Scrophula is a morbid condition, which has been called the opprobrium
of surgery, much more justly perhaps than any other disease, cancer
itself not excepted, for even this most dreadful disorder may be
removed by an early operation; but the nature of scrophula admits of no
treatment equally successful.
From the obscurity in which its causes are involved, and from no
certain method of cure being known, I can only make a few unconnected
remarks on this disease.
A scrophulous system is generally marked by a fine skin, delicate
complexion, light blue eyes, with opake sclerotica, and frequently
a swelling of the upper lip. At other times, especially in those
who belong to what has been called the melancholic temperament, the
complexion is darker, and the skin coarser; but in these, at least when
young, the face is generally tumid, and the look unhealthy.
In these systems, as will presently be observed, almost every disease
is different, in some points, from the same disease when it occurs in
a healthy person; but the action which more decidedly manifests this
modification, is the inflammatory, insomuch, that, by some, scrophula
and scrophulous inflammation have been confounded; and this disease
has been described only in so far as it has appeared conjoined with
inflammation. We have therefore almost always in the description
of scrophula a swelling of the glands, and subsequent ulceration,
or inflammatory affections of other parts of the body, detailed as
necessary and essential symptoms.
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