GENERAL DISEASES. 89 



Morbid Anatomy. — The external lesions are always 

 present. The sheath is infiltrated with serous exudation, 

 giving it a yellowish, hard, homogeneous appearance when 

 cut into. The penis, especially the glans, is also infiltrated, 

 and the mucous membrane of the vesiculse seminalis is red 

 or violet coloured, and contains a purulent matter. 



The testicles are sometimes enlarged, and contain yellow 

 serosity; they may be atrophied. The uterus contains 

 yellow or brown coloured muco-purulent matter; the kid- 

 neys are sometimes normal, but sometimes enlarged, and 

 contain a white albuminous substance. The membrane 

 of the bladder is thickened, ecchymosed, and of a reddish 

 brown colour. The muscles and bones are friable; the 

 coxo-pubic and femoral ligaments are red, thickened, soft- 

 ened, and may be ruptured. 



The synovial fluid of the joints is abundant, cloudy, and 

 dark-coloured. The cartilages are soft and yellow. The 

 sub-glossal, sub-lumbar, mesenteric glands, and those near 

 the genitals are enlarged, yellow or reddish, and often 

 contain pus. The spinal cord, especially in the lumbar 

 region, is sometimes softened. The sub-arachnoid fluid of 

 the brain is increased, and according to some the brain 

 itself is in a degenerate condition. 



The sacro-sciatic nerves and lumbar plexus are infiltrated 

 with serum. 



The sinuses of the head often contain a yellow oily 

 matter. The blood is much altered^ and is fluid and 

 deficient in fibrin. 



Treatment. — M. Trelut gives fibrin, 5xv., as an electuary, 

 or in gruel as a drench, in the morning ; also, turpentine, 

 5v. — vii. ss., every second morning with the drench. 



From 5i. — ii. ss. of reduced iron, alternated with gr. 

 XV. — xxx. of white arsenic, is given in addition. Food 

 of the most nutritious kind is allowed. M. Trelut after- 



