38 Salisbury, 



fullybuilt man, weighing about 185 pounds. Had syphilis about three 

 years previous; since then has had more or less secondary and 

 tertiary trouble, in the shape of mucous patches and wandering 

 pains, especially in shinbones and front part of cranium. Is low- 

 spirited, languid, and has an uneasy feeling about the heart, with 

 palpitation on excitement. Blood contains the C. syphilitica in 

 considerable quantity. The specimen, Fig. 6, was found in the 

 blood of this patient. It is unusual to find so long a filament in 

 the blood, and one so evenly coiled. The blood also contains 

 considerable cystine and stelline. Placed him on the following 

 treatment: I^. — Pil. hydrarg. prot. iodid. V4 gr. each, No. xxx. 

 S.— Take a pill two hours after each meal. Ei-. — Sulphur 5iij; 

 potass, iodid. 5vj ; potass, bromid. 5ij ; wine Colchicum (seeds) ^j; 

 tr. cinchona comp. ^vj. — M. S.— Take a teaspoonful before each 

 meal. I^. — Quiniae sulpli. 5ijss; acid, nitro-mur. dilut. ^vj. — M, 

 S. — Put a teaspoonful in half a pint of warm water, and wash 

 the body and limbs all over every night on retiring, and wipe 

 dry afterwards. Continued this treatment for four weeks. I then 

 dropped the hydrarg. prot. iodid. , and gave in its place a two- 

 grain quinia pill and twenty drops of tr. ferri chlorid. in a glass 

 of water, two hours after each meal. Under this treatment he 

 improved rapidly. He is still taking the medicine. Lives on 

 plain diet, avoiding all sweets, acids, and stimulants. Blood at 

 the present writing (July 27, 1867) is almost entirely free from 

 the spores and filaments of the C. syphilitica, the mucous patches 

 and pains and aches are all gone, and he feels well. 



Case III. — Mrs. K. called for treatment May 1, 1867; age, 36; 

 pale, anaemic, and feeble ; has not had her courses for four months ; 

 has been sick for the last four years. Does not know that she 

 has had syphilis, and hence did not question her so as to excite 

 suspicions. Found that in the early part of her sickness she had 

 severe ulceration of womb and vulva, with swellings in groin, and 

 considerable leucorrhoea, for which she was treated locally. About 

 three months after this, blotches appeared over the whole body; 

 these were followed by hard swellings, many of which resulted 

 in sores. Her mouth and throat were ulcerated and very sore. 

 These manifestations of secondary trouble gradually passed away 

 under treatment. At the time of her visit to me the surface of 

 the body was smooth, but had a few mucous patches on roof of 

 mouth and in fauces. Had a severe cough, with pains in chest, 



