LUES VENE-REA. 



«rpan appear confiticrably enlarged. Tlie fame writer ob- 

 serves, that the ulceration on the iiillJe of the prepuce will 

 fometiines increafe, and run between the fliui and the body 

 of the penis, and eat holes through in different places, till 

 the whole is reduced to a number of ragged fores. The 

 glans often (hares the fame fate, till more or iefs of it h 

 gone. Frequently, the urethra in this fituation is wholly 

 deftroyed by ulceration, and the urine is difcharged fonie 

 way farther back. The ulceration, if unchecked, at length 

 deltroys all the parts. In tliis acute cafe, prompt relief is 

 demanded ; but often the proper mode of treatment cannot 

 be at once determined, owing to our ignorance, in refpedl 

 to the exatl nature of the peculiar caufe of the difeafe. 

 Mr. Hunter ftates, that the decoclion of farfaparilla is often 

 of fervice, when given in large quantities, and that he lias 

 known the German diet-drink effe<£f a cure, after every 

 other remedy had failed. 



_ Mr. Hunter alfo dates, that the extraft of hemlock is 

 Jometimes of fervice, and that lie has known Ica-bathiiig 

 effett a perfecl cure. 



Sometimes, when fuch fores are healing, it becomes ne- 

 ceffary to keep the orilice of the urethra from clofing, by 

 the introdudion of a bougie. 



Sometimes, after a chancre has healed, the cicatrix breaks 

 cut again, and puts on the appearances of the preceding 

 lore. Occafionally, fimilar difeafes break out in different 

 places .frfim that of the cicatrix. Mr. Hunter reprefents, 

 that they differ from a chancre in generally not fpreading 

 fo fad, nor fo far ; in not being fo painful, nor fo" much 

 i.'iflamed ; in not having fuch hard bales, as venereal fores 

 have ; and in not producing buboes. This writer was of 

 opinion, that they were not venereal. They are very apt 

 to recur. 



Mr. Hunter does not fpecify any particular mode of cure 

 for all thefe cafes; but he mentions one inftaiice, which 

 feemed to be cured by giving forty drops of the lixivium 

 faponarium, every evening and morning, in a bafin of broth; 

 and he adverts to another caie, which was permanently cured 

 by fea-bathing. 



In fome inllances, after a chancre has healed, the parts, 

 as Mr. Hunter remarks, do not ulcerate; but appear to 

 become thickened and indurated. Both the glans and pre- 

 puce feem to fwell, fo as to form on the end of the penis a 

 tumour, or excrefcence, fhaped very much like a cauli- 

 flower, and, when cut into, ("hewing radii, running from 

 its bafe, or origin, towards the external furfacc. It is 

 extremely indolent. It is not always a coufequehce of 

 the venereal difeafe ; for Mr. Hunter has feeii it arife fpou- 

 taneoufjy. 



No medicine feems to be at a'l likely to cure the difeafe : 

 the only fuccefsfu! means is to amputate a cotifiderahle part 

 of the penis, and then to keep a proper catheter introduced 

 into the urethra. 



Warts. — Chancres often induce a difpofition to the 

 formation of warts on the penis. We- have m a former 

 column dated our belief, that they are not venereal, 

 though fometimes curable by mercury. Hunter feems 

 to think them not Typhi itic, and we never have feeu any 

 which could not be cured without mercury, and this with- 

 out the continuance of the original difeafe in any other 

 form. 



Thefe fubdances are excrefcences from the body, they 

 are not to be confldered as truly a part of the animal, not 

 being endowed with the common, or natural animal powers. 

 Many trifling circumtlances make them decay. An inflam- 

 mation of the found parts round the wart, or ftimuli applied 

 to its furface, will often make it die. Eletlritity will alfo 



induce an aftion in fucli excrefcences, which tliey are not 

 able to fupport ; an inflammation is excited round them, 

 and they drop ofl. 



From this account, we mud perceive, according to Mr. 

 Hunter, that the knife and efcharotics are not always ne- 

 ceffary, although thefe modes will aA more quickly than 

 any other, efpecially when the neck of the wart is fmall. 

 When fuch is the form of the excrefcence, perhaps a pair 

 of fciflars is the bell inllrument ; but, fays the above didiii- 

 guidied writer, when cutting inftrumeuts of tiny kind are 

 horrible to the patient, a filk thread, tied round the neck of 

 the wart, will do very well. However, whichever plan \i 

 adopted, it is in general necelfary to touch with cauftic the 

 bafe of the little tumour, after this has feparated. 



Mr. Hunter remarks, that efcharotics att upon warts in 

 two difforent ways, iva. by deadening a part, and lUmulat- 

 ing the remainder, fo that, by the application of cfcharotic 

 after efcharotic, the whole excrefcence decays moderately 

 fad ; and it is feldom neceffary to deftroy them down to the 

 very root, which is often thrown off. This, however, is 

 not always the cafe, and the wart grows ag»in, in which 

 circumdance, it is proper to let the caullic deftroy even 

 the root ilfelf. 



The kali purum cum calce viva, lunar caullic, and blue 

 vitriol, are all proper applications. But one of the bell 

 ilimulants is the aerugo xris and powder of faviM-leavcs, 

 mi.\ed together. 



Trcalmait of Bulocs. — W'^hen a bubo is certainly a venereal 

 one, and only in an inflamed llatc, an attempt is to be made 

 to relolve the f.velling. The propriety of the attempt, how- 

 ever, depends on the progicfs which the difeafe has made. 

 If the bubo be verv large, and fuppuration appears to be 

 near at hand, refolution is not likely to be effected. When 

 luppiiration has already taken place, Mr. Hunter much 

 doubted the probability of any fuccefs attendnig the endea- 

 v^iur, which now might poflibly ouiy retard t!ie fuppuration, 

 and prutratl the cure. 



The refolution of thefe infl.imrr.ations, fays Mr. Hunter, 

 depL-nds principally on mercury, and almoll abf jlutely ou 

 the quantity which can be made to pafs through them. 

 Wiien fuppuration has taken p'ace, the cure alfo depends oo 

 the lame circumilances. 



I'he quantity of mercury, which can be made to pafs 

 through a bubo, i.s reprefented by Mr. Hunter as depending 

 principally on the quantity of external furface for abforption 

 beyond the bubo. 



The mercury is to be applied to fuch furfaces as allow 

 the remedy, when abforbed, to, pafs through the difeafed 

 glaiid. In th:s manner, the difeafe in the groin is fub- 

 dued, and the conditution is lels liable to be contami- 

 nated. 



However, Mr. Hunter accurately notices, that the fitua- 

 tiua of many buboes is fuch, as not to liave much furface 

 for abforption beyond them ; for iiidancc, the buboes on 

 tbe body of the penis ariling from chancres on the glands, 

 or prepuce. 



W'hen the bubo is in the groin, Mr. Hunter recommends 

 furgeona to pay attention to whether the fwelhng is in the 

 upper part of the thigh and groin, on the lower part of the 

 belly, before Pouparl's ligament, or near the pubes. When 

 the buboea are lituated on the body cf the penis, the ab- 

 forbents leading diredtly from the feat of abforption are 

 theinfelves difeafed. W.hen the bubo is in the groin, and 

 at the upper part of the thigh, we may conc'ude that the 

 lymphatics, both from tlie penis and thigh, fun to the af- 

 fected gland. When the bubo is high up, or on the lower 

 part of the belly, before Poupait's ligament, probably the 



abfoibeutSj 



