The Science of Therapeutics - Classical Homeopathy Online

Full text of "The Science of Therapeutics: According to the Principles of Homeopath...Page 462 of 653infection with the chancre as well as the gonorrhoeal virus. Thisis not necessary to account for the gonorrhoea, for a chancre inurethra may very readily give rise to extensive urethritis; if itdoes not, the cause must be the different degrees of irritabilitythe mucous lining of different individuals. The secretion of a chcrous gonorrhoea is characterized by a strong, very offensive smeCondylomata are vegetations of the skin belonging to primaryas well as to secondary syphilis, but they may likewise occur incombination with gonorrhoea without chancre. We will devote afew general remarks to them in this place.There are two pretty essentially distinct species of condylomata,the soft, humid condyloma with a broad base, and the acuminatedcondyloma.Soft condylomata very frequently accompany primary syphilis ;secondary syphilis is almost always accompanied by them. Theyare seated on the integuments of the sexual organs, on the glans,thighs, scrotum, in the intergluteal fold, on the external pudendand in the vagina, in general in localities where two folds of inument s^e exposed to frequent frictions against each other. Theyare flat risings, very little or not at all injected, covered bythin epidermis, very soft to the feel, and moistened with a scant648 Acute and Chronic Contagious Diseases.muco-purulent, and most generally disagreeably smelling secretionBy growing the isolated condylomata may unite and rise to a considerable height. The exulcerations and the deep rhagades on theisurface impart to the skin that covers them a peculiar ulceratedand split appearance, which is most strikingly noticed at the anuThe period when these vegetations break out, differs a good dealthey come most speedily with an indurated chancre, more particularly, if the primary ulcer is accompanied by profuse blennorrhcea.Acuminated condylomata occur less frequently as accompanimentsof chancre, more commonly as accompaniments of gonorrhcBa ; theygrow more especially on places that are continually bathed by thepoisonous secretion, hence in the same localities where the softdylomata are chiefly seated, principally on the glans and prepucein the female urethra, and at the entrance of the vagina. Theirpresence does not always imply the existence of a general infectiAs a rule, they have a cauliflower-shaped appearance, are coveredwith a hard epidermis, are seated on a narrow base, are sometimespedunculate or, in consequence of being flattened by a pressure oboth sides, have a cock's-comb shaped appearance. They often showa great tendency to grow like fungi, in which case they exhibitconsiderable vascularity ; they may reach the size of a man's hanIf they are seated between the glans and prepuce, and of sufficiesize, they may cause a great deal of suffering in consequence ofbeing pressed upon and pulled at. They never suppurate, nor arethey ever fissured, except by the action of direct force. "Whenhealing, they sometimes disappear quite suddenly, sometimesdecline gradually.b. Secondary Syphilis,http://www.archive.org/stream/sciencetherapeu00kafkgoog/sciencetherapeu00kafkgoog_djvu.txt