no CULPEPER’s ENGLISH PHYSICIAN, 
Or CHANCRES.. 
| CHANCRES are fuperficial, callous, eating, ulcers; which may happen either 
with or without a gonorrhcea. They are commonly feated about the glans, and 
make their appearance in the following manner: firft a little red pimple arifes, 
which foon becomes pointed at top, and is filled with a whitifh matter inclining to 
yellow. This pimple is hot, and itches generally before it breaks: afterwards it 
degenerates into an obftinate ulcer, the bottom of which is ufually covered witha 
vifcid mucus, and whofe edges gradually become hard and callous. Sometimes the 
firft appearance refembles a fimple excoriation of the cuticle; which, however, if 
the caufe be venereal, foon becomesa true chancre. A chancre is fometimes a 
primary affection, but it ismuch oftener fymptomatic, and is the mark of a con- 
firmed lues. Primary cancres difcover themfelves foon after impure coition, and 
are generally feated in parts covered with athin cuticle, as the lips, the nipples of 
women, the glans penis of men, &c. When venereal ulcers are feated in the lips, the 
infection may be communicated by kiffing. When achancre appears foon after 
impure Coition, its treatment is nearly fimilar to that of the virulent gonorrhcea, 
The patient muft obferve the cooling regimen, lofe a little blood, and take fome 
gentle dofes of faltsand manna. The parts affected ought frequently to be bathed, 
or rather foaked, in warm milk and water, and, if the inflammation be great, an 
emollient poultice or cataplafm may be applied to them. This courfe will, in moft 
cafes, be fufficient to abate the inflammation, and prepare the patient for the ufe of 
“mercury. Symptomatic chancres are commonly accompanied with ulcers in the 
throat, nocturnal pains, fcurfy eruptions about the roots of the hair, and other fymp- 
toms of a confirmed lues. Though they may be feated in any of the parts mentioned 
above, they commonly appear upon the private parts, or the infide of the thigh. 
_~Phey are alfo lefs painful, but frequently much Jarger and harder, than primary 
chancres. This diforder is ufually attended witha ftranguary or obftruction of urine, 
a Bhymofis, &c. Aftranguary may be occafioned either bya {pafmodic conftri€tion, 
nam nation of the urethra and parts about the neck of the bladder. In the 
.~ e, the patient begins to void his urine with tolerable eafe; but, asfoon as ~ 
it tout hes the galled or inflamed urethra, a fudden conftri&tion take place, and the 
ine is avoided by fpirts, and fometimes by drops only. When the ftranguary is 
owing to an. inflammation about the neck of the bladder, there is aconftant heat and 
uneafinefs of the part, a perpetual defire to make water, while the patient can only 
render a few drops, and a troublefome tenefmus, or conftant inclination to go to ftool. 
When the ftranguary is owing to fpafm, fuch medicines as tend to dilute and blunt. 
the falts of the urine will be proper. For this purpofe, befides the common diluting 
liquors, 
