292 
PATHOLOGY, 
hereditary predifpofition confifts in a peculiar crafts of the 
blood. But this is fo far from proved, that the opinion 
that the ftate of the nervous fyften: conftitutes predifpo- 
fttion has the molt fupporters. Thus it is faid by Dr. 
Parr (fee his article Cancer), that in fix cafes in which 
he found cancer heal, the famedifeafe broke out in other 
parts; or apoplexy, enteritis, &c. fupervened. This 
proves nothing ; or, if any thing, rather againlt the pro- 
pofition of the cacheCtic origin of the malady. For, as 
to the occurrence of cancer in another part when an old 
cancer is healed, does this prove the blood difeafed ? does 
not the fame thing follow the healing of Ample ulcers, 
and the reduction of common phlegmon ? yet no one will 
refer thefe maladies to difeafed blood. Arid again ; how 
does it happen that apoplexy and enteritis follow the cure 
of cancer? according to this mode of argument, cancer of 
the brain or bowels lhould enfue ! 
At prefent no remedy for cancer is known ; nor has 
any plan of treatment been laid down for its early ftages 
which fhould warrant us in negleCting to urge, with all 
the eloquence we are matters of, the extirpation of the 
difeafed part. Previous to amputation of the breaft, 
however, much care will be requifite to regulate the di- 
geftive organs, the ftate of fulnefs of the fanguineous 
fyftem, and, in women, above all, that of the catamenial 
flux. Dr. Good makes two varieties of this l'pecies. 
ct.-C. pullulans: granulating occafionally, and giving 
delufive.hopes of a cure ; pains paffable. 
( 3 . C. fpongiofus, (Fungus hasmatodes, Wardrop :) 
■with fungous and bleeding excrefcences ; heat and pain 
violent. 
The latter difeafe was firft defcribed by Mr. Hey, in 
his Practical Obfervations in Surgery. “ ft is a bloody 
tumour, which forms in every part of the body : painful 
when feated in the mufcles ; but producing little incon¬ 
venience when in the cellular fubftance. It diltends the 
integuments ; but does nor, like an abfcefs, render them 
thinner. When prefi'ed with the hands, one part will 
give the fenfation of a deep-feated fluid ; in another the 
tumourishard and uneven. When the integuments burft, 
the appearances are fometimes thofe of an excoriation 
only ; fometimes a dark bloody mafs protrudes through 
the aperture. Where the fungus comes into contaCt 
with the mufcles, they lofe their natural rednefs and their 
fibrous appearance, becoming brown, and like the adi- 
pofe membrane. When the fungus appears through the 
fkin, it bleeds copioufly, and the hemorrhage is frequent¬ 
ly repeated till the patient finks; neither the hydrargyris 
nitratus ruber, the hydrargyris muriatus, antimonium 
muriatum, or undiluted vitriolic acid, can reprefs its 
growth. Amputation is the only remedy; and if the 
tumour has begun at the lower part of a limb, and the 
flighted portion is left at the upper, the difeafe returns. 
It appears to be an organifed, and has been fancifully 
conjeCtured to be a living, parifitic animal, nourilhed by 
the vital fluid of the patient, and capable of abforbing 
from the fubjacent veflels what is eft'ufed from its own.” 
-Genus VIII. Lues, [from Xvia, to diflolve, or corrupt.] 
The Venereal difeafe. Generic characters—Ulcers on the 
genitals, inguinal buboes, or both, after impure coition ; 
fucceeded by ulcers in the throat, copper-coloured fpots 
on the fkin, bone-pains, and nodes. It is now confidered 
as divided into two fpecies. 
1. Lues fiphilis, the common fiphilis, or pox : ulcers 
on the genitals circular, ungranulating, thickened at the 
edge; thofe of the throat deep and ragged; fymptoms 
uniform in their progrefs; yielding to a courfe of mer¬ 
cury, not known to yield fpontaneoufly. 
2. Lues fiphilodes, pfeudo-fiphilis, fibbens, orfivvens: 
ulcers undeterminate in their character; fymptoms irre¬ 
gular in their appearance ; ufually yielding fpontaneoufly; 
varioufly aft'eCted by a courfe of mercury. 
This is perhaps only a variety of the preceding; and 
many other varieties might be noted, but they have not 
hitherto been fufficiently defined for claffification, for 
which reafon, and becaufe a full account of the various 
conflicting opinions upon the nature and various forms 
of this difeafe would increase this article to an enor¬ 
mous fize, we mud (having given the early and popular 
hiftory under Lues, vol. xiii.) refer for farther parti¬ 
culars to the article Siphilis. 
GCnus IX. Elephantiafis, [fo denominated by the 
Greek phyficians, becaufe the fkin of perfons affeCted 
with this difeafe refembles that of the elephant in thick- 
nefs, ruggednefs, infenfibility, and dark-hue.] Elephant- 
fkin. Generic characters—“Skin thick, livid, rugofe, 
tuberculate; infenfible to feeling; eyes fierce and flaring; 
perfpiration highly offenfive ;” tefticles wafted. Seethe 
article Leprosy, in this work. There are three diftinCl 
fpecies. 
1. Elephantiafis ArabSca, the black leprofy. (This is 
the Elephantiafis of Aretaus, Sauvqges, and Cullen .) Tu¬ 
bercles chiefly on the face and joints; fall of the hair 
except from the fcalp ; voice hoarfe and nafal; diforder 
contagious, and hereditary. 
2. Elephantiafis Italica, fo called by Dr. Good, becaufe 
“ for a knowledge of it we are almoft exclufively indebted 
to Italian phyficians, by whom it is called Pellagra, ficen- 
affedinn from pellis and aypa ; a barbarous term, as com¬ 
pounded of two different languages.” It is otherwife 
called Mai del Sole, as if brought on by the heat of the 
fun. In this fpecies, the tubercles are chiefly on the 
body and limbs; fometimes defquamating: great tenfion 
of the fkin ; vertigo ; burning lancinating pain in the 
head; melancholy; at firft remitting, afterwards fixed, 
terminating in alienation of mind : hereditary. 
3. Elephantiafis Afturienfis: (Mai de la Rofa, Spnnijh . 
Lepra Aftiirienfis, Sauvages.) Tubercles chiefly on the 
hands and feet; cruftaceous, defquammating; continual 
tremor of the head and upper part of the trunk ; bald- 
nefs of the fcalp as well as of other parts: gloom and 
terror of mind. 
Genus X. Bucneniia. [from£ov, an augmentive particle, 
and Kt'ij/avj, the leg.] Tumid leg. Generic characters— 
Leg enormoufly tumid and mif-fhapen ; fkin thickened, 
livid, rugofe ; often fcaly ; fcrotum, arms, or other parts, 
fometimes participating in the afFeCtion. Only one fpe¬ 
cies, called 
Bucnemia Indica, or Barbadoes-leg ; bones and muf¬ 
cles of the affeCted limb found ; its motion little impeded 
by its weight. 
This difeafe, fays Dr. Good, “ is, in truth, the dal fil, 
or elephant-leg of the Arabians, the Barbadoes-leg of 
modern writers, and for which no proper technical name 
has hitherto been offered. Though frequently called 
elephantiafis, from a mifunderftanding of the fecondary 
meaning of two unequivocal terms in two different lan¬ 
guages, it is without the eflential character of tubercular 
eruptions ; while unlike the Elephantiafis, which extends 
over the whole body, it is always limited, and often con¬ 
fined to a fingle limb. It makes, however, an approach 
to Elephantiafis, and ought therefore to range near it, 
but it cannot be included in the fame genus. It is very 
generally known both in the Eaft and Weft Indies, in 
Arabia, and along the whole range of the Polynefian 
Ifles ; in which laft it is denominated yava-Jltin ; as being 
fuppofed to originate from drinking the heating beverage 
called yava ; and, like the gout among ourfelves, is re¬ 
garded in a fort of honourable light. Inftances of it 
are frequently to be met with in our own country ; and, 
in a cafe that occurred to the author about a twelve- 
month ago, the patient, from an attempt to repel it, was 
fuddenly attacked with a fit of gout in the ftornach, 
which deftroyed him in three days. Here, however, gout 
was a conftitutional difeafe.” 
Genus XI. Catacaufis, [Gr. burning.] General com- 
buftibility of the body. No generic characters are given, 
and only one fpecies noted by Dr. Good, which is 
Catacaufis 
t 
