over the left eye, on the middle of the chest, and on 
 the right arm. 
 
 Subjective. Violent itching. 
 
 Accompaniment. Gastric derangement. 
 
 Urtica Urens. 
 
 Objective. Fever blisters on the lips. Red raised 
 blotches (" hives ") on the hands and lingers. Burns ; 
 most indicated when the injuries are confined to the skin; 
 the parts are swollen and oedematous, and covered with 
 small, confluent, transparent vesicles filled with serum. 
 Erythema. Vesicular (facial) erysipelas ; lips, nose, and 
 ears swollen ; eyelids closed and oedematous, then small 
 transparent vesicles filled with serum appear, and finally 
 there is desquamation. Goitre? ITettlerash attending 
 or preceding rheumatism. Uticaria nodosa on the hands 
 and fingers. 
 
 Subjective. Violent itching. Burning itching as if the 
 skin were scorched. Stinging itching. 
 
 Aggravations. Every year at the same time. In lying- 
 in women. Alternately with rheumatic pains. 
 
 Accompaniments. Rheumatism attending, following or 
 alternating with nettlerash. Complaints after the retro- 
 cession of urticaria and other eruptions. 
 
 Valeriana Officinalis. 
 
 Objective. White blisters on the cheek. Eruption first 
 
384 DISEASES OF THE SKIN. 
 
 red and confluent, then small, white, hard, elevated pim- 
 ples on the arm and chest. 
 
 Aggravutlon. While resting. 
 
 Amelioration. While moving and walking. 
 
 Variolinum or Variolin. 
 
 Objective. Small-pox. Is almost specific. "We have 
 had prime results from the 200th and 1000th potencies, in 
 which Drs. Swan, Blake, and others concur with us. Von 
 Kaczkowski uses the 3d and 6th. Raue says : " Varioli- 
 num makes the progress of the disease much milder ; re- 
 moves quickly all dangerous symptoms ; changes imper- 
 fect pustules into regular ones, which soon afterwards dry 
 up ; promotes suppuration on the third day, exsiccation 
 on the fifth, sixth, ninth days, and prevents all scars. This 
 is the unanimous testimony of ten physicians who have 
 used it in, difiTerent epidemics." Special Pathol.^ p. 605. 
 
 Veratrum Album. 
 
 Nosological. Corns. Herpes. Measles, ^ettlerash. 
 Scarlatina. Scrofulosis. Varicella. Scabies. 
 
 Objective. Red blotches on the backs of the fingers 
 between second and third joints. Corns, especially on the 
 left foot. Desquamation. Eruption like varicella. Mil- 
 iary eruptions. Copper-red eruption around mouth and 
 chin. Dry herpes on the hands. Measles ; tardy erup- 
 tion ; burniug heat, alternating with cold extremities. 
 Pimples on the right labium just before menstruation. 
 Pimples in clusters here and there. Pustular eruption 
 about the mouth like crusta lactea. Eedness and rash- 
 like pimples, which can be easily felt on the chest and 
 neck after rubbing the parts. Rash, with blotches after 
 scratching. Thick rash on the face. Scabies ; itchlike 
 eruption. Skin bluish- whitish and shrivelled. Scarla- 
 tina ; tardy eruption ; buruing heat alternating with cold 
 extremities. 
 
REMEDIES. 385 
 
 Subjective. Burning after scratching. Heat and ting- 
 ling all over. Itching and corrosive itching. Sore pain. 
 Severe stitch {in corns while sitting). 
 
 Aggravation. In the morning. After midnight. Dur- 
 ing hot summers. Before menstruation. In the heat. 
 W hile sweating. After drinking. After scratching. 
 
 Accompaniments. Delirium. Drowsiness. Apathy. 
 Restlessness. Frequent, weak, intermitting pulse. Hsem- 
 orrhages without relief. 
 
 Veratrum Viride. 
 
 Objective. Erythema and vesication of the skin. 
 Eruptions with very high fever. Phlegmonous and ve- 
 sicular erysipelas. Measles, scarlatina and small. pox, in 
 the inflammatory stage. Face cold, pale, and blue ; nose 
 pinched and blue, etc. Skin cold and moist, or hot and 
 burning. 
 
 Subjective. Pricking and tingling. 
 
 Verbena Hastata. 
 
 Objective. Bruises : (Verbena) promotes the absorption 
 of eifused blood, and allays the attendant pain. Rhus 
 poisoning.* 
 
 Vinca Minor. 
 
 Objective. Humid, bad-smelling eruption on the head, 
 with much vermin ; the same on the face and behind the 
 ears. Hair entangled as in plica polonica. Pimples on 
 the face, which is bloated. Scabs on the scalp and face. 
 
 Subjective. Burning after scratching. Corrosive itching. 
 
 Aggravation. At night. 
 
 * We have found speedy and complete cures to result from the use of 
 Ehus tox.™ (in a large number of cases), even when vesication and 
 ulceration had set in. But if typhoidal symptoms supervene, other 
 remedies will be necessary. 
 
386 DISEASES OF THE SKIN. 
 
 Viola Tricolor. 
 
 Objective, Crusta lactea ; scabs on the face and running 
 of a yellow viscid pus. Impetigo figurata ; pustular erup- 
 tion on the upper lip and chin ; a thick, yellow, friable, 
 semi-transparent crust covers the parts. Rash all over. 
 Skin of the face thick and hard. Dry scabs all over, dis- 
 charging yellow water. 
 
 Subjective. Burning and itching. Burning stitches (in 
 the scalp). Lancinating gnawing. Stinging biting. Cor- 
 rosive stinging. Tension in the skin. 
 
 Aggravation. At night. 
 
 Vipera Redi. 
 
 Objective. Boils. Gangrenous blisters around the 
 wound. Erysipelas. Reddish-black lentil-sized spots all 
 over. Yellow spots on the red swollen limb. Gangrenous 
 ulcers on the bitten parts, with swelling and lameness. 
 
 Vipera Torva. 
 
 Objective. Black blisters, with suppuration. Blisters, 
 with red areola. Black crust on the wound. Erysipelas, 
 wath vomiting. Erysipelas on the inner surface of the 
 arm and on the side. Gangrenous swelling. Shining 
 swelling, with deeply penetrating suppuration, and cov- 
 ered with blue blisters. Large ulcers penetrating to the 
 bone on the leg. 
 
 Zincum Metallicum. 
 
 Objective. Small boils on the arms. Blotch on the little 
 toe. Chilblains on the hand, with much swelling. Erup- 
 tion and redness on the chin. Erysipelas of the foot 
 (tendo Achillis). Ganglia. Herpes on the back and 
 hands, l^euralgia following herpes zoster. Small pim- 
 ples on both shoulders, like boils. Small red pimples on 
 
► 
 
 REMEDIES. 387 
 
 the scrotum, each formed around a hair. Red pimples on 
 the chest and face. Rash in the bends of the knees and 
 elbows. Rhagades and chapped hands, especially the left. 
 Spots and little scabs on the back. Small, red, round 
 spots on the hands and fingers. Red spots on the legs, 
 with scurf Rough herpetic spots on the hands. Scarla- 
 tina. Herpetic ulcers. Varices of the legs. 
 
 Subjective. Burning. Formication and tingling between 
 the skin and. the flesh. Itching. Violent lancinations. 
 Great sensitiveness to cold. Stinging. 
 
 Aggravation. In the evening. After the use and abuse 
 of wine. Chamomile, and ^ux vomica. 
 
 Accompaniments. Threatening paralysis of the brain ; 
 complete unconsciousness. Grating of the teeth. Jerking 
 of the whole body, or twitching of single muscles or 
 limbs. Shrill screams, with altered voice ; can't speak 
 any more. Breath short and quick, but no rattling. 
 Occiput hot, forehead cold and covered with a cold sweat. 
 Limbs icy cold, and whole body cool and bluish-red all 
 over. Pulse threadlike. Involuntary discharges from 
 the bladder and rectum. 
 
 Zincum Oxydatum. 
 
 Objective. Boil above the genitals, first red and then 
 blue, with hard areola and yellow dirty pus, leaving for 
 some time a hard red areola. 
 
 APPENDIX. 
 
 Elaps Corallinus. 
 
 Objective. Boils on the arm. Dark complexion. Des- 
 quamation from the tips of the fingers, soles of feet and 
 heels. Crusty eruption on the ears and cheeks. Pimples 
 on the legs. Pimples full of serum. Suppurating pirn- 
 
388 DISEASES OF THE SKIN. 
 
 pies on the hands, fingers, and wrists. Eed pimples on 
 the finger tips. Miliary pimples on a red base at the 
 corner of the nose. White pimples on the inside of the 
 thighs, inflamed during the day. Fhlyctsense, especially 
 on the extremities. Redness and rawness under the nails. 
 Swelling and blue-red spots on the right arm and leg. 
 Red spot on the knee-pan. Yellow spots on the hands 
 and fingers. Furfuraceous tetters on the scalp. Red 
 tetter from the corner of the right nostril to the cheek. 
 Tetter in the axillae. Vesicular eruption on the feet. 
 
 Subjective. Sensation as of excoriation. Itching. 
 Pricking soreness. 
 
 Hura Brasiliensis. 
 
 Objective. Large blotches on the legs and right shoul- 
 der. Miliary eruption on the face and in the joints. Ve- 
 sicular eruption all over, with red spots. Red and pale 
 mottled face. Pimples all over ; small, containing a fluid, 
 on the right knee ; large, formed around the roots of hairs 
 on the legs ; on the right cheek ; red, on the shoulders 
 and hips, leaving red spots behind , in the bend of the 
 left elbow ; on the forehead ; small red, with white point 
 in the centre, on the left cheek. Large red spots. on the 
 left cheek, forearm, and back of hand. Small red round 
 spot on the tibia, with a red pimple in the centre. 
 
 Subjective. Itching and burning. Sensation as if the 
 skin of the face were stretched too much. 
 
 Hydrocotyle Asiatica.^ 
 
 Objective. Arabise elephantiasis. Small red dots on 
 the eyelids and hands. Small red dots on the neck cov- 
 ered with whitish scales. Erythema of the face. Ery- 
 thema and rash on the face, chest, back, arms, and thighs. 
 Pustular eruption on the face. Erysipelatous redness. 
 
 * This pathogenesis was communicated to us by Dr. Swan, of New 
 York City. 
 
i 
 
 REMEDIES. 389 
 
 Vesicular eruption on the abdomen. Lupus exedens : 
 abundant discharge of pus from varicose ulcers and old 
 wounds, and in lupus, ^ails misshapen and flattened out. 
 Leprosy. Purple papulae thickly set. Pemphigus. Small 
 pustules on the chest. Pustules like small-pox. Redness 
 of the vulva. The skin becomes softer and thinner and 
 smoother, the epidermis peeling off in scales or crusts. 
 The skin of the back becomes thickened. Leprous spots 
 become brawny. Leprous spots, with white points on 
 them. Yellow spots on the legs. Bright ear-shaped spot 
 on the sole of the right foot, which easily indents. Disk- 
 like spots, with very friable scaly borders. Tubercles on 
 the hands and fingers. Suppurating ulcers on the nates 
 and below the ankle. 
 
 Subjective. Universal heat, and sometimes insupport- 
 able itching. Very severe itching. Heat and shootings. 
 
 Accompaniments. Swelling of the glands and cellular 
 tissue of the left groin, and around the left ankle. Pro- 
 fuse perspiration. 
 
 Kali Brom. 
 
 Objective. Acne on the face, neck, and shoulders. Crops 
 of small boils on the face and trunk. Echthymatous 
 eruptions. Erythematous swellings, especially of the 
 nose. Moist eruptions. Syphilitic psoriasis. Papular rash 
 on the face. Skin blue, cold, spotted, corrugated. 
 
 Subjective. Heat and itching. 
 
 I 
 
REPERTORY. 
 
 NOSOLOGICAL. 
 
 Abscesses. Aeon. Anath. muric. Ars. Asaf. Bell, 
 Bry. Cham. Crotal. horr. Hep. Hyosc. Led. Lappa 
 maj. Merc. sol. Mez. Mtr. ac. Phos. Phytol. dec. 
 Puis. Ehus rad. Rhus tox. Sil. Sulph. 
 
 Acne Disseminata. Ars. Bell. Calc. e. Ca7^bo veg. 
 Hepar. Lach. Led. IsTatr. mur. Nitr. ac. Nux v. 
 ISTux jug. Phos. ac. Puis. Sab. Seleu. Sulph. 
 
 Acne Punctata. Bell. Bry. Carbo veg. Dig. Dros. 
 Eugen. Graph. Grat. Hepar. Lachuan. Nat. mur. 
 Nitr. ac. ^ux jug. Sabad. Sabin. Selen. Sep. Sulph. 
 Sumb. Thuj. 
 
 Acne Rosacea. Ars. Aur. mur. Calc. c. Calc. 
 phos. Cann. sat. Canth. Carho an. Carbo veg. Carbol. 
 ac. Caust. Cicut. Guar, trich. Kali brom. Kreas. 
 Lach. Led. Mez. Bhus tox. Buta. Sep. Yerat. alb. 
 
 Adenitis. Aeon. Alum. Anath. muric. Asaf. Aur. 
 sol. Badiag. Bar. carh. Bar. mur. Bell. Bov. Calc. 
 carh. Canth. Carbo an. Carbo veg. Cham. Cist. 
 Coccul. Con. Dulc. Gran. Graph. Guar, trichl. Hep. 
 loD. Xali carb. Lappa maj. Lye. Mang. c. Merc. 
 PROTioD. Merc. sol. Nitri. ac. I^ux jug. Oleum jec. 
 Plumb, met. Sabin. Sil. Spong. Staph. Sulph 
 Syphil. 
 
 Bedsores. Akn. Carho veg. Chin, Fluor ac. Plumb, 
 met. Puis. Sulph. ac. 
 
 Boils. Aeon. ^th. Agar. Alum. Amm. carb. 
 
392 REPERTORY. 
 
 Amm. mur. Anacard. Anath. muric. Ant. crud. Apis. 
 Arg. met. Am. Ars. Aur. mur. Badiag. Bar. carb. 
 Bell. Bellis peren. Brom. Bry. Calc. c. Carbo an. 
 Carbo veg. Chin. Coccul. Coloc. Cupr. ars. Elaps 
 cor. Euphorb. Graph. Gratiol. Ham. Hepar. Hyosc. 
 Ign. Indig. lod. Kali brom. Kali hyd. Kali nit. 
 Kreas. Lach. Lappa maj. Lauro. Led. Lye. Magn. 
 arc. Magn. carb. Magn. mur. Merc. corr. Merc. sol. 
 Mez. Mur. ac. I^at. carb. Nat. mur. W\t\\ Nitr. ae. 
 IS^uxjug. N"uxmos. N'ux V. Petrol. Fhos. Phos. ac. 
 Fhytol. Puis. Ratanh. Rhus rad. Rhus vene. Rhus 
 tox. Sabin. Sec. Sep. Sil. Spong. Staph. Stram. 
 Sidph. Sulph. ac. Tart. em. Thuj. Yip. r. Zinc met. 
 Zinc. oxy. 
 
 Burns. Aeon. Agar. Alum. Ant. crud. Am. Ars. 
 Calc. c. Carbo veg. Carbur. Sulph. Caust. Cosmol. 
 Euphorb. Lach. Magn. carb. Plumb, acet. Rhus tox. 
 Ruta. Sapo domes. Sec. Semperv. tec. Stram. Urtica. 
 
 Cancer. Ambr. Ant. crud. Apis. Ars. Ars. iod. 
 Asterias r. Aur. Badiag. Bar. c. Bell. Brom. Calc. 
 c. Carbo an. Carbo veg. Carbol. ac. Caust. Cham. 
 Chel. Chin. Clem. Con. Cundur. Galium. Graph. 
 Guaco. Hepar. Hydrast. Kreas. Lach. Lye. Merc, 
 sol. IN'atr. mur. Mtr. ac. E'ux v. Phos. Phytol. Rhus 
 tox. Rumex. Sep. Sil. Squill. Staph. Sulph. Thuj. 
 Zinc. met. 
 
 Carbuncle. Anthrac. Apis. Ars. Bell. Bry. Bufo. 
 Canth. Carbo veg. Carbol. ac. Chin. Coloc. Electr. 
 Kreas. Lach. ^Nitr. ac. Puis. Rhus tox. Sang. Sec. 
 Sep. Sil. Sulph. 
 
 Chilblains. Agar. Ambr. Ant. crud. Am. Ars. Badiag. 
 Bell. Bry. Carbo an. Carbo veg. Cham. Chin. Crocus, 
 Cycl. Granat. Hepar. Hyosc. Ign. Kali carb. Lach. 
 Lye. Magn. aus. Mtr. ac. IlsTux mos. Nux v. Opium. 
 Petrol. Phos. Phos. ac. Puis. Bhus tox. Stann. Sulph. 
 Sulph. ac. Thuj. Zinc. met. 
 
REPERTORY. 393 
 
 Condylomata. Anath. muric. Arg. nit. Ars. Aur. 
 mur. Bell. Calc. carb. Cinnab. Euphras. Lye. Merc. 
 eorr. Merc. sol. Magn. aus. Millef. Nitr. ac. iTux v. 
 Phos. ae. Sabin. Sarsap. Staph. Sulph. Thuj. 
 
 Corns. Ambr. Agar. Alum. Amm. e. Ant. erud. 
 Am. Bar. e. Borax. Bov. Bry. Calc. c. Caniph. 
 Carho an. Carbo veg. Canst. Coccul. Coloc. Con. 
 Granat. Graph. Hep. Ign. lod. Kali c. Lach. Lye. 
 Magn. arc. Magn. ans. Magnes. mnr. Mephit. J^atr. 
 c. Natr. mur. Nitr. ae. Nux v. Petrol. Phos. Phos. 
 ac. Puis. Kannn. bulb. Rannn. seel. Phodo. Rhus 
 tox. Ruta. Semper V. tec. Sep. Sil. Spig. Staph. 
 Sulph. Snlph. ac. Thuj. Verat. alb. 
 
 Crusta Lactea. Ars. Bar. c. Bell. Calc. c. Carbo 
 veg. Cicuta. Dulc. Grappi. Hep. Iris vers. lod. 
 Lappa maj. Lye. Merc. sol. Mez. ISTatr. mnr. Phos. 
 Phos ac. Phus tox. Sarsap. Sep. Sil. Sulph. Snlph. 
 ac. Yerat. alb. Viola trie. 
 
 Crusta Serpiginosa. Ars. Bar. c. Calc. c. Cicuta. 
 Graph. Hep. Lye. Merc. sol. Rhus tox. Sarsap. 
 Sidph. 
 
 Ecthyma. Ant. crud. Arg. nit. Ars. Borax. Cham. 
 Kali bich. Kali brom. Lye. Merc. sol. Mtr. ac. Phis 
 tox. Sil. Staph. Sulph. Tart. em. 
 
 Erysipelas in general. Aeon. Anath. muric. Anthrak. 
 Ant. crud. Apis. Arg. nit. Am. Ars. Bar. c. Bell. 
 Borax. Bry. Bnfo. Calc. acet. Calc. c. Camph. 
 Canth. Carbo an. Carbo veg. Canst. Cham. Chin. 
 Chin. snlf. Chloral. Clem. Commoc. dent. Crotal 
 hor. Crot. tig. Cundnr. Dulc. Eiiphor. Gelsem. 
 Graph. Gymnocl. Hep. Hydras. Hydrocotyle. Hyosc. 
 lod. Ipec. Kali c. Lach. Lappa maj. Lye. Magn. c. 
 Mang. Meph. Merc. sol. Mur. ac. l^atr. c. IsTatr. 
 mnr. Nitr. ac. Petrol. Phos. Phos. ac. Plant. Plumb, 
 met. Polygon, pnnct. Puis. Rannn. bulb. Rhus rad. 
 Rhus tox. Rhus vene. Ruta. Sabad. Samb. Sarsap. 
 
 26 
 
394 REPERTORY. 
 
 Semperv. tec. Sep. Sil. Spong. Stann. Staph. Stram. 
 SuLPH. Tart. em. Thuj. Urtica. Yerat. virid. Vip. r. 
 Vip. t. Zinc met. 
 
 Erysipelas erraticum. Bell. Graph. Rhus tox. 
 
 Erysipelas, Phlegmonous. Bell. Graph. Hep. 
 Lach. Puis. Rhus tox. Sulph. 
 
 Erysipelas, Vesicular. Apis. Bell. Canth. Cist. 
 Graph. Hep. Lach. Rhus tox. Solan, mam. 
 
 Erythema. Aeon. Arn. Ars. Ars. iod. Bell. 
 Calc. c. Camph. Canth. Chloral. Crotal. hor. Crot. 
 tig. Gelsem. Gins. Graph. Hydrocotyle. Juglans cin. 
 Kali brom. Lach. Lye. Merc. dul. Merc. sol. Plant. 
 Puis. Puis. nutt. Rhus tox. Sulph. Sulph. ac. Tereb. 
 Urtica. Yerat. virid. 
 
 Eczema. Aeon. Amm. c. Amm. mur. Ant. crud. 
 Arg. nit. Ars. Aur. Bell. Borax. Brom. Bry. 
 Calad. Calc. c. Canth. Carbo veg. Carbol. ac. Caust. 
 Chin. Cieuta. Clem. Copai. Cosmol. Crot. tig. 
 Cundur. Cycl. Dig. Dulc. Grajpli. Hep. Hydrast. 
 Iris vers. Juglans cin. Kali bich. Lach. Lappa maj. 
 Led. Lye. Merc. dul. Merc. sol. Mez. I^at. mur. 
 Nitr. ac. ]^uxjug. Oleand. Petrol. Phos. Rhus rad. 
 Rhus tox. Rhus vern. Sep. Sil. Staph. Sulph. Thvj. 
 
 Felons. Alum. Anthrac. Apis. Bar. c. Bellis 
 peren. Bufo. Calc. c. Caust. Diosc. Graph. Hep. 
 Iod. Lach. Led. Lye. Magn. arc. Magn. aus. Merc, 
 sol. l^at. mur. Nat. sulph. Paris quad. Phos. Rhus 
 tox. Sep. Sil. Stram. Sulph. 
 
 Freckles. Amm. c. Ant. crud. Bry. Calc. c. Carbo 
 veg. Con. Dros. Dulc. Graph. Hyosc. Iod. Kali c. 
 Kali caust. Lach. Lauro. Lye. Merc. sol. Mez. Mur. 
 ac. N"at. c. JSTat. mur. Mtr. ac. Nux mos. Petrol. 
 Phos. Plumb, met. Puis. Sep. Sil. Stann. Sulph. 
 Tart. em. Thuj. Yerat. alb. 
 
 Fungus Articulosis. Ant. crud. Ars. Aur. Clem. 
 Con. Iod. Kreas. Lach. Petrol. Phos. Rhus tox. 
 Sabin. Sil. Staph. Sulph. 
 
REPERTORY. 395 
 
 Fungus Haematodes. Ars. Bell. Calc. c. Carho 
 an. Carho veg. Clem. Kreas. Lack. Lye. Merc. sol. 
 Nitr. ac. ISTux v. Phos. Rhus tox. Sang. ? Sep. Sil. 
 Staph. 'Sulph. Thuj. 
 
 Fungus MeduUaris. Bell. Carbo an. Phos. Sil. 
 Snlph. Thuj. 
 
 Ganglia. Amm. c. Arn. Aur. mnr. Carbo veg. 
 Phos. Phos. ac. Plumb, met. Rhus tox. Puta. Sil. 
 Sulph. Zinc met. 
 
 Gangrene. Aeon. Anthrac. Apis. Ars. Asaf. Bell. 
 Camph. Caps. Carbo veg. Canth. Chin. Chin, sulph. 
 Con. CrotaL hor. Electr. PJtiphor. Hell. Hyosc. Kali 
 nit. Lach. Merc. sol. Mur. ac. Opium. Phos. Plant. 
 Plumb, acet. Plumb, met. Ranun. acris. Panun. flam. 
 Panun. repens. Phus tox. Sabin. Secale. Sil. Squill. 
 Sulph. Sulph. ac. Tart. em. Yip. r. Yip. t. 
 
 Goitre. Amm. c. Bell. Brom. Calc. c. Caust. Hep. 
 lod. Kali hyd. Lye. I^at. c. E'at. mur. Spig. Spong. 
 Staph. Sulph.? Thuj.? 
 
 Herpes, in general. Aeon. Agnus c. Alum. Alnus 
 r. Ambr. Amm. c. Amm. mur. Anacard. Anath. 
 muric. Anthrak. Ars. Aur. Aur. mur. Badiag. 
 Bar. c. Bar. mur. Bell. Bov. Bry. Calc. c. Caps. 
 Carbo veg. Carburet, sulph. Caust. Chel. Cicuta. 
 Cist. Clem. Coloc. Con. CrotaL hor. Crot. tig. Cupr. 
 met. Dolich. Dulc. Elaps cor, Euphras. Ginseng. 
 Graph. Grat. Hep. Hell. Hyosc. lod. Ipec. Kali 
 c. Kali hyd. Kreas. Lach. Led. Lycoper. escul. Lye. 
 Mag. c. Mag. sulph. Magn. arc. Mangan. Menisper. 
 Merc. corr. Merc. sol. Mez. Mosch. Mur. ac. iTat. 
 c. ISTat. mur. Mcc. c. Mtr. ac. ]^ux jug. I^ux v. 
 Oleand. Oleum jec. Paris quad. Petrol. Phos. Phos. 
 ac. Plumb, met. Psor. Ranun. bulb. Rhus tox. Sabad. 
 Sarsap. Semperv. tec. Sep. Sil. Solan, mam. ' Spig. 
 Stann. Staph. Sulph. Syphil. Tax. Tereb. fjiuj. 
 Yerat alb. Zinc met. 
 
396 REPERTORY. 
 
 Herpes Circinatus. Ars. Calc. c. Caust. Chloral. 
 Clem. Graph, Hep. Magn. c. Merc. sol. Nat. c. Nat. 
 miir. Semperv. tec. Sep. Sulph. Tell. Thiij. Zinc 
 met. 
 
 Herpes Squamosus. Aeon. Ars. Aur. Bell. Bry. 
 Calc. c. Carbo veg. Caust. Cicuta. Clem. Con. Dule. 
 Graph. Led. Lye Merc. sol. Mur. ac. Nitr. ac. I^ux 
 jug. Oleand. Petrol. Plios. Rhus tox. Sulph. Zinc 
 met. 
 
 Herpes Zona. Ars. Commoclad. dent. Cosmol. 
 Graph. Merc. sol. Puis. Rhus tox. Sulph. 
 
 Ichthyosis. Ars. ? Calc. c. Clem. Coloc. Graph. 
 Hep. Lye. Petrol. Plumb, met. Sep. Sil. Sulph. 
 Thuj. 
 
 Impetigo, in generaL Alum. Alnus r. Amm. c. 
 Ant. crud. Ars. Ars. iod. Bar. c. Bell. Calc. c. 
 Carbo veg. Carbol. ac. Caust. Cicuta. Clem. Con. 
 Crot. tig. Dulc. Graph. Hep. Kali bich Kreas. 
 Lach. Lye. Merc. sol. 'Eixt. c. ^N'at. mur. Nitr. ac. 
 Oleand. Phos. Phos. ac. Rhus tox. Sarsap. Sep. Sil. 
 Staph. Sulph. Viola trie. 
 
 Impetigo Figurata. Ars. Calc. c. Clem. Dulc. 
 Graph. Lye. Rhus tox. Sulph. 
 
 Impetigo Rodens. Ars. Bell. Calc. c. Cicuta. 
 Graph. Hep. Merc. sol. jSTat. mur. Nitr. ac. Rhus 
 tox. Sep. Sil. Staph. Sulph. 
 
 Impetigo Scabida. Bulc. Lye. Sulph. 
 
 Impetigo Sparsa. Cicuta Lach Sulph. 
 
 Intertrigo. Aeon. Arn. Ars. Borax. Carbo veg. 
 Cham. Graph. Hejp. Hydrast. Ign. Lach. Lye. 
 Mangan. 31erc. sol. ^ux v. Oleand. Petrol. Phos. 
 Phos. ac. Phytol. Puis. Rhus tox. Ruta. Sabin. Sep. 
 Sil. Squill. Sulph. Sulph. ac. Syphil. 
 
 Lepra, in generaL Alum. Amm. c. Ars. Ars. iod. 
 Bai^c. Calc. c. Carbo an. Carbo veg. Carbol. ac. 
 Caust. Coloc. Con. Cupr. acet. Cupr. met. Graph. 
 
I 
 
 RLPERTORY. 397 
 
 Hydrocotyle. lod. Iris vers. Kali c. Lach. Lye. Magn. 
 mur. Merc. sol. i^atr. c. Nat. mur. JSTitr. ac. Petrol. 
 Phos. Sep. Sil. Still, sylv. Sulph. Zinc met. 
 
 Lepra Alba. Alum. Ars. Phos. Sep. Sil. Sulph. 
 
 Lichen Agrius. Calc. c. Cicuta. Con. Dulc. Graph. 
 Ljc. Mtr. ac. Mur. ac. Rhus tox. Sulph. 
 
 Lichen Simplex. Aeon. Ars. Bry. Coecul. Dulc. 
 ITux jug. Phytol. Puis. Staph. Sulph. 
 
 Lichen Strophulus. Caiist. Cicuta. Cham. Grajph. 
 Merc. sol. Mliiis tox. Sulph. 
 
 Lupus, in general. Agaric. Alum. Ant. crud. 
 Ars. Bar. e. Bell. Calc. c. Oarbol. ac. Carburet, 
 sulph. Caust. Cicuta. Cist. Graph. Guaraco. Hep. 
 Hydrocotyle. Kali c. Kali bich. Magn. arc. Mtr. ac. 
 Phytol. Rhus tox. Sabin. Sep. Sil. Spong. Staph. 
 Sulph. 
 
 Measles. Aeon. Anath. muric. Ars. Bell. Bry. 
 Calc. c. Caps. Chel. Chin. Coff. Copaiv. Cupr. 
 acet. Cupr. met. Dros. Dulc. Electr. JEuphras. 
 Gelsem. lod. Ipecac. Kali bich. Lach. 3Ierc. sol. 
 Nux V. Fhos. PuLS. Puis. nutt. Rhus tox. Stram. 
 Sulph. Verat. alb. Vei^it. virid. 
 
 Miliaria (rash). Aeon. Anath. muric. Amm. c. 
 Ant. crud. Arn. Ars. Bell. Bry. Calad. Carbo veg. 
 Caust. Cham. Chel. Clem. Cupr. met. Digit. 
 Electr. Euphras. Ginseng. Graph. Hell. Hep. 
 Hyosc. Ign. Ipee. Kali chl. Lach. Led. Merc. cor. 
 Mere. sol. Mez. E^at. mur. K^itr. ac. ISlux. v. Phos. 
 Phos. ac. Puis. Sarsap. See. Selen. Staph. Stram. 
 Sulph. Sumb. Tabae. Tart. em. Tax. Yerat. alb. 
 Zinc met. 
 
 Moles. Calc. c. Carbo veg. Graph. Nitr. ac. Pe- 
 trol. Phos. ac. Sil. Sulph. ac. Thiij. 
 
 Nsevi Materni. Bell. Calc. c. Ca?^bo veg. Cundur. 
 Eluor.ae. Hep.? Lach. Lye. Millef.? ^tsTuxv. Phos. 
 SiL? Thaj. 
 
398 REPERTORY. 
 
 Nettlerash. Aeon. Amm. c. Amm. mur. An- 
 thrak. Ant. crud. Apis. Ars. Bar. c. Bell. Bry. 
 Calc. c. Carbo an. Oarbo veg. Caust. Chin. Chlor. 
 Cicuta. Clem. Coccul. Con. Copaiv. Dulc. Graph. 
 Hep. Hjperic. Ign. Ipec. Kali c. Kreas. Lach. 
 Led. Lye. Mag. e. Mag. snlph. Mere. sol. Mez. 
 iS^at. e. ITat. mar. jS'itr. ae. I^ux v. Petrol. Phos. 
 Phos. ae. Psor. Puis. Puis. nutt. Rhus tox. Ruta. 
 Sang. Sarsap. See. Sep. Selen. Sil. Staph. Stram. 
 Sulph. Tar. Tart. em. Triost. Urtiea. Yerat. alb. 
 Zine met. 
 
 Pediculi. Ars. Carbol. ae. Chin. Merc. sol. Psor. 
 Sulph. 
 
 Pemphigus. Aeon. Ars. Bell. Cale. c. Canth. 
 Caust. Chin. Dulc. Gum. gut. Hep. Hydrocotyle. 
 Juglans. ein. Laeh. Mere. sol. Phos. Phos. ac. 
 Panun. bulb. Rhus tox. Sep. Sulph. Thuj. 
 
 Pityriasis. Agarie. Alum. Anaeard. Ars. Ars. 
 iod. Aur. Bry. Cale. e. Carbol. ac. Dule. Graph. 
 Kreas. Laeh. Led. Lye. Mag. c. Mere. sol. Nat. 
 mur. Oleand. Petrol. Phos. Phytol. Ranun. bulb. 
 Rhus tox. Sep. Sil. Staph. Sulph. Thuj. 
 
 Plica Polonica. Bar. c. Lye. Vinca min. 
 
 Porrigo. Alnus r. Lns vers. Sulph. Sumb. 
 
 Prurigo, in generaL Alum. Ambr. Amm. c. Ant. 
 crud. Ars. Bar. e. Bry. Cale. e. Carbo veg. Car- 
 bol. ac. Caust. Coccul. Con. Crot. tig. Dolich. 
 Graph. Hep. Lye. Merc. sol. Nsit. mur. ^N'itr. ac. 
 l^nx V. Oleand. Opium. Phos. Puis. Rhus tox. 
 Sep. Sil. Sulph. Thuj. Zinc met. 
 
 Prurigo Formicans. Alum. Ambr. Amm. c. Bar. 
 c. Cale. c. Carbo veg. Caust. Coccul. Con. Graph. 
 Lye. Merc. sol. Nat. mur. Mtr. ac. Phos. Rhus 
 tox. Sep. Sil. Sulph. Thuj. 
 
 Prurigo Mitis. -Sry. Coccul. Nux v. Oleand. 
 Opium. Puis. Rhus tox. Sil. Sulph. 
 

 REPERTORY. 399 
 
 Prurigo Senilis. Ars. Merc. sol. Mez. Oleand. 
 
 Psoriasis, in general. Alum. Ambr. Anim. c. 
 Ay^s. Ars. lod. Aur. Bry. Calc. c. Carbol. ac. Clem. 
 Coral r. Dulc. Iris vers. Kali brom. Led. Lye. Mag. 
 c. Merc. sol. Mtr. ae. N^uph. lutea. Petrol. Phos. 
 Phos. ac. Phytol. Psor. Ranun. bulb. Rhus tox. Sar- 
 racen. purp. Sep. Sulph. Tell. Teucr. 
 
 Psoriasis Diffusa. Ars. Calc. c. Cicuta. Clem. 
 Dulc. Graph. Lye. Mur. ac. Rhus tox. Sulph. 
 
 Psoriasis Inveterata. Calc. c. Clem. Merc. sol. 
 Petrol. Rhus tox. Sep. Sulph. 
 
 Purpura Haemorrhagica. Aru. Ars. Bell. Berb. 
 Bry. Chlor. Coccin. Hyosc. lod. Kali hyd. Lack. 
 Led. ]^ux V. Phos. Rhus tox. Ruta. Sec. Sil. 
 Stram. Sulph. Sulph. ac. 
 
 Purpura Miliaris. Aeon. Amm. c. Amm. mur. 
 Arn. Bell. Cotf. Dulc. Sulph. Sulph. ac. 
 
 Purpura Senilis. Ars. Bar. c. Bry. Con. Lach. 
 Opium. Rhus tox. Sec. Sulph. ac. 
 
 Roseola or Rubeola. Aeon. Bell. Bry. Copaiv. 
 Merc. sol. Nux v. Puis. 
 
 Rupia. Alum. Ars. Borax. Calc. c. Caust. Cham. 
 Clem. Graph. Hep. Kali c. Merc. sol. ISTat. c. Mtr. 
 ac. Petrol. Rhus tox. Sep. Sil. Staph. Sulph. 
 
 Scabies. Ambr. Arg. nit. Ars. Bry. Carbo veg. 
 Carbol. ac. Caust. Clem. Coloc. Cupr. met. Dnlc. 
 Galvan. Grat. Graph. Haracl. Hepar. Hydrocotyle. 
 Kali hyd. Lach. Lye. Magn. arc. Merc. corr. Merc, 
 sol. Mur. ac. I^at. c. Nat. mur. Mtr. ac. Oleand. 
 Phos. ac. Psor. Rhus tox. Rumex. Selen. Sep. 
 Squill. Staph. Sulph. Sulph. ac. Tart. era. Verat. 
 alb. 
 
 Scald Head. Alum. Ars. Bar. c. Calc. c. Carbo 
 veg. Cicuta. Clem. Dulc. Graph. Hell. Hep. lod. 
 Iris vers. Jacea. Kali c. Kreas. Lappa maj. Lye. 
 Merc. sol. Mez. Oleum jec. Oleand. Petrol. Phos. 
 
 I 
 
400 REPERTORY. 
 
 Phytol. Psor. Ehits tox. Ruta. Sep. ^^7. Staph. 
 Siilph. Yinca min. Viol. trie. 
 
 Scarlatina. Aeon. Ailanth. Amm. c. Amm. mur. 
 Anath. muric. Apis. An\. Ars. Arum trip li. Bell. 
 Bar. c. Bar. mur. Bry. Calc. c Carbo veg. Carbol. 
 ac. Caust. Cham. Chlor. Coff. Copaiv. Crocus. 
 Cupr. acet. Cupr. met. Dulc. Euphorb. Galvan. Gel- 
 sem. Hep. llippom. Hyclrocy. Hydrast. Hyosc. lod 
 Ipec. Lacii. Led. Lye. Merc, protiod. Merc. sol. 
 Mur. ac. Nitr ac. ]^ux mos. x^ux v. Opium. Phos. 
 Phos. ac. Phytol. Iviius tox. Seneg. iS^/. Stram. 
 Sulph. Tereb. Verat. alb. Verat. virid. Zinc met. 
 
 Scrofulosis. Alnus r. Ampel. quin. Alum. Amm. 
 c. Ars. Asaf. Aselep. tuber. Aur. Aur. mur. Bar. 
 c. Badiag. Bell. Brom. Calc. c. Carbo an. Carbo 
 veg. Ceras. virg. Ciua. Cist. Con. Cundur. Dulc. 
 Ferr. met. Graph. Hep. lod. Kreas. Lye. Lach. 
 Mag. c. Merc. sol. ^Mez. Mur. ac. ^at. c. JSTat. mur. 
 Mtr. ac. I^ux jug. JSTux mos. J^ux v. Oleum jee. 
 Petrol. Phos. Phos. ac. Puis. Rhus tox. Sep. Sil. 
 Staph. Still, sylv. Sulph. Therid. Verat. alb. 
 
 Small-pox. Aeon. Anath. muric. Aj^is. Ars. Bap. 
 Bell. Camph. Carbol. ac. Coff. Cundur. Hydrast. 
 Hyosc. Kali bieh. Merc. sol. Phos. Phos. ac. Rhus 
 tox. Sarracen. purp. Sulph. Sjq^hil. Tart. em. Thuj. 
 Vartol. Verat. alb. 
 
 Styes. Alum. Ambr. Caust. Con. Dig. Ferr. 
 Graph. Lye. Merc. sol. Magn. aus. Meny. [N'at. mur. 
 Phos. ac. Puis. Rhus tox. Seneg. Sep. Sil. Staph. 
 Stann. Sulph. 
 
 Syphilis. Ailanth. Alnus r. Anath. muric. Apoe. 
 andros. Arg. nit. Aselep. tuber. Aur. Badiag. Guaco. 
 Hep. Jaearand. Kali chl. Kali brom. Lach. Menisper. 
 Merc. prot. Merc. sol. Nitr. ac. i^ux jug. Phytol. 
 Still. Sylv. Sulph. Syphil. Thuj. 
 
 Tinea Tonsurans. Hep. Phytol. Sep. Sulp. 
 
(1 
 
 I 
 
 REPERTORY. 401 
 
 Tumors. Cystic. Bar. c. Brom. Calc. c. Caust. 
 Graph. Hep. Nitr. ac. Sil. Sulph. 
 
 Ulcers, Cancerous. Ambr. Ant. crud. Ars. Aur. 
 Bell. Calc. c. Carbo an. Carbo veg. Caust. Chel. 
 Chin. Clera. Con. Hep. Kreas. Lack. Merc. sol. 
 Nitr. ac. Rhus tox. Sep. Sil. Squill. Staph. Sulph. 
 Thuj. 
 
 Ulcers in general. Aeon. Ampel. quin. Amm. c. 
 Amm. mur. Anath. muric. Angus. Ant. crud. Ars. 
 Ars. hydrarg. Asaf. Asar. europ. Aur. Aur. mur. 
 Balsam. Peru. Bar. c. Bar. mur. Bell. Borax. Bufo. 
 Bry. Calc. c. Calc. phos. Canth. Carbo veg. Carbol. 
 ac. Caust. Ceras. virg. Cham. Chel. Chin. Chin. 
 sulph. Cicuta. Cinnab. Cist. Clem. Commocl. dent. 
 Con. Coral, r. Crotal. hor. Cundur. Cupr. met. Dulc. 
 Dros. Electr. Euphorb. Fluor, ac. Galvan. Granat. 
 Graph. Guaco. Hydrocotyle. Hep. Hydrast. Hyosc. 
 Ign. lod. Jacarand. Jatroph. Kali bich. Kali c, 
 Kreas. Lach. Lam. alb. Lye. Mag. mur. Mangan. 
 Madar. Merc. acet. Merc. dul. Merc. sol. Mez. Millef. 
 Mur. ac. JSTat. c. Mtr. Nitr. ac. J^uxjug. IN'ux mos. 
 Nux V. Oleand. Oleum jec. Opium. Paul. pinn. 
 Petrol. Phos. Phos. ac. Phytol. Plat. Plumb, met. 
 Polygon, hydrop. Polygon, puuct. Psor. Pids. Panun. 
 acris. Ranun. bulb. Ranun. sceler. Phus tox. Puta. 
 Sabm. Sang. Sarsap. Selen. Semperv. tec. Sep. 
 Sil. Staph. Still, sylv. Sulph. Sulph. ac. Tart. em. 
 Vip. r. Yip. t. Thuj. Zinc met. 
 
 Varicellae. Aeon. Ant. crud. Ars. Asaf. Bell. 
 Canth. Carbo veg. Caust. Con. Cycl. Ipec. Led. 
 Merc. sol. N'at. c. J^at. mur. Puis. Rhus tox. Sec. 
 Sep. Sil. Sulph. Tart. em. Thuj. Verat. alb. 
 
 Varicellae Conoides. Aeon. Ant. crud. Ars. Bell. 
 Carbo veg. Ipec. Puis. Rhus tox. Sep. Tart. em. 
 Thuj. 
 
 27 
 
402 REPERTORY. 
 
 Varices. Amm. c. Amm. mur. Ant. crud. Arn. 
 Ars. Calc. c. Carbo veg. Caust. Ferr. acet. Fluor 
 ac. Hep. Hydrocotyle. Lye. Magn. aus. Millef. 
 E"at. mur. Nux v. Puls. Sulph. Zine met. 
 
 Warts. Amb. Amm. c. Amm. mur. Anath. muric. 
 Ant. crud. Ars. Bar. c. Bell. Berb. Borax. Bov. 
 Calc. c. Calc. caust. Carbo an. Carbo veg. Caust. 
 Chel. Cinnab. Con. Cupr. Dulc. Euphras. Ferr. 
 met. Fluor, ac. Hep. Kali c. Kali caust. Lach. 
 Lye. Magn. aus. Nat. c. IsTat. mur. IsTitr. ac. Oxal. 
 ac. Pallad. Petrol. Phos. Phos. ac. Plumb, met. 
 Kuta. Sabin. Sang. Sarsap. Semper v. tec. Sep. Sil. 
 Spong. Staph. Sulph. Sulph. ac. Thuj. 
 
 Wens. Nitr. ac. Phos. ac. Rhus tox. 
 
 Objective. 
 
 Abscesses in the Head. Calc. c. Lye. 
 
 Abscesses of Lachrymal Sac. Bry. ISTat. c. Puis. 
 Sil. Stann. 
 
 Abscesses in Face. Anather. muric. Ars. Bell. 
 Bry. Hep. Lach. Merc. sol. Merc, protiod. Phytol. 
 Sil. Sulph. 
 
 Abscesses OF Parotids (in general). Ars. Lye. ISTitr. 
 ac. Phos. Phytol. Sil. 
 
 Abscesses of Parotids, Rioht Side. Bell. 
 
 Abscesses of Parotids, Left Side. Rhus tox. 
 
 Abscesses in Axillary Dorsal Region. Petr. 
 
 Abscesses op J^ape of J^eck. Sil. 
 
 Abscesses of Left Side of I^eck. Hyos. 
 
 Abscesses of Back. Lach. 
 
 Abscesses of Loins. Badiag. Hep. Mtr. ac. Sil. 
 Staph. 
 
 Abscesses, Psoas. China. 
 
 Abscesses, Anterior Axillary Region. Rhus tox. 
 
 Abscesses of Mammae. Aeon. Bell. Bry. Cistus. 
 Graph. Hep. Merc. sol. Phos. Phytol. Sil. Sulph. 
 
REPERTORY. 403 
 
 Abscesses in Abdominal Parietbs. Hejp. Rhus tox. 
 Sil 
 
 Abscesses on Elbow discharging Reddish-brown Pus. 
 Crotal. hor. 
 
 Abscesses of the Thighs. Sil. 
 
 Abscesses of Ankles. Angust. Sil. 
 
 Abscesses on Dorsa of Feet. Sil. 
 
 Abrasion on Penis, changing to ulcer with hard edges, 
 and suppuration forming a scurf. I^ux jug. 
 
 Acne Punctata on Nose. Bell. Carbo veg. Dros. 
 Graph. Hep. Lachnan. Selen. Sulph. 
 
 Acne Punctata on the Face. Dig. Dros. Mtr. ac. 
 Sabin. Selen. Sulph. 
 
 Acne Rosacea on Forehead. Rhus tox. 
 
 Acne Rosacea on Face. Ars. Ruta. Rhus tox. 
 
 Adhesion of the Skin (in general). Arn. Chin. Par. 
 
 Adhesion of Skin with Caries. Arn. Asaf. Aur. 
 Chin. Hell. Merc. sol. Phos. ac. Puis. Ruta. Sabin. 
 Sil. Staph. 
 
 Band, Red, on Tibia, composed of rashlike risings. 
 Calc. c. 
 
 Band, Purple, Two Inches Wide, along each side of 
 spine. Chlor. hyd. 
 
 Bites of Insects (in general). Aeon. Arn. BelL 
 Calad. Kreas. Lack. Merc. sol. Seneg. Sep. Tarant. 
 
 Bites of Venomous or Enraged Creatures. Amm. c. 
 Ars. Bell. Caust. Hydroph. Lach. Opium. Puis. 
 Seneg. Tarant. 
 
 Blackness and Swelling of Lips. Aeon. Amm. c. 
 Nitr. ac Spig. 
 
 Blackness and Swelling of Whole Skin. Aeon. 
 ^th. Amm. c. Arn. Ars. Aur. Bell. Carho veg. 
 Con. Dig. Hep. Lach. Mang. Merc. sol. JSTux v. 
 Opium. Fhos. Phos. ac. Plumb, met. Puis. Samb. 
 Sec. Seneg. Sil. Sulph. ac Verat. alb. 
 
 Blackness of Pores of Skin on Nose. Dros. Graph. 
 Mtr. ac Selen. Sulph. Samb. 
 
^4 REPERTORY. 
 
 Blackness of Pores of Skin on Face. Dig. Dros. 
 Nitr. ac. Sabin. Selen. Sulph. Samb. 
 
 Bleeding from Blisters and Vesicles. Graph. 
 
 Bleeding from Rhagades. Merc. sol. Mcc. Petr. 
 Puis. Sarsap. Sulph. 
 
 Bleeding from Old Cicatrices. Lach. Phos. 
 
 Bleeding from Ulcers. Alum. Arn. Ars. Asaf. 
 Bell. Bov. Carbo veg. Caust. Con. Croc. Dros. Hep. 
 Hyos. lod. Kali c. Kreas. Lach. Lye. Magn. arc. 
 Merc. sol. Merc. dulc. Mez. JsTat. mur. Nitr. ac. Fhos. 
 Fhos. ac. Puis. Rhus tox. Ruta. Sabin. Sec. Sep. 
 Sil. Sulph. Sulph. ac. Thuj. Zinc. met. 
 
 Bleeding from Ulcers, especially at night. Amm. 
 mur. Ars. Asaf. Bell. Carbo veg. Caust. Con. 
 Hep. Kali c. Kreas. Lye. Merc. sol. Merc. dulc. 
 Mez. Phos. Puis. Rhus tox. Rhus vern. Sep. Sil. 
 Sulph. Thuj. Zinc. met. 
 
 Blisters, Bloody, on Arms. Sec. 
 
 Blisters, Blackish. Ars. Lach. Nate. Petr. Vip. 
 torv. 
 
 Blisters, Blackish, on Feet. Ars. 
 
 Blisters, Blackish, with Suppuration. Vip. torv. 
 
 Blisters (in general). Amm. c. Ars. Borax. Caust. 
 Cham. Clem. Graiph. Hep. Kali c. Magn. c. Merc, 
 sol. Nat. c. Mtr. ac. Petr. Sep. Sil. Sulph. 
 
 Blisters, Spreading. Alum. Ars. Graph. Hep. 
 JSTat. mur. Rhus tox. 
 
 Blisters Close Together. Ranunc. seel. Rhus tox. 
 Verat. alb. 
 
 Blisters in Groups. Rhus vern. Sulph. 
 
 Blisters on I^eck. Alum. Magn. c. Vip. r. 
 
 Blisters on I^ape of ]^eck. Caust. Graph. ]^at. c. 
 
 Blisters on Scapula. Amm. c. Ant. crud. Caust. 
 Cic. Lach. Vip. ved. 
 
 Blisters, Dry. Rhus tox. 
 
 Blisters on Ears. Alum. Chin. 
 
I 
 
 REPERTORY. 405 
 
 Blisters ON Face (in general). Alnm. Amm. c. Amm. 
 mur. Ant. crud. Aur. fol. Bar. c. Bell. Bov. Bry. 
 Canth. Carbo an. Caust. Cic. Clem. Orotal. hor. 
 Ewphorh. Graph. Hep. Indig. Lach. Magn. c. Mang. 
 Nat. c. Mtr. ac. 01. an. Petr. Phos. Rhus tox. Sep. 
 Sil. Stront. Sulph. Yaler. Zinc. met. 
 
 Blisters, Bloody, on Face. I^at. mur. 
 
 Blisters, Watery, on Face. Bov. Coloc. 
 
 Blisters on Feet (in general). Ars. Caust. Con. 
 Grajph. Phos. Panunc. rep. Selen. Sep. Tarax. Yip. 
 torv. Zinc. met. 
 
 Blisters, Black, on Feet. Ars. J^at. mur. 
 
 Blisters on Soles of Feet. Ars. Sulph. 
 
 Blisters on Heels. Calc. c. Caust. Lach. IsTat. c. 
 Petr. Phos. Sep. 
 
 Blisters on Toes. Graph. Lach. Nat. c. Mtr. ac. 
 Phos. ac. Selen. Sulph. 
 
 Blisters, Phagedenic, on Feet. Con. Selen. Sulph. 
 Zinc. met. 
 
 Blisters, Phagedenic, ON Heels. Caust. Nate. Sep. 
 Sil. 
 
 Blisters, Phagedenic, on Toes. Ars. Graph. Mtr. 
 ac. Petrol. 
 
 Blisters, Watery, on Toes. Phos. ac. 
 
 Blisters on Heels, changing to boils. Calc. c. 
 
 Blisters on Heels, changing to ulcers. Lam. alb. Sep. 
 
 Blisters under Feet ; at night discharge light-yellow 
 fetid water. Ars. 
 
 Blisters, Fistulous. Aur. fol. Calc. c. Petr. 
 
 Blisters, Gangrenous. Aeon. Ars. Bell. Canth. 
 Carbo veg. Hyos. Lach. Mur. ac. Ranunc. bulb. Ra- 
 nunc. rep. Sabin. Sec. Vip. r. 
 
 Blisters on Hands. Amm. mur. Ant. crud. Ars. 
 Bell. Bov. Canth. Caust. Clem. Cocc. Sep. Kali 
 c. Kalichl. Kalihyd. Lach. Magn. c. Merc. sol. Mez. 
 
406 REPERTORY. 
 
 Nat. rnur. Phos. Ranunc. bulb. Rhus rad. Bhus tox. 
 Selen. Sep. Sil. Squill. Sulph. 
 
 Blisters ON Wrist. Amm.mur. Merc. sol. Rhustox. 
 
 Blisters on Fingers. Bell. Clem. Cupr. met. Cycl. 
 Electr. Graph. Grat. Hell. Hep. Kali c. Lach. 
 Laur. Magn. c. Mang. Nat. c. Nat. mur. Nitr. ac. 
 Phos. Phos. ac. Plumb. Ranunc. bulb. Rhus tox. Sar- 
 sap. Sep. 
 
 Blisters on Finger- joints. Cycl. Hell. Hep. 
 
 Blisters on Thumbs. Hep. Lach. Nat. c. I^at. sulph. 
 Phos. ac. Sep. 
 
 Blisters, Phagedenic, on Hand. Clem. Magn. c. 
 
 Blisters, Phagedenic, on Fingers. Clem. Graph. Hep. 
 Kali c. Magn. c. Mtr. ac. Sil. Sulph. 
 
 Blisters, Phagedenic, on Thumbs. Hep. Mtr. ac. 
 
 Blisters, Phagedenic, on Wrists. Hep. 
 
 Blisters, Transparent, on Hands. Mang. Ranunc. 
 bulb. 
 
 Blisters on Hands, filled with greenish sanguineous 
 fluid. Electr. 
 
 Blisters on Little Finger suppurate and discharge 
 pus. Graph. Ranunc. bulb. 
 
 Blisters between Fingers and on lower limbs. Ra- 
 nunc. bulb. 
 
 Blisters on Edge of Hands, where finger begins. Cocc. 
 Ranunc. bulb. 
 
 Blisters, Hard, Indurated. Lach. Phos. Phos. ac. 
 Sil. 
 
 Blisters, Herpetic. Amm. c. Ars. Bor. Caust. 
 Clem. Graph. Hep. Kali c. Magn. c. Merc. sol. Nat. c. 
 Nitr. ac. Petr. Sep. Sil. Sulph. 
 
 Blisters, Secreting Humor. Electr. Hell. Hep. 
 Lach. Mang. Merc. sol. Phos. Ranunc. bulb. Ra-' 
 nunc, sceler. Rhus tox. Sulph, Vip. torv. 
 
 Blisters on Tips. Alum. Amm. c. Amm. mur. Ars, 
 Aur. fol. Bell. Bry. Canth. Carbo an. Carbo veg. 
 
f REPERTORY. 407 
 
 Caust. Cic. Clem. Con. Grraph. Hell. Hep. Kali 
 c. Lauro. Magn. c. Magn. mur. Mang. Merc. sol. 
 Mez. Mur. ac. N'at. c. Nat. mur. Fat. sulph. Par. 
 Phos. Plat. Rhodo. Rhus tox. Sarsap. Seneg. Sep. 
 Sil. Staph. Sulph. Urtica. Yal. Yerat. alb. Zinc, 
 met. 
 
 Blisters IN Corners OF Mouth. Caust. Lauro. Mez. 
 Seneg. 
 
 Blisters, Bloody, on Lips. ISTat. mur. 
 
 Blisters, Bloody, in and on ISTose. Sep. 
 
 Blisters, Pale-red. Rhus tox. 
 
 Blisters Peel Off. Bry. Puis. Rhus tox. 
 
 Blisters, Putrid. Vip. torv. 
 
 Blisters, Raised (above surrounding skin). Merc. sol. 
 Selen. Sulph. 
 
 Blisters, Red. Ant. crud. Cocc. Cycl. Crot. hor. 
 Led. Mang. l^at. c. Nat. mur. Sil. Val. 
 
 Blisters with Red Areola. Cann. sat. Crot. hor. 
 Kalic. Kalichl. l^at. c. Sabad. Sil. Sulph. Tabac. 
 Yip. torv. 
 
 Blisters after Scratching. Amm. c. Ant. crud. 
 Caust. Chin. Cycl. Hep. Lach. Mang. I^at. c. isTat. 
 mur. Phos. Rhus tox. Sarsap. Spong. 
 
 Blisters, Scurfy. Bell. Hell. Nat. c. Ranunc.hulb. 
 Sil. Sulph. 
 
 Blisters on Genitals (in general). Carbo veg. Caust. 
 Graph. Merc. sol. Niir. ac. Phos. ac. Rhus tox. Staph. 
 Sulph. Thuj. 
 h Blisters on Glans Penis. Merc. sol. Phos. ac. Rhus 
 W tox. Thuj. 
 
 F Blisters on Prepuce. Carbo veg. Caust. Graph. 
 Mtr. ac. 
 
 Blisters on Labia. Graph. Staph. Sulph. 
 ^. Blisters under the Jaws. Mur. ac. 
 ^L Blisters on Face, as if caused by the sun's heat. Clem, 
 
408 REPERTORY. 
 
 Blisters on Chest. Caust. 
 
 Blisters, Transparent (in general). Kali c. Lack. 
 Magn. c. Magn. mur. Mang. Merc. sol. jRanunc. bulb. 
 
 Blisters, Ulcerated. Calc. c. Caust. Graph. Merc. 
 sol. Nat. c. SuLPH. Zinc. met. 
 
 Blisters around Ulcers. Ars. Bell. Caust. Hep. 
 Lach. Magn. arc. Merc. sol. Nat. c. Petr. Phos. 
 Bhus tox. Sep. 
 
 Blisters containing Water. Bell. Bov. Clem. 
 Graph. Magn. arc. Merc. sol. I^at. c. Plat. Plumb. 
 Rhus tox. Rhus vern. Sec. Sidph. Tab. Vip. red. 
 Zinc. met. 
 
 Blisters containing Water on lips. Bell. Bov. 
 Clem. Merc. sol. Plat. Rhus tox. Zinc. met. 
 
 Blisters containing Water on hands. Bell. Cocc. 
 Magn. arc. Bhus vern. Sarsap. 
 
 Blisters containing Water on fingers. Cupr. met. 
 Magn. c. ]^at. sulph. Blnmb. met. Bids. Bhus vern. 
 
 Blisters, White, in general. Amm. c. Berb. Cann. 
 sat. Caust. Clem. Electr. Graph. Hell. Hep. Lach. 
 Merc. sol. Mez. Nat. c. Phos. Sabad. Sulph. ThvJ. 
 
 Blisters, Yellow. Ant. crud. Dulc. Crotal. hor. 
 Mur. ac. Ranunc. bulb. Rhus tox. Vip. torv. 
 
 Blisters, Small, above eyes. Crotal. hor. 
 
 Blisters, Brown, Swelling, and Discharge much cor- 
 rosive serum. Galvan. 
 
 Blisters, White, Discharge a white fluid, on lips, chin, 
 and neck. Hep. 
 
 Blister, Flat, on knee, as if full of bile. lod. 
 
 Blisters Break, and leave sore places. Rhus tox. 
 
 Blisters, White, with red edges, on right knee. Sabad. 
 
 Blisters, Large, on right lower arm. Spong. 
 
 Blisters on Anus. Merc. corr. Sec. Sep. 
 
 Blisters on Abdomen. Merc. corr. 
 
 Blisters on Sternum. Bell. 
 
REPERTORY. 409 
 
 Blisters with White Edges (after burns). Bell. Clem. 
 Caust. 
 
 Blister on Right Shoulder, forming a scurf. Amm. 
 mur. 
 
 Blisters, with Black Scurf and (Edema. Bell. 
 
 Blotches (in general). Anac. Ant.crud. Arn. Ars, 
 Asaf. Bar. c. JBeM. Berb. ^ry. Calc. c. Caps. Chel. 
 Coft". Cocc. Con. Crotal. hor. Croc. Dulc. Electr. 
 Hell. Hep. Hyosc. Ign. Kali c. Kreas. Lach. Led. 
 Lye. Magn. c. Mang. Merc. sol. iTat. c. JS'at. mur. 
 Mtr. ac. Nux v. Op. Petr. Phos. Phos. ac. Puis. 
 Rhus tox. .Rhus vern. Ruta. Sabin. Sarsap. Sec. 
 Selen. Sep. Sil. Spig. Squill. Staph. Stram. Sulph. 
 Sulph. ac. Tart. e. Yal. Yerat. alb. Vip. torv. 
 
 Blotches, Bloody. Arn. Bellis peren. Bry. Con. 
 Sec. 
 
 Blotches ON Feet. Carboveg. Nux jug. Sep. Sulph. 
 
 Blotches, Gangrenous (Anthrax ?). Ars. Bell. Caps. 
 Electr. Hyos. Lach. Rhus tox. Sec. Sil. Tart. e. 
 Vip. torv. 
 
 Blotches, Gray. WiiY. ac. 
 
 Blotches, Inflamed. Hep. jMang. Merc. sol. Phos. 
 Sil. 
 
 Blotches like Nettle-rash. Berb. Kreas. Lach. 
 Magn. sulph. Mez. Sarsap. Verat. alb. 
 
 Blotches, Red. Arg. nit. Carbo veg. Merc. sol. 
 Mur. ac. Morph. acet. Op. Phos. Rhodo. Spong. 
 Urtica. Verat. alb. 
 
 Blotches, WITH Red Areola. Ant.crud. Cocc. Dulc. 
 Nat. c. Nat. mur. Nuxjiig. Pedic. cap. Phos. Rhus 
 tox. Sep. 
 
 Blotches, Soft. Ant.crud. Bell. Carboveg. Lach. 
 Mez. Petr. Rhus tox. Sil. 
 
 Blotches, White, with Red Areola on limbs and face. 
 Ant. crud. Carbo veg. Lach. Mez. Petr. Rhus tox. 
 Sil. Thuj. 
 
 28 
 
410 REPERTORY. 
 
 Blotch on Right Knee like a mosquito bite. Ant. crud. 
 
 Blotches on Head. Anac. Bar. c. Calc. c. Carbo 
 an. Hell. Kali c. Lye. Mez. INTat. mur. E'ux v. 
 Puis. Phos. Phos. ac. Ruta. Sil. 
 
 Blotches in Front of Ears. Bry. 
 
 Blotches Behind Ears. Bry. Oalc. c. Carbo an. 
 Caust. Staph. 
 
 Blotches on Ears. Spong. 
 
 Blotches on !N'ose. Bell. lod. 
 
 Blotches on Face. Alum. Ant. crud. Ars. Bar. c. 
 Calc. c. Canth. Carbo veg. Chel. Cic. Con. Dig. 
 Dulc. Graph. Hell. Hep. lod. Kali c. Lach. Led. 
 Lye. Magn. arc. Magn. c. Magn. mur. Merc. sol. 
 i^Tat. c. IsTux V. Op. Puis. Rhus rad. Sep. Sulph. 
 Viol. tr. Zinc. met. 
 
 Blotches on Lips. Ars. Bar. c. Bell. Bry. Caust. 
 Con. Hep. Kali hyd. Magn. arc. Magn. mur. Sep. 
 Sil. Stront. Sulph. 
 
 Blotches on Lower Jaw. Stann. Staph. 
 
 Blotches, Red and Suppurating, on neck under the jaw. 
 Lach. I^at. mur. Rhus rad. 
 
 Blotches on Abdomen. Merc. sol. Merc. viv. I^at. c. 
 
 Blotch at Left of Anus. Stann. 
 
 Blotches at Anus. Carbo veg. Ign. Ipec. Stann. 
 Staph. Thuj. 
 
 Blotches all Around Anus. Staph. Thuj. 
 
 Blotch, Large, Red, with black pimple in centre, close 
 to the rectum. Carbo veg. 
 
 Blotches at Anus, like fig-warts. Aur. mur. Cinnah. 
 Euphras. Lye. Merc. corr. Merc. sol. Mtr. ac Phos. 
 ac Thuj. 
 
 Blotches ON Genitals. Arn. Bell. Bov. Bry. Merc. 
 Tiv. ^N^at. c Sep. 
 
 Blotches on Chest. Merc viv. ]^at. c Pedic cap. 
 -Sarsap. 
 
 Blotches in Axilla. Bry. Mez. Petr. 
 
REPERTORY. 411 
 
 Blotches on I^eck. Graph. E"at. mur. Sarsap. Sep. 
 Spong. 
 
 Blotches on I^ape of IReck. Sil. 
 
 Blotches, Red, on Right Side of neck. Mur. ac. 
 
 Blotches on JN'eck, as from heat. Sulph. 
 
 Blotches on Back. Lach. Mez. 
 
 Blotches on Arms. Mur. ac. Nat. mur. 
 
 Blotches on Forearms. Crotal. hor. Mez. 
 
 Blotches on Upper Arms. Berb. 
 
 Blotches on Hands. Ars. Arg. nit. Carbo an. In- 
 dig. Kali chl. Merc. sol. Rhus tox. Rhus vern. Sep. 
 Spig. Stram. Sulph. Urtica. 
 
 Blotches on Wrists. A mm. mur. Carbo veg. Cocc. 
 
 Blotches on Fingers. Aeon. Ant. crud. Arg. nit. 
 Ars. Berb. Caust. Cocc. Con. Lach. Led. IsTat. c. 
 Rhus tox. Yerat. alb. 
 
 Blotches, Red, on Back of Hand and index finger, 
 changing to yellow blister on red base. Arg. nit. 
 
 Blotches, Red, Lentil-sized, on hands. Sep. 
 
 Blotch, White, with Red Areola on index finger. 
 IS'at. c. 
 
 Blotches, Red, on fingers of right hand. Aeon. Arg. 
 nit. 
 
 Blotches, Hard, Elevated, with watery vesicles on 
 them, on hands. Rhus vern. 
 
 Blotches Deep under Skin, on palm of hands. Rhus 
 vern. 
 
 Blotches on Ring Finger. Rhus tox. 
 
 Blotches, Red, on backs of fingers. Yerat. alb. 
 
 Blotches, Hard, Dry, with red areola, on backs of fin- 
 gers. Cocc. Rhus tox. 
 
 Blotch on Right Shoulder. Hura bras. 
 
 Blotches on Legs. Ant. crud. Arg. nit. Aur. fol. 
 Carbo veg. Cocc. Hura bras. Kreas. Merc. sol. ISTux 
 jug. Petr. Phos. Rhod. Thuj. 
 
 Blotches on ]^ates. Ant. crud. Bry. Sarsap. 
 
412 REPERTORY. 
 
 Blotches on Thighs. Aur. fol. Carbo veg. Crotal. 
 hor. Merc. viv. Rhod. Zinc. met. 
 
 Blotches on Knees. Ant. crud. Sulph. 
 
 Blotches on Calves of legs. Aur. fol. Carbo veg. 
 Lacb. Merc. sol. Petr. Pbos. Tbuj. 
 
 Blotches on Feet. Ant. crud. Kreas. Ljc. l^u^ 
 
 jug- 
 
 Blotches on Toes. Sulpb. Zinc. met. 
 
 Blotches on Chin. Bry. Carbo an. Eupborb. Hep. 
 Mag. mur. Oleand. 
 
 Blotches on Eyelids. Aur. fol. Bry. Calc. c. Ra- 
 nunc scelr. Stapb. Tbuj. 
 
 Blotches, Hard. Amm. c. Amm. mur. Ant. crud. 
 Bov. Bry. Con. Lack. Magn. c. Magn. sulph. iTat. 
 mur. Pbos. Rbus tox. Yaler. 
 
 Blotches, Hard, on Back. Ant. crud. Pbos. Zinc, 
 met. 
 
 Blotches Secreting Humor. Mtr. ac. Selen. 
 
 Blotches, Inflamed. Amm. mur. Pbus tox. 
 
 Blotches, Inveterate, Malignant. Ars. 
 
 Blotches like E'ettle-rash. Berb. Kreas. Lach. 
 Sarsap. Yerat. alb. 
 
 Blotches after Scratching. Lacb. Lye. Merc. sol. 
 l^at. c. Nitr. ac. Op. Rbus tox. Spig. Yerat. Zinc, 
 met. 
 
 Blotches on G-lans Penis. Bell. 
 
 Blotches on Scrotum. Am. 
 
 Blotches on Prepuce. Sep. 
 
 Blotches, Watery. Grapb. Magn. c. 
 
 Blotches, Whitish. Dulc. Sulpb. Yal. 
 
 Blotches, Yellow. Ant. crud. Sulpb. 
 
 Blotches Bleeding wben scratcbed. Cocc. Kali c. 
 Mtr. ac. 
 
 Blotches, Cold. Bell. 
 
 Blotches, Large, Indurated, and deep under skin. 
 Amm. mur. Pbos. 
 
REPERTORY. 413 
 
 Blotches, Inflamed, with brown-red scurf, and swelling 
 of the parts. Amm. mur. 
 
 Blotches like Sting of Insects. Ant. crud. Kreas. 
 Tarant. 
 
 Blotches like Sting of Insects, especially on face and 
 joints of the extremities. Ant. crud. Kreas. 
 
 Blotches on Lower Limbs at night. Arg. nit. 
 
 Blotches, Lentil-sized, Colorless. Ars. 
 
 Blotches, Hard, Dry, with red areola on limbs. Cocc. 
 J^ux jug. Phos. 
 
 Blotches containing no Fluid, with red areola. Cocc. 
 
 Blotches on Leg below knee, changing to thick, hard 
 nodules when rubbed. Aur. fol. 
 
 Blotches Large and Small, of clingy-yellow color, on 
 calves of legs. Aur. fol. Carbo veg. 
 
 Blotches Small and Dry on instep, especially the left, 
 forming a hard scab, and leaving a hard blue-red spot. 
 J^ux jug. 
 
 Blotch, White, on chest above left breast. Pedic. cap. 
 
 Blotches on Edge of Tibia. Phos. 
 
 Blotches, Brownish and Bluish. Phos. 
 
 Blotches, Red and Raised (" Hives " ?). Urtica. 
 
 Blotches on Cheeks and corners of mouth. Kali hyd. 
 
 Blotches, Red, and growing to Abscesses (boils ?), with 
 red areola. Kali hyd. 
 
 Blotches, Conical, red or skin color, more easily felt 
 than seen. Chloral. Morph. acet. 
 
 Blotches, Rose-colored, in leprous patients. E'at. c. 
 Sil. 
 
 Blotches on Right Forearm, size of small peas, hard 
 after scratching. Mez. 
 
 Blotches, Small, Flat, light-red, on chest and genitals. 
 Merc. viv. 
 
 Blotches, Small, Flat, light-red, on thighs. Merc. viv. 
 Rhod. 
 
 Blotches, White, on calves of legs. Thuj. 
 
414 REPERTORY, 
 
 Blubness OF Skin (in general). Aeon. Amm.c. Ang. 
 Arn. Ars. Aur. fol. Bell. Bry. Calc. c. Camph. 
 Carbo veg. Cocc. Con. Crotal. hor. Cupr. met. Dig. 
 Lack. Led. Merc. sol. l!^at. mnr. Nux v. Op. Phos. 
 Phos. ac. Plumb, met. Puis. Ehus tox. Samb. See. 
 Sil. Spong. Sulph. ac. Thuj. Verat. alb. Vip. red. 
 Yip. torv. 
 
 Blueness of Al^ 'Nasi. Hydroc. 
 
 Blue Lips. Agar. Alum. Ang. Ars. Berb. Calc. 
 c. Caust. Cin. Con. Cupr. Dig. Lye. Merc. sol. 
 Op. Phos. Stram. Yerat. alb. Vip. red. 
 
 Blue Clavicles (region of). Thuj. 
 
 Blue Arms. Plat. Sep. 
 
 Blue Hands. Aeon. Amm. c. Cocc. Lach. Nux 
 V. Spong. Zinc met. 
 
 Blue Legs. Bism. Con. 
 
 Blue Feet. Lach. Vip. torv. 
 
 Blue (swelling of) Glands. Arn. Ars. Aur. fol. 
 Carbo an. Carbo veg. Con. Ferr. iod. Hep. Lach. 
 Mang. Merc, protiod. Merc. sol. Puis. Sil. Sulph. 
 
 Boils in general. Aeon. Alum. Amm. c. Amm. 
 mur. Anac. Ant. crud. Arn. Ars. Aur. fol. Bar. 
 e. Bell. Bry. Calc. c. Carbo an. Carbo veg. Chin. 
 Cocc. Euphorb. Graph. Grat. Ham. Hep. Hyos. 
 Ign. Kreas. Lach. Laur. Led. Lye. Magn. arc. 
 Magn. mur. Merc. sol. Mez. Mur. ac. 'Nat. c. Nat. 
 mur. Nitr. ac. Nux mos. Nux v. Petrol. Fhos. Phos. 
 ac. Puis. Rhus tox. Sec. Sep. Sil. Spong. Staphis. 
 Stram. Sulph. Sulph. ac. Tart. e. Thuj. Vip. red. 
 Zinc. met. 
 
 Boils, Large. Apis. Hep. Hyos. Lach. Lyc. Merc. 
 soL Kat. c. E'lTR. AC. Phos. 
 
 Boils, Small. Arn. Bar. c. Grat. Lyc. Magn. c. 
 Magn. mur. Il^at. mur. Nux v. Sulph, Zinc. met. 
 
 Boils, Periodically Recurring. Hyos. Lyc. Nitr. 
 ac. Nux V. Phos. Phytol. Sil. Staph. Sulph. 
 
REPERTORY, 415 
 
 Boils, Furunculoijs Eruption. led. 
 
 Boils, Small, all over, after measles. Bell. 
 
 Boils, Small, on neck and face ; on head, back, and 
 chest, of various sizes. Kali hyd. 
 
 Boils Mature Slowly. Hep. Sulph. 
 
 Boils very Inflamed and Painful. Bell. Merc. sol. 
 
 Boils on Head. Bar. c. Bell. Calc. c. Cin. Kali 
 brom. Kali c. Led. Magn.mur. Mur. ac. Kat. brom. 
 Mtr. ac. Ehus tox. 
 
 Boils on Forehead. Amm. nmr. Led. Phos. 
 
 Boil on Forehead where hair begins to grow. Bell. 
 Calc. c. 
 
 Boil on Forehead above left eye. ]N"at. mur. 
 
 Boils on Forehead, Large. Magn. c. 
 
 Boils on Forehead, Small. Phos. 
 
 Boils on Right Temple. Mur. ac. 
 
 Boils on Eyelids. Lappa maj. 
 
 Boils on Ears. Sil. Sulph. 
 
 Boils in Front of Ears. Carbo veg. 
 
 Boils over Ears. Alum. 
 
 Boils behind Ears. l^at. c. Phytoh 
 
 Boils behind Right Ear. Phytol. 
 
 Boils around Ears. Amm. c. 
 
 Boils, Large, on Helix of Ear. Sulph. 
 
 Boils in Ears. Electr. Puis. Sulph. 
 
 Boils in External Meatus. Puis. Sulph. 
 
 Boils on I^ose. Alum. Amm. c. Carbo an. Magn. 
 mur. 
 
 Boils on Tip of ^ose. Aeon. Amm. c. Apis. 
 
 Boils in I^ose. Alum. Amm. c. Carbo an. Sil. 
 
 Boils on E'ose, suppurating speedily. Magn. mur. 
 
 Boil, or Furunculous Pustule, on right side of nose, 
 in front of septum. Amm. c. 
 
 Boil, or Furunculous Pustule, in depression in outer 
 side of right wing of nose. Con. 
 
 Boil, or Furunculous Pimple, in right nostril. Phos. 
 
416 REPERTORY. 
 
 Boils on Face. Alum. Amm. c. Anath. muric. 
 Arn. Bar. c. Bell. Broni. Bry. Calc. c. Oarbo veg. 
 Coloc. Chin. Cina. Iris vers. Kali brom. Kali hyd. 
 Lappa maj. Lauro. Led. Mez. Mur. ac. i!N"at. c 
 Nat. mur. Mtr. ae. Rhus rad. Sil. 
 
 Boils on Face, which do not mature. Rhus rad. 
 
 Boils on Faces and Heads of children. Cina. 
 
 Boils on Face and Cheeks. Alum. Amm. c. Chin. 
 Mez. 
 
 Boils on Face and Left Cheek. Alum. Amm. c. 
 
 Boils on Cheek near E'ose, large. Sil. 
 
 Boils at Corners op Mouth. Amm. c. 
 
 Boils on Lower Lip. Petr. 
 
 Boils over Upper Lip. IS'at. c. 
 
 Boil on Right Side of lips. Alum. 
 
 Boil, Large, Tubercular, on left side of lips. Ratanh. 
 
 Boils on Chin. Amm. c. Hep. Mtr. ac. Sil. 
 
 Boil on Side of chin. Mtr. ac 
 
 Boils over Chin. ITat. c. 
 
 Boil, or Furunculous Pustule, on chin, leaving a red 
 spot. Magn. c. 
 
 Boil under Jaw. Carbo veg. Sep. 
 
 Boils ON ISTeck. Amm. c. Bellisperen. Chin. Coloc. 
 Graph. Indig. Kali hyd. Magn. c. Nat. mur. Nitr. 
 ac Rhus venen. Sep. 
 
 Boils on Nape of Neck. Electr. Nitr. ac Phos. Sil. 
 
 Boils on Neck, Small. Graph. 
 
 Boils in Axilla. Borax. Canst Fluor, ac Lye 
 Phos. ac. Sulph. ac 
 
 Boils in Left Axilla. Lye 
 
 Boils ON Back. Aeon. Caust. Coloc Electr. Graph. 
 Iris vers. Kali hyd. Mur. ac Phytol. Sulph. ac Thuj. 
 Zinc. met. 
 
 Boils, Small, on Back. Caust. Graph. Mur. ac. 
 
 Boils on Right Side of Back. Phytol. 
 
 Boils on Small of Back. JEth. Mur. ac Thuj. 
 
REPERTORY. 417 
 
 Boils IN Scapular Eegion. Amm. c. Bell. lod. Led. 
 Lye. Mtr. ac. ISTuxjug. Zinc. met. 
 
 Boils, Large, on Scapula. W\iv. ac. 
 
 Boils on ^ates. Acon. Agar. Alum? Aar. mur. 
 Bar. c. Graph. Hep. Indig. Lycop. W\tv. ac. Phos. 
 
 AC. 
 
 Boil between Scapula, with gangrene of legs. led. 
 
 Boils, Two, on One of ^sTates. Hep. 
 
 Boils on Chest. Amm. Cham. Chin. Hep. Magn. c 
 Phos. 
 
 Boils, Large, on Chest. Phos. 
 
 Boils, Small, on Chest. Amm. c. 
 
 Boils on Right Side of Chest. Amm. c. Chin. Kali 
 hyd. 
 
 Boils oyer Pectoralis Muscles. Cham. Chin. 
 
 Boils over False Ribs. Magn. mur. 
 
 Boil below Last Rib, Left Side. Arg. fol. 
 
 Boils on Abdomen. Amm. mur. Phos. Zinc. ox. 
 
 Boil on Right Side of Abdomen. Amm. mur. 
 
 Boil on Abdomen above genitals turns dark-blue. Zinc. 
 ox. 
 
 Boils on Pubes. Apis. Copaiv. Zinc. ox. 
 
 Boil on Perineum. Ant. crud. 
 
 Boil at Anus. Carbo an. 
 
 Boils on Shoulders. Amm. c. Bell. Nitr. ac. Nux 
 jug. Phos. ac. 
 
 Boils, Small, on Left Shoulder. Amm. c. Bell. 
 
 Boils on Right Shoulder. Kali nit. Phos. ac. 
 
 Boils on Arms. Amm. c. Brom. Calc. c. Carbo an. 
 Carbo veg. Elaps. cor. Graph. lod. Lye. llagn, 
 mur. Mez. I^ux jug. Petr. Phos. ac. Rhus vene. 
 Sil. Zinc. met. 
 
 Boils, Small, on Arms. Graph. 
 
 Boils, Four or Five Large, one below elbow on lower 
 side of arm. Bell. 
 
 Boil on Right Biceps. JSTux jug. 
 
418 REPERTORY. 
 
 Boil on Posterior Surface Right Upper Arm. led. 
 
 EoiLS ON Left Upper Arm. Mez. Zinc. met. 
 
 Boils on Upper Arm. Carbo veg. led. Mez. ^N'ux 
 jug. Zinc. met. 
 
 Boils, Many Large and Small, on Arms. Sil. 
 
 Boils, Syphilitic, on Arms. Iris vers. 
 
 Boils on Forearms. Calc. c. Lye. Magn. mur. Petr. 
 
 Boil on Upper Arm, with pimples all around it. Carbo 
 veg. 
 
 Boils ON Hands. Calc. c. Iris vers. Lach. Led. Lye. 
 
 Boil on Back of Left Hand. Calc. c. 
 
 Boils, Small, Immature, with erysipelatous inflamma- 
 tion of whole back of hand. Rhus rad. 
 
 Boils on Fingers. Calc. c. Lach. Sil. 
 
 Boils on Finger-joints and Backs of fingers. Calc. c. 
 
 Boil on Middle Finger of Left Hand. Iris vers. 
 
 Boil on Thumb. Nitrum. 
 
 Boil on Lower Part of Thumb. Kali nit. 
 
 Boils on Hips. Alum. Amm. c. Bar. c. Graph. 
 Hep. Lye. Mtr. ac. ^N'ux jug. Fhos. ac. Ratanh, 
 Sabin. 
 
 Boils on Right Hip especially. Alum. Amm. c. 
 Nitr. ac. 
 
 Boils ON Thighs. Alum. Amm. c? Aur. mur. Calc. 
 c. Clem. CoccuL. Hyos. Ign. Lach. Lyc. Magn. 
 c. Nitr.ac. E'uxjug. I^dxvom. Petr. Phos. Phos. 
 ac. Rhus vene. Sep. Sil. 
 
 Boils on Right Thigh. iN'ux jug. Rhus vene. 
 
 Boils on Inner Surface of Thigh. Ign. Coccul. 
 
 Boil on Posterior Surface of Thigh. Sep. Sil. 
 
 Boils on Thigh above knees. Lyc. 
 
 Boils on Knees. I:^at mur. Ii^ux v. 
 
 Boils on Legs. Calc. c. Magn. c. Kitr. ac. !N'ux 
 vom. Petr. Sil. 
 
 Boils on Calves of Legs. Sil. 
 
 Boils on Ankles. Merc. sol. 
 
REPERTORY. 419 
 
 Boils on Feet. Calc. c. Led. Sil. Steam. 
 
 Boils on Sole of Right Foot. Eatanli. 
 
 Boil on Heel. Calc. c. 
 
 Boils on Sckotum. Cupr. ars. Zinc. ox. 
 
 Boils, Small, on forehead, neck, chest, and thighs. 
 Magn. c. 
 
 Boils, Small, on nape of neck, chest, thighs, and fore- 
 head. Phos. 
 
 Boils, Small and Indurated, on cheek and chin, and at 
 corners of mouth ; emit water and blood. Aram. c. 
 
 Boils, Indurated, with profuse, thick, bloody suppura- 
 tion. E'ux jug. 
 
 Bruises in general. Arn. Badiag. Bellis peren. Cic. 
 Con. Croc. Euphras. Hep. lod. Mez. Petr. Phos. 
 Polygon, punct. Puis. Puta. Sulph. Sulph. ac. Verb, 
 hast. 
 
 Bruises, with Extravasation. Arn. Bry. Bellis 
 'per en. Con. Crotal. hor. Dale. Hep. Lack. -Nux v. 
 Puis. Rhus tox. Sulph. Sulph. ac. Verb. hast. 
 
 BuLLiE, Large, Red, on right buttock. Ant. crud. 
 
 BuLL^, Hard, size of a pea, on a red base on lower arm. 
 Sil. 
 
 BuLLiE, Hard, on ball of thumb. Phos. ac. 
 
 Burns, Inflamed, Swollen, Gangrenous, covered with 
 yellow ichorous vesicles. Plumb, met. Urtica ur. 
 
 Burns, with swelling, oedema, and small, transparent, 
 confluent vesicles filled with serum. Urtica ur. 
 
 Carbuncles, during ulceration. Sil. 
 
 Carbuncles, bluish-purple ; cannot bear any bandage on 
 the parts, especially on neck. Lach. 
 
 Carbuncles dark red and of fetid odor. Carbo veg. 
 
 Chilblains blue- red, with swelling. Arn. Bell. Kali 
 c. Puis. Zinc. met. 
 
 Chilblains, with bleeding rhagades. N'ux v. Petr. 
 Puis. 
 
 Chilblains, red and thick. Kali c. Sulph. 
 
420 REPERTORY. 
 
 Chilblains, Old, inflame and suppurate. Lach. Sulph. 
 
 Chilblains, inflamed. Ars. Bell. Cham. Hep. Lach. 
 Lye. Nitr.ac. Petr. Phos. Puis. Khustox. Staph. 
 Sulph. 
 
 Chilblains, Ped. Agar. Ambr. Ant. crud. Am, 
 Ars. Aur. fol. Bell. Berb. Borax. £ry. Carbo an. 
 Carbo veg. Cham. Chin. Cocc. Colch. Croc. Cycl. 
 Hep. Hyosc. Kali c. Lye. Magn. arc. Magn. aus. 
 Nitr. ac. l^ux mos. Nux v. Petr. Phos. Phos. ac. 
 Pals. Patanh. Phiis tox. Ruta. Sep. Spig. Stann. 
 Staph. Sulph. Sulph. ac. Thuj. Zinc. met. 
 
 Chilblains, with blotches after scratching. Phus tox. 
 
 Chilblains on hands. Nitr. ac. Stann. Zinc. met. 
 
 Chilblains on fingers. Carbo an. Lye. Petr. Puis. 
 Sulph. Sulph. ac. 
 
 Chilblains on feet and toes. Agar. Ant. crud. Hep. 
 Kali c. Nitr. ac. Nux v. Petr. Phos. Rhus tox. 
 Sidph. Thuj. 
 
 Chilblains, especially on big toe. Xitr. ac. 
 
 Cicatrices, Old, break open. Carbo veg. Crotal. hor. 
 Lach. Sil. 
 
 Cicatrices bleed Lach. Phos. 
 
 Cicatrices turn red. Lach. Merc. sol. l^at. mur. 
 
 Contraction of skin all over. Cupr. met. 
 
 Corns, Horny. Ant. crud. Graph. Ranunc. scelr. 
 Sulph. 
 
 Corns, Inflamed. Lye. Ptds. Rhus tox. Sep. Sil. 
 Sulph. 
 
 Corns, especially on left foot. Yerat. alb. 
 
 Crack, small, on index finger, inflamed, and a blister 
 on the sore spot. Sil. 
 
 Cracks in nipples, fingers, and hands. Balsam. Peru. 
 
 Crusts, humid, on scalp and arms. Alum. Bar. c. 
 
 Crusts formed about arms. Berb. 
 
 Crusts, thick, humid, becoming dry and black, with 
 red, humid, dilated, yellow margins. Chin. Sulph. 
 
REPERTORY. 421 
 
 Ceusts, Black. Bell. Chin. Sulph. A^ip. torv. 
 
 Crusts, Bleeding. Merc. sol. Mez. 
 
 Crusts, Brown. Amm. nmr. Ant. crud. Berb. 
 
 Crusts, Dry. Ars. Ars. iod. Aur. eol. Aur. mur. 
 Bar. c. Calc. c. Chin. Sulph. Graph. Lach. Led. 
 Merc. sol. Sulph. Thiij. 
 
 Crusts, Fetid. Graph. Lye. Merc. sol. Plumb, met. 
 Psor. Staph. Sulph. 
 
 Crusts, Gray. Ars. Lye. ? Merc. sol. 
 
 Crusts, Greenish. Calc. c. Puis. ? 
 
 Crusts, Herpetic. Bov. Calc. c. Clem. Con. 
 Graph. Lach. Lye. Raminc. scelr, Sep. Sulph. 
 
 Crusts, Horny. Graph. Ranunc. scelr. 
 
 Crusts, Damp, Humid. Alum. Ars. Bar. c. Calc. 
 c. Chin, sulph. Cic. Clem. Graph. Hell. Hep. 
 Lyc. Merc. sol. Mez. Oleand. Plumb, met. Ranunc. 
 scelr. Rhus tox. Rata. Sep. Sil. Staph. Sulph. 
 
 Crusts, Raised. Sabin. 
 
 Crusts, red-brown. Amm. mur. 
 
 Crusts, Suppurating. Ars. Plumb, met. Sil. Sulph. 
 
 Crusts, Yellow. Ant. crud. Aur. fol. Aur. mur. 
 Cic. Iod. Kreas. Merc. sol. Mez. 
 
 Crusts on Head. Alum. Ars. Ars. iod. Bar. c. 
 Calc. c. Carho an. Chel. Electr. Ferr. met. Graph. 
 Hell. Kali c. Magn. c. Merc. sol. Mur. ac. ]^at. 
 MUR. Nitr. ac. Oleand. Paris. Petr. Phos. Rhus 
 TOX. Rut a. Sil. Sulph. 
 
 Crusts on Eyelids. Graph. Sep. 
 
 Crusts on Ears. Bov. Graph. Hep. Iod. Lach. 
 Lyc. Mur. ac. Puis. Sarsap. Spong. 
 
 Crusts behind Ears. Graph. Hep. Lyc. Puis. 
 Staph. 
 
 Crusts on [Rose. Ant. crud. Bar. c. Bell. Bov. 
 Carho an. Carbo veg. Crot. I^at. mur. Mtr. ac. Petr. 
 Phos. ac. Ratanh. Rhus tox. Sep. Staph. Sulph. 
 
 Crusts on tip of I^ose. Carho an. Carbo veg. Sep. 
 
422 REPERTORY. 
 
 Crusts on Face. Alum. Ant. crud. Ars. Bar. c. 
 Bell. Bry. Calc. c. Carbo veg. Cocc. Coloc. Dulc, 
 Graph. Hep. Ign. Lach. Lye. Merc. sol. Mur. ac. 
 Mtr. ac. Petr. Phos. Phos. ae. Sarsap. Sep. Sil. 
 Staph. Sulph. Thuj. Viol. tr. Zinc. met. 
 
 Crusts on Chin. Sep. 
 
 Crusts on Genitals. Caust. Is'itr. ac. Thuj. 
 
 Crusts on Nipples. Lye. 
 
 Crusts on Back. Graph. ]^at. mur. 
 
 Crusts in Axilla. Nat. mur. 
 
 Crusts on Nape of ISTeck. Bell. 
 
 Crusts on Elbows. Sep. 
 
 Crusts on Forearm. Alum. 
 
 Crusts on Hands. Sarsap. Sep. 
 
 Crusts on Fingers. Anac. 
 
 Crusts ON Lower Limbs. Ars. Calc. c. Sabin. Staph. 
 Zinc. met. 
 
 Crusts on Feet. Sil. 
 
 Dampness, Humor, on Ears. Calc. c. Lye. 
 
 Dampness, Humor, behind Ears. Amm. c. Calc. c. 
 Carbo veg. Caust. Graph. Hep. Kalic. Lye. Mtr. 
 ac. Oleand. Petr. Phos. Sil. 
 
 Dampness, Humor, on Edges of Ears. Sil. 
 
 Dampness, Humor, on Genitals. Calc. c. Cann. sat. 
 Carbo veg. Hep. Lye. Nat. mur. Nitr. ac. Petr. 
 Sep. Staph. Sulph. Thuj. 
 
 Dampness, Humor, on Glans Penis. Cann. sat. Cinnab. 
 Lye. Mere. sol. Mez. Nat. mur. Nitr. ac. Sep. Staph. 
 Thuj. 
 
 Dampness, Humor, on Scrotum. Carbo veg. Petr. 
 Sulph. 
 
 Dampness, Humor, between pudendum and thighs. 
 Calc. Hep. 
 
 Dampness, Humor, on Mons Veneris. Sulph. 
 
 Dampness, Humor, on Prepuce. Nitr. ac. 
 
 Dampness, Humor, in Axilla. Carbo veg. Sulph. 
 
REPERTORY. 423 
 
 Dampness, Humor, on scapulae. Lach. 
 
 Dampness, Humor, on sacrum. Graph. Led. 
 
 Dampness, Humor, between thighs. Hep. Sulph. 
 
 Dampness, Humor, on feet. Mez. Selen. 
 
 Dandruff accumulating evenly over the scalp, which 
 is smooth and seems thickened. Calc. c. 
 
 Dandruff, with transparent gelatinous discharge. 
 Graph. 
 
 Dandruff, smelling badly. Lye. 
 
 Dandruff in circles like ringworm. Sep. 
 
 Desquamation (in general). Aeon. Agar. Alum, 
 Amm. c. Amm. mur. Ars. Ars. iod. Arum, triph. 
 Aur. fol. Bar. c. Bell. Berb. Bov. Calc. c. Canth. 
 Caps. Carbo an. Caust. Cham. Chloral. Clem. 
 Coloc. Commoc. dent. Con. Crot. Crotal. hor. Cro- 
 tal. cascav. Dig. Dulc. Euphorb. Ferr. met. Graph. 
 Hell. Hip. man. Hydras.. Hyosc. Iod. Kali c. 
 Lauro. Magn. c. Merc. sol. Mez. Mosch. I^at. c. 
 J^at. mur. Oleand. Op. Paris. Phos. Phos. ac. Plat. 
 Plumb. Puis. Ranunc. seel. Rhus tox. Sabad. Sec. 
 Selen. Sep. Sil. Spig. Staph. Stram. Sulph. Sulph. 
 ac. Tarax. Tart. e. Verat. alb. 
 
 Desquamation, especially from hands and feet. Merc. 
 dulc. Merc. sol. Sep. 
 
 Desquamation, especially from left thigh. Pedic. cap. 
 
 Desquamation from tips of lingers, soles of feet, and 
 heels. Elaps. cor. 
 
 Desquamation about the nails. Sabad. 
 
 Desquamation in round patches (like blisters from which 
 the serum has been absorbed), leaving the skin purple 
 (and in some places yellow). Arms are red and speckled, 
 with shreds of dead-white epidermis. Chloral. 
 
 Discharges, Albuminous. Amm. mur. Borax. Bov. 
 Mez. Petr. Plat. 
 
 Discharges of bad taste or smell. Copaiv. Dros. 
 Puis. 
 
424 REPERTORY. 
 
 Discharges, Bitter. Arn. Ars. Carbo veg. Cist. 
 Dros. Merc. sol. JSTitr. ac. Phos. ac. Puls. 
 
 Discharges, Bluish. Ambr. Ars. Cupr. acet. 
 
 Discharges containing bloody points. Amm. c. Lauro. 
 
 Discharges of bloody mucus. Aeon. Alum. Amm. 
 mur. Ars. Asar. Bar, c. Bell. Canth. Caps. Carbo 
 veg. Caust. Cheno. Chin. Cocc. Con. Copaiv. Ferr. 
 met. Graph. Hep. Iod. Kali c. Kali chl. Led. Lye. 
 Merc. sol. Mez. Murex. ]S"at. mur. Nux mos. ^Nux 
 V. Op. Paris. Petr. Phos. Puls. Sep. Sil. Sulph. 
 Sulph. ae. Thuj. Yerat. alb. Yip. torv. Zine. met. 
 
 Discharges, blood-streaked. Ars. Borax. Chin. 
 Perr. met. Laeh. Magn e. Magn. mur. Mez. Sabin. 
 Sep. 
 
 Discharges, Brownish. Amm. mur. Ars. Bell. 
 Bism. Borax. Carbo veg. Grat. ^itr. ac. Sulph. 
 
 Discharges smelling like old cheese. Cale. e. Hep. 
 Mere. sol. Sulph. 
 
 Discharges, copious. Aeon. Alum. Amm. c. An- 
 thrac. Aiy. fol. Ars. Asaf. Bry. Calc. c. Canth. 
 Caust. Chin. Cie. Dule. Ferr. met. Graph. Guaj. 
 Iod. Kali c. Kreas. Lack. Lauro. Lye. Magn. mur. 
 Magn. sulph. Mang. Merc. sol. Mez. ^N'atr. e. Nat. 
 MUR. 'N'ltr. ac. Phos. Phos. ae. Puls. Ranune. bulb. 
 Hhus tox. Ruta. Sarnb. Sabin. Sarsap. Sep. Sil. 
 Squill. Staph. Sulph. Thuj. 
 
 Discharges, corrosive. Alum. Amm. c. Amm. mur. 
 Anae. Ant. erud. Anthrae. Ars. Borax. Bov. 
 Cale. c. Cann. sat. Canth. Carbo an. Carbo veg. 
 Clem. Chin. Con Euphorb. Ferr. met. Hep. Ign. 
 Iod. Kali e. Kali hyd. Kreas. Lack. Lye. Magn. e. 
 Magn. inur. Mang. Merc. sol. Mez. Mur. ae. IS'at. 
 mur. Nitr. ae. Nux v. Phos. Phos. ae. Puls. Ra- 
 nunc. bulb. Puta. Sep. Sil. Spig. Squill. Sulph. 
 Sulph. ac. Thuj. 
 
REPERTORY. 425 
 
 Discharges, fetid, offensive. Anthrac. Ars. Caps. 
 Magn. c. Nitr. ac. Nux v. Sabin. 
 
 Discharges of fetid smell or taste. Ars. Bell. Chel. 
 Cup. met. Ferr. met. Graph. Kreas. Merc. sol. Mur. 
 ac. Nat. c. Mtr. ac. Puis. Sep. Sil. Stann. 
 
 Discharges smelling like putrid eggs. Con. 
 
 Discharges, flesh-colored. Alum. Cocc. Kreas. Merc, 
 sol. Mtr. ac. Sabin. Tahac. 
 
 Discharges, flocculent. Agar. Amb. Merc. sol. Sep. 
 
 SULPH. 
 
 Discharges, frothy. Ars. Chen. Ferr. met. Op. 
 Sec. Sulph. ac. 
 
 Discharges, gelatinous. Arg. fol. Berb. Chin. Hell. 
 Lauro. Rhus tox. Selen. 
 
 Discharges, globular. Sil. Thuj. 
 
 Discharges, gray. Amhr. Anac. Arg. fol. Ars. 
 Carbo an. Caust. Chin. Copaiv. Kreas. Lach. 
 Magn. mur. Merc. sol. Sep. Sil. Thuj. 
 
 Discharges, greasy. Magn. c. 
 
 Discharges, greenish. Ars. Asaf. Aur. fol. Borax. 
 Carbo veg. Caust. Colch. Dros. Ferr. met. Hyosc. 
 Kali c. Kreas. Lach. Led. Lyc. Magn. aus. 31agn. 
 c. Mang. Merc sol. Murex. ]^at. c. ^at. mur. 
 Mtr. ac. l!Tuxv. Pnos. Pals. Rhus tox. Sabad. Sep. 
 Sil. Stann. Sulph. TImj. 
 
 Discharges smelling like fish-brine. Graph. Selen. 
 Tellur. 
 
 Discharges, lumpy. Kali c. Kreas. Phos. Sabad. 
 Sabin. Stann. 
 
 Discharges of metallic taste. Calc. c. Cupr. met. 
 Ipec. is'ux V. Rhus tox. 
 
 Discharges, milky. Calc. c. Carbo veg. Con. Ferr. 
 met. Lyc. Phos. Puls. Sabin. Sep. Sil. Sulph. ac. 
 
 Discharges of thick mucus. Aeon. Agar. Alum. 
 Amm. mur. Ant. crud. Arg. fol. Ars. Bar. c. Berb. 
 Borax. Calc. c. Carbo an. Carbo veg. Con. Copaiv. 
 
 29 
 
'426 REPERTORY, 
 
 Electr. Graph. Ipec. lod. Kali hyd. Kreas. Lam. 
 alb. Lye. Magn. arc. Magn. mur. Magn. sulph. Mu- 
 rex. Mur. ac. Nat. c. Nat. mur, Is'itr. ac. Oleum an. 
 Op. Paris. Puis. Puta. Sabad. Samb. Sarsap. Sec. 
 Selen. Seneg. Sil, Staph. Sulph. Zinc. met. 
 
 Discharges of thin mucus. Borax. Caps. Carbo veg. 
 Oolch. Electr. Graph, Ferr. met. Kali hyd. Lauro. 
 Lye. Magn. c. Mez. ^Nat. mur. ]^ux v. Oleum an. 
 PuLS. Rhus tox. Seneg. Stann. Staph. Sulph. ac. 
 Tereb. 
 
 Discharges of musty smell and taste. Borax. Carbo 
 veg. 
 
 Discharges, purulent. Ars. Copaiv. Ign. Mere. sol. 
 Sep. 
 
 Discharges, reddish. Asar. Borax. Bry. G-raph. 
 Paris. Phos. Rhus tox. Sil. Squill. Sulph. 
 
 Discharges, ropy. Asaf. Carbo veg. Graph. Kali 
 bich. Lach. Magn. aus. Magn. c. 
 
 Discharges, salty. Ambr. Alum. Amm, c. Ars. 
 Bar. c. Cale. e. Chin. Dros. Graph. Lyc. Magn. c. 
 Magn. mur. Merc, sol, 'Nat. c. i^ux v. Fetr, Phos. 
 Puis. Samb. Sep. Sil. Stann. Staph. Sulph. Zinc, 
 met. 
 
 Discharges, slimy. Aeon. Agar. Agn. Alum. 
 Ambr. Amm. e. Amm. mur. Ang. Ant. erud. Arg. 
 fol. Arn. Ars. Arum, triph. Asaf. Asar. Aur. fol. 
 Bar. c. Bell. Bism. Borax. Bov. Bry. Calc. c. 
 Camph. Cann. sat. Canth. Caps. Carbo an. Carbo 
 veg. Caust. Cham, Chel. Chen. Chin. Cina. Coee. 
 Coff. CoLCH. Coloc. Con. Copaiv. Croc. Cupr. met. 
 Euphorb. Euphras. Ferr. met. 
 Guaj. Hell. Hep, Hyose. Ign. 
 Kali ehl. Kreas. Lach. Lact. 
 Lauro. Lye. Magn. arc, Magn. aus. Magn. c. Magn, 
 mur. Merc. sol. Mez. Mur. ac. IsTat. c. Nat. mar, 
 E'at. sulph. Nitr. ac. E'ux mosch. E'ux v. Oleand. 
 
 Dig. 
 
 Dros. Dulc. 
 
 Galv, 
 
 Grat. Graph 
 
 Ipec. 
 
 loD. Kali c. 
 
REPERTORY. 427 
 
 Paris. Petr. Phos. Phos. ac. Plat. Plumb, met. 
 PuLS. Ranunc. seel. Ratanh. Rhod. Rhus tox. 
 Ruta. Sabad. Sabin. Samb. Sarsap, Sec. Selen. 
 Seneg. Sep. Sil. Spig. Spong. Squill. Stann. 
 Staph. SuLPH. Sulpb. ac. Tart. e. Thuj. Yal. Yerat. 
 alb. Zinc. met. 
 
 Discharges, sour smelling or tasting. Calc. Graph. 
 Hep. Kali c. Lam. alb. Magn. mur. Merc. sol. ]N"at. 
 c. E'ux. V. Plumb, met. Sep. Sulph. Tarax. 
 
 Discharges like starch. Sabin. 
 
 Discharges of sweetish taste or smell. Asar. Lachi 
 Magn. c. Merc. corr. 
 
 Discharges, tenacious. Aeon. Agn. Alum. Amm. 
 mur. Anac. Ant crud, Ars. Bar. c. Bell. Bov. 
 Bry. Calc. c. Cann. sat. Canth. Carbo veg. Caust. 
 Cham. Chin. Chin, sulph. Cist. Cocc. Colch. Con. 
 Dulc. Euphras. Grraph. lod. Kali c. Laeh. Lact. 
 Lauro. Lob. Magn. c. Magn. mur. Merc. sol. Mez. 
 ;N'at. c. Nux V. Paris. Oleum an. Phos. Phos. ac. 
 Plumb, met. Puis. Ranunc. seel. Bhus tox. Sabad. 
 Sabin. Samh. Seneg. Sep. Spig. Spong. Squill. 
 St ANN. Staph. Tab. Tart. e. Yerat. alb. Zinc. met. 
 
 Discharges, viscous. Carbo an. Carbo veg. Hep. 
 Phos. Phos. ac. Plat. Sulph. 
 
 Discharges, transparent. Alum. Crotal. hor. Ferr. 
 mur. Graph. Kali hyd. Magn. sulph. Mang. [N'at. 
 mur. Phos. Puis. Sabad. Sep. Sil. Stann. Sulph. 
 ac 
 
 Discharges, yellow. Aeon. Agn. Alum. Amb. Amm. 
 c. Amm. mur. Anac. Ang. Ant. crud. Arg. fol. 
 Ars. Aur. fol. Bar. c. Bell. Berh. Bov. Bry. 
 Calc. c. Cann. sat. Canth. Caps. Carho an. Carbo 
 veg. Caust. Cham. Cic. Clem. Con. Croc. Dros. 
 Dulc. Eugen. Gran. Graph. Hep. lod. Kali c. 
 Kreas. Lach. Lyc. Magn. c. Magn. mur. Magn. 
 sulph. Mang." Merc. sol. Mez. Mur. ac. Fat. c. 
 
428 REPERTORY, 
 
 Nat.mur. E'itr. ac. ^uxvom. Phos. Phos. ac. Puls. 
 Rhas tox. Ruta. Sabad. Sabiri. Sec. Selen. Seneg. 
 Sep. Sil. Spig. Stann. Staph. Sulph. Sulph. ac. 
 Thuj. Yerat. alb. Viol. tr. 
 
 Discharges, watery. Agar. Alum. Ambr. Amm.c. 
 Amm, m.ur. Ant. crud. Arg. fol. Ars. Asar. Bell. 
 Bov. Calc. c. Cann. sat. Carbo an. Carbo veg. Cham. 
 Chill. Clem. Coff. Con. Graph. Guaj. Ign. lod. 
 Kalibyd. Kreas. Lach. Magn.c. Magn. mur. Mang. 
 Merc. sol. Mez. Murex. Mur. ac. Nux v. Paris. 
 Phos. Plumb, met. Puis. Ranunc. seel. Rhus tox. 
 Seneg. Sep. Sil. Squill. Stann. Staph. Sulph. 
 ^ulph. ac. Thuj. 
 
 Discharges, white. Ambr. Asar. Bell. Borax. 
 Bov. Calc. c. Canth. Carbo veg. Caust. Colch. Con. 
 Ferr. met. Glraph. Grat. Hell. Kreas. Ljc. Magn. 
 c. Merc. sol. Nsit. mur. I^ux v. Oleum an. Phos. 
 PuLS. Ratanh. Sabin. Sep. Sil. Sulph ac. Tab. 
 Tart. e. 
 
 Discharge staining linen black. Bry. 
 
 Discoloration, dirty color of skin in general. Ant. 
 crud. Ars. Bry. Ferr. met. lod. Merc. sol. Phos. 
 Plumb, met. Sec. Vip. torv. 
 
 Dots, Small, Red, on eyelids and hands ; on neck cov- 
 ered with whitish scales. Hydrocotyle. 
 
 Dryness of Skin in general. Acon. Alum. Ambr. 
 Amm. c. Anac. Amt. crud. Arg. fol. Am. Ars. 
 Ars. iod. Asaf. Bar. c. Bell. Bism. Borax. Bry. 
 Calc. c. Camph. Cann. sat. Canth. Carbo an. Carbo 
 veg. Caust. Cham. Chin. Chin, sulph. Clem. Cocc. 
 CoFF. CoLCH. Coloc. Cou. DuLC. Ferr. met. G-raph. 
 Hell. Hep. Hydrocotyle. Hyosc. Ign. Iod. Ipec. 
 Kali c. Kreas. Lach. Lauro. Led. Lye. Magn. 
 aus. Magn.c. Mang. Merc. sol. Mez. Murex. Mur. 
 ac. Nat. c. IsTat. mur. Nitr. ac. ^N'ux mosch. J^ux 
 V. Oleand. Op. Paris. Phos. Phos. ac. ' Plat. Plumb. 
 
REPERTORY. 429 
 
 met. Puis. Ranunc. bulb. Eanunc. seel. Rhus tox. 
 Euta. Sabad. Samb. Sec. Seneg. Sep. Sil. Spig. 
 Spong. Squill. 8taph. Stram. Sulph. Sulph. ac. 
 Tart. e. Teucr. Yal. Verb. Viol. ad. Viol. tr. 
 
 Dry, Parched Skin. Calc. c. IIyosc. Iod. Kali c. 
 Magn. c. I^at. c. Sec. 
 
 Dry Skin, like Parchment. Ars. Ars. iod. Chin. 
 Chin, sulph. Dulc. Kali c. Led. Lyc. Phos. Sil. 
 Squill. 
 
 Dry, Brittle Skin. Hyosc. IN'at. c. Sec. 
 
 Dry Skin on Ears. Graph. Mtr. ac. Petr. 
 
 Dry Skin on Hands. Anac. Bar. c. Bism. Ferr. 
 met. Hep. Lach. Lyc. Nat. c. Nat. mur. Phos. 
 Phos. ac. Sabad. Sulph. Tax. Thuj. 
 
 Dry Skin on Fingers. Anac. Sil. Tart. e. 
 
 Ecchymoses (in general). Arn. Bellis peren. Bry. 
 Calc. c. Cham. Chin. Con. Crotal. hor. Dulc. Electr. 
 Euphras. Ferr. met. Hep. Lach. Lauro. ISTat. c. 
 ]^at. mur. Nux v. Paris. Plumb, met. Puis. Rhus 
 tox. Rata. Sec. Sulph. Sulph. ac. Verb. hast. 
 
 Eczema on Scalp. Ars. Borax. Brom. Calc. c. 
 Graph. Iris vers. Lappa, maj. Lyc. Sulph. Vinca 
 min. 
 
 Eczema along edges of scalp. Hydras. iTat. mur. 
 Mtr. ac. 
 
 Eczema begins on the back of the head. Lyc. 
 
 Eczema around margins of hair from ear to ear, poste- 
 riorly. Sulph. 
 
 Eczema on face. Ars. Bell. Borax. Cic. Croton 
 tig. Cycl. Graph. Hep. Iris vers. Lappa maj. Lyc. 
 Merc. sol. Rhus tox. Sep. 
 
 Eczema, especially on left side of face^ on chin and be- 
 hind ears ; thick crusts, raw surfaces, and deep rhagades. 
 Graph. 
 
 Eczema on head, moist, bad-smelling, grayish-white 
 
430 REPERTORY. 
 
 crust ; most of hair gone, and eruption extending to the 
 face. Lappa maj. 
 
 Eczema in internal ear. Mtr. ac. 
 
 Eczema of Head, raw, inflamed, scurfy, discharging a 
 corrosive fluid, which eats among the hair. Nat. mur. 
 
 Eczema Capitis, with profuse oozing, as of a dirty, 
 nasty-smelling discharge ; scalp covered, as with a cap. 
 Brom. 
 
 Eczema of scalp, with moist scabs and engorged glands 
 in the neck. Hell. 
 
 Eczema on arms. Mez. Phos. Sil. 
 
 Eczema on forearms. Graph. 
 
 Eczema on hands. Ars. Graph. Lye. Mez. Phos. 
 
 Eczema on left hand. Ars. 
 
 Eczema on fingers of right hand. Lye. 
 
 Eczema on fingers (in general). L^^c. Sil. Staph. 
 
 Eczema in bends of extremities. Amm. c. Bry. 
 Graph. Led. Merc. sol. Sep. Sulph. 
 
 Eczema of extremities, marginatum, and impetiginoides. 
 Sulph. 
 
 Eczema on inner surface of thighs after vaccination. 
 Rhus tox. 
 
 Eczema on the legs. Ars. Carboveg. Graph. Lach. 
 Lye. Merc. sol. Nat. mur. Sulph. 
 
 Eczema on calves of legs. Graph. 
 
 Eczema, moist, on genitals. Petr. Phus tox. 
 
 Eczema on genitals. Arg. nit. Ars. Calad. Croton 
 tig. Graph. Hep. Lye. Nat. mur. Nitr. ac. Petr. 
 Phus tox. Sep. Sulph. Thuj. 
 
 Eczema Pubrum ; small blisters in the axillse suddenly, 
 and emit a discharge which colors the linen a greenish- 
 yellow. Nux jug. 
 
 Eczema, bleeds easily and is covered with thick crusts, 
 with fetid secretion beneath. Lye. 
 
 Eczema, yellow crusts, and inflamed surroundings after 
 scratching. Merc. sol. 
 
REPERTORY. 431 
 
 Eczema, with thick moist crusts. Rhus tox. 
 
 Eczema, yellow acrid moisture oozes from under the 
 crusts : when the surface is denuded of these, new vesicles 
 at once form, and soon burst, forming a crust as before. 
 Staph. 
 
 Eczema, vesicles smaller and flatter than mercurial ec- 
 zema. Copaiv. 
 
 Eczema, with pimples, crusts, and easily bleeding sur- 
 face. Sulph. 
 
 Eczema, transparent glutinons discharge, forming crusts. 
 Graph. 
 
 EczEMA,with purulent secretion. Clem. Graph. Hep. 
 Lappa maj. Lye. ^N'at. niur. Mtr. ac. Sulph. 
 
 Efflorescence of vividly red spots on abdomen and 
 legs. Origan, vulg. 
 
 Elevations, small, hot, red, whose tips become white 
 and scaly, on left arm, elbow, and nates. Merc. sol. 
 
 Elevations, small, round, colorless. Op. 
 
 Elevations, red, tuberculoid, and inflamed. Rhus rad. 
 
 Elevations, small, dark-red ; on backs of hands, covered 
 with scabs, beneath which are pus. Sulph. ac. 
 
 Eruptions, Blackish. Ant. crud. Ars. Asaf. Bell. 
 Bry. Chin. Con. Crotal. hor. Electr. Lach. Mur. 
 ac. Mtr. ac. Rhus tox. Sec. Sep. SiL Spig. Yip. 
 red. 
 
 Eruptions, Brownish. Cann. sat. Nitr. ac. Phos. 
 Phos. ac. 
 
 Eruptions, close-grained, dense. Agar. Carbo veg. 
 Copaiv. Sep. Squill. Thuj. 
 
 Eruptions, Confluent. Agar. Ant. crud. Cic. Co- 
 paiv. Hyosc. Phos. ac. Rhus tox. Tart. e. Yal. 
 
 Eruption, copper-colored. Alum. Ars. Calc. c. Cann. 
 sat. Carbo an. Carbo veg. Corall. Kreas. Led. Mez. 
 Phos. Rhus tox. Ruta. Syphil. Verat. alb. 
 
 Eruption on covered parts. Led. Thuj. 
 
 Eruption, Dry. Alum. Ars. Ars. iod. Bar. c. 
 
432 REPERTORY, 
 
 Bov. Bey. Calc. c. Carbo veg. Caust. Clem. Cocc. 
 Cwpr. met. Dolicli. Didc. Evon. Graph. Grara. 
 trich. Hyosc. Kreas. Kali l)ich. Led. Lye. Magn. 
 c. Merc. sol. Mez. Nat. c. Nat. mur. Paris. Fetr. 
 Phos. Phos. ac. Plant, maj. Psor. Phustox. Sarsap. 
 Sep. Sil. Stann. Staph. . Sulph. Teucr. Val. Ye- 
 RAT. ALB. Viol. tr. Zinc. met. 
 
 Eruption, copper-colored , about mouth and cbi n. Yerat. 
 alb. 
 
 Eruption, dry and scaly, on lower lip. Plant, maj. 
 
 Eruption, dry, on arms and legs, like zona. Dolich. 
 
 Eruptive Fevers. Aeon. Bell. Yerat. virid. 
 
 Eruption, fiery, red, like nettlerasli. Aeon. 
 
 Eruption, fine, around eyes and nose. Euphras. 
 
 Eruption, fine, like sand, in bends of knees. Ars. 
 
 Eruption, fine, on forearms and wrists, backs of hands, 
 between the fingers, and on scrotum and ankles. Rhus 
 vene. 
 
 Eruption, fiery, scarlet all over, or consisting of small 
 vesicles, with red areola. Sulph. 
 
 Eruption, as if excoriated. Graph. Lye. 
 
 Eruption, fine. Agar. Alum. Ars. Bell. Bry. 
 Carbo VEa. Caust. Clem. Cocc. Con. Dulc. Graph. 
 Hep. lod. Ipec. Kreas. Led. Merc. sol. Mez. Nat. 
 mur. Nitr. ac. Nux v. Paris. Phos. Phos. ac. Puis. 
 Phus tox. Sarsap. Sulph. Yal. Zinc. met. 
 
 Eruption, fiery red. Agon. Bell. Stram. Sulph. 
 
 Eruption, Flat. Amm. c. Ang. Ant. crud. Ars. 
 Asaf. Bell. Carbo an. Euphorb. Lach. Lye. Merc, 
 sol. Nat. c. Nitr. ac. Petr. Phos. Phos. ac. Puis. 
 Ranunc. bulb. Selen. Sep. Sil. Staph. Sulph. Tart, 
 e. Thuj. 
 
 Eruption, Granular. Amm. c. Ars. Carlo veg. 
 Graph. Hep. Nat. mur. Phos. Tabac. Zinc. met. 
 
 Eruption, grape-shaped. Agar. Calc. c. Rhus tox. 
 Staph. Yerat. alb. 
 
REPERTORY. 433 
 
 Eruption on hairy parts. Kali c. Lye. Merc. sol. 
 ^at. mnr. Mtr. ac. Phos. ac. Rhus tox. 
 
 Eruption, Hard. Ant. crud. Aur. fol. Mez. Ra- 
 nunc. bulb. Rhus rad. Rhus tox. Spig. YaL 
 
 Eruption, Herpetic. Amm. c. Anac. Aur. mur. 
 Chin. Dolich. Ipec. Menisp. can. Rhus tox. Sep. 
 Staph. 
 
 Eruptions, Humid. Alum. Ars. Bar. e. Bell. Bov. 
 Bry. Calc. c. Carbo an. Carbo veg. Caust. Cic. 
 Clem. Con. Dulc. Graph. Grat. Hell. Hep. Kali 
 c. Kreas. Lach. Led. Lyc. Merc. sol. Mez. ^N'at. 
 c. Is'at. mur. Nitr. ac. Oleand. Petr. Phos. Phos. 
 ac. Rhus tox. Ruta. Sabin. Selen. Sep. Sil. SquiU. 
 Staph. Sulph. Sulph. ac. Thuj. Yiol. tr. 
 
 Eruptions, Inflamed. Ars. Calc. c. 
 
 Eruptions, Miliary. Agar. Ailanth. Amm. c. 
 Amm. mur. Anath. muric. Ant. crud. Ars. Cham. 
 Chel. Clem. Cocc. CofF. Electr. Galvan. Hell. 
 Hyosc. Hura bras. Ipec. Kali chl. Kreas. Led. Mez. 
 ISTat. mur. JN'itr. ac. J^ux v. Paris. Sang. Sarsap. 
 Sec. Selen. Staph. Tart. e. Tax. YaL Yerat. alb. 
 
 Eruptions, Obstinate. Alum. Amm. c. Bar, c. Bo- 
 rax. Calc. c. Carbo veg. Caust. Cham. Chel. Clem. 
 Con. Croc. Euphorb. Graph. Hell. Hep. Kali c. 
 Lach. Lyc. Magn. c. Mang. Merc. sol. Mur. ac. 
 Nate. Nitr.ac. JSTuxv. Oleand. Paris. Petr. Phos. 
 Phos. ac. Plumb. Rhus tox. Sep. Sil. Sqnill. Staph. 
 Sulph. Tar. Viol. tr. Zinc. met. 
 
 Eruption, Miliary, White. Agar. ITux v. 
 
 Eruption, Miliary, on forearms. Selen. Tar. Tart. e. 
 
 Eruption, Miliary, face and joints. Hura bras. 
 
 Eruption, Miliary, on wrists. Led. 
 
 Eruption, Pale. Ars. 
 
 Eruption, Purulent. Ant. crud. Ars. Bell. Cic. 
 Clem.. Cocc. Con Cycl. Dulc. Euphras. Hep. Iris 
 vers. Kali c Led. Lyc. Magn. c. Merc. sol. Nat. c. 
 
434 REPERTORY. 
 
 lS^2ii. mur. Petr. Plumb. Puis. Rhus tox. Samb. 
 Sarsap. Sec. Sep. Sil. Spig. Staph. Sulph. Tar. 
 Tart. e. Thuj. Verat. alb. Viol. od. Yiol. tr. Zinc, 
 met. 
 
 Eruption, Raised. Ars. Asaf. Calc. c. Caust. Ghel. 
 Copaiv. Dulc. Lach. Merc. sol. Mez. IsTux v. Op. 
 Phos. Sulph. Tab. Tar. Yal. 
 
 Eruptions, Red. Acon. Agar. Agn. Alum. Amb. 
 Amm. c. Amm. mur. Anath. muric. Ant. crud. Arn. 
 Ars. Aur. fol. Bar. c. JBell. Bo v. Bry. Calad. 
 Calc. c. Cann. sat. Cantb. Caps. Carbo an. Carbo 
 veg. Caust. Cham. Chin. Cic. Clem. Cocc. CofF. 
 Con. Croc. Croton tig. Cupr. met. Cycl. Bros. 
 BuLC. Graph. Hep. Hyosc. lod. Ipec. Kali c. 
 Kreas. Lach. Led. Lye. Magn. arc. Magn. c. Magn. 
 mur. Merc. sol. Mez. ^at. c. I:Tat. mur. Nitr. ac. 
 I^ux V. Op. Paris. Petr. Phos. Phos. ac. Plant, 
 maj. Plumb, met. Puis. Rbodo. Rhus rad. Rhus 
 tox. Ruta. Sahad. Sec. Sep. Sil. Spong. Stann. 
 Staph. Stram. Sulph. Sulph. ac. Sab. Tart. e. Tax. 
 Teucr. Yal. Yerat. alb. Yip. torv. Zinc. met. 
 
 Eruptions, Reddish, on penis. Petr. 
 
 Eruption of small red papillae. Magn. mur. 
 
 Eruption, Red, on palms of hands. Magn. arc. 
 
 Eruption, humid, bad smelling, with much vermin on 
 head, face, and behind ears. Yinca min. 
 
 Eruptions, dark-blue, or red, on back, legs, and ankles. 
 Puis. nutt. 
 
 Eruptions, dark-red (or bright), lentil-sized. Copaiv. 
 
 Eruptions, Scaly. Agar. Ailanth. Amm. c. Amm. 
 mur. Anac. Ant. crud. Ars. Ars. iod. Aur. foL 
 Bar. c. Bar. mur. Bell. Coc. Clem. Cupr. met. Bulc. 
 Graph. Hep. Hyosc. Kali c. Led. Magn. c. Merc. 
 sol. IsTat. c. Oleand. Phos. Plant, maj. Plumb, met. 
 Rhus tox. Sep. Staph. Sulph. 
 
REPERTORY. 435 
 
 Eruption on affected knee, scarlet and spreading all 
 over. Tereb. 
 
 Eruption, scarlet-red, over neck, chest, arms, and legs. 
 Galvan. 
 
 Eruption, red, scaly, on body as far as abdomen. Bell. 
 
 Eruption, suppuratiog, ulcerated. Ars. Caps. Carbo 
 an. Chin. Cocc. Commoc. dent. Grat. Graph. Iris 
 vers. Hep. Squill. Syphil. 
 
 Eruption, suppressed, receding. Apis. Cupr. acet. 
 Cupr. met. Dulc. Gelsem. Ipec. Phos. Psor. Puis. 
 Sulph. 
 
 Eruption, in scarlet band, about three inches wide, 
 around waist like zona. Polygon, punct. 
 
 Eruption, scaly, on lips, backs of hands and fingers. 
 Mur. ac. 
 
 Eruptions, Syphilitic. Iris vers. Kali chl. Kali hyd. 
 Syphil. 
 
 Eruption, like sycosis on vulva. Anath. muric. 
 
 Eruption on scalp, suppurating. Ars. Cic. Clem. 
 Graph. Hep. Lappa maj. Yinc. min. 
 
 Eruptions after vaccination. Sil. Sulph. 
 
 Eruptions, whitish. Agar. Anath. muric. Ant. 
 crud. Ars. Borax. Bov. Bry. Ipec. Merc. sol. 
 Phos. Fuls. Sulph. Tart. e. Thuj. Val. Zinc met. 
 
 Eruptions, yellowish. Agar. Ant. crud. Ars. Aur. 
 fol. Bar. c. Bar. mur. Coc. Croc. Cupr. met. Eu- 
 phorb. Hell. Kreas. Led. Lye. Merc. sol. Nat. c. 
 Nitr. ac, Paris. Phos. ac. Sep. Yal. 
 
 Eruptions, like a zone. Ars. Bry. Cham. Grajph. 
 Merc. sol. i^at. c. Fuls. Rhus tox. Selen. Sil. Sulph. 
 
 Eruption on head. Ars. Bar. c. Bar. mur. Calc. c. 
 Carho an. Cic. Clem. Lyc. Merc. sol. Oleand. 
 Petr. Rhus tox. Futa. Spig. Staph. 
 
 Eruption on and about eyes. Ars. Calc. c. Caust. 
 Con. Euphras. Graph. Hell. Hejp. Ign. Kali c. 
 
436 REPERTORY. 
 
 Merc. sol. Oleand. Paris. Petr. Phiis tox. Selen. 
 Seneg. Sep. Sil. Spong. Staph. Sulpii. Thuj. 
 
 Eruptions in eyebrows. Clem. Cupr. met. Guaj. 
 Kali c. Paris. Selen. Sil. Spong. Stann. Tarax. 
 
 Eruptions on ears. Amm. c. Ant. crud. Bar. c. 
 Bov. Calc. c. Chin. Cic. Kali c. Mez. Moscli. 
 Mur. ac. E'at. mur. Petr. Phos. Puis. Sep. Sil. 
 Spong. Staph. Sulph. 
 
 Eruptions, vesicular, on ears. Still, sylv. 
 
 Eruptions on lobes of ears. Sarsap. Teucr. 
 
 Eruptions behind ears. Ant. crud. Bar. c. Calc c. 
 Canth. Chin. Cic. Graph. Hep. Mez. Oleand. 
 Puis. Sabad. Selen. Sil. Staph. Vine. min. 
 
 Eruptions on and about the nose. Alum. Ant. crud. 
 Aur. fol. Calc. c. Canth. Carbo veg. Caps. Caust. 
 Chin. Crot. tig. Iris vers. Graph. ISTat. c. Rhus 
 tox. Sarsap. Spig. Spong. Tar. 
 
 Eruptions on wing of nose. Carbo veg. Can. Dulc. 
 Euphras. i^at. c. Petr. Rhus tox. Sil. Thuj. Ve- 
 rat. alb. 
 
 Eruptions on tip of nose. Carbo an. Carbo veg. 
 Canst. Mtr. ac. Phos. ac. Sep. Sil. Spong. 
 
 Eruptions in the corners of the nose. Anac. Dulc. 
 Euphras. Mang. Plumb, met. Rhus tox. Thuj. 
 
 Eruptions under nose (on septum narium). Arn. Bar. 
 c. Bov. Caps. Crotal. hor. Squill. Teucr. 
 
 Eruptions on face. Agar. Agn. Alum. Ailanth. 
 Amb. Amm. c. Amm. mur. Ant. crud. Arg. Arn. 
 Ars. Aur. fol. Bar. c. Bell. Borax. Bov. Brj. 
 Calc. c. Calend. Cann. sat. Canth. Caps. Carbo an. 
 Carbo veg. Caust. Cham. Chel. Cicu. Clem. Cocc. 
 Colch. Con. Crotal hor. Dig. Dulc. Electr. Eu- 
 phorb. Ferr. met. Gelsem. Graph. Hell. Hep. 
 Hura bras. Hydrocotjle. Hyosc. Ign. Iris vers. 
 Kali bich. Kali c. Kreas. Lach. Lappa maj. Lauro. 
 Lyc. Magn. c. Magn. mur. Magn. sulph. Mang. 
 
REPERTORY. 437 
 
 Merc. sol. Mur. ac. E"at. c. ' 'Eat. mur. iTiTR. ac. 
 ^iix V. Oleand. Paris. Petr. Phos. Piios. ac. Puis. 
 Plant, maj. Psor. Phus tox. Puta. Sabad. Sabin. 
 Sarsap. Selen. Sep. Sil. Spong. Staph. Stront. 
 SuLPH. Sulph. ac. Tar. Thuj. Yerat. alb. Viol. tr. 
 Yinc. mill. Zinc. met. 
 
 Eruptions about and on lips and moutli. Ars. Boy. 
 Calc. c. Caps. Carbo veg. Cann. sat. Chin. Chin, 
 sulph. Dig. Electr. Graph. Hell. Hep. Ipec. Iris 
 vers. Lach. Lauro. Ljc. Mez. Mur. ac. E^at. c. 
 IsTat. mur. l!^icc. Mtr. ac. Petr. Phos. Phos. ac. 
 Sep. Sil. Spong. Squill. Sulph. Tab. 
 
 Eruptions at corners of mouth. Amra. mur. Ant. 
 crud. Bell. Calc. c. Cann. sat. Canth. Carbo veo*. 
 Grape. Hep. Ign. Iris vers. Merc. sol. E'at. c. 
 Nitr. ac. Petr. Phodo. Phus tox. Sep, Tar. Yerat. 
 alh. 
 
 Eruptions on cheeks. Amb. Ant. crud. Cham. Dulc. 
 Iris vers. 
 
 Eruption, humid, on face ; dry or moist, fetid scurfs on 
 face. Psor. 
 
 Eruption of small granules across forehead. Phus rad. 
 
 Eruption, humid, around nose and mouth. I^at. c. 
 
 Eruption, pustulous, on face, around nose and lips, and 
 on the cheeks, secreting a sanious irritating pus. Iris 
 vers. Hydrocotyle. 
 
 Eruption (eczematous) on chin, with yellow scurf like 
 dried honey. Cic. 
 
 Eruption on upper lip. Phytol. 
 
 Eruptions on chin. Agn. Alum. Ambr. Amm. c. 
 Anac. Ant. crud. Bell. Borax. Bov. Calc. c. Canth. 
 Caust. Chel. Coc. Clem. Con. Dig. Dulc. Graph. 
 Hep. Hyosc. Kali c. Lack. Lye. Magn. arc. Magn. 
 aus. Mao-n. c. Merc. sol. Mez. ]^at. c. IS'at. mur. 
 Nitr. ac. I^ux mosch. ^ux v. Oleand. Paris. Phos. 
 Phos. ac. Plat. Puis. Phus tox. Sabin. Sarsap. 
 
438 REPERTORY. 
 
 Sep. Sil. Spig. Spong. Squill. Sulph. Tar. Thuj. 
 Yerat. alb. Verb. Zinc met. 
 
 Eruption on abdomen. Bell. Bry. Hydrocotyle. 
 Merc. sol. 
 
 Eruption in anal region. Oalc c. Carbo veg. Ipec. 
 Lye. 
 
 Eruption on genitals (in general). Graph. ]^ux v. 
 Rhus tox. Sep. Sulph. Tart. e. 
 
 Eruption on glans penis. Petr. Sep. 
 
 Eruption on scrotum, humid. Graph. Rhus tox. 
 
 Eruption on scrotum, prepuce, glans penis, eyelids, 
 arms, and hands ; with swelling of the parts and small 
 yellow vesicles, which became confluent and moist, the 
 larger suppurating and the smaller degenerating. Rhus 
 tox. 
 
 Eruption on mons veneris. Sil. 
 
 Eruption, humid, on inner labia, with swelling. Sep. 
 
 Eruption on labia. Bry, ]^ux v. Se]p. Tart. e. 
 
 Eruption on prepuce. Merc. sol. Rhus tox. 
 
 Eruption on chest. Kali c. Led. Lye. Merc. sol. 
 Mez. Rhus tox. Sec. Staph. Tereb. Yal. 
 
 Eruption on back. Alum. Ant. crud. Ars. Bar. c. 
 Bry. Carbo veg. Cinnah. Lach. Led. Lye. Magn. 
 aus. Merc. sol. ISTat. mur. Puis. nutt. Sep. Squill. 
 Staph. Tabac. Tart. e. 
 
 Eruption on shoulders. Alum. Ars. Berb. 
 
 Eruption on loins. Clem. Rhus tox. 
 
 Eruption on scapulae. Ant. crud. Caust. Lach. 
 Phos. ac. 
 
 Eruption on neck. Bry. Carbo an. Carbo veg. 
 Caust. Cham. Clem. Lappa maj. Lye. Petr. Sec. 
 
 Eruption on arms (in general). Alum. Berb. Bry. 
 Carbo an. Caust. Lach. Led. Lye. Merc. sol. Phos. 
 Rhus tox. Sabin. Tart. e. Tax. Yal. Zinc met. 
 
 Eruption, pustular, on the arms. Still, sylv. Tart e. 
 
I 
 
 REPERTORY. 439 
 
 Eruption on forearm. Bry. Carbo an. Canst. Lach. 
 Lye. Rhus tox. Tar. Tart e. Yal. Zinc. met. 
 
 Eruption on upper arm. Led. Yip. torv. 
 
 Eruption on elbow. Merc. sol. Phos. Sabin. Zinc, 
 met. 
 
 Eruption on bands. Alum. Ars. Carbo veg. Dig. 
 Hep. Ipec. Merc. sol. Mur. ac. Nitr. ac. Rhus tox. 
 Spig. Sulph. Sulpb. ac. 
 
 Eruption, papular, on back of hands and wrists. Cim- 
 icif. Coca. Hep. 
 
 Eruption on fingers. Caust. Corall. Galvan. Graph. 
 Mez. 
 
 Eruption, ulcerated, at finger joints. Mez. 
 
 Eruption, like scabies, on finger tips. Sil. 
 
 Eruption on hips and nates. Borax. JSTat. c. Sidph. 
 
 Eruption on thighs. Alum. Calc. c. Cann. sat. 
 Caust. Merc. sol. i^ux v. 
 
 Eruption on knees. Anac. Ant. crud. Bry. Carbo 
 veg. Kali c. Led. Merc. sol. 'Nnx v. Tereb. 
 
 Eruptions on legs Agar. Petr. Rhus tox. 
 
 Eruptions on feet. Carbo an. Graph. Led. Rhus 
 tox. Sulph. Tereb. 
 
 Eruption, vesicular, on lower limbs. Merc. sol. 
 
 Eruption on both thighs, especially inner surface, with 
 discharge of burning water after scratching. Merc. sol. 
 
 Eruption on body and extremities. Ailanth. 
 
 Eruption between toes. Petr. 
 
 Eruption, vesicular, below ankles. Graph. 
 
 Eruptions, papular, on forearms, lasting a few days, 
 and frequently recurring ; also, small pustules, which die 
 SiW'dy without breaking. Kali bich. 
 
 Eruption, papulous, all over, but especially on neck 
 and shoulders. Kali hyd. 
 
 Eruption (like " rot " in sheep) on chest and arms, with 
 desquamation. Led. 
 
 Eruption, Papulous. Cimicif. Coca. Gelsem. Kali hyd. 
 
440 REPERTORY, 
 
 Eruption, with corrosive, serous discharge. Graph. 
 Grat. Iris vers. 
 
 Eruption, tuberculous. Oleand. Petr. 
 
 Eruption, violet-hued. Ailanth. Caff. Chlor. Co- 
 paiv. 
 
 Eruption, crusty, with white scabs, bleeding when 
 touched. Mez. 
 
 Eruptions, all over, not elevated, but can be felt on 
 skin, discharging pus ; pustules discharge ichor and 
 leave pocks of a lardaceous, coppery hue, covering eyes 
 and making patient blind. Syphil. 
 
 Eruptions, humid, with corrosive ichor, swelling and 
 redness of the parts. Clem. Graph. 
 
 Eruption, dark, sends dampness, w^hich dries into 
 crusts. Clem. 
 
 Eruptions, mixed with petechiae. Ars. Sec. 
 
 Eruption, all over, vesicular, with red spots. Hura 
 bras. 
 
 Eruptions, with gangrene. Ars. Ranunc. bulb. Ra- 
 nunc. sceler. Sec. Tax, 
 
 Eruption appears too early or suddenly. Ars. 
 
 Eruption, dry, size of pin's head, with hollow tip, leav- 
 ing red spots when scratched open, on forehead, arms, and 
 abdomen. Caust. 
 
 Eruptions, Vesicular. Aeon. Canth. Carbol. ac. 
 Clem. Commoc. dent. Dulc. Grara. trich. Hura bras. 
 Hydrocotyle. Juglans cin. Kali bich. Merc. sol. Rhus 
 tox. Rhus vene. Rumex. Still, sylv. Sulph. Tereb. 
 
 Eruptions, Pustular. Anath. muric. Ant. crud. 
 Apis. Carbol. ac. Commoc. dent. Cundur. Hydroco- 
 tyle. Iris vers. Alang. Magn. mur. Still, sylv. Syphil. 
 Tart. e. Yariol. 
 
 Eruption from wearing flannel. Rumex. 
 
 Eruption in five stages, redness, vesicles, pustules, desic- 
 cation, and desquamation. Crotal. hor. 
 
 Eruption, Bulbous. Alum. 
 
¥ 
 
 REPERTORY. 441 
 
 Eruption, consisting of large maculse and bullse, filled 
 witli dark serum. Ailanth. 
 
 Eruptions, pustular and confluent. Anatli. muric. 
 Apis. Tart. e. Thuj. Yariol. 
 
 Eruption, with cedematous swelling during desquama- 
 tion. Apis. 
 
 Eruptions, Tardy. Ailanth. Bry. Ipec. 
 
 Eruption, Sanguineous (in general). Arn. Ars. Aur. 
 fol. Bell. Berb. Bry. Calc. c. Canth. Carbo an. 
 Carbo veg. Cham. Chin. Clem. Cocc. Con. Crotal. 
 hor. Dulc. Electr. Euphras. Eerr. met. Hep. Hyosc. 
 Kreas. Lach. Lauro. Led. Lye. Merc. sol. I^Tat. 
 mur. WitY. ac. ISTux mosch. Nux v. Paris. Plumb, 
 met. Phos. Puis. Rhus tox. Puta. Sec. Sep. Sil. 
 Stram. Staph. Sulph. Sulph ac. Tart. e. Thuj. 
 
 Eruption, sanguineous, on head. Ars. 
 
 Eruption, sanguineous, on eyes. Calc. c. l^ux. v. 
 
 Eruption, sanguineous, on nose, and face, and lips. 
 Kat. mur. Sep. Stram. 
 
 Eruption, sanguineous, on arms and hands. Berb. Sec. 
 
 Eruption, sanguineous, on lower limbs. Phos. 
 
 Erysipelas, with gangrene. Aeon. Apis. Ars. Bell. 
 Camph. Chin. Chin, sulph. Hyosc. Lach. Mur. ac. 
 Rhus tox. Sabin. Sec. Sil. 
 
 Erysipelas, Hard, and in very herpetic subjects. Sulph. 
 
 Erysipelas, highly inflamed. Agon. Ars. Bell. 
 Borax. Bry. Camph. Cham. Hep. Lach. Merc. 
 SOL. Petr. Phos. Puls. Rhus tox. Sabad. Sulph. 
 Zinc. met. 
 
 Erysipelas, with transparent glutinous exudation ; 
 erysipelas in streaks. Graph. 
 
 Erysipelas, with swelling. Aeon. Amm. c. Apis. 
 Arn. Ars. Bell. Bry. Calc. c. Canth. Carbo veg. 
 Caust. Chin. Euphorb. Hell. Bep. Kali c. Lye. 
 Magn. c. Merc sol. Rhus venen. Ruta. Samb. Sar- 
 sap. Sep. Sil. Sidph. Thuj. Zinc. met. 
 
 30 
 
442 REPERTORY. 
 
 Erysipelas, Vesicular. Ars. Bell. Cist. Croton 
 tig. Euphorb. Graph. Hep. Lack. Phos. Fvls. 
 Ranunc. bulb. Ranunc. scel. Rhus tox. Rhus vene. 
 Sep. Sulph. Urtica. 
 
 Erysipelas, zone-shaped. Ars. Graph. Puis. Rhus 
 tox. 
 
 Erysipelas, with redness, swelling, and gangrene. 
 Apis. Ars. 
 
 Erysipelas, suppressed. Phos. ac. 
 
 Erysipelas, with vomiting, on arm. Vip. torv. 
 
 Erysipelas of ears (in general). Lach. Meph. Urtica. 
 
 Erysipelas of ear, with heat, redness, and blisters. 
 Meph. 
 
 Erysipelas, Vesicular, of lips, nose, and ears, with 
 swelling ; eyelids closed and cedematous ; small, trans- 
 parent vesicles filled with serum. Urtica. 
 
 Erysipelas of nose. Canth. Plumb, met. 
 
 Erysipelas of face. Apis Bell. Borax. Calc. 
 Camph. Canth. Carho an. Cham. Cist. Crotal. hor. 
 Croton tig. Euphorb. Gins. Graph. Gymnoc. can. 
 Hep. Hydrast. Lach. Lye. Nitr. ac. Puis. Rhus 
 rad. Rhus tox. Rhus vene. Ruta. Sep. Stram. Sulph. 
 
 Erysipelas, with swelling of cheek. Calc. acet. 
 * Erysipelas of face, with swelling and desquamation. 
 Puis. 
 
 Erysipelas of one side of face. Stram. 
 
 Erysipelas, cedematous and indented eyelid covering 
 eye, and large water-blisters on chin. Croton tig. 
 
 Erysipelas under left eye, with pimples, vesicles, and 
 rhagades. Lach. 
 
 Erysipelas on abdomen. Graph. Merc. sol. 
 
 Erysipelas near navel with large vesicles. Graph. 
 
 Erysipelas, spreading from back around abdomen. 
 Merc. sol. 
 
 Erysipelas on mammse. Cham. Phos. Plant, maj. 
 Phytol. Sulph. 
 
REPERTORY. 443 
 
 Erysipelas on back. Cist. Graph. Merc. sol. Rhus 
 tox. 
 
 Erysipelas on arms. Lach. Lye. Petr. Rhus tox. 
 
 Erysipelas at elbow, with corrosive oozing. Lach. 
 
 Erysipelas of forearm. Lye. 
 
 Erysipelas of hands. Graph. Rhodo. Ruta. 
 
 Erysipelas of fingers. Thuj. 
 
 Erysipelas of lower limbs. Borax. Calc. c. Hejp. 
 Pals. Sulph. Zinc. met. 
 
 Erysipelas of feet. Puis. Rhus tox. Sulph. Zinc, 
 met. 
 
 Erysipelas, excoriating and spreading. Euphorb. 
 
 Erythema, papulous, from sunshine. Aeon. Camph. 
 Canth. 
 
 Erythema, papulous (idiopathic). Sulph. Tereb. 
 
 Erythema, pustulous. Arg. nit. 
 
 Erythema nodosum. Sulph. Sulph. ac. 
 
 Erythema, with vesication. Yerat. virid. 
 
 Erythema, with rash-like vesicles. Croton tig. 
 
 Erythema of scalp. Puis. nutt. 
 
 Erythema, bright red or bluish, permanent under 
 pressure, mottled with livid patches and deep red spots. 
 Chloral. 
 
 Erythema of face and neck. Gelsem. 
 
 Erythema on right cheek, wings of nose and chin, fol- 
 lowed by chapping. Gins. 
 
 Erythema of face. Gels. Juglans cin. Hydrocotyle. 
 
 Erythema, spreading from genitals all over. Merc 
 dulc. 
 
 Erythema and rash, on face, chest, back, arms, and 
 thighs. Hydrocotyle. 
 
 Erythematous Patches, size of a pea, red, rough, scaly, 
 on the face, especially the left side. Plant, maj. 
 
 Erythematous swelling of nose. Kali brom. 
 
 Exanthemata, spreading from pit of stomach over ab- 
 domen and chest. Merc. viv. 
 
444 REPERTORY. 
 
 Excrescences (in general). Aeon. Agar. Agn. Alum. 
 Ambr. Amm. c. Ant. crud. Arn. Ars. ' Aur. fol. 
 Bell. Brj. Calc. c. Carbo an. Carbo veg. Caust. 
 Cic. Clem. Coco. Colch. Dig. Enphras. Gtraph. 
 Hep. lod. Kali c. Kreas. Lack. Lyc. Magn. aus. 
 Mano;. Merc. sol. Mez. I^at. c. Nat. mur. I!^itr. ac. 
 Nux V. Petr. Phos. Phos. ac. Flumb. met. Puis. 
 E-anunc. bulb. Rhodo. Bhus tox. Sabad. Sahin. Selen. 
 Sep. SiL. Spong. Stanu. Staph. Stjlph. Sulph. ac. 
 Tart. e. Thuj. Zinc. met. 
 
 Excrescences on glans penis, small, flesh-colored, emit- 
 ting a fetid humor and bleeding when touched. Mtr. 
 ac. 
 
 Excrescences on second toe, wart-shaped, leaving a 
 white cicatrix. Spig. 
 
 Excrescences on inner surface of prepuce, like fig-warts, 
 red ; also, smooth.^ red^ behind glans penis, under prepuce. 
 Thuj. 
 
 Excrescences, Fleshy. Mtr. ac. Staph. Thuj. 
 
 Excrescences, Horny. Ant. crud. Ranunc. hulh. Sulph. 
 
 Excrescences, Humid. Mtr. ac. 
 
 Excrescences on genitals. Cinnab. Euphras. Lyc. 
 Magn. ars. Nitr. ac. Phos. ac. Sabin. Staph. Tlivj. 
 
 Excrescences on soles of feet. Ant. crud. Puis. 
 
 Excrescences on toes. Ant. crud. Spig. 
 
 Felons, SUPERFICIAL, inflammation of nail root. Graph. 
 Kat. Sulph. 
 
 Felons with proud flesh. Lach. Sil. 
 
 Felons from external hurts. Led. 
 
 Felons, inflammation extending to sheaths of tendons 
 and ligaments of joints. Merc. sol. 
 
 Felons, with erysipelatous redness. ISTat. sulph. Rhus 
 tox. 
 
 Felons, with deep-seated inflammation and bone affec 
 tion. Sil. 
 
REPERTORY. 445 
 
 Felons at root of nails, with swelling of whole phalanx. 
 IvTat. Sulph. 
 
 Felons after Apis. Sulph. 
 
 Felons after Sulphur. Apis. 
 
 Freckles on face. Alum. Amm. c. Calc. e. Graph. 
 Ljc. Mur. ac. I^at. c. ^ux mosch. Sulph. 
 
 Freckles on chest. Nitr. ae. Sep.? 
 
 Freckles on lower limbs. Phos. 
 
 Fissures, Bleeding. Merc. sol. Mcc. c. Petr. Puis. 
 Sarsap. Sulph. 
 
 Fissures, yellow and fetid. Merc. sol. 
 
 Fissures, ulcerated. Bry. Merc. sol. 
 
 Fissures after washing, working in water or getting 
 wet. Ant. crud. Bry. Calc. c. Cham. Kali c. Lye. 
 Mtr. ac. PuLS. Ehus tox. Sarsap, Sep. Sulph. Zinc, 
 met. 
 
 Fissures in scalp. Euta. 
 
 Fissures in nose. Ant. crud. Carbo an. ^Terc. sol. 
 
 Fissures about and on lips and mouth. Alum. Amm. 
 c. Amm. mur. Am, Ars. Arum triph. Bor. c. Bell. 
 Berb. Bov. Bry. Calc. Canth. Caps. Carbo an. 
 Carbo veg. Cham. Chin. Colch. Coral. Croc. Bros. 
 Electr. Gins. Graph. Grat. Hep. Ign. Kali c. Kali 
 hj^d. Kreas. Magn. mur. Mang. Mez. JS'at. mur. 
 Mtr. ac. Oleum an. Paris. Petr. Phos. Phos. ac. 
 Puis. Sabad. Selen. Squill. Staph. Sulph. Tabac. 
 Tarax. Tart. e. Yerat. alb. Sulph. Zinc. met. 
 
 Fissures on arms. Sil. 
 
 Fissures on hands. Alum. Bals. peru. Graph. Kali e. 
 Kreas. Lach. Magn. c. Merc. sol. Nat. c. Nat. mur. 
 Nitr. ac. Petr. Sil. Zinc met. 
 
 Fissures on fingers. Bar. c. Kali c. Mang. Merc. 
 sol. Petr. Phos. Zinc. met. 
 
 Fissures in joints of fingers. Mang. Phos. Sulph. 
 
 Fissures in soles of feet. Arsen. 
 
 Fissures in heels. Lye. 
 
446 REPERTORY. 
 
 Fissures in toes. Carbo an. Lack. 
 
 Fissures in feet in general. He/p. 
 
 Fungus Articularis after measles. lod. 
 
 Fungus Hjematodes on right breast, large as a peony, 
 with profuse haemorrhages. Lach. 
 
 Ganglia on hands. Ainm. c. Magn. mur. Fhos. ac. 
 Plumb, met Ehodo. Sil. 
 
 Ganglia on backs of hands. Sil. Zinc. met. 
 
 Ganglia on back of hand, between third and fourth 
 metacarpal bones. Sil. 
 
 Ganglia on wrists. Amm. c. Aur. mur. Carbo veg. 
 
 Ganglia on feet. Ferr. mur. 
 
 Gangrene, humid. Chin. Chin, sulph. Hell. Phos. 
 Yip. red. 
 
 Gangrene, hot. Aeon. Ars. Bell. Mur. ac. Sabin. 
 Sec. 
 
 Gangrene, cold. Ars. Asaf. Bell. Con. Uuphorb. 
 Lach. Merc. sol. Plumb, met. Ranunc. bulb. Sec. Sil. 
 Squill. Sulph. Sulph. ac. Tart. e. 
 
 Gangrene in spots. Ars. Crotal. hor. Gycl. Hyosc. 
 
 Gangrene, Black, and on nose. Sec. 
 
 Gangrene of genitals. Ars. Canth. Lauro. Plumb, 
 met. Sec. 
 
 Gangrene on arms. Hyosc. Ranunc. bulb. Sec. 
 
 Gangrene of .lower limbs and feet. Sec. 
 
 Gangrene of feet. Ant. crud. Sec. Tart. e. Yip. 
 torv. 
 
 Gangrene separated from flesh by putrid fluid, with 
 black spots, red areola, and dark subadjacent tissues. 
 Crotal. hor. 
 
 Glands, Blue. Arn. Ars. Aur. fol. Carbo an. Car- 
 bo veg. Con. Hep. Lach. Mang. Merc. sol. Puis. 
 Sil. Sulph. ac. 
 
 Glands dwindling, withering. Ars. Cham. Chin. 
 Can. loD. Kali c. Nitr. ac. ISTux mosch. Phos. ac. 
 Sec. Sil. Yerat. alb. 
 
REPERTORY. 447 
 
 Glands, hard, indurated. Agn. Amb. Amm. c. Ant. 
 crud. Arn. Ars. Aur. fol. Bar. c. Bar. miir. Bell. 
 Bov. Bry. Calc. c. Camph. Cann. sat. Canth. Caps. 
 Carbo an. Carbo VEa. Caust. Cham. Chin. Clem. 
 Cocc. Coloc. Con. Cupr. met. Cycl. Dig. Dulc. 
 Ferr. met. Graph. Hep. Hyos. Ign. Iod. Kali c. 
 Lyc. Magn. mur. Mang. Merc. sol. ITat. c. Nitr. ac. 
 I^ux V. Petr. Phos. Plumb, met. Puis. Rhode. 
 Phus tox. Sep. SiL. Spig. Spong. Staph. Sulph. 
 Thuj. Yerat. alb. 
 
 Glands covered with herpes. Dulc. Graph. 
 
 Glands under lower jaw aifected. Amm. c. Amm. 
 mur. Arg. fol. Arn. Ars. Aur. fol. Bar. c. Bell. 
 Calc. c. Chin. Cic. Clem. Croc. Corall. Crot. tig. 
 Dulc. Graph. Ign. Iod. Kali c. Kreas. Led. Lyc. 
 Magn. arc. Magn. aus. Magn. c. Merc. sol. Mez. 
 Kat. c. ^AT. mur. Nitr. ac. Petr. Phos. Phos. ac. 
 Puis. Rhus tox. Sep. Sil. Spong. Squill. Stann. 
 Staph. Sulph. ac. Yerat. alb. Zinc. met. 
 
 Glands, Inguinal, affected. Ars. Aur. fol. Calc. c. 
 Carbo veg. Clem. Dulc. Graph. Hep. Iod. Lyc. 
 Merc. sol. I^at. c. I^itr. ac Phos. Stann. Stram. 
 Staph. Sulph. Thuj. Tereb. 
 
 Glands of axilla affected. Amm. c. Amm. mur. Ars. 
 Bar. c. Bell. Calc. c. Carbo an. Clem. Coloc. 
 Cupr. met. Hep. Iod. Kali c. Lyc. Nat. mur. Ii^itr. 
 AC. Phos. Phos. ac. Rhus tox. Sep. Sil. Staph. 
 Sulph. Sulph. ac. 
 
 Glands of neck affected. Alum. Amm. c. Am. Bar. 
 mur. Bell. Calc c Caps. Carbo an. Carbo veg. 
 Caust. Cmnab. Cist. Cupr. met. Electr. Ferr. met. 
 Graph. Hell. Ign. Kalic. Kreas. Lach. Lyc Magn. 
 mur. Merc sol. Nat. c. l^at. mur. Mtr. ac Phos. 
 Puis. Selen. Sil. Spig. Spong. Sulph. Tart. e. Yiol. tr. 
 
 Glands of nape of neck. Bar. c. Calc. c. Hell. Iod. 
 Mur. ac. Petr. Phos. Sil. Sulph. 
 
448 REPERTORY. 
 
 Herpes, BLEEDma. Dulc. Lye. 
 
 Herpes, Brown, and yellow-brown. Dulc. Lye. 
 
 Herpes with rhagades. Graph. Lye. Magn. ae. ]N"at. 
 mur. 
 
 Herpes, Dry. Amra. e. Clem. Dolieh. Dulc. Kali 
 hyd. Kreas. Led. Merc. sol. Mcc. c. Mtr. ac. Phos. 
 Phos. ae. Rhus tox. Staph. Sulph. Tax. Thuj. Yerat. 
 alb. 
 
 Herpes alternating with dysenteric stools and pains in 
 the chest. Rhus tox. 
 
 Herpes, Furfuraceous. Ars. Bry. Dulc. Kreas. 
 Led. Lye. Merc. sol. Phos. Sulph. . 
 
 Herpes, grayish-yellow. Sulph. 
 
 Herpes, Humid. Alum. Amm. e. Anath. murie. 
 Bar. e. Bov. Calc. c. Caps. Carbo veg. Caust. Cie. 
 Clem. Con. Dulc. Graph. Grat. Hell. Hep. Kreas. 
 Led. Lyc. Merc. sol. Mez, ITat. c. ISTat. mur. Oleand. 
 Phos. ac. Rhus tox. Sep. Sil. Sulph. Syphil. 
 
 Herpes, Inflamed. Amm. e. Graph. 
 
 Herpes, Mercurial. Aur. fol. Moseh. Mtr. ac. 
 
 Herpes, Pale Red. Clem. Dulc. 
 
 Herpes, with pustules. Crot. tig. Kreas. 
 
 Herpes, Raised. Magn. e. Mere. sol. Tellur. 
 
 Herpes, Red. Amm. e. Ars. Clem. Dulc. Kreas. 
 Lack. Magn. c. Magn. sulph. Oleand. Sulph. Tax. 
 Tellur. 
 
 Herpes, with red areola, sensitive to cold water and 
 touch. Dulc. 
 
 Herpes, Round. Dulc. Hell. Phos. 
 
 Herpes, Scurfy, Scaly, Scabby. Anac. Ars. Bov. 
 Calc c. Cie. Clem. Coloc. Con. Cupr. met. Dulc. 
 Graph. Kreas. Lach. Led. Lyc. Magn. c. Merc 
 SOL. ISTat. mur. Phos. Sep. Staph. Sulph. Teucr. 
 Thuj. 
 
 Herpes, Small and Smooth. Dulc. Lach. Magn. c. 
 Magn. sulph. 
 
REPERTORY. 449 
 
 Herpes, Spreading. Alum. Caps. Carbur. sulph. 
 Dulc. Merc. sol. 
 
 Herpes, Suppressed. Alum. Amb. Calc. c. Lack. 
 Lye. Nat. c. Sep. Sulph. 
 
 Herpes, Suppurating. Clem. Dulc. Lye. Merc. sol. 
 :N'at. c. 
 
 Herpes, Syphilitic. Moscb. Mtr. ac. Thuj. 
 
 Herpes, with vesicles. Crot. tig. Nitr. ac. Sulph. 
 
 Herpes, Whitish. Anac. Thuj. Zinc. met. 
 
 Herpes, Yellow. Carbur. sulph. Cupr. met. Dulc. 
 Hell. Lye. Sulph. 
 
 Herpes, with yellow-brown scales. Carbur. sulph. 
 Cupr. met. Dulc. 
 
 Herpes phlyctjenoides, on dorsum of left hand ; vesi- 
 cles on red swollen base, containing opaque yellow fluid, 
 which forms thick, yellow scabs. Carbur. sulph. 
 
 Herpes, with small white vesicles in groups, forming 
 scab over whole face, especially above nose and around 
 eyes. Sulph. 
 
 Herpes Circinatus. Red, elevated rings, distinctly 
 marked, especially on lower extremities. Tellur. 
 
 Herpes, with thick crusts. Clem. Lye. Sulph. 
 
 Herpes, red and humid while moon increases, and pale 
 and dry while it decreases. Clem. 
 
 Herpes, Corroding. Caps. Clem. G-rat. E'at. mur. 
 
 Herpes, in spots. Crotal. hor. Graph. Hyosc. Lye. 
 Merc. sol. Mur. ac. IS'at. mur. Phos. Sabad. Sarsap. 
 Sep. Sil. Sulph. Zinc. met. 
 
 Herpes on head. Bar. c. Cupr. met. Kali c. Petr. 
 Rhus tox. 
 
 Herpes on eyelids. Bry. Rhus tox. Sep. 
 
 Herpes in external canthus of left eye. Tax. 
 
 Herpes on ears. Amm, mur. Caust. Cist. Graph. 
 Kreas. Magn. mur. Oleand. Sep. Teucr. 
 
 Herpes behind ears. Amm. mur. Graph. Mez. 
 Oleand. Sep. 
 
450 REPERTORY. 
 
 Herpes on nose. [NTat. c. Mtr. ac. Spig. 
 
 Herpes on face. Alum. Aimn. c. Anac. Ars. Bar. 
 c. Bov. Bry. Calc. c. Caps. Carho veg. Caust. Chel. 
 Coloc. Con. Dulc. Graph. Hep. Kali hyd. Kreas. 
 Lach. Led. Lye. Merc. sol. ITat. c. Js'at. mur. 
 Mcc. c. W\ii\ ac. Petr. Phos. Phos. ac. Rhus tox. 
 Sabad. Sep. Sil. Sulpli. 
 
 Herpes on forehead. Badiag. Caps. 
 
 Herpes in whiskers. Lach. W\tv. ac. 
 
 Herpes on cheeks. Agn. Amb. Anac. Bov. Bry. 
 Caust. Kali hyd. Merc. sol. Mcc. c. 
 
 Herpes on chin. Bov. Carbo veg. Chel. Kat. mur. 
 !N"ux. V. Phos. ac. Sil. 
 
 Herpes on and about lips and mouth. Anac. Ars. 
 Carbo veg. Caust. Magn. c. ^tTat. c. I^at. mur. 
 Mcc. c. Paris. Phos. Rhus tox. Sarsap. Sep. Syphil. 
 
 Herpes at corners of mouth. Carbo veg. Lye. Phos. 
 Sep. 
 
 Herpes about the anus and perineum. Ipec. l^at. 
 mur. Petr. 
 
 Herpes on scrotum. Crot. tig. Crotal. hor. ITat. 
 mur. 
 
 Herpes between scrotum and thigh. Petr. 
 
 Herpes on prepuce. Sarsap. 
 
 Herpes on labia. Dulc. 
 
 Herpes on chest. Magn. c. Fetr. Staph. 
 
 Herpes on mammse and nipples. Caust. Dulc. 
 
 Herpes in axilla. Carbo an. Lye. Sep. 
 
 Herpes on the neck. Lach. Sep. 
 
 Herpes on nape of neck. Caust. Lye. Petr. Sep. 
 Sulph. 
 
 Herpes on arms (in general). Con. Cupr. met. Dolich. 
 Dulc. Grat. Hell. Kreas. Lach. Lye. Magn. sulph. 
 Mang. Merc. sol. E'at. mur. Fhos. Sep. 
 
 Herpes in bend of elbow. Cupr. met. Kreas. Sep. 
 Thuj. 
 
REPERTORY. 451 
 
 Herpes on upper arm. Grat. Magn. sulph. 
 
 Herpes on forearm. Con. Magn. sulph. Mang. Merc. 
 SOL. ITux V. 
 
 Herpes on wrists. Merc. sol. 
 
 Herpes on hands. Dulc. Ipec. Kreas. Merc. sol. 
 !N'at. c. Sarsap. Sep. Staph. Yerat. alb. Zinc. met. 
 
 Herpes on backs of hands, i^at. c. Sep. 
 
 Herpes on palms of hands. Lycoper. escul. 
 
 Herpes on fingers. Amb. Caust. Graph. Merc, 
 sol. Mtr. ac. 
 
 Herpes on third finger of left hand. Caust. 
 
 Herpes between thumb and index finger. Ambr. 
 
 Herpes between fingers. Ambr. Merc. sol. Nitr. ac. 
 
 Herpes on nates and hips. Borax. Caust. Mcc. c. 
 
 Herpes on thighs. Graph. Kali c. Merc. sol. Mur. 
 ac. Nat. mur. Mtr. ac. 
 
 Herpes on knees. Ars. Carho veg. Dulc. Grajph. 
 Xreas. Merc. sol. E'at. mur. Fetr. Phos. 
 
 Herpes on calves of legs. Ars. Calc. c. Dolich. 
 Grapk. Kali c. Lack. Lye. Magn. c. Sarsap. Staph. 
 
 Herpes on feet and ankles. Nat. mur. Fetr. Sulph. 
 
 Herpes on toes. Alum. 
 
 Herpes on edge of tibia. Graph. Lye. 
 
 Herpes on the back. Lach. Zinc. met. 
 
 Herpes in the bend of the knee. i^at. mur. 
 
 Herpes in bends of all joints. Staph. 
 
 Intertrigo, with rawness of opposed surfaces. Carbo 
 veg. Merc. sol. 
 
 Intertrigo oozing freely. Bar. c. Graph. 
 
 Intertrigo bleeding much. Lye. Merc. sol. 
 
 Intertrigo oft'ensive in smell. Lycop. 
 
 Intertrigo with transparent glutinous discharge. 
 Graph. 
 
 Intertrigo with rhagades. Agn. Phos. 
 
 Intertrigo from walking or riding horseback. Ruta. 
 Sulph. ac. 
 
452 REPERTORY. 
 
 Intertrigo, with ulceration and gangrene. Sulph. ac. 
 
 Intertrigo spreading by pimples beyond the main ex- 
 coriation becoming merged into the old sore. Hep. 
 
 Intertrigo in bend of joints. Mang. Oleum an. Sep. 
 Squill. 
 
 Intertrigo behind ears. Graph. Petr. Sulph. 
 
 Intertrigo about nipples. Anath. muric. Bals. peru. 
 Phytol. 
 
 Intertrigo about arms. Amm. c. Agn. 
 
 Intertrigo between thighs. Amm.c. Borax. Cham. 
 Graph. Hydras. Ign. Eh us tox. Sulph. 
 
 Intertrigo between toes. ^N'at. c. 
 
 Lepra Vulgaris, obstinate, on arms. Iris ver. 
 
 Leprosy, loss of sensation ; toes fall off. Lach. 
 
 Lichen, little tubercles with hard scurf on instep ; with 
 red and thickened skin, ^uxjug. 
 
 Lichen in face and behind ears ; dry and pimply, skin 
 rough. Staph. 
 
 Lupus exedens ; abundant discharge of pus. Hydroco- 
 tyle. 
 
 Lupus, suppurating. Calc. c. Hydroc. Sulph. 
 
 Lupus, sarcomatous. Bar. c. 
 
 Lupus on head. Calc. c. Lye. 
 
 Lupus on face. Cist. 
 
 Lupus on lobes of ears. Mtr. ac. 
 
 Lupus on the elbows. Hep. 
 
 Macule of old people. Ars. Bar. c. Con. Lach. 
 Yip. red. 
 
 Measles, after-effects. Ars. Bry. Dulc. lod. l^ux 
 V. Fhos. Puis. Phus tox. 
 
 Measles, Suppressed. Phos. Puis. Phus tox. 
 
 Measles, burning heat, alternating with cold extremi- 
 ties. Ye rat. alb. 
 
 Measles, eruption livid. Lach. 
 
 Measles, eruption tardy in appearing. Ipec. Yerat. 
 alb. 
 
 Measles pronounced catarrhal symptoms. Gelsem. 
 
REPERTORY. 453 
 
 Nails Decayed. Alum. Graph. Merc, sol. Sabad. 
 Sep. Sil. Sulph. 
 
 Nails, Brittle, breaking off. Alum. Calc. c. Graph. 
 Merc. sol. Sabad. Sep. Sil. Sulph. Thuj. 
 
 Nails, Discolored. Ant. crud. Ars. Gra'ph. Mur. 
 ac. Nitr. ac. Sil. Sulph. Thuj. 
 
 Nails, Distorted. Alum. Calc. c. Grajph. Hydro- 
 cotyle. Merc. sol. Sabad. Sep. Sil. Sulph. 
 
 Nails Fall Off. Ars. Hell. Graph. 3Ierc. sol. 
 Sec. Sep. 
 
 Nails Grow into Flesh. Colch. Graph. Kali c. 
 Magn. ars. Sil. Sulph. Teucr. 
 
 Nails, Split. Sil. Sulph. 
 
 Nails, Thickened. Alum. Calc. c. Graph. Merc, 
 sol. Sabad. Sep. Sil. Sulph. 
 
 Nails Grow into Flesh, especially of great toe. Magn. 
 ars. 
 
 N^vi Materni, bright red, round, flat aneurisms by an- 
 astomosis, bleeding profusely when touched or wounded. 
 Carbo veg. 
 
 NiEvi Materni, arterial capillaries. Calc. c. Lye. 
 
 N^vi Materni, venous capillaries. Carbo veg. Lye. 
 Nux V. 
 
 Nettle-rash coming out after scratching. China. 
 
 Nettle-rash in spots. Eerb. Copaiv. Merc. sol. 
 
 Nettle-rash after Fuls. Sulph. 
 
 Nettle-rash, vesicular. Psor. Triost. Urtica. 
 
 Nettle-rash in nodules. Puis. nutt. Urtica. 
 
 Nettle-rash changing to red spots. Merc. sol. 
 
 Nettle-rash, frequent attacks, with fine vesicles on the 
 top, which dry up and scale off. Psor. 
 
 Nettle-rash, irregular, round nodules, elongated and 
 annular, with a red base turning white when scratching. 
 Puis. nutt. 
 
 Nettle-rash, with redness and swelling. Rhus tox. 
 
 Nettle-rash breakino^ out durino; a walk in cold air 
 and disappearing in a warm room. Sep. 
 
454 REPERTORY. 
 
 I!Tettle-rash attending or preceding rheumatism. Ur 
 tica. 
 
 ]^ETTLE-RASH on face. Ant. crud. Sep. Triost; 
 
 ^N'ettle-rash on genitals. Tart. e. 
 
 ITettle-rash on back. Sil. 
 
 ]N'ettle-rash on chest. Sep. Triost. 
 
 ]^ETTLE-RASH On arms. Berb. Sep. Triost. 
 
 E"ettle-rash on hands. Berh. Euphorb. Hejp. Hy- 
 peric. I^at. c. Nat. mur. ^at. sulph. Sulph. 
 
 E'ettle-rash on fingers. Hejp. Hyperic. Urtica. 
 
 E'ettle-rash on hip. Sulph. 
 
 J^ETTLE-RASH ou thigh. Caust. Zinc. met. 
 
 I:Tettle-rash on legs. Aur.fol. 
 
 JSToDOSiTiES in general. Agn. Amm. c. Ant. crud. 
 Arn. Aur. fol. Borax. Gale. c. Carho an. Canst. 
 Clem. Cic. Dig. Graph. Hep. Lach. Led. Lye. 
 Mere. sol. Mtr. ac. Phos. Puis. Eanunc. bulb. Rhus 
 tox. Ehus vern. Sahin. Sep. Sil. Staph. Sulph. 
 
 JS^ODOSiTiES, Horny. Ant. erud. Graph. 
 
 Nodosities, Red. Cann. sat. lod. Kali bich. Sabad. 
 Thuj. 
 
 IToDosiTiES, OoziNa. Staph. 
 
 IN'oDOSiTiES on wrists. Calc. c. 
 
 E"oDOSiTiES on finger joints. Agn. Calc.c. Clem. Graph. 
 Lye. Sulph. 
 
 I^ODOSiTiES, blue-red, with desiccated points at tip, on 
 both mammae. lod. 
 
 ^N'oDOSiTiES, large, with red swelling on nose. Cann. 
 sat. 
 
 ]^0D0siTiES on face. Cann. sat. Magn. c. Puis. Rhus 
 vern. Thuj. 
 
 I^ODOSiTiES on temples. Magn. c. Thuj. 
 
 IToDOSiTiES on arms. Magn. c. Sabad. 
 
 isroDOSiTiES on hands. Graph. 
 
 IJ'^ODOSITIES on thighs and legs. Kali bich. Laeh. Phos. 
 Therid. 
 
REPERTORY, 455 
 
 Nodosities on feet. Lye. (Soles of feet.) Sil. 
 
 Nodosities, white, on toes. Thuj. 
 
 Nodosities in axilla, and in front of left shoulder. 
 Magn. c. 
 
 Nodosities, hard, reddish, with depressed dark scurf in 
 centre, surrounded by an inflamed base, on thighs and 
 legs. Kali bich. 
 
 Papules in groups. Copaiv. Hydrocotyle. 
 
 Papules, Ked. Gum. gut. Plant, maj. 
 
 Papules on hands, first pale and then red. Gum. gut. 
 
 Papules, Purple. Hydrocotyle. 
 
 Papules on face ; hard, white, flat, isolated ; thighs, 
 with a red point in centre ; yellow exudation forming a 
 crust. Plant maj. 
 
 Pemphigus, each bullae surrounded by an inflamed, red 
 base. Rhus tox. 
 
 Petechia. Ailanth. Berb. Canth. 
 
 PETECHiiE, small, dingy and red, with spots on forearms 
 and backs of hands. Berb. 
 
 Phlyct^n^e, especially on the extremities. Elaps. cor. 
 
 Petechi^-like Spots. Arn. Ars. Bell. Berh. Bry, 
 Con. Hyosc. Lack. Led. Nux v. Bhos. Rhus tox, 
 Puta. Sec. Sil. Stram. Sulph. ac. 
 
 Pimples in general. Agon. Agar. Agn. Alum. 
 Amb. Amm. c. Amm. mur. Anac. Ang. Ant. crud. 
 Arg. fol. Arn. Ars. Asaf. Asar. Aur. fol. Aur. 
 mur. Bar. c. Bar. mur. Bell. Berb. Bism. Borax. 
 Bov. Bry. Calad. Calc. c. Camph. Cann. sat. 
 Canth. Caps. Carbo an. Carbo veg. Caust. Cham, 
 Chel. Chin. Cic. Cinnab. Clem. Cocc. Coft^ Colch. 
 Coloc. Con. Corall.. Crotal. horr. Crotal. cascav. 
 Croc. Cupr. met. Cycl. Dig. Dulc. Electr. Euphorb. 
 Euphr. Graph. Grat. Guaj. Hell. Hep. Hydras. Hy- 
 droco. Jatroph. Ign. lod. Ipec. Kali bich. Kali c. 
 Kali chlor. Kali hyd. Kreas. Lach. Lauro. Lye. 
 Magn. arc. Magn. aus. Magn. c. Magn. mur. Magn. 
 
456 REPERTORY. 
 
 sulph. Mang. Meny. Merc. sol. Mez. Mosch. Mur. 
 ac. N^at. c. J^at. mur. I^at. siilpb. ITitr. ac. ^ux 
 mos. i^ux V. Oleand. Oleum an. Op. Paris. Petr. 
 Phos. Phos. AC. Plat. Puls. Eanunc. bulb. Ea- 
 nunc. scler. Ehodo. Ehus tox. Euta. Sabad. Sabin. 
 Samb. Sarsap. Sec. Selen. Seneg. Sep. Sil. Spig. 
 Spong. Squill. Stann. Staph. Stram. Stront. Sulph. 
 Tab. Tarax. Tart e. Tereb. Teucr. Thuj. Yal. 
 Yerat. alb. Verb. Yiol. od. Yiol. tr. Yip. red. Yip. 
 torv. Ziiw. met. 
 
 Pimples, acuminated. Ant. crud. Ars. Dulc. Tart. e. 
 
 Pimples, Acne-like. Bell. Carbo veg. Hep. Lach. 
 
 Pimples, Black. Carbo veg. Spig. 
 
 Pimples, Bleeding, sanguineous. Paris. Ebus. rad. 
 Stront. Thuj. 
 
 Pimples close together. Cham. Staph. Thuj. Yerat. 
 alb. 
 
 Pimples bleed when scratched. Arg. nit. Menesper. 
 coc. Mosch. 
 
 Pimples in clusters. Berb. Cham. Lye. Yerat. alb. 
 
 Pimples, Confluent. Cic. Hyosc. Mur. ac. Phos. 
 ac. Yal. 
 
 Pimples cracked open. Merc. acet. 
 
 Pimples with crusts. Calc. c. Merc. sol. Squill. 
 
 Pimples, Dry. Bov. Hyosc. lod. Kreas. Sarsap. 
 
 Pimples, Flat, broad. Ant. crud. Berb. Taxus. 
 
 Pimples with green crusts. Calc. c. 
 
 Pimples, Hard. Bov. Calad. Ehus tox. Sabin. 
 Taxus. Yal. 
 
 Pimples, Humid, moist. Calc. c. Graph. Kali c. 
 Nat. sulph. Oleum an. Puis. Sil. Sulph. Thuj. Zinc, 
 met. 
 
 Pimples, moist after scratching. Calc. acet. Xali nit. 
 
 Pimples, Inflamed. Agar. Arn. Berb. Kali c. Pedic. 
 cap. Petr. 
 
 Pimples, Miliary. Agar. Amm c. Ant. crud. Ars. 
 Cocc. Elaps. cor. Grat. Kali c. Kreas. Pedic. cap. 
 

 REPERTORY. 457 
 
 Pimples, Pock-shaped. Ant. crud. Am. Ars. Petr. 
 Tart. e. 
 
 Pimples Raised, elevated. Bry. Crotal cascav. Taxus. 
 Yal. 
 
 Pimples, Red. Aeon. Alum. Anim. c. Anath. mu- 
 ric. Ant. crud. Arn. Bell. Berb. Bov. Bry. Calad. 
 Calc. phos. Carbo veg. Caust. Cham. Chel. Cic. 
 Cina. Cocc. Crotal. cascav. Crotal. hor. Cycl. Dros. 
 Dulc. Elaps. cor. Hura bras. lod. Kali c. Lack. 
 Led. Lye. Magn. c. Mez. Pedic. cap. Phos. Fhos. 
 ac. Plumb, met. Rhodo. Rumex. Sarsap. Sep. Spig. 
 Squill. Staph. Stront. Sulph. Taxus. Teucr. Thuj. 
 Val. Yerat. alb. Zinc. met. 
 
 Pimples with red areola. Anac. Berb. Bov. Calad. 
 Canth. Cycl. Elaps. cor. Nitr. ac. Pedic. cap. Phos. 
 ac. Samb. Tarax. Thuj. 
 
 Pimples, Scaly, Scurfy. Bell. Calc. c. Carbo an. 
 Cham. Con. Dros. Hep. Mang. Merc. sol. Mur. 
 ac. Oleand. Petr. Rhus rad. Sabin. Staph. 
 
 Pimples like Scabies. Ant. crud. Arg. nit. Bar. 
 mur. Bry. Con. Kali hyd. Kreas. Rhus tox. Selen. 
 Squill. Tart. e. 
 
 Pimples, Suppurating, Amm. mur. Anthrak. Ant. 
 crud. Ars. Aur. fol. Bar. c. JBell. Berb. Calad. 
 Calc. phos. Canth. Caust. Cham. Cic. Clem. Cocc. 
 Con. Croton. tig. Cycl. Dulc. Elaps. cor. Graph. 
 Grat. Hep. B[ydroc. Hyosc. Kali bich. Kali c. 
 Kali chlor. Kreas. Lach. Lye. Magn. arc. Magn. c. 
 Magn. mur. Merc. sol. Mez. Nitr. ac. Op. Fetr. 
 Phos. ac. Plumb, met. Puis. Rhus tox. Samb. Sar- 
 sap. Sec. Sep. Sil. Spig. Staph. Stram. Sulpfj. 
 Tarax. Tart. e. Thuj. Yerat alb. Zinc. met. 
 
 Pimples, transparent and semi-transparent. Berb. Con. 
 
 Pimples about (surrounding) ulcers. Cham. Sulph. 
 
 Pimples full of water. Coloc. Thuj. 
 
 Pimples, Whitish. Ars. Bov. Calad. Carbo veg. 
 
 31 
 
458 REPERTORY. 
 
 Chel. Coloc. Con. Cjcl. Dulc. Elaps. cor. Kali c. 
 Magn. arc. Magn. mur. Mang. ISTat. c. Nat. mnr. 
 Pedic. cap. Petr. Phos. ac. Staph. Sulph. Yal. Zinc, 
 met. 
 
 Pimples with white tips. Ant. crud. Ars. Crotal. 
 cascav. Hura bras. Phos ac. Puis. Tart. e. 
 
 Pimples with yellow tips. Ant. crud. Grat. Magn. 
 mur. Zinc. met. 
 
 Pimples changing to ulcers. Merc. sol. Nitr. ac. Phos. 
 ac. 
 
 Pimples, Smooth. Mez. Phos. ac. 
 
 Pimples with a black point in centre. Calc. sulph. 
 Crotal. cascav. 
 
 Pimple changing to a wart. Canst. 
 
 Pimples preceded by itching, and brought out by 
 scratching. Bry. Graph. Merc. sol. 
 
 Pimples size of a millet or lentil. Aeon. Ars. Bov. 
 Cic. Phos. ac. 
 
 Pimples, Large. Ant. crud. Bell. Con. Hura bras. 
 Spong. Taxus. 
 
 Pimples like vesicles. Ant. crud. Pedic. cap. Puis. 
 
 Pimples, Purulent. Anthrak. Nux v. Paris. Thuj. 
 
 Pimples, Small. Ant. crud. Arg. nit. Ars. Berb. 
 Bry. Hura bras. lod. Kali bich. Led. Merc. sol. 
 Mosch. Nux V. Pedic. cap. Pumex. Selen. Sep. 
 Staph. Thuj. Yal. Zinc. met. 
 
 Pimples with pus in tip. Anac. Berb. Graph. Squill. 
 Staph. Thuj. 
 
 Pimples filled w^ith an acrid fluid. Aeon. Con. Graph. 
 
 Pimples filled with serum. Aeon. Ars. Elaps. cor. 
 Puis. Ehus rad. 
 
 Pimples with yellow-brown scurf, or crusts. Ant. crud. 
 Calc. acet. Kreas. 
 
 Pimples on scalp. Agar. Alum. Anac. Ant. crud. 
 Amb, Arg. fol. Ars. Bar. c. Bar. mur. Berb. Bov. 
 Calc. c. Clem. Con. Crotal. cascav. Cycl. Hell. Hep. 
 
REPERTORY. 459 
 
 Kali c. Led. Lye. Magn. arc. Mur. ac. ^at. c. Nat. 
 mur. N'ux v. Oleand. Paris. Petr. Puis. Rhus tox. 
 Sil. Tarax. Zinc. met. 
 
 Pimples on eyelids. Alum. Canth. Chel. Hep. Lye. 
 ]^at. mur. Rhus tox. Selen. Seneg. 
 
 Pimples on ears. Agar. Amm. c. Berb. Cic. Kali 
 c. Kreas. Mur. ac. ]N'at. mur. Petr. Phos. Sabad. 
 Selen. Spong. Staph. Yerb. 
 
 Pimples behind ears. Pallad. 
 
 Pimples below ears (on neck). Selen. 
 
 Pimples on nose. Amm. c. Anac. Arn. Bar. c. 
 Bell. Bov. Calc. c. Canth. Carbo. veg. Caust, 
 Clem. Cocc. Dulc. Euphr. Graph. Gruaj. Kali c. 
 Kali hyd. Lach. Magn. ac. Maug. Nat. e. Nat. inm\ 
 Oleum an. Oxal. ac. Pallad. Petr. Phos. Phos. ac. 
 Ratanh. Sep. Sil. Sulph. Tarax. Taxus. Teucr, 
 Thuj. 
 
 Pimples on face. Aeon. Agar. Alum. Ambr. 
 Amm. c. Amm. mur. Ant. crud. Arn. Ars. Asclep. 
 tuber. Aur. fol. Bar. c. Bell. Berb. Borax. JBov, 
 Bry. Calc. c. Canth. Carbo an. Carbo veg. Caust. 
 Cham. Chel. Cic. Clem. Cocc. Coloc. Con. CrotaL 
 horr. Bros. Dulc. Eugen. Grappi. Hep. Indig. Kali 
 c. Kali chlor. Kali hyd. Kreas. Lach. Led. Lyc. 
 Magn. c. Magn. mur. Magn. sulph. Menisper. can. 
 Meph. Meny. Merc. sol. Mosch. Mur. ac. I^abul. 
 serp. ]^at. c. JSTat. mur. I^at. sulph. Nitr. ac. ]^ux 
 V. Oleum an. Pallad. Pedic. cap. Petr. Phos. Phos. 
 AC. Psor. Rhodo. Rhus rad. Rhus tox. Sabin. 
 Sarsap. Sep. Sil. Stann. Staph. Sulph. Tabac. 
 Tarax. Tart. e. Thuj. Yerat. alb. Yinc. min. Zinc, 
 met. 
 
 Pimples in faces of very young persons. Carbo veg. 
 Hep. 
 
 Pimples on forehead. Aeon. Ars. Berb. Calc. c. 
 
460 REPERTORY. 
 
 Gelsem. Hep. Hura bras. Kali chlor. Kreas. Led. 
 Mepli. Mtr. ac. Paris. Pedic. cap. 
 
 Pimples on chin. Alum. Ambr. Anac. Ant. 
 crad. Bell. Berb. Calc. c. Canth. Canst. Cic. 
 Clem. Con. Dros. Dulc. Hep. Hydrast. Hyosc. 
 Kali chlor. Kreas. Laaro. Lye. Magn. aus. Merc, 
 viv. I^abul. serp. i^at. c. ITat. sulph. Mtr. ac. ITux 
 mosch. ISTux. v. Oleand. Paris. Phos. ac. Rhus tox. 
 Sabin. Sarsap. Sep. Sil. Spig. Spong. Sulph. Thuj. 
 Verat. alb. Verb. Zinc. met. 
 
 Pimples about lips and mouth. Aeon. Amm. mur. 
 Ant. crud. Bcu\ c. Bell. Berb. Bov. Bry. Calc. c. 
 Cann. sat. Canth. Caps. Carbo veg. Caust. Chin. 
 Chin, sulph. Coloc. Con. Dulc. Elaps. cor. Graph. 
 Hep. Hell. Hydrast. Hyosc. Ign. Ipec. Kalic. Kreas. 
 Led. Magn. arc. Magn. mur. Meny. Merc. sol. Mur. 
 ac. Nabul. serp. [N'at. c. Mcc. c. [N'ux v. Paris. 
 Phodo. .Rhus tox, Puta. Samb. Sep. Spig. Spong. 
 Squill. Sulph. Tarax. Teucr. Thuj. Verat. alb. 
 Zinc. met. 
 
 Pimples on cheeks. Berb. Calc. acet. Hura bras. 
 Kreas. l^ux v. Rhus tox. Tarax. 
 
 Pimples on temples. Cocc. Mtr. ac. Pedic. cap. 
 
 Pimples on abdomen. Ars. Bar. mur. Bry. Cham. 
 Dulc. iTat. c. ISTat. mur. Petr. 
 
 Pimples about anus. Carbo veg. Kali c. Mtr. ac. 
 
 Pimples on perineum. Mt. ac. 
 
 Pimples on genitals (in general). Ambr. Con. Graph. 
 Kali c. Lach. Magn. aus. Merc. sol. Nat. mur. 
 Mtr. ac. Phos. ac. Sil. Tart. e. Thuj. Zinc. met. 
 Sulph. 
 
 Pimples on glans penis. Jacar. car. Lach. Magn. 
 aus. Nit. ac. Phos. ac. 
 
 Pimples on scrotum. Phos. ac. Thuj. Zinc. met. 
 
 Pimples on prepuce. Arn. Magn. aus. Mt. ac. Sil. 
 
 Pimples on mons veneris. Ambr. Con. Kali o. Sil. 
 
REPERTORY. 461 
 
 Pimples on labia. Con. Graph. Xali c. Merc. sol. 
 I^at. mur. Verat. alb. 
 
 Pimples between scrotum and thigh. Petr. Selen. 
 
 Pimples on chest. Amm. c. Ant. crud. Arg. nit. 
 Bell. Berb. Borax. Bov. Calad. Calc. c. Canth. 
 Chin. Cocc. Con. Dulc. Evon. Gins. Hep. lod. 
 Kali c. Laeh. Led. Magn. mur. l^at. c. Phos. ac. 
 Plumb. m.et. Rhus tox. Squill. Staph. Stront. Tabac. 
 Yal. Verat. alb. Zinc. met. 
 
 Pimples in axilla. Cocc. Phos. 
 
 Pimples on neck. Ant. crud. Arn. Aur. fol. Berb. 
 Bov. Cinnah. Clem. Gelsem. Gins. Hep. Lye. 
 Magn. arc. Magn. c. Meph. Mez. Pedic. cap. Phos. 
 ac. Fids. Spig. Spong. Squill. Staph. Stann. Sulph. 
 ThyJ. Verat. alb. 
 
 Pimples on nape of neck. Aeon. Amm. c. Arn. 
 Bar. mur. Bell. Berb. Borax. Calc. c. Carbo veg. 
 Hep. Kali c. Lye. Magn. aus. Magn. c. N^at. c. 
 Pedic. cap. Sil. Staph. 
 
 Pimples on neck, under chin. Ant. crud. Puis. 
 Spong. 
 
 Pimples on back. Alum. Arg. nit. Bell. Berb. 
 Calc. c. Carbo ves;. Cham. Cocc. Con. Dio^it. lod. 
 Kali c. Lach. Led. Lye. Magn. mur. Meph. Millef. 
 JVat. mur. Pedic. cap. Phos. ac. Puis. Sarsap. Selen. 
 Squill. Sulph. Tabac. Zinc. met. 
 
 Pimples on loins. Cham. Chin. 
 
 Pimples on scapulae. Ant. crud. Bell. Berk Crotal. 
 hor. Kali chlor. Lye. Magn. mur. Mosch. Puis. 
 Eatanh. Squill. 
 
 Pimples between scapula. Cocc. Lye. Spong. 
 
 Pimples on small of back. Calc. Tabac. 
 
 Pimples on upper arms. Anac. Ant. crud. Asclep. 
 tuber. Bell. Carbo veg. Chin. Dulc. lod. Kali c. 
 Lach. Lauro. Mosch. Pedic. cap. Sulph. Taxus. 
 Val. 
 
462 REPERTORY. 
 
 Pimples on forearm. Amm. c. Amm. mur. Ant. 
 crud. Asclep. tuber. Bell. Bov. Calad. Caust. Chin, 
 lod. Kali nit. Lach. Lauro. Lye. Magn. c. Magn. 
 sulph. Nat. sulph. Pedic. cap. Phos. ac, Ratanh. 
 Rhodo. Sabad. Sarsap. Sulph. Tart. e. Taxus. 
 Thuj. Yal. Zinc. met. 
 
 Pimples on shoulders. Ant. crud. Berb. Cocc. 
 Hura bras. Kali c. Magn. c. Mosch. Pedic. cap. 
 Zinc. met. 
 
 Pimples on elbows. Amm. mur. Ant. crud. Bell. 
 Berb. Bry. Dulc. Hyosc. Lach. ^at. c. Sahin. 
 Sep. Staph. 
 
 Pimples in bends of elbows. Ant. crud. Hyosc. Hura 
 bras. Oleum an. Phos. Sep. Thuj. 
 
 Pimples on hands. Agar. Amm. mur. Ant. crud. 
 Ars. Bov. Canth. Cic. Elaps. cor. Kreas. Lye. 
 Mur. ac. Paris. Pedic. cap. Rhus tox. Selen. Tarax. 
 Zinc. met. 
 
 Pimples on wrists. Bar. c. Bry. Cycl. Elaps. cor. 
 Rhus tox. Tart. e. 
 
 Pimples on back of hands. Agar. Amm. mur. Canth. 
 Carbo veg. Kali chlor. 
 
 Pimples on fingers. Anac. Ant. crud. Arn. Ars. 
 Berb. Canth. Cycl. Elaps. cor. Kali c. Lye. Magn. 
 c. Mur. ac. Phos. ac. Spig. Squill. Tabac. Tarax. 
 Therid. Zinc. met. 
 
 Pimples between fingers. Ars. Phos. ac. Puis. 
 
 Pimples on thumbs. Ant. crud. Kali e. Lye. Therid. 
 
 Pimples between thumb and index finger. Arn. Bry. 
 Canth. 
 
 Pimples on nates and hips. Ant. crud. Bar. c. Berb. 
 Bry. Calc. c. Cann. sat. Canth. Graph. Hura bras. 
 Magn. c. Merc. sol. !Meph. Nux v. Petr. Selen. 
 Thuj. 
 
 Pimples on thio-hs. Ao-ar. Ant. crud. Bar. mur. 
 Berb. Bry. Bov. Calc. c. Cann. sat. Chel. Cocc. 
 
REPERTORY. 463 
 
 Elaps cor. Kali c. Kali chlor. Lack. Magn. c. Mang. 
 Meph. Mez. Nat.- rniir. Pedic. cap. Petr. Phos. 
 Phodo. Sarsap. Selen. Staim. Staph. Sulj^h. Thuj. 
 Zinc. met. 
 
 Pimples on buttocks. Camph. Selen. Thuj. 
 
 Pimples on knees. Ant. crud. Bry. Hep. Hura. 
 Mcc. c. Pedic. cap. Phos. ac. Puis. Sarsap. Sep. 
 Sulph. Thuj. Zinc. met. 
 
 Pimples on calves of legs. Agar, Arg. nit. Asclep. 
 tuber. Bov. Bry. Calc. caust. Elaps. cor. Hura bras. 
 Kali bich. Lach. isTat. c. Pedic. cap. Phos. ac. Puis. 
 Rumex. Sabin. Sarsap. Sep. Staph. Zinc. met. 
 
 Pimples on feet. Ars. Bov. Borax. Con. Led. 
 Mosch. Selen. Sep. Sulph. Zinc. met. 
 
 Pimples on soles of feet. Con. 
 
 Pimples on dorsum of feet. Led. Mosch. 
 
 Pimples on toes. Borax. Sulph. Zinc. met. 
 
 Pimples between toes. Mosch. Sulph. 
 
 PiTYKiASis in spots on scalps of fair-haired strumous 
 girls. Lye. 
 
 Pocks in general. Aeon. Amm. mur. Ant. crud. 
 Arn. Ars. Bell. Bry. Canth. Clem. Cocc. Hydroc. 
 Hyosc. Lach. Merc. sol. Pals. Rhus tox. Sec. Sil. 
 Stram. Sulph. Tart. e. Thuj. 
 
 Pocks, Suppurating. Ars. Bell. Merc. sol. Sidph. 
 Thuj. 
 
 Pocks, Black. Ant. crud. Ars. Bell. Bry. Hyosc. 
 Lach. Mur. ac. Phus tox. Sec. Sep. Sil. Spig. 
 
 Pocks, White. lod. Lye. 
 
 Pocks on ^ose. Canth. Merc. sol. 
 
 Pocks on Chest. Alum. Led. Tart. e. 
 
 Pocks on Back. Hydroc. Tart. e. Zinc. met. 
 
 Pocks on Arms. Ars. Hydroc. Sep. 
 
 PocKS of different kinds, also see Small-pox., Varicellce, 
 Varicellce Conoides., etc. 
 
 PoRRiGO, in infants, on left side of scalp ; spots round 
 
464 REPERTORY. 
 
 and dry, slightly raised, red at edges, with bran-like scales 
 in the centre. Samb. 
 
 Proud Flesh in ulcers. Alum. Ant. crud. Ars. 
 Bell. Carho an. Carbo veg. Caust. Cham. Graiph, 
 Kreas. 'La.ch. Merc. sol. Teir. Phos. Sabin. Be-p. 
 jSU. Staph. Sulph. Thuj. 
 
 Psoriasis in back of index finger of right hand. Skin 
 hard, hypertrophied, and covered with thick white scales. 
 Teucr. 
 
 Psoriasis on knees, elbows, legs, and eyebrows. Phos. 
 
 Psoriasis Inveterata. Dry, scaly eruption on backs of 
 hands. Sulph. 
 
 Psoriasis in relievo. Skin fissured and irritable; irreg- 
 ular patches all over, but on knees and elbows especially, 
 with shining scales, and slightly raised, irregular edges. 
 Iris vers. 
 
 Pus leaving a black stain. Bry. Chin. Lye. Sulph. 
 
 Pus, Bloody. Arg. fol. Arn. Ars. A&af. Bell. 
 Carbo veg. Caust. Con. Croc. Dros. Hep. Hyosc. 
 lod. Kali c. Kreas. Lach. Lye. Merc sol. Mez. 
 l!^at. mur. Nitr. ac, Phos. Phos. ac. Puis. Rhus tox. 
 Puta. Sabin. Sec. Sep. Sil. Sulph. Sulph. ac. 
 Tart. e. Zinc. met. 
 
 Pus, Brownish. Anac. Ars. Bry. Calc. c. Carbo 
 veg. Con. Puis. Rhus tox. Sil. 
 
 Pus, Corrosive. Amm. c. Anac. Ars. Bell. Calc. 
 c. Carbo veg. Caust. Cham. Chel. Clem.' Con. 
 Cupr. met. Graph. Hep. Ign. lod. Kreas. Lach. 
 Lye. Merc. sol. Mez. I^at. c. E'at. mur. Nitr. ac. 
 iSTux V. Phos. Plumb, met. Puis. Ranunc. bulb, 
 Ranunc. seel. Rhus tox. Ruta. Sep. Sil. Spig. 
 Squill. Staph. Sulph. Sulph. ac. Zinc. met. 
 
 Pus, Fetid. Amm. c. Ars. Asaf. Aur. fol. Bar. 
 mur. Bell. Bov. Bry. Calc, c. Caust. Carbo veg. 
 Chel. Chin. Chin, sulph. Cic. Con. Cycl. Graph, 
 Hep. Kreas. Lach. Lye. Mang. Merc, sol. Mez. 
 
REPERTORY. 465 
 
 Mur. ac. ]N"at. c. ISTitr. ac. l!^ux mosch. N"ax v. Phos. 
 Phos. AC. Plumb, met. Puis. Rhus tox. Ruta. Sabin. 
 Sec. Sep. SiL. Staph. Stann. Sulph. Sulph. ac. 
 Thuj. Yip. red. 
 
 Pus, Gelatinous. Arg. fol. Arn. Bar. c. Cham. 
 Ferr. met. Merc. sol. Sep. Sil. 
 
 Pus, Gray. Ambr. Ars. Carbo an. Oaust. Chin. 
 Lye. Merc. sol. Sep. Sil. Thuj. 
 
 Pus, Greenish. Ars. Asaf. Aur. fol. Carbo veg. 
 Caust. Kreas. Merc. sol. ^N'at. c. IN'ux v. Fuls. 
 Rhus tox. Sep. SiL Staph. 
 
 Pus full of maw-worms. Ars. Calc. c. Merc. sol. 
 Sabad. Sil. Sulph. Squill. Staph. Sulph. Tart. e. 
 Yip. red. Yip. torv. 
 
 Pus, smelling like old cheese. Calc c. Hep. Merc, 
 sol. Sulph. 
 
 Pus, Pale Red. Phos. Plat. Puis. Rhodo. Rhus 
 tox. 
 
 Pus, Salt. Amb. Ars. Bar. c. Calc. c. Graph. 
 Lyc. Magn. c. Magn. mur. Merc. sol. I^at. c. Petr. 
 Fhos. Fuls. Sep. Sil. Stann. Staph. Sulph. Zinc, 
 met. 
 
 Pus, Sour-smelling. Calc. c. Graph. Hep. Merc, 
 sol. ISTat. c. Sep. Sulph. 
 
 Pus, Thin. Asaf. Carbo veg. Caust. Dros. lod. 
 Kali c. Lyc. Merc. sol. Mtr. ac. Plumb, met. Puis. 
 Ranunc. bulb. Ranunc. seel. Rhus tox. Ruta. Sil. 
 Staph. Sulph. Thuj. 
 
 Pus, Watery. Ars. Asaf. Calc. c. Carbo veg. 
 Caust. Clem. Con. Dros. Graph. lod. Kali c. 
 Lach. Lyc. Merc. sol. Nitr. ac. N'ux v. Plumb, met. 
 Puis. Ranunc. bulb. Ranunc. seel. Rhus tox. Ruta. 
 Sil. Squill. Staph. Sulph. Thuj. 
 
 Pus, Milky. Amm. c. Ars. Calc. c. Carbo veg. 
 Hell. Lyc. E"at. mur. Fuls. Sep. Sil. Sulph. 
 
 Pus, Yellow. Aeon. Amb. Amm. c. Anac. Arg. 
 
466 REPERTORY. 
 
 Arg. fol. Ars. Aur. fol. Bov. Bry. Calc. c. Caps. 
 Carbo veg. Caust. Cic. Clem. Con. Croc. Dulc. 
 Graph. Hep. lod. Kreas. Lye. Magn. c. Mang. 
 Merc. sol. ^N'at. c. Nat. mur. Nitr. ac. Nux v. Fhos. 
 PuLS. Rhus tox. Ruta. Sec. Selen. Sep. Sil. Spig. 
 Staph. Snlph. ac. Thuj. Yiol. tr. 
 
 Pustules, in general. Amm. mur. Anthrak. Ant. 
 crud. Ars. Aur. fol. Bar. c. Bell. Berb. Calc. 
 phos. Canth. Caust. Cham. Cic. Clem. Cocc. Con. 
 Crot. tig. Cycl. Dulc. Erjng. Graph. Grat. Hep. 
 Hydroc. Hyosc. Kali c. Kali chlor. Kreas. Lach. 
 Lye. Magn. are. Magn. e. Magn. mur. Merc. sol. 
 Mez. l^itr. ac. Op. Tetr. Phos. ac. Plumb, met. 
 Tuh. Rhus tox. Samb. Sep. Sarsap. Sec. Sil. Spig. 
 Staph. Stram. , Sulph. Tarax. Tart. e. Thuj. Yerat. 
 alb. Zinc. met. 
 
 Pustules, Acuminated. Dulc. Thuj. 
 
 Pustules, Black. Bry. Mur. ac. Nat. e. Rhus tox. 
 Tart. e. 
 
 Pustules, Bleeding and brown. Tart. e. 
 
 Pustules, Confluent. Cic. Merc. Tart. e. 
 
 Pustules, Dry. Eryng. Merc. sol. 
 
 Pustules, Greasy. Kreas. 
 
 Pustules, Hard. Anac. Ant. crud. Crotal. hor. 
 
 Pustules, Inflamed. Rhus tox. Stram. 
 
 Pustules, like scabies. Clem. Grat. Magn. arc. 
 Phos. ac. 
 
 Pustules, Pock-like. Ant. crud._ Hydroc. Hyosc. 
 Kreas. Mur. ac. Tart. e. Thuj. 
 
 Pustules pale red, rose-colored. Ars. Dulc. 
 
 Pustules, Red. Anac. Ars. Berb. Caust. Cic. 
 Cimicif. Crotal hor. Crot. tig. Graph. Hj'droc. Hy- 
 droc. ac. Kali e. Mez. Nitr. ac. Tart. e. 
 
 Pustules with red areola. Anac. Borax. Nitr. ac. 
 Nux mos. Paris. Tart. e. Thuj. 
 
REPERTORY. 467 
 
 Pustules, Scurfy. Ant. crud. Bov. Grot. tig. Dnlc. 
 Merc. sol. Tart. e. 
 
 Pustules, Small. Eryog. Hydroc. Kali hyd. Kali 
 nit. PqIs. Tart. e. 
 
 Pustules, Ulcerated. Ars, Didc. Magn. mur. 
 Merc. sol. ^at. c. Sarsap. Sil. Tart. e. 
 
 Pustules discharge water. Kali hyd. Phus tox. 
 Stram. 
 
 Pustules, White, papular. Cimicif. Copaiv. Cycl. 
 
 Pustules on scalp. Arn. Ars. Bov. Gran. Kali 
 c. Mur. ac. ISTux v. Puis. Rhus tox. Sil. Sulph. 
 
 Pustules on nose. Amm. c. Anew. Arn. Bell. Bov. 
 Clem. Cocc. Euphr. Mang. ISTat. c. Mtr. ac. Fetr. 
 Plumb, met. Tarax. 
 
 Pustules on face. Amm. c. Amm. mur. Anac. Ant. 
 CRUD. Ars. Asclep. tuber. Aur. fol. Bell. Bov. 
 Calc. phos. Carbo an. Caust. Cic. Cimicif. Clem. 
 Cocc. Coloc. Crot. tig. Bros. Grat. Hyosc. Kali c. 
 Kali hyd. Kali nit. Magn. c. Magn. mur. Magn. 
 sulph. Merc. sol. Mtr. ac. Paris. Phos. Rhus rad. 
 Rhus tox. Sarsap. Tarax. Yerat. alb. 
 
 Pustules about lips and mouth. Amm. c. Bar. c. 
 Berb. Carbo veg. Lach. Magn. arc. Mur. ac. l^ux 
 V. Paris. Samb. Sep. Tarax. Thuj. Zinc. met. 
 
 Pustules on chin. Bell. Camph. Caust. Graph. 
 Hyosc. Kali hyd. Mang. Merc sol. Nitr. ac. l^nx 
 mosch. Oleand. Psor. Rhus tox. Sabin. Sarsap. 
 Zinc. met. 
 
 Pustules on labia. Bryon. 
 
 Pustules on chest. Aur. fol. Cocc. Eryng. Graph. 
 Hep. Hydras. Magn. mur. Psor. Sil. Stront. Tart. e. 
 
 Pustules on neck. Ant. crud. Aur. fol. Clem. 
 Cimicif. Squill. Tart. e. 
 
 Pustules on small of back. Calc. c. ^at. c. 
 
 Pustules on back. Calc. c. Dulc. Eryng. ^N'at. c. 
 Sil. 
 
468 REPERTORY. 
 
 Pustules on nape of neck. Bell. l^at. c. Tabac. 
 
 Pustules on scapulae. Cocc. Magn. mur. 
 
 Pustules on arms (in general). Anac. Asclep. tuber. 
 Bell. Kali bich. Merc. sol. Mez. Rhodo. Rhus tox. 
 Sep. Staph. Stdph. Tabac. 
 
 Pustules on upper arm. Anac. Merc. sol. 
 
 Pustules on forearm. Rhodo. Rhus tox. Staioh. 
 
 Pustules on hands. Cic. Kali bich. Rhus tox. Sep. 
 Sil. 
 
 Pustules on fingers. Anac. Bar. c. Borax. Kali 
 bich. Sarsap. Sanguin. Spig. Zinc. met. 
 
 Pustules on balls of thumbs. Cic. 
 
 Pustules on nates and hips. Ant. crud. Ilydroc. ac. 
 Hyosc. Phos. ac. 
 
 Pustules on thighs. Dulc. Grat. Mez. Staph. 
 Stram. Thitj. 
 
 Pustules on legs. Asclep. tuber. Dulc. Mez. Staph. 
 Stram. Thiij. 
 
 Pustules on and below knees. Bry. Hjosc. 
 
 Pustules on feet. Con. Rhus tox. 
 
 Pustules on heels. I^at. c. 
 
 Pustules on toes. Crotal. cascav. Cjcl. Graph. 
 
 Pustules on balls of toes. Phos. ac. 
 
 Pustules, Large. Cimicif. Clem. Hjosc. Kreas. 
 Tart. e. 
 
 Pustules on forehead. Granat. Mur. ac. Psor. Sil. 
 
 Pustules on temples. Granat. Mur. ac. 
 
 Pustules covered with crusts. Bell. Nitr. ac. Sulph. 
 
 Pustules seem filled with shot ; become ulcers ; con- 
 tain bloody or black fluid. Tart. e. 
 
 Rash in general. Acon. Alum. Amm. c. Amm. mur. 
 Ant. crud. Arn. Ars. Asaf Bell. Bov. Bry. 
 Calad. Calc. c. Canth. Carbo veg. Caust. Cham. 
 Chin. Clem. Goff. Coloc. Cupr. met. Dig. Dulc, 
 Electr. JEaphras. Galv. Gins. Graph. Hell. Hyosc. 
 Ipec. Kali chl. Lach. Led. Merc. sol. Mez. J^at. 
 
REPERTORY. 469 
 
 mur. Nux v. Op. Fhos. Phos. ac. Puis. Rhus tox. 
 Ruta. Sarsap. Sec. Selen. Sep. Sil. Spoiig. Staph. 
 Stram. Sulph. Tart. e. Teucr. Yal. Verat. alb. 
 Viol. tr. Zinc. met. 
 
 Rash in clusters. Mez. ]^at. mur. Phos. ac. 
 
 Rash, fine. Aram. mur. Con. Corn. eirc. Phos. ac. 
 Rhus tox. 
 
 Rash, Purple. Aeon. Amm. c. Bell. Coff. 
 
 Rash, Red. Acon. Amm. c. Ars. Bell. Bry. 
 Carlo veg. Caust. Cham. Coloc. Coff. Dulc. Eu- 
 phras. Hyosc. Ipec. Lack. Led. Merc. sol. Phos. 
 Phos. ac. Rhus tox. Sep. Staph. Stram. Sulph. 
 Tart. e. Teucr. 
 
 Rash, Whitish. Agar. Ars. Bov. Bry. Ipec. 
 Nux V. Phos. Sulph. Yal. 
 
 Rash on scalp. Mez. l^at. mur. Spong. Tart. e. 
 
 Rash on face. Cham. Con. Euphras. Ipec. Kali 
 brom. Sulph. Yerat. alb. Tabac. 
 
 Rash on genitals. Brj. Dulc. Rhus tox. 
 
 Rash on chest. Amm. c. Pry. Calad. Corn. circ. 
 Cupr. met. Galv. Lach. Led. Merc. sol. Sil. Staph. 
 Stram. Sulph. Tart. e. 
 
 Rash on neck. Amm. c. Bry. Galv. 
 
 Rash on nape of neck. Ant. crud. Bry. Caust. 
 Mez. Sec. 
 
 Rash on back. Con. Merc. sol. Mez. Stram. 
 
 Rash on scapulse. Ant. crud. Caust. 
 
 Rash on arm. Ant. crud. Bry. Mez. Rheum. 
 Tart. e. 
 
 Rash on forearm. Amm. c. Bry. Calad. Merc. sol. 
 Mez. Rheum. Selen. Tart. e. 
 
 Rash on hands. Bry. Cupr. met. Dig. Led. 
 
 Rash on thighs. Bry. Caust. Galv. Merc. sol. Mez. 
 ]^at. mur. Nux v. Oleum an. Osmium. Sulph. 
 
 Rash on knees. Kux v. Zinc. met. 
 
 Rash on legs. Calc. c. Hyosc. Nat. mur. Sil. 
 
470 REPERTORY. 
 
 Redness of skin in general. Acon. Agar. Agn. 
 Amm. c. Anthr. Ant. crud. Aen. Ars. Asaf. Bell. 
 Berb. Bov. Bry. Calc. c. Camph. Canth. Carbo 
 veg. Caust. Cham. Chin, Cina. Clem. Cocc. Con. 
 Crotal. hor. Crot. tig. Cycl. Dulc. Electr. Eupborb. 
 Ferr. met. G-raph. Hep. Hydroc. ac. Ilyosc. Ign. 
 Ipec. lod. Kali c. Kali cbl. Kreas. Lach. Led. 
 Lyc. Magn. c. Magn. mur. Hang. Merc, sol . Mez. 
 1^2it. mur. l^vx V. Oleand. Op. Petr. Phos. Phos. 
 AC. Plumb, met. Puls. Ranunc. seel. Rhodo. Rhus 
 Tox. Huta. Sabad. Sarsap. JSec. Sep. Sil. Spig. 
 Spong. Squill. Stann. Strain. Sulph. Sulph. ac. 
 Tarax. Tax. Teucr. Yal. Vine. min. Yip. red. Vip. 
 torv^. 
 
 Ridges in general. Ars. Bell. Calc. c. Cai-bo veg. 
 Eupborb. Hep. Lyc. Magn. c. Phos. Phos. ac. Rhus 
 tox. Sabad. Strain. 
 
 Ridges, Brown. Ars. Carbo veg. 
 
 Ridges, Red. Bell. Calc. c. Carbo veg. Eupborb. 
 Hep. Phos. Phos. ac. Rhus tox. Sabad. 
 
 Roughness of skin in general. Bell. Calc. c. Graph. 
 lod. Kali c. Lauro. Merc. sol. ISTat. c. Oleand. Phos. 
 Phos. ac. Rhus tox. Ruta. Sarsap. Sep. Sulph. 
 
 "Salt Rheum," ulcerated, in general. Amb. Ars. 
 Calc. c. Chin. Graph. Lyc. Merc. sol. Petr. Phos. 
 Puis. Sep. Sil. Staph. Sulph. 
 
 Scabies, Dry. Bry. Carbo veg. Merc. sol. Sep. 
 
 Scabies, Moist. Carbo veg. Merc. sol. 
 
 Scabies, Pustular. Ars. Hep. Tart. e. 
 
 Scabies, Red. Bry. Merc. sol. 
 
 Scabies on the extremities. Ars. Bry. Carbo veg. 
 Merc. sol. Tart. e. 
 
 Scabies in bend of elbow. Bry. Merc. sol. 
 
 Scabies in bend of knee. Ars. Bry. Merc. sol. 
 
 Scabies on wrist. Bry. Tart. e. 
 
REPERTORY. 471 
 
 Scald Head, moist. Cic. Lappa maj. Mez. Sep. 
 Staph. 
 
 Scald Head, thick white or gray-white crusts ; erup- 
 tion extends to face. Cic. Dulc. Lappa maj. 
 
 Scald Head, thick yellow scales, and fetor. Staph. 
 
 Scald Head in form of a ringworm, with yellow pus. 
 Calc. c. 
 
 Scarlatina, tardy eruption. Phytol. Yerat. alb. 
 
 Scarlatina, suppressed. Phos. Phos. ac. 
 
 Scarlatina, eruption dark. Hydras. Ehus tox. 
 
 Scurfs or crusts in general. Alum. Amb. Amm. c, 
 Amm. mui\ Ant. crud. Ars. Asaf. Aur. fol. Aur. 
 mur. Bar. c. Bell. Bov. Bry. Calc. c. Caps. 
 Carbo an. Carbo veg. Cham. Ghel. Chin, sulph. Cic. 
 Clem. Coloc. Con. Crot. tig. Dulc. Electr. Graph. 
 Hell. Hep. Ign. Kali c. Kreas. Lacei. Led. Lyc. 
 Magn. c. Merc. sol. Mez. Mur. ac. ^at. mur. Mtr. 
 ac. IN'ux V. Oleand. Paris. Petr. Phos. Phos. ac. 
 Plumb, met. Puis. Eanunc. rep. Rhus tox. Puta. 
 Sabad. Sabin. Sarsap. Sep. Sil. Spong. Squill. 
 Staph. Sulph. Tart. e. ThuJ. Verat. alb. Viol. tr. 
 Vip. torv. Zinc. met. 
 
 Scurfs, Black. Bell. Chin, sulph. Yip. torv. 
 
 Scurfs, Brown. Amm. c. Ant. Berb. 
 
 Scurfs, Dry. Ars. Aur. fol. Aur. mur. Ba7\ c. 
 Calc. c. Chin, sulph. Graph. Lach. Led. Merc. sol. 
 Sulph. Thuj. 
 
 Scurfs, Fetid. Graph. Lyc. Merc. sol. Plumb, met. 
 Staph. Sulph. 
 
 Scurfs, yellowish-gray. A rs. Merc. sol. Sulph. 
 
 Scurfs, Horny. Graph. Ranunc. bulb. 
 
 Scurfs, Humid. Alum. Ars. Bar. c. Calc. c. 
 Chin, sulph. Cic. Clem. Graph. Hell. Hep. Lyc. 
 Merc. sol. Mez. Oleand. Plumb, met. Ranunc. bulb. 
 Phus tox. Puta. Sep. Sil. Staph. Sulph. 
 
 Scurfs, Suppurating. Ars. Plumb, met. Sil. Sulph. 
 
472 REPERTORY. 
 
 ScuRFvS, Yellow. Ant. crud. Aur. fol. Aur. mur. 
 Cic. lod. Kreas. Merc. sol. Mez. 
 
 Small-pox, eruption livid and sinks in. Ars. Camph. 
 Rhus tox. 
 
 Spots, Black. Ars. Grotal. hor. Lack. Rhus tox. 
 Sec. Vip. red. 
 
 Spots, Blue. Amra. c Anath. muric. Aiit. crud. 
 Aym. Ars. Bar. c. Berb. Borax. Con. Crotal. hor. 
 Fere. met. Lach. Led. Merc. sol. W\t. ac. ]^ux 
 mosch. Nux v. Op. Phos. Flat. Kuta. Sulph. 
 
 SULPH. AC. 
 
 Spots, Reddish-blue. Arn. Crotal. hor. Elaps. cor. 
 Lach. Phos. 
 
 Spots, Brown. Ant. crud. Ars. Aur. fol. Berb. 
 Cann. sat. Carbo veg. Con. Crotal. hor. Hyosc. Lye. 
 J^at. mur. Nitr. ac. Petr. Phos. Plumb, acet. Plumb, 
 met. Rhus tox. Sep. Sulph. Taxus. Thuj. 
 
 Spots, as if burnt. Ant. crud. Ars. Carbo veg. 
 Canst. Cycl. Euphorb. Hyosc. Kreas. Lach. Rhus 
 tox. Sec. Stram. 
 
 Spots, Claret-color. Cocc. Sep. 
 
 Spots, Clustered. Calc. c. Calc. caust. 
 
 Spots, Confluent. Bell. Cic. Hyosc. Phos. ac. 
 Val. 
 
 Spots, Copper-color. Corall. rub. Lach. Nitr. ac. 
 Phos. Syphil. 
 
 Spots, Dirty. Berb. Sabin. Sec. 
 
 Spots, Dry. Bar. c. Eryng. Kali hyd. 
 
 Spots like fleabites. Aeon. Bell. Dulc. Graph. 
 Mez. Sec. Stram. Tart. e. 
 
 Spots, Green. Ars. Con. Crotal. hor. Vip. torv. 
 
 Spots, Hard, l^ux mosch. Yip. torv. 
 
 Spots, Hepatic. Aiit. crud. Caust. Con. Ferr. met. 
 Hj^osc. Lauro. Lyc. Merc. sol. [N'at. c. Nitr. ac. 
 Petr. Phos. Sep. Sulph. 
 
 Spots, Humid. Ant. crud. Ars. Carbo veg. Hell. 
 
REPERTORY. 473 
 
 Kalic. Lach. Led. Petr. Sabin. Selen. Sil. Sulph. 
 Tarax. 
 
 Spots, Inflamed. Ars. Hell. Kalm. 
 
 Spots, Lakge. Calc. c. Hura. bras. Lye. Petr. 
 Pbos. ac. Sabin. Tart. e. 
 
 Spots, Marbled. J5erb. Carbo veg. CausL Crotal. 
 hor. Lye. 'Nsit. mur. Plat. Thuj. 
 
 Spots, Pale-red, or rose colored. Cann. sat. Carbo an. 
 Carbo veg. Cocc. Copaiv. Rhodo. Sarsap. Sep. 
 Teucr. Vip. red. 
 
 Spots, Eaised, elevated. Calc. c. Carbo an. Dulc. 
 Kali c. Merc. sol. Plios. Puis. Sarsap. Sil. Teucr. 
 Thuj. 
 
 Spots, Ped. Aeon. Alum. Amb. Amm. c. Amm. 
 mur. Anath. muric. Ant. crud. Arn. Ars. Bell. 
 Berb. Bry. Calad. Calc. c. Cann. sat. Canth. Caps. 
 Carbo an. Carbo veg. Caust. Cham. Chel. Chin. 
 Cinnab. Cist. Cocc. Con. Copaiv. Corall. rub. Croc. 
 Cycl. Crotal. hor. Dros. Dulc. Elaps. cor. Electr. 
 Eryng. Graph. Hep. Hura bras. lod. Ipec. Kali 
 c. Kali hyd. Kalm. Lach. Led. Lye. Magn. arc. 
 Magn. c. Magn. mur. Mang. Merc. sol. Merc. viv. 
 Mez. Mosch. Nat. c. Nat. mur. ITitr. ac. N'ux jug. 
 Oleum jec. Op. Paris. Paul. pin. Fetr. Phos. Phos. 
 ac. Plat. Plumb, acet. Flumb. met. Puis. Ratanh. 
 Rhodo. Rhus tox. Rhus vern. Sabad. Samb. Sar- 
 sap. Sep. Sil. Spong. Squill. Stann. Sulph. Sulph. 
 AC. Sumb. Syphil. Tabac. Tart. e. Taxus. Teucr. 
 Thuj. Yerat. alb. Vip. red. Vip. torv. Zinc. met. 
 
 Spots, Dark-red. Bell. Berb. Calc. caust. Lye. 
 Rhodo. Taxus. Yip. red. 
 
 Spots, Red, checkered. Berb. Carbo veg. Caust. 
 Crotal. hor. Lye. Nat. mur. Plat. Thuj. 
 
 Spots, Rough. Bar. c. Merc. sol. Mur. ac. Mtr. ac. 
 Sarsap. Zinc. met. 
 
 Spots, Round. Bry. Chel. Crotal. cascav. Hura 
 
 32 
 
474 REPERTORY. 
 
 bras. lod. Led. Merc. sol. Mur. ac. ^N'at. mur. 
 Phos. Stann. Zinc. met. 
 
 Spots, Scaly, Scurfy. Ilydrocotyle. Kali c. Merc. 
 sol. ;N'itr. AC. Sabin. Sil. Tbuj. Zinc. met. 
 
 Spots, Small. Brj. Cham. Cinnab. Eryng. Hura 
 bras. Lach. Led. Lye. Magn. c. Merc. sol. Oleum 
 jec. Op. Phos. Phytol. Patanh. Sabad. Squill. 
 Stann. Sidph. ac. Tart. e. Yip. torv. 
 
 Spots, Smooth. Carbo an. Carbo veg. Corall. rub. 
 Electr. Lach. Magn. c. Petr. 
 
 Spots, Syphilitic. Hydrocotyle. Merc. sol. Syphil. 
 Thuj. 
 
 Spots, Purple, or violet colored. Merc. corr. Mtr. ac. 
 Phos. Yerat. alb. 
 
 Spots, White. Alum. Amm. c. Ars. Calc. c. Carbo 
 an. Electr. Merc. sol. ^N'at. c. Nitr. ac. Phos. Sep. 
 Sil. Sulph. 
 
 Spots, Yellow. Amb. Anath. muric. Am. Ars. 
 Canth. Con. Colch. Crotal. cascav. Elaps. corr. 
 Ferr. acet. Ferr. met. Guar, trich. Hydrocotyle. lod. 
 Kali c. Lach. Lauro. Nat. c. Petr. Phos. Biita. 
 Sabad. Sep. Stann. Sulph. Tart. e. Yip. red. Yip. 
 torv. 
 
 Spots, Bloody (like petechise). Arn. Ars. Bell. 
 Berb. Bry. Con. Hyosc. Lach. Led. [N'uxv. Fhos. 
 Rhus tox. Ruta. Sec. Sil. Stram. Sulph. ac. 
 
 Spots, Scorbutic. Anath. muric. Merc. cor. Merc, 
 sol. 
 
 Spots, Lenticular. Calc. c. Rhus tox. Yip. red. 
 
 Spots covered with rash pimples. Cham. Spong. 
 
 Spots covered with vesicles. Dulc. lod. Lach. Merc, 
 viv. Rhus tox. Spong. 
 
 Spots moist when scratched. Kali c. Sabin. 
 
 Spots covered with pustules. Lye. ^ux jug. 
 
 Spots on scalp. Ars. Kali c. Mosch. Zinc. met. 
 
 Spots on eyelids. Camph. Sil. 
 
REPERTORY. 475 
 
 Spots on nose. Aur. fol. Cale. c. lod. Piios. ac. 
 Rhodo. Taxus. Yerat. alb. 
 
 Spots on face. Aeon. Alum. Amb. Amm. c. 
 Anath. muric. Ars. Bar. c. Bell. Berb. Bry. Calc. 
 c. Carbo an. Carbo veg. Caps. Colch. Croc. Ferr. 
 acet. Ferr. met. Lach. Lauro. Lye. ' Merc. sol. Nat, 
 c. Mtr. ac. Paris. Paul. pin. Phos. Rbus vern. 
 Samb. Sarsap. Sep. Smlph. Tabac. Yip. red. Zinc, 
 met. 
 
 Spots about lips and moutL. Ars. Berb. Caust. 
 Hep. Merc. sol. Mez. Nat. c. Sulph. 
 
 Spots on chin. Nat. mur. Sep. Sil. Samb. 
 
 Spots on cheeks. Berb. Carbo an. Hurabras. Paris. 
 Samb. 
 
 Spots on abdomen. Ars. Bell. Canth. Calend. 
 Kali c. Lach. Led. Lye. Nat. mur. Phos. Patanh. 
 Sabad. Sep. 
 
 Spots on glans penis. Arn. Cann. sat. Carbo veg. 
 Cinnab. Lach. Nat. mur. Mtr. ae. Petr. Sil. Thuj. 
 
 Spots on scrotum. Calc. c. Sil. 
 
 Spots on prepu<3e. Lach. Phus tox. Thuj. 
 
 Spots on chest. Amm. c. Amm. mur. Ars. LelL 
 Carbo veg. Cinnab. Cocc. Crotal. hor. Crotal. cascav. 
 Eryng. Ipec. Lach. Led. Lye. Magn. c. Mez. 
 Nitr. ac. Phos. Phytol. Sabad. Sep. Squill. Sulph. 
 Vip. torv. 
 
 Spots on neck. Ars. Bell. Bry. Carbo veg. Cin- 
 nab. Cocc. lod. Lach. Lye. Sep. Stann. Yip. 
 torv. 
 
 Spots on nape of neck. Carbo veg. Hyosc. 
 
 Spots on scapulae. Calc. c. Cist. Lach. Sumb. 
 
 Spots on back. Lach. Lye. Sep. Spong. Sulph. 
 Sumb. Zinc. met. 
 
 Spots on arms. Ant. crud. Berb. Bry. Crotal. hor. 
 Cupr. met. Flaps, corr. Kali hyd. Lach. Led. Lye. 
 
476 REPERTORY. 
 
 Nat. mur. 'Nu.x jug. Plat. Petr. Hhus tox. Sabad. 
 SuLPH. Taxus. Thuj. 
 
 Spots on shoulders. Berb. Phos. ac. Sulph. ac. Ta- 
 bac. 
 
 Spots on forearms. Amm.c. Ant. crud. Berb. Bry. 
 Cbel. Crotal. hor. Cupr.met. Hurabras. Lach. Led. 
 Magn. mur. Merc. sol. Nat. mur, I^ux jug. Petr. 
 Sabad. Sulph. Sulph. ac. Thuj. 
 
 Spots on elbows. Calc. c. Sep. Vip. torv. 
 
 Spots on wrists. Dros. Kali c. 31erc. sol. Petr. 
 
 Spots on hands. Aeon. Bell. Berb. Corall. Dros. 
 Elaps. cor. Electr. lod. Kali c. Nat. c. Nat. mur. 
 Nitr. ac. Sabad. Sep. Squill. Stann. Tart. e. Yip. 
 torv. Zinc. met. 
 
 Spots on backs of hands. Bell. Crotal. cascav. Dros. 
 Hura bras. Phos. ac. Stann. 
 
 Spots on palms of hands. Corall. Electr. 
 
 Spots on fingers. Con. Corall. Elaps. cor. Lach. 
 Lye. Mang. Nat. mur. Phos. ac. Plumb, acet. Plumb, 
 met. Sabad. Squill. Tart. e. Zinc. met. 
 
 Spots on thighs. Amm. c. Ant. crud. Bell. Berb. 
 Cann. sat. Cycl. Electr. Graph. Lach. Magn. c. 
 Mur. ac. Ehodo. Sabin. 
 
 Spots on legs. Ant. crud. Calc. c. Calc. caust. 
 Chel. Con. Graph. Guar, trich. Hura bras. Lye. 
 Nat. mur. Nux v. Phos. Sarsap. Sil. Stann. Sulph. 
 Zinc. met. 
 
 Spots on knees. Elaps. cor. Electr. Petr. Rhus tox. 
 
 Spots on feet. Ant. crud. Ars. Hydrocotyle. Led. 
 Phos. Puis. Rhus tox. Sec. Squill. Sulph. Thuj. 
 
 Spots on toes. Lach. E'at. c. 
 
 Thick hard skin. Amm. c. Ant. Crud. Ars. 
 Borax. Cic. Clem. Dulc. Graph. Lach. Paris. 
 Ranunc. bulb. Rhus tox. Sep. Sil. Sulph. Thuj\ 
 Yerat. alb. 
 
 Tubercles in general. Agar. Alum. Amm.c. Amm. 
 
 I 
 
REPERTORY. 477 
 
 mur. Anac. Anthrak. Ant. crud. Ars. Aur. fol. 
 Bar. c. Bell. Byy. Calc. c. Caiin. sat. Canth. Caps. 
 Carhoan. Carhoveg. Caust. Chel. Chin. Cic. Coce. 
 Con. Digit. Dros. Dulc. Electr. Graph. Hell. Hep. 
 Ign. lod. Ipec. Kali c. Kali chl. Kali hyd. Kreas. 
 Lach. Led! Lye. Magn. arc. Magn. c. Magn. mur. 
 Magn. sulph. Mang. Merc. sol. Mez. Mur. ac. IsTat. 
 c. Nat. mur. Nitr. Mtr. ac. Nux v. Oleand. Op. 
 Petr. Phos. Phos. ac. Puis. Rhustox. Pata. Sabin. 
 Sec. Selen, Sep. Sil. Spig. Spong. Stann. Sfaph. 
 Stram. Sulph. Sulph. ac. Tarax. Tart. e. Thuj. Val. 
 Verat. alb. Verb. Yiol. tr. Zinc. met. 
 
 TuBEECLES, SuppuRATiNa. Amm. c. Bov. Mtr. ac. 
 
 Tubercles, Inflamed. Amm. mur. Rhus tox. 
 
 Tubercles, Raised. Oleand. Rhus vern. Yal. 
 
 Tubercles, Yellow. Ant. crud. Sulph. 
 
 Tubercles, Hard. Aram. c. Amm. mur. Ant. crud. 
 Bar. c. Bov. Bry. Con. Lach. Magn. c. Magn. 
 sulph. iNTat. mur. Phos. Rhus tox. Yal. 
 
 Tubercles, Tuberous. Nat. c. Phos. Sil. 
 
 Tubercles, Leprous. Nat. c. Phos. Sil. 
 
 Tubercles, Erysipelatous. Nat. c. Phos. Sil. 
 
 Tubercles, Red. Amm. c. Berb. Bov. Carbo an. 
 Carbo veg. Digit. Electr. Hep. Kali chl. Kali hyd. 
 Lach. Led. Magn. c. Magn. mur. Merc. sol. Mur. 
 ac. ]^at> mur. Mtr. ac. Op. Phos. ac. Puis. Sep. 
 Spig. Sulph. Thuj. Yerat. alb. 
 
 Tubercles, with red areola. Ant. crud. Cocc. Dulc. 
 Phos. 
 
 Tubercles, Ulcerating. Amm. c. Bov. Sec. 
 
 Tubercles, White. Ant. crud. Dulc. Sulph. Yal. 
 
 Tubercles discharge clear water. Graph. Magn. c. 
 
 Tubercles, Small. Mang. Mcc. c. E'uxjug. Rhus 
 tox. 
 
 Tubercles on eyelids. Aur. fol. Brj. Calc. c. Ra- 
 nunc. seel. Staph. Thuj. 
 
478 REPERTORY. 
 
 Tubercles on face. Alum. Ant. crud. Ars. Bar. c. 
 Brj. Calc. c. Cann. &at. Canth. Carbo veg. Cham. 
 Chel. Cic. Can. Digit. Dulc. Grayh. Hell. Hep. 
 Kali c. Kali hyd. Lach. Led. Lye. Magn. arc. 
 Magn. c. Magn. mur. Merc. sol. !N'at. c. E'itr. ITitr. 
 ac. Nuxv. Oleand. Puis. Thuj. Yiol.tr*. Zinc. met. 
 
 Tubercles about lips and mouth. Ars. Bar. c. Bell. 
 Bry. Caust. Con. Magn. mur. Mec. c. Sep. Sil. 
 Sulph. 
 
 Tubercles on chin. Bry. Carbo an. Euphorb. Hep. 
 Magn. mur. Oleand. 
 
 Tubercles on lower jaw. Bry. Graph. l!Tat. c. ISTux 
 V. Staph. Yerat. alb. 
 
 Tubercles about arms. Carbo veg. Hep. Ign. 
 Stann. Staph. Thuj. 
 
 Tubercles on penis. Bell. Bov. 
 
 Tubercles on labia. Calc. c. Merc. sol. Phos. 
 
 Tubercles on chest. Amm. c. Cann. sat. Caust. 
 Mang. Mcc. c. 
 
 Tubercles in axilla. Mtr. ac. Phos. 
 
 Tubercles on neck. Amm. c. Lach. Lye. Mur. ac. 
 Nice. c. Phos. Phos. ac. Sec. 
 
 Tubercles on nape of neck. Ant. crud. Carbo an. 
 Caust. Mcc. c. Zinc. met. 
 
 Tubercles on back. Amm. c. Caust. Lye. Mcc. c. 
 Squill. 
 
 Tubercles on shoulders. Crotal. hor. Kali chl. Phos. 
 Rhus tox. 
 
 Tubercles on arms. Ars. Caust. Cocc. Dulc. 
 Mang. 
 
 Tubercles on forearms. Agar. Amm. c. Mur. ac. 
 Mtr. Nux jug. Phos. ac. 
 
 Tubercles on elbows. Amm. c. Caust. Magn. c. 
 Mur. ac. 
 
 Tubercles on hands. Ars. Carbo an. Hydrocotyle. 
 
REPERTORY. 479 
 
 Kali chl. Merc, sol. Nitr. ac. Rhus tox. Rhus vern. 
 Sep. Spig. Stram. 
 
 Tubercles on wrists. Amni. c. Magn. c. 
 
 Tubercles on fingers. Berb. Caust. Coco. Con. 
 Hydrocotyle. Lach. Led. Lye. l!^at. c. Rhus tox. 
 Yerat. alb. Zinc. met. 
 
 Tubercles on feet. Carbo an. Rhus tox. 
 
 Tubercles on hips. Ratanh. Rhus tox. 
 
 Tubercles on buttocks. Hep. Mang. 
 
 Ulcers, Black. Ant. crud. Ars. Asaf. Bell. 
 Carho veg. Con. Euphorb. Ipec. Lach. Mur. ac 
 Plumb, met. Rhus tox. Sarsap. Sec. Sil. Squill. 
 Sulph. Sulph. ac. 
 
 Ulcers, Bleeding (easily). Alum. Arn. Ars. Asaf. 
 Bell. Bov. Carbo veg. Caust. Con. Croc Dros. 
 Hep. Hyosc. lod. Kali c. Kreas. Lach. Lyc. 
 Merc dulc Meyx. sol. Merc. viv. Mez. I^at. mur. 
 !N'iTR. AC. Phos. Phos. AC. Puls. Rhus tox. Ruta. 
 Sabin. Sec. Sep. Sil. Sulph. Sulph. ac Thuj. 
 Zinc. met. 
 
 Ulcers, bleeding edges. Ars. Lyc 
 
 Ulcers surrounded by blisters and vesicles. Ars. Bell. 
 Caust. Fluor, ac Hep. Lach. Merc sol. Mez. E'at. 
 c. Petr. Phos. Hhus tox. Sep. 
 
 Ulcers, Bluish. Ars. Asaf. Aur. fol. Bell. Con. 
 Hep, Lach. Mang. Merc. sol. Sec Seneg. Sil. 
 Verat. alb. 
 
 Ulcers with bluish edges. Asaf. Mang. 'Nitr. ac 
 
 Ulcers, with a blue-black or greasy ash-colored base. 
 Ars. Lach. Thuj. 
 
 Ulcers, chronic, malignant. Ars. Bar. c. Calc c 
 Carbo veg. Caust. Cham. Chel. Clem. Con. Croc 
 Crotal. hor. Graph. Hep. Kali c Lach. Lyc. 
 Magn. c Mang. Merc. sol. Mur. ac ¥at. c Nitr. 
 ac. Petr. Phos. Phos. ac. Rhus tox. Sep. Sil. Squill. 
 Staph. Sulph. 
 
480 REPERTORY. 
 
 Ulcers, chronic, old. Ampel. quin. Carboveg. Chel. 
 Crotal.hor. Cwpr.met. Euphorb. G-rapli. Hep. Lack. 
 Lye. Nux mosch. Petr. Fhos. ac. Polygon, punct. 
 Psor. Ranunc. acris. Ranunc. bulb. Panunc. seel. 
 Tart. e. 
 
 Ulcers, CoRRODiNa. . Kali bich. Merc. sol. Merc. viv. 
 Mtr. ac. Panunc. bulb. Sil. 
 
 Ulcers, Deep. Ant. crud. Ars. Asaf. Aur. fol. 
 Bell. Bov. Calc. c. Carlo veg. Caust. Chel. Clem. 
 Con. Dros. Hep. Kali bich. Kreas. Lach. Lye. 
 Magn. c. Merc. sol. Mur. ac. ISTat. c. l!^at. mur. 
 KiTR. AC. Petr, Phos. ac. Pals. Rhus tox. Puta. 
 Sabin. Selen. Sep. Sil. Staph. Sulph. Thuj. 
 
 Ulcers, Dirty. Lach. Merc. sol. I^itr. ac. E'ux 
 mosch. Sabin. T/iuJ. 
 
 Ulcers, Fetid. Amyn. c. Ars. Asaf. Bar. mur. 
 Calc. c. Carlo veg. Caust. Chin. Con. Graph. Hep. 
 Lach. Lye. Mang. Merc. sol. Mur. ac. Phos. Plumb, 
 met. Rhus tox. Sec. Sep. Sil. Staph. Vip. red. 
 
 Ulcers, Fistulous. Ant. crud. Ars. Asaf. Aur. fol. 
 Bell. Dry. Calc. c. Carlo veg. Caust. Chel. Clem. 
 Con. Hep. Kreas. Lach. Led. Lye. Merc. sol. 
 Millef. ^at. c. Nat. mur. Nitr. ac. Petr. Phos. 
 Phos. ac. Puis. Phustox. Puta. Sabin. Selen. Sep. 
 Sil. Stann. Staph. Stram. Sulph. Thuj^ 
 
 Ulcers, Flat. Amm. c. Amm. mur. Arg. Ant. 
 crud. Ars. Asaf. Aur. mur. Bell. Carboan. Carbo 
 veg. Chin. Corall. Lach. Lye. Merc. sol. Nat. c. 
 Nitr. ac. Petr. Phos. Phos. ac. Puis. Panunc. bulb. 
 Selen. Sep. Sil. Staph. Sulph. Tart. e. Thuj. 
 
 Ulcers, Gangrenous. Aeon. Ars. Asaf. Bell. 
 Chin. Con. Kreas. Lach. Mur. ac. Phus tox. Sa- 
 bin. Sec. Squill. Tart. e. Vip. red. 
 
 Ulcers, Hard. Ars. Bell. Calc. c. Puis. 
 
 Ulcers with hard edges. Arn. Ars. Asaf. Bell. 
 Bry. Calc. c. Carbo an. Carbo veg. Caust. Cham. 
 
REPERTORY. 481 
 
 Cic. Cina. Clem. Commoc. dent. Grapli. Hep. 
 Lach. Lyc. Merc. sol. Mez. I:^at. c. ITux v. Petr. 
 Phos. Phos. ac. Puis. Panunc. bulb. Sanguin. Sep. 
 SiL. Staph. SuLPH. Thiij. 
 
 Ulcers, Inflamed. Agon. Agn. Ant. crud. Arn. 
 Ars. Asaf. Bar. c. Bell. Borax. Bov. Bry. Cole. 
 c. Caust. Cham. Cina. Cocc. Colch. Con. Croc. 
 Cup. met. Digit. Galv. Hep. Hjosc. Ign. Kreas. 
 Led. Lyc. Mang. Merc. sol. Mez. I^at. c. Nitr. ac. 
 Nux V. Petr. Phos. Plumb, met. Fuls. Panunc. 
 bulb. Rhus tox. Puta. Sabin. Sarsap. Sep. Sil. 
 Staph. Sulph. Thuj. Yerat. alb. 
 
 Ulcers with maw worms. Ars. Calc. c. Merc. sol. 
 Sabad. Sil. 
 
 Ulcers, Mercurial. Alum. Amm. c. Arn. Asaf. 
 Aur. fol. Bell. Calc. c. Carbo an. Carbo veg. Cham. 
 Chin. Cist. Clem. Graph. Hep. Lach. Lyc. ITat. 
 mur. Nitr. ac. Phos. Phos. ac. Sarsap. Sep. Sil. 
 Staph. Sulph. Thuj. 
 
 Ulcers, old, torpid, indolent. Anac. Ars. Bals. peru. 
 Calc. c. Camph. Carbo an. Carbo veg. Carbol. ac. 
 Con. Dulc. Ewphorb. lod. Lach. Lyc. Mur. ac. 
 Nitr. ac. Oleand. Op. Phos. ac. Plumb, met. Poly- 
 gon, punct. Sanguin. Sep. Sil. Sulph. 
 
 Ulcers surrounded by pimples. Aeon. Ars. Asaf. 
 Carbo veg. Caust. Cham. Lach. Merc. sol. Mez. 
 Mur. ac. ^N'at. c. Petr. Phos. Pals. Rhus tox. Sep. 
 Sil. Staph. Sulph. 
 
 Ulcers with proud flesh. Alum. Ant. crud. Ars. 
 Bell. Carbo an. Carbo veg. Caust. Cham. Graph. 
 Kreas. Lach. Merc. sol. Petr. Phos. Sabin. Sep. 
 Sil. Staph. Sulp)h. Thuj. 
 
 Ulcers, Putrid. Amm. c. Ars. Asaf. Aur. fol. 
 Bell. Borax. Bov. Bry. Calc.c. Carbo veg. Caust. 
 Chel. Chin. Cic. Con. Cycl. Graph. Hep. Kreas. 
 Lyc. Mang. Merc. sol. Mez. Mur. ac. E'at. c. 
 
482 REPERTORY. 
 
 Nitr. ac. ITux mosch. ^ux v. Phos. Phos. ac. Plumb, 
 met. PuLS. Rhustox. Ruta. Sabin. Sec. Se'p. Sil. 
 Stapb. Sulph. Sulph. ac. Tbuj. 
 
 Ulcers, Pustulous. Kali bicb. Sarsap. Tart. e. 
 
 Ulcers witb red areola. Aeon. Ant. crud. Arn. 
 Ars. Asaf. Bar. c. Bell. Calc. c. Caust. Cbam. 
 Cocc. Corall. Cupr. met. Hep. Kreas. Kali bicb. 
 Lac FT. Lamb. alb. Lye. Mere. sol. Mez. Mtr. ac. 
 E'ux V. Petr. Pbos. Puis. Ranunc. bulb. Rhus tox. 
 Sabin. Sep. Sil. Staph. Sulpb. 
 
 Ulcers like " salt rbeum." Amb. Ars. Cole. Cbin. 
 Graph. Lye. Merc. sol. Petr. Pbos. Puis. Sep. 
 Sil. Staph. Sulpb. 
 
 Ulcers, Sarcomatous. Ant. crud. Ars. Cupr. met. 
 Hep. Kreas. Merc. sol. Nitr. ac. Sabin. Sulpb. 
 Tbuj. 
 
 Ulcers, Scrofulous. Ars. Aur. fol. Bell. Bov. 
 Calc. c. Carbo an. Carbo veg. Caust. Cist. Graph. 
 Hep. Lach. Lye. E"ux v. Oleum jec. Phos. Sep. 
 Sil Sulpb. 
 
 Ulcers witb tbin scurf. Ars. Grapb. Sabin. Staph. 
 
 Ulcers, Scurfy, crusty. Ant. crud. Ars. Bar. c. 
 Bell. Bov. Bry. Calc. c. Carbo an. Cie. Clem. 
 Con. Commoc. dent. Electr. Graph. Hell. Hep. 
 Led. Lye. Merc. sol. Mez. Mur. ac. ISTux v. Ole- 
 and. Paris. Phos. ac. Plumb, met. Puis. Ranunc. 
 bulb. Rhus tox. Sabin. Sarsap. Sep. Sil. Spong. 
 Staph. Sulph. Yiol. tr. 
 
 Ulcers, Shaggy. Hep. Lach. Merc. sol. Phos. ac. 
 Sil. Staph. Sulph. Tbuj. 
 
 Ulcers, Spongy edges. Ars. Merc. sol. 
 
 Ulcers, Spongy. Alum. Ant. crud. Ars. Bell. 
 •Calc. c. Carbo an. Carbo veg. Caust. Cham. Clem. 
 Con. Grapb. lod. Kreas. Lach. Lye. Merc. sol. 
 ISTitr. ae. Nux v. Petr. Phos. Phos. ac. Rhus tox. 
 Sabin. Sep. Sil. Staph. Sulph. Tart. e. Tbuj. 
 
REPERTORY. 483 
 
 Ulcers, Spotted. Arn. Ars. Con. Ipec. Lack, 
 Sulph. ac. 
 
 Ulcers, Spreading. Amm. c. Anac. Ars. Bell. 
 Borax. Calc. c. Carbo VEa. Caust. Cham. Chel. 
 Clem. Con. Cupr. met. Graph. Hep. Ign. lod. 
 Kali c. Kali bich. Kreas. Lach. Lye. Magn. c. 
 Merc. sol. Mez. Nat. c. E'at. mur. I^itr. ac. IS'ux 
 V. Petr. Phos. Plumb, met. Fuls. Ranunc. bulb. 
 Ranunc. scel. Rhus tox. Ruta. Sep. Sil. Spig. 
 Squill. Staph. Sulph. Sulph. ac. Zinc. met. 
 
 Ulcers, Suppurating. Ars. Asaf. Bar. c. Bar. mur. 
 Bell. Carbo veg. Chin. Chin, sulph. Con. Crotal. 
 hor. Dros. Hep. Lach. Mang. Merc. sol. Mtr. ac. 
 Petr. Phos. Phos. ac. Puis. Sarsap. Sil. Sulph. 
 Tart. e. 
 
 Ulcers, Swollen. Aeon. Agn. Anath. muric. Arn. 
 Ars. Aur. fol. Bar. c. Bell. Bry. Calc. c. Carbo 
 an. Carbo veg. Caust. Cham. Cic. Cocc. Con. 
 Crotal. hor. Dulc. Graph. Hep. lod. Kalic. Lamb, 
 alb. Led. Lye. Mang. Merc. sol. ^at. c. Nat. mur. 
 Nitr. ac. ISTux v. Petr. Phos. Phos. ac. Plumb, met. 
 Puis. Rhus tox. Sabin. Samb. Sep. Sil. Staph. 
 Sulph. Vip. red. Yip. torv. 
 
 Ulcers with raised edges. Ars. Asaf. Bry. Carbo 
 an. Caust. Cic. Cina. Hep. Ljc. Merc. sol. Mtr. 
 ac. Nux V. Petr. Phos. Phos. ac. Puis. Sep. Sil. 
 Sulph. 
 
 Ulcers, Syphilitic. Anath. muric. Aur. fol. Cist. 
 Merc. sol. Merc. viv. Nitr. ac. Thuj. 
 
 Ulcers, White, or white spotted. Ars. Calc. c. Con. 
 Dros. Graph. Lach. Merc. sol. Phos. Sep. Sil. 
 Sulph. Tart. e. Thuj. 
 
 Ulcers, Yellow. Anath. muric. Calc. c. Corall. 
 Mtr. ac. Plumb, met. Staph. Sulph. Zinc. met. 
 
 Ulcers, Purulent. Sarsap. Sil. 
 
 Ulcers, Superficial. Lach. Petr. Polygon, hydrop. 
 
484 REPERTORY, 
 
 Ulcers with white bases. Ars. Merc. sol. 
 
 Ulcers, Small. Lach. Mtr. ac. 
 
 Ulcers with red edges. Fluor, ac. Lye. E"ux v. 
 Petr. 
 
 Ulcers, Carious. Calc. c. Calc. phos. Lye. 
 
 Ulcers, Round, or oval. Kali bich. Tart. e. Thuj. 
 
 Ulcers with inflamed edges. Ars. Galv. Graph. 
 Merc. dulc. 
 
 Ulcers with everted edges. Anath. muric. Lye. 
 Ranunc. bulb. 
 
 Ulcers on Scalp. Anath. mur. Ars. Mtr. ac. 
 Ruta. 
 
 Ulcers on ears. Bov. Camph. Kali c. Oleand. 
 
 Ulcers on face. Anath. muric. Ars. Bry. Con. 
 lod. Lach. Merc. dulc. Merc. sol. E'at. c. Phos. 
 Phyt. Psor. 
 
 Ulcers on chin. Hep. Merc. sol. 
 
 Ulcers about mouth. Agn. Alum. Borax. Canth. 
 Gran. Hep. lod. Merc. sol. Mtr. ac E'ux v. Op. 
 Petr. Plumb, met. Staph. Thuj. Zinc. met. 
 
 Ulcers on lips. Anath. muric. Caust. Cic. Con. 
 I^at. c. Sil. 
 
 Ulcers on cheeks. Calc. c. lod. 
 
 Ulcers on abdomen. Ars. Bar. mur. Chin. Cupr. 
 Hep. Plumb, met. 
 
 Ulcers in groin (buboes?). Anath. muric. Badiag. 
 Bar. mur. Hep. 
 
 Ulcers on penis. Anath. muric. Corail. Mtr. ac. 
 ;N"uxjug. Sulph. Thuj. 
 
 Ulcers on prepuce. Corail. Hep. Merc. sol. Mtr. 
 ac. Phos. Staph. Sulph. 
 
 Ulcers on scrotum. Amm. c. Amm. mur. Aur. mur. 
 Sep. 
 
 Ulcers on labia. Graph. Tart. e. Thuj. 
 
 Ulcers on nates. Borax. Hydrocotyle. 
 
 Ulcers on mammse and nipples. Hep. Fhos. Sil. 
 
REPERTORY, 485 
 
 Ulceks on arms. Electr. Kali bich. Lach. Elius 
 tox. 
 
 Ulcers on forearms. Kali bich. Polygon, bydrop. 
 
 Ulcers on bands. Anatb. muric. Ars. Dros. Sil. 
 
 Ulcers on fingers. Alum. Ars. Carbo veg. Kreas. 
 Lye. Mang. Plat. Ranunc. bulb. Sep. 
 
 Ulcers on tbigbs. Crotal. bor. Kali c. Merc. sol. 
 Mtr. ac. Paul. pin. Sil. Tbuj. 
 
 Ulcers on legs. Anatb. muric. Ars. Bar. c. Bry. 
 Calc. c. Cantb. Carbo veg. Caust. Clem. Ipec. 
 Grapb. Hydrast. Jacar. car. Lack, Lye. Merc. sol. 
 Mur. ac. Nat. c. Nuxmoscb. Paul. pin. Pbos. Pbos. 
 ac. Pbyt. Puis. Psor. E-uta. Sabin. Selen. Sil. 
 Stapb. Sulpb. Yip. torv. 
 
 Ulcers on feet. Con. Ipec. Pbos. Puis. Selen. 
 Sulph. Zine. met. 
 
 Ulcers on soles of feet. Anatb. muric. Ars. Sep. 
 Sulpb. 
 
 Ulcers on beels. Ars. Caust. Lam. alb. Nat. c. 
 Sep. Sil. 
 
 Ulcers on toes. J.r5. Carbo veg. Graph. Mtr. ac. 
 Petr. Plat. Sep. 
 
 Ulcers on ankles. Hydrocotyle. Sil. 
 
 Varicella Acuminata. Aeon. Ant. crud. Ars. 
 Bell. Bry. Carbo veg. Caust. Cycl. Ipec. ]^at. c. 
 I^at. mur. Puls. Sep. Tart. e. Tkuj. 
 
 Varicella Agnos^. Aeon. Ant. crud. Bell. Puis. 
 Rhus tox. Sec. Sil. Tart. e. Tbuj. 
 
 Yaricell^, pocks ulcerate and will not beal. Sep. 
 Sulpb. 
 
 Yarices about anus. Alum. Amm. c. Ant. crud. 
 Ars. 
 
 Yarices of pregnant v^omen. Carbo veg. Lye. Magn. 
 aus. Millef. Puls. 
 
 Yaricose Yeins, in legs especially. Fluor, ac. Sulpb. 
 Zinc. met. 
 
486 REPERTORY. 
 
 Vesicles in general. Aeon. Alum. Amb. Amm. c. 
 Amm. mur. Anac. Ant crud. Arg. fol. Arn. Ars. 
 Aur. fol. Bar. c. Bell. Borax. Bov. Bry. Calad. 
 Calc. c. Camph. Cann. sat. Canth. Caps. Carhoan. 
 Carbo veg. Caust. Cham. Chen. Chin. Cic. Clem. 
 Coco. Coloc. Con. Crotal. hor. Cupr. met. Cjcl. 
 DuLC. Electr. Euphorb. Graph. Grat. Guaj. Hell. 
 Hej). H^^osc. Kali c. Kali chl. Kreas. Lach. Lauro. 
 Lob. Lupul. Lye. Magn. ars. Magn. c. Magn. mur. 
 Mang. Merc. sol. Mez. Mur. ac. Nat. c. 'Ea.i. mur. 
 I^at. sulph. Nitr. W\tv. ac. iJs'ux v. Oleand. Oleum 
 an. Op. Petr. Phos. Phos. ac. Plat. Plumb, met. 
 Puis. Ranunc. bulb. Ranunc. seel. Rhodo. Rhus 
 Tox. Ruta. Sabad. Sahin. Sarsap. Sec. Selen. 
 Seneg. Sep. Sil. Spig. Spong. Staph. Stram. 
 Sulph. Sulph. ac. Tabac. Tarax. Tart. e. Thuj. 
 Yal. Yerat. alb. Vip. red. Vip. torv. Zinc. met. 
 
 Yesicles contain air. Kali c. Yip. torv. 
 
 Yesicles, Black. Ars. Lach. JSTat. c. Petr. Yip. 
 torv. 
 
 Yesicles, blue-black. Ars. Bell. Con. Lach. Ra- 
 nunc. bulb. Rhus tox. Yip. torv. 
 
 Yesicles, as if from a hum. Amb. Bell. Carbo an. 
 Clem. Lye. ITat. c. Phos. Sep. Sulph. 
 
 Yesicles close together. Ranunc. bulb. Rhus tox. 
 Yerat. alb. 
 
 Yesicles, Confluent. Alum. Rhus tox. 
 . Yesicles, Cracked, breaking open. Bry. Crotal. hor. 
 Lach. Lam. alb. Lupul. Nitr. Phos. Vip. torv. 
 
 Yesicles, Erysipelatous. Amm. c. Ars. Bar. c. 
 Bell. Bry. Carbo an. Chin. Euphorb. Graph, 
 Hep. Lach. Petr. Phos. Ranunc. bulb. Rhus tox. 
 Sabad. Sep. Staph. Sulph. 
 
 Yesicles, Fistulous. Aur. fol. Calc. c. Petr. 
 
 Yesicles, Gangrenous. Aeon. Ars. Bell. Camph. 
 
REPERTORY. 487 
 
 Carbo veg. Hyosc. Lach. Mur. ac. Eanunc. bulb. 
 Sabin. Sec. 
 
 Vesicles, Hard. Lach. Phos. ac. Sil. 
 
 Vesicles, Humid. Electr. Hell. Hep. Lach. Mang. 
 Merc. sol. Phos. Ranunc. bulb. Ranunc. seel. Rhus 
 tox. Sulph. Vip. torv. 
 
 Vesicles, Inflamed. Amm. mur. Bar. c. Bell. Mtr. 
 
 Vesicles, Raised. Fluor, ac. Merc. sol. Selen. Sulph. 
 
 Vesicles, Red. Ant. crud. Calc. phos. Cic. Cycl. 
 Crotal. hor. Fluor, ac. Lach. Mang. Merc. sol. i^at. 
 c. Nat mur. Oleum an. Sil. Val. 
 
 Vesicles with red areola. Calc. caust. Cann. sat. 
 Crotal. hor. Kali c. Kali chl. ]^at. c. Sil. Sulph. 
 Tabac. Vip. torv. 
 
 Vesicles sac-shaped. Kali c. Vip. torv. 
 
 Vesicles, Sanguineous. Aes. Aur. fol. Bry. Canth. 
 Fluor, ac. Nat. mur. Sec. Sulph. 
 
 Vesicles, Scurfy. Hell. Nat. mur. Nitr. ac. Ra- 
 nunc. bulb. Sih Sulph. 
 
 Vesicles, Suppurating. Amm. mur. Aur. fol. Bov. 
 Calc. c. Carbo veg. Magn. c. Nat. c. Nitr. ac. Petr. 
 Phos. Puis. Ranunc. bulb. Ranunc. seel. Rhus tox. 
 Sarsap. Sulph. Vip. torv. Zinc. met. 
 
 Vesicles, Transparent. Kali c. Lach. Magn. c. 
 Magn. mur. Mang. Merc. sol. Ranunc. bulb. 
 
 Vesicles surrounding ulcers. Lach. Rhus tox. 
 
 Vesicles, Ulcerated. Calc. c. Caust. Graph. Merc. 
 sol. Nat. c. Sulph. Zinc. met. 
 
 Vesicles, Watery. Rell. Bov. Clem. Cupr. met. 
 Graph. Kali c. Merc. sol. Nat. c. Nitr. Oleum an. 
 Plat. Plumb, met. Rhus tox. Rhusvern. Sec. Sulph. 
 Tabac. Vip. red. Zinc. met. 
 
 Vesicles, Whitish. Amm. c. Berb. Cann. sat. 
 Caust. Clem. Electr. Graph. Hell. Hep. Lach. 
 Merc. sol. Mez. Nat. c. Phos. Sabad. Sulph. Thuj. 
 
488 REPERTORY. 
 
 Vesicles, Yellowish. Ant. crud. Dulc. Crotal. hor. 
 Mur. ac. Ranunc. seel. Rhus tox. Yip. torv. 
 
 Yesicles, Purulent. Merc. viv. Sil. 
 
 Yesicles filled with yellow water. Calc. phos. Kali 
 nit. W\i\\ Ranunc. scel. Rhus tox. Tabac. 
 
 Yesicles, Deep. Lach. Merc. sol. 
 
 Yesicles, Spreading. Kali c. Magn. c. Merc. sol. 
 Nitr. ac. 
 
 Yesicles, Corrosive. Graph. Kalic. Magn.c. Ra- 
 nunc. scel. 
 
 Yesicles, Large. Caust. Magn. mur. Phos. 
 
 Yesicles, Small. Amra. mur. Cann. sat. Fluor, ac. 
 Graph. Hell. Lach. Mang. Merc. sol. Merc. viv. 
 E'at. mur. Mtr. ac. Rhus tox. Thuj. 
 
 Yesicles on scalp. Bov. Clem. Oleum an. 
 
 Yesicles on eyelids. Magn. arc. Rhus tox. Selen. 
 
 Yesicles on ears. Alum. Chin. Rhus ven. Rhus 
 vern. 
 
 Yesicles on nose. Amm. c. Carho an. Croton tig. 
 Lach. Magn. mur. IN'at. c. Nat. mur. Mtr. ac. Petr. 
 Phos. Plumb, acet. Plumb, met. Rhus tox. Sil. 
 Yerat. alb. 
 
 Yesicles on face. Alum. Amm. c. Amm. mur. 
 Ant. crud. Aur. fol. Bar. c. Bell. Bov. Bry. Canth. 
 Carbo an. Caust. Cic. Clem. Eiiphorb. Graph. 
 Lach. Lupul. Magn. c. Mang. ]^at. c. Mtr. Mtr. 
 ac. E^at. mur. Oleum an. Petr. Phos. Plant, maj. 
 Rhus rad. Rhus tox. Rhus ven. Sep. Sil. Sulph. 
 Yal. Zinc. met. 
 
 Yesicles on and about lips and mouth. Alum. Amm. 
 c. Amm. mur. Ars. Aur. fol. Bell. Bry. Canth. 
 Carbo an. Carbo veg. Caust. Cic. Clem. Con. 
 Graph. Gum. gut. Hell. Hep. Kalic. Lauro. Magn. 
 c. Magn. mur. Mang. Merc. sol. Mez. Mur. ac. 
 I^at. c. Nat mur, Kat. sulph. Mtr. Par. Phos. 
 
REPERTORY. 489 
 
 Plat. Ratanh. Rhodo. Rhus tox. Sarsap. Seneg. 
 Sep. Sil. Staph. Sulph. Val. Yerat. alh. Zinc. met. 
 
 Vesicles on upper lip. Cic. Ratanh. Rhus veu. 
 
 Vesicles at corners of mouth. Caust. Lauro. Mez. 
 Seneg. 
 
 Vesicles on chin. Canth. Hep. ^at. c. Sarsap. 
 
 Vesicles on forehead. Canth. Plumb, acet. 
 
 Vesicles on abdomen. Caust. Merc. sol. 
 
 Vesicles on glans penis. Ars. hjdrog. Merc. sol. 
 Phos. ac. Rhus tox. Stann. Thuj. 
 
 Vesicles on prepuce. Ars. hydrog. Carboveg. Caust. 
 Graph. Merc. sol. Mtr. ac. 
 
 Vesicles on neck. Alum. Hjdrocotyle. Magn. c. 
 Vip red. 
 
 Vesicles on nape of neck. Caust. Magn c. 
 
 Vesicles on back. Caust. Graph. Lach. l!^at. c. 
 
 Vesicles on scapulae. Amm. c. Ant. crud. Caust. 
 Cic. Lach. Vip. red. 
 
 Vesicles on shoulders. Amm. mur. Ant. crud. 
 Magn. c. Mang. Rhus tox. Vip. tor v. 
 
 Vesicles on arms. Amm. mur. Ant. crud. Caust. 
 Hydrocy. ac. Kali chl. Magn. c. Mang. Merc. cor. 
 Merc. sol. ^N'at. c. Nat, mur. Puis. Sarsap. Sil. 
 Spong. Staph. Sulph. Vip. torv. 
 
 Vesicles on forearm. Caust. Lob. Sarsap. Sil. 
 Spong. Staph. Sulph. 
 
 Vesicles on hands. Ant. crud. Bov. Coutts's caust. 
 Clem.. Cocc. Hep. Kali c. Kali chl. Kali hyd. Lach. 
 Lupul. Magn. c. Merc. sol. Mez. Nat. 'mur. Phos. 
 Plant, maj. Rhus tox. Selen. Sep. Spig. Sil. Squill. 
 Sulph. 
 
 Vesicles on backs of hands. Lob. Sulph. 
 
 Vesicles on palms of hands. Bell. Canth. Rhusven. 
 
 Vesicles on wrists. Amm. mur. Merc. sol. Rhus 
 rad. Bhus tox. 
 
 Vesicles in bend of elbow, ^at. c. Sulph. 
 
 33 
 
490 REPERTORF. 
 
 Vesicles on fingers. Bell. Clem. Cupr. met. Cyd. 
 Electr. Graph. Grat. Hell. Hep. Kali c. Lach. 
 Lauro. Magn. c. Mang. Nat. c. Nat. mur. ^at. sulph. 
 Nitr. ac. Phos. Fhos. ae. Plumb, met. Banunc. scelr. 
 Rhus ven. H/ius vern. Sarsap. Sep. Sil. 
 
 Vesicles between fingers. Lob. Phos. Rhus tox. 
 
 Vesicles on thumbs. Hep. Lach. Mez. Nat. c. I^at. 
 sulph. Mtr. ac. Phos. ac. Sep. 
 
 Vesicles on hips and nates. Borax. Calc. c. Oleand. 
 Phos. ac. Rhus tox. 
 
 Vesicles on thighs. Ant. crud. Cann. sat. Caust. 
 Hyosc. E'at. c. Oleand. Sarsap. Vip. torv. 
 
 Vesicles on legs. Ant. crud. Bell. Caust. Hjosc. 
 Kali c. Mang. Staph. Vip. torv. 
 
 Vesicles on knees. Ant. crud. Carbo veg. Caust. 
 Phos. Rhus tox. Sabad. 
 
 Vesicles on feet in general. Ars. Caust. Con. Graph. 
 Lach. Phos. Selen. Sep. Tarax. Vip. torv. Zinc, 
 met. 
 
 Vesicles on soles of feet. Ars. Sulph. 
 
 Vesicles on heels. Calc. c. Caust. Lach. Lam. alb. 
 Nat. c. Petr. Phos. Sep. 
 
 Vesicles on toes. Graph. Lach. 'Nat. c. Nitr. ac. 
 Phos. ac. Rhus ven. Selen. Sulph. 
 
 Warts, Bleeding. Cinuab. Magn. aus. Nat. c. 
 Mtr. ac. Thuj. 
 
 Warts, Flat. Dulc. Lach. 
 
 Warts, Hard, horny. Ant. crud. Borax. Dulc. 
 Graph. Ranunc. bulb Sil. Sulph. Thuj. 
 
 Warts, Indented. Calc. c. Euphras Lye. Nitr ac. 
 Phos. ac. Rhus tox. Sabin. Staph. Thuj. 
 
 Warts, Inflamed. Amm. c. Bov. Calc. c. Caust. 
 Hep. Lye. Nat. c. Nitr. ac. Rhus tox. Sep. Sil. 
 Staph. Sulph. 
 
 Warts, Large. Caust. Dulc. Kali c. Nat. c. Nitr. 
 ac. Sep. 
 
REPERTORY. 491 
 
 Warts, Old. Gale. c. CausL Nitr. ac. Rhus tox. 
 Sulph. 
 
 Waets, Pedunculated. Dnlc. Lye. Thuj. 
 
 Warts, Small. Bar. c. Calc. c. Dulc. Hep. Lach. 
 Ehus tox. Sarsap. Sep. Sulph. Thuj 
 
 Warts, Suppurating, humid. Ars. Bov. Calc. c. 
 Caust. Hep. Sil. Thuj. 
 
 Warts, Ulcerated. Ars. Calc. c. ^at. c. Phos. 
 
 Warts on eyebrows. Anath. muric. Caust. 
 
 Warts on face. Caust. Dulc. Kalic. Mtr. ac. Sep. 
 Sulph. 
 
 Warts on arms. Caust. Lye. x^at. c. Mtr. ac. Sep. 
 Si]. Sulph. 
 
 Warts on hands. Anac. Berb. Calc. c. Dulc. Lach. 
 Lye. JN'at. c. ISTat mur. Nitr. ac. Phos. Rhus tox. 
 Sep. Sil. Sulph. Thuj. 
 
 Warts on palms of hands. Anac. I^at. mur. 
 
 Warts on lingers. Berb. Lach. Lye. Rhus tox, 
 Sulph. Thuj. 
 
i 
 
INDEX. 
 
 Abscess, 391 
 
 Acne, . . . 118, 125, 391 
 
 Aconite, 269 
 
 Acrodynia, .... 147 
 
 Adenitis, .... 391 
 
 Aethusa cynapium, . . 270 
 
 Agaricus muse, . . . 270 
 
 Agnus castus, . . . 271 
 
 Ailanthus glandulosa, . . 271 
 
 Alnus rubra, .... 272 
 
 Alopecia, . . 161, 173, 207 
 
 Alumina, .... 272 
 
 Ambra grisea, . . . 272 
 
 Ammonium carb., . . . 273 
 
 Ammonium mur., . . . * 274 
 
 Auacardium, .... 275 
 
 Anatherum muricatum, . 275 
 
 Angio-neurosis, . . . 220 
 
 Angustura, .... 276 
 
 Anthracinum, . . . 276 
 
 Anthrakokali, . . . 276 
 
 Antimonium crudum, . . 277 
 
 Apis mel., .... 278 
 
 Apocynum, .... 279 
 Argentum fol., . . .280 
 
 Argentum nitr., . . . 280 
 
 Arnica, 281 
 
 Arsenicum alb , . . . 281 
 
 Arsenicum hydrarg., . . 283 
 
 Arsenicum iodid., . . . 283 
 
 Arum triph,, .... 284 
 
 AsafcBtida, .... 284 
 
 Asarum, 285 
 
 Asclepias, .... 285 
 Atrophy, . . . .160 
 
 Atrophy of nails, . . . 164 
 
 Aurum fol., . . . . 285 
 
 Aurum mur., .... 286 
 
 Badiaga, . . . .286 
 
 Balsamum Peru, . . . 286 
 Baptisia, . . . .286 
 
 Baryta carb. and mur., . . 286 
 Bedsores, .... 391 
 
 PAGE 
 
 Belladonna, . . . .288 
 
 Bellis perennis, . . . 289 
 
 Berberis vulgaris, . . . 290 
 
 Boils, 391 
 
 Borax, 291 
 
 Bovista, 291 
 
 Bromine, . . . . 291 
 
 Bryonia, .... 291 
 
 Bufo, 293 
 
 Burns, 392 
 
 Caladium, .... 293 
 
 Calcarea acet. and carb., . 293 
 
 Calcarea caust. and phosph., . 295 
 
 Camphora, .... 295 
 
 Camp itch, .... 49 
 
 Cancer 392 
 
 Cannabis sat., . - . 295 
 
 Cantharis, .... 296 
 
 Capsicum, .... 296 
 
 Carbo anim. and veg., . . 297 
 
 Carbolic acid, . . . 298 
 Carbuncle, . . . .392 
 
 Carburetum sulph., . . 298 
 
 Causticum, .... 299 
 Chamomilla, . . . .299 
 
 Chelidonium, . . . 300 
 
 Chilblains, .... 392 
 
 China, 300 
 
 Chininum sulph., . . . 301 
 
 Chloasma, .... 114 
 
 Chloral hydrate, . . .301 
 
 Cicuta virosa, . . . 302 
 
 Cimicifuga, .... 302 
 
 Cina, . . . ... 303 
 
 Cinnabaris, .... 303 
 
 Cistus can., .... 303 
 
 Clematis, .... 303 
 
 Cocculus, .... 304 
 
 Coffea, 305 
 
 Colchicum, .... 305 
 
 Colocynthis, .... 305 
 Comedo, . . . .122 
 Condyloma, . . 157, 207, 393 
 
494 
 
 INDEX. 
 
 
 
 PAGE 
 
 
 PAGE 
 
 Conium, 
 
 . 806 
 
 Herpes, . 
 
 61, 395 
 
 Copaiva, 
 
 . 807 
 
 Hydrastis, 
 
 . 320 
 
 Coralliura rubrum, 
 
 . 307 
 
 Hyoscyamus, . 
 
 . 321 
 
 Cornus circinata, . 
 
 . 307 
 
 Hypericum perf.. 
 
 . 321 
 
 Corns, 
 
 . 393 
 
 
 
 Cosmoline, 
 
 . 307 
 
 Ichthyosis, 
 
 26, 158, 396 
 
 Crocus sat., . 
 
 . 307 
 
 Impetigo, 
 
 87, 204, 396 
 
 Crotalus, 
 
 . 308 
 
 Increased sebaceous 
 
 secretion, 118 
 
 Croton tigliura, 
 
 . 809 
 
 Intertrigo, 
 
 . 396 
 
 Crusta lactea. 
 
 . 393 
 
 Ignatia, . 
 
 . 821 
 
 Cundurango, 
 
 . 809 
 
 Indigo, . 
 
 . 322 
 
 Cuprum acet., 
 
 . 309 
 
 Iodine, . 
 
 . 322 
 
 Cutis anserina, 
 
 . 220 
 
 Ipecacuanha, . 
 
 . 323 
 
 Cyclamen, 
 
 . 310 
 
 Iris versicolor, 
 
 . 323 
 
 Dermatolysis, 
 
 . 154 
 
 Kali bichromicum. 
 
 . 324 
 
 Digitalis, 
 
 . 310 
 
 Kali carbonicum. 
 
 . 325 
 
 Dolichos pruriens, . 
 
 . 311 
 
 Kali hydrojod.. 
 
 . 326 
 
 Drosera, . 
 
 . 311 
 
 Kali nitricum, 
 
 . 327 
 
 Dulcamarse, . 
 
 . 311 
 
 Keloid, . 
 
 . 152 
 
 
 
 Kreasote, 
 
 . 327 
 
 Eczema, 
 
 . 30, 394 
 
 
 
 Ecthyma, 
 
 . 204, 94 
 
 Lachesis, 
 
 . 328 
 
 Epithelioma, . 
 
 . 141 
 
 Ledum palustre. 
 
 . 331 
 
 Elephantiasis Grsecoi 
 
 •um, . 145 
 
 Lentigo, 
 
 . 113 
 
 Elephantiasis Arabui 
 
 n, . . 150 
 
 Leprosy, 
 
 20, 396, 145 
 
 Electricity, 
 
 . 312 
 
 Leucoderma, . 
 
 . 113 
 
 Erysipelas, 
 
 . 393, 253 
 
 Lichen, . 
 
 15, 199, 397 
 
 Erythema, 
 
 11, 199, 394 
 
 Lobelia, . 
 
 . 332 
 
 Euphorbium, . 
 
 . 312 
 
 Lycopodium, . 
 
 . 332 
 
 Euphrasia, 
 
 . 313 
 
 Lupus, . . 1 
 
 25, 134, 138, 397 
 
 Favus, . 
 
 . 165 
 
 Magnesia, 
 
 . 335 
 
 Felons, . 
 
 . 394 
 
 Manganum, . 
 
 . 336 
 
 Ferrum met.,. 
 
 . 318 
 
 Melanoderma, 
 
 . 110 
 
 Fluoric acid, . 
 
 . 814 
 
 Melasma, 
 
 . 113 
 
 Freckles, 
 
 . 394 
 
 Miliaria, 
 
 27, 397 
 
 Fibroma molluscum. 
 
 . 153 
 
 Milium, 
 
 . 123 
 
 Fungus hsematodes, 
 
 . 895 
 
 Mercurius, 
 
 . 337 
 
 Fungus medullaris, 
 
 . 395 
 
 Morbilli, 
 
 . 222, 397 
 
 Furuncles, 
 
 . 99 
 
 Moles, . 
 
 . 397 
 
 
 
 Molluscum, . 
 
 . 123 
 
 Ganglia, 
 
 . 395 
 
 Morbus Addisonii, 
 
 . Ill 
 
 Gangrene, 
 
 . 395 
 
 Morphium, 
 
 . 341 
 
 Galvanismus, . 
 
 . 314 
 
 Muriatic acid. 
 
 . 342 
 
 Gelseminum, . 
 
 . 814 
 
 Mycosis, 
 
 . 184 
 
 Ginseng, 
 
 . 515 
 
 Myringomycosis, 
 
 . 184 
 
 Goitre, . 
 
 . 395 
 
 Mycatoma, 
 
 . 182 
 
 Granatum, 
 
 . 315 
 
 
 
 Graphites, 
 
 . 815 
 
 Nsevi materni, 
 
 . 154, 397 
 
 Gratiola offic, 
 
 . 317 
 
 Nails, diseases of. 
 
 . 163 
 
 Grutum, 
 
 . 123 
 
 Natrum, 
 
 . 343 
 
 Gummi gutti, 
 
 . 317 
 
 Nettlerasb, . 
 
 12, 398 
 
 
 
 Neurosis of the ski 
 
 n, . . 217 
 
 Helleborus, 
 
 . 318 
 
 Nitric acid, . 
 
 . 345 
 
 Heparsulph., 
 
 . 319 
 
 Norwegian leprosy 
 
 . 147, 217 
 
INDEX. 
 
 495 
 
 
 PAGK 
 
 
 PAGE 
 
 Nnx juglans, . 
 
 . 347 
 
 Secale, . 
 
 . 367 
 
 Nux vomica, . 
 
 . 348 
 
 Sepia, 
 
 . 368 
 
 
 
 Silicea, . 
 
 . 370 
 
 Oleum animale, 
 
 . 349 
 
 Small-pox, 
 
 . 237, 400 
 
 Onychia, 
 
 . 164, 207 
 
 Spigelia, 
 
 . 371 
 
 Onychogryphosis, . 
 
 . 163 
 
 Spongia, 
 
 . 372 
 
 Onychomycosis, 
 
 . 182 
 
 Staphysagria, . 
 
 . 373 
 
 Opium, . 
 
 . 350 
 
 Stramonium, . 
 
 . 374 
 
 Oxalic acid, . 
 
 . 351 
 
 Styes, . 
 
 . 400 
 
 
 
 Sulphur, 
 
 . 375 
 
 Papillary tumors, . 
 
 . 155 
 
 Sudamina, 
 
 . 27 
 
 Pellagra, 
 
 . 147, 217 
 
 Syphilis, 
 
 . 195, 400 
 
 Pemphigus, . 
 
 398, 80, 203 
 
 Syphilitic ulcers, . 
 
 . 206 
 
 Petroleum, 
 
 . . 352 
 
 Symptoms, objectiv 
 
 e, . . 402 
 
 Phosphorus, . 
 
 . 353 
 
 Syphilinum, . 
 
 . 378 
 
 Phthiriasis, . 
 
 . 193 
 
 
 
 Pityriasis, 
 
 . 398, 24 
 
 Tabacum, 
 
 . 379 
 
 Plica polonica, 
 
 . 398, 184 
 
 Tartarus emet., 
 
 . 380 
 
 Porrigo, 
 
 . 398, 30 
 
 Tellurium, 
 
 . 381 
 
 Phytolacca, . 
 
 . 355 
 
 Thuja occid., . 
 
 . 381 
 
 Plumbum, 
 
 . 357 
 
 Tinea, . 
 
 170-178, 400 
 
 Psorinum, 
 
 . 357 
 
 Typhus, 
 
 . 257 
 
 Prurigo, . 39^ 
 
 3, 18, 190, 218 
 
 Tumor, cystic, 
 
 . 401 
 
 Psoriasis, 
 
 20, 201, 399 
 
 
 
 Prairie itch, . 
 
 . 49 
 
 Ulcers, . 
 
 . 206, 401 
 
 Plaques muqueuses. 
 
 . 207 
 
 Ulcus rodens. 
 
 . 141 
 
 Pulsatilla, 
 
 . 358 
 
 Urticaria, 
 
 12, 217, 398 
 
 Purpura, 
 
 . 108, 399 
 
 Urtica urens, . 
 
 . 383 
 
 Pustula maligna, . 
 
 . 105 
 
 
 
 Pustula d'Aleppo, . 
 
 . 107 
 
 Valeriana, 
 
 . 383 
 
 
 
 Variolinum, . 
 
 . 384 
 
 Eanunculus, . 
 
 . 359 
 
 Variola, . 
 
 . 237, 400 
 
 Khododendron, 
 
 . 360 
 
 Varioloid, 
 
 . 248 
 
 Khus rad. and tox,, 
 
 . 361 
 
 Varicella, 
 
 . 401, 249 
 
 Khus vernix and ven 
 
 , . .364 
 
 Vaccinia, 
 
 . 250 
 
 Roseola, . 
 
 11, 199, 399 
 
 Varices, . 
 
 . 402 
 
 Rubeola, 
 
 . 222 
 
 Verrucse, 
 
 . 249, 402 
 
 Rumex, . 
 
 . 365 
 
 Veratrum, 
 
 . 384 
 
 Rupia, . 
 
 86, 203, 399 
 
 Vinca minor, 
 
 . 385 
 
 
 
 Viola, . 
 
 . 386 
 
 Sabadilla, 
 
 . 365 
 
 
 
 Sabina, . 
 
 . ■ 366 
 
 Warts, . 
 
 . 249, 402 
 
 Sanguinaria, . 
 
 . 366 
 
 Wens, . 
 
 . 402 
 
 Sarracenia, 
 
 . 366 
 
 
 
 Sarsaparilla, . 
 
 . 367 
 
 Xanthoderma, 
 
 . 113 
 
 Scabies, . 
 
 . 399, 185 
 
 Xeroderma, . 
 
 . 134 
 
 Scarlatina, 
 
 . 225, 399 
 
 
 
 Scaldhead, 
 
 . 170, 399 
 
 Zoster, zona, . 
 
 . 72, 217 
 
 Scrofulo.^is, 
 
 . 216, 400 
 
 Zincum, 
 
 . 386 
 
 Seborrhcea, 
 
 . 118 
 
 Zymosis, 
 
 . 221 
 
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