Dr. Hancock on Sarsapm tlla. 73 



to mean nothing more than a flow or prevalence of acrimonious 

 humours in the body, — the same as appears to have been under- 

 stood by the Greeks in their p*opart£w or rhtumatizo, — afflicted 

 with humours — " rlieumatismes CJneci Huxiones vocant." Plin. 



There is a scrofuloid species of ulcer which more frequently 

 infests the negroes; appearing in different parts of the body, but 

 more especially about the lower extremities, arising with a 

 whitish head, remaining; stationary for a long time, and when 

 opened, mostly found to contain a curdy matter. In its rise, 

 progress, and structure, it has a close analogy with tubercles of 

 the lungs. It is of a most intractable nature; and usually re- 

 quires, as a preliminary, the application of a strong escharotic. 

 There are varieties of this ulcer; some of which, on being 

 opened, shew plainly the hydatid form, or half-organized struc- 

 turt- ; in different stages, sleatomatoits, curdy, purulent, &c. : 

 they are encysted, and are doubtless animalcules. In their more 

 perfect state, plano-convex, or shape of a coffee seed, marked 

 with a sort of umbilicus, or black dot, on the Hat side. Some 

 of the old women in Demerara shew a surprising degree of pa- 

 tience in picking out these troublesome subjects, to which they 



e tli. name of tetter ring-worms. 



Mercurial salhations may cause these ulcerous tumours or tu- 

 rn In al, hut tiny soon break out again, without the timely 

 u-<- .,i Sams, which is almost the only remedy ire know of 

 that will heal them with any degree of permanence; and of this 

 w. usually find a loag course is required. The nitric acid and 

 antiinonials were found greatly to contribute to the sanative 

 and not onl\ in this species, but in most other illiterate 

 ulcerations M (MWIMW in the Colonk 



It was in the course of my practice in those anomalous and 



inveterate complaint*, that I perosived the absolute necessity of 



attending to the doSM "I medicines in a d e gree too rarely 

 noticed and too little insisted on liv medical writers. I especially 

 allude to the necessity of watching the results and augmenting 

 the dote* of the remedies till smile sensible elicits are produced 

 SI tin lygfc m W lii ii that r lufficU ntl\ apparent, the nun dy, 



