The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 461 of 653chronic buboes.The acute bubo seldom develops itself in the second to the sixthweek after the appearance of the primary ulcer, seldom at an earlperiod, and likewise seldom after the cicatrization of the ulcer.generally breaks out after simple chancre, and is most likely tomake its appearance if the chancre is located close to the frenulIrritating the ulcer, most likely favors the development of a bubAt a spot in the bend of the groin, the patient, especially wheamoving the part briskly, experiences a pain which is very muchaggravated during contact, although the inflamed gland can scarceyet be felt. It generally grows rapidly in size, is very painfulmay reach the size of a goose-egg. It adheres to the integuments,hence is not moveable, and the integuments soon show a red color.Suppuration does not take place very rapidly ; fluctuation is nevperceived over a large surface, because resolution only takes plafragmentarily. The spontaneous breaking of the abscess takesplace with much dilEculty ; after its discharge the truly virulenbubo forms an ulcer with all the characteristics of chancre, thesecretion from which is infectious. A bubo very seldom arises froa simple sympathetic irritation of the lymphatic gland. In thelatter case, a cure mostly takes place very speedily, whereas informer case the healing process is very tardy, and the swelling mremain even a long time after the wound is closed. An extensionof the inflammatory process to the surrounding cellular tissue, eCO the peritonaeum ; the formation of fistulous canals and a descsion of the pus are not unfrequent occurrences. These bad resultsgenerally occur if the bubo is lanced prematurely. We shall reverto this subject when we come to speak of the treatment of syphiliThere is no difllculty in diagnosing the true nature of a bubo, ecept after the chancre is healed without leaving a scar, or if thbubo develops itself without any previous chancre. A characteristcircumstance in the history of a syphilitic bubo is, that it almoalways breaks out below Poupart's ligament.Syphilis. 647The chronic, indolent bubo runs a slow course ; it comes on without pain and is very obstinate ; it is distinguished from an acutbubo by the circumstance that it only occurs in connection with aindurated chancre, and is not, like an acute bubo, confined mostlto one gland, but involves a number of them. The swelling progresses very slowly ; a single gland does not attain any considersize, but from several glands swelling close together, a large, hbunchy tumor is formed. Single glands very seldom terminate insuppuration ; if this happens, pus forms very slowly, the sides othe abscess are very slack, and a whole gland is transformed intopurulent matter. Very seldom the inflammation attacks the surrounding parts. Whereas an acute bubo does not justify theconclusion that secondary phenomena will certainly make theirappearance, an indolent bubo is almost invariably succeeded bythem. ^A catarrh of the mucous lining of the urethra or vagina does notvery frequently accompany the primary ulcer. Chancres in theurethra may run their course without a sign of gonorrhoea, or elsthe gonorrhoea may be very violent and painful. To account forthe latter case, the doctrine has been started that there is a dohttp://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt