Such is the usually mild character of this affection; but if its
progress has been interrupted by any means, more particularly by
mercury, it assumes a more complicated form, and a less tractable
nature. If that mineral is administered in the usual style, and at the
commencement, when the fever and other symptoms are high, the patient’s
sufferings are all much aggravated. After the fever has subsided, the
eruption will often be found to disappear under the use of mercury;
but it is extremely apt to recur, as soon as the system has shaken
itself free from the effects of that medicine. The mercury produces an
irritation, which supersedes the eruption, but by frequent repetition
its effects on the system diminish: it at last fails to create an
irritation more powerful than the disease to which it is opposed,
and, consequently, the eruption does not yield, but during its use
is frequently reinforced by fresh crops of papulæ. If the eruptive
fever, and advanced stage of the disease, are imprudently and suddenly
arrested by the use of mercury, by exposure to cold, or by other means,
inflammation of the iris or joints often follows, of a very violent
form, and not to be easily moderated. No one thinks of repelling
measles or other eruptive diseases, and with good reason, for such
practice would almost certainly induce serious affections of internal
organs. For the same reason, every precaution must be used to allow
this form of eruption to take its own course, while we merely regulate
the constitutional symptoms as they obtrude.
Another form of eruption, which occasionally, though much less
frequently, results from either of the above mentioned sores, is
the pustular. It is preceded by fever, and consists of rather large
pustules, separated from one another, and not very numerous. After
their apices give way, and the contained pus is discharged, a thin
scab is formed, and on its separation a small ulcer is left, which in
general soon heals from its margins, leaving a dark-coloured spot to
mark its situation. The papular and pustular eruptions are sometimes
blended; a few pustules appearing amongst numerous papulæ, or _vice
versâ_. The pustular disease is not of frequent occurrence; and in
proportion as it approaches the papular, with desquamation, it becomes
milder and more easily removed. In it, as in the papular, mercury
proves injurious.
The phagedenic form of ulcer is the most dreadful and unmanageable
of all; most uncertain in progress, and direful in event, and often
rendered still more destructive by the mode of treatment adopted.
Fortunately, it is now seldom seen, though not long ago it was well
known, as a perpetrator of dreadful havoc, under the name of black pox.
Public-domain text, read in full here on John Shaqi.
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