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The Science of Therapeutics - Classical Homeopathy Online

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Full text <strong>of</strong> "<strong>The</strong> <strong>Science</strong> <strong>of</strong> <strong>The</strong>rapeutics: According to the Principles <strong>of</strong> Homeopath...Page 424 <strong>of</strong> 653This affection which is likewise described under the name <strong>of</strong>pompholix, is characterized by the formation <strong>of</strong> large blisters. Iorigin, especially that <strong>of</strong> the acute form, is involved in obscuriwhereas the chronic form is evidently traceable to a constitutiontaint, which is so much more probable as the chronic form <strong>of</strong> thisexanthem is so apt to terminate fatally.Pemphygus may represent an acute affection, but, as such, is <strong>of</strong>very rare occurrence; we do not consider it necessary to devote amore space to it.Chronic pemphygus most generally commences without fever;nevertheless in cases where the disease consists <strong>of</strong> several succecrops <strong>of</strong> blisters, with intermediate free intervals, it <strong>of</strong>ten hapthat each special eruption sets in with some fever and pains in tlimbs. <strong>The</strong> disease commences with the breaking out <strong>of</strong> lentilsized red spots, attended with itching and burning; soon a whiteappearance is perceived in the middle <strong>of</strong> the spot, which increaserapidly in size, and forms the blister; this sometimes remains qusmall, and at other times grows to one inch and a half in diamete<strong>The</strong> blisters are filled with a clear fluid, very tense, break vereasily, after which no incrustation forms, but the detachM and drepidermis separates, leaving for some time a moist excoriation, s502 Diseases <strong>of</strong> the Skin.that a blister runs its whole course in about a fortnight. Inasmuas the blisters seldom cease to form after their first, appearancthe contrary new blisters form almost every day, the disease maybecome very much protracted and all the stages <strong>of</strong> the pemphygusdisease may be seen and observed on the same patient. Pemphygusis most frequently seated on the leg, blisters may, however, breaout over the whole body. <strong>The</strong> course <strong>of</strong> the eruption varies greatlEither the blisters come out in crops separated by intervals <strong>of</strong>weeks or even months; — this is a comparatively favorable sign;or else the aftection commences with a few'or with only one blistnew blisters continuing to form, which involves a loss <strong>of</strong> serousplasma that may, after a lapse <strong>of</strong> time, lead to gradual emaciatiohectic fever and death. At all events pemphygus is one <strong>of</strong> themost obstinate and at the same time one <strong>of</strong> the most dangerouscutaneous affections. This statement, however, only applies to thabove-described form, not to the pemphygus which, like theecthyma-pustule, sometimes breaks out as a secondary symptom <strong>of</strong>other cutaneous affections and a variety <strong>of</strong> other acute diseases,and which has no particular significance.TrecUment. Considering the importance <strong>of</strong> this exanthem, weare not particularly blessed with reliable remedies for it. We macompare : CantharideSj Causticum^ Kreosotum^ LachesiSy ThdcaiyiarJRhus toxicodendroriy Banuncvlus bidbosus and sceleratus^ Secalenutum. <strong>The</strong>se remedies are theoretically indicated by our provingsbut, so far as we know, not one <strong>of</strong> them has yet cured a single ca<strong>of</strong> this disease. We doubt very much whether Dulcamara iscapable <strong>of</strong> doing any thing for such a deep-seated constitutionaldisorder. Lachesis <strong>of</strong> all other remedies has the best and mostmarked symptoms. Mercwias seems to be in curative rapport withpemphygus. Some years ago we saw in Vienna a woman who forseveral years had been a nurse in one <strong>of</strong> the sections for syphilihttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt

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