A very infectious disease was at one time common in the poorer parts
of Scotland, and known under the name of sibbens, or sivvens, chiefly
occurring amongst the poor, ill-fed, badly-clothed, and worse-housed
people in the Highlands. It was communicable by very slight contact
by kissing the lips of an infected person, smoking the same pipe,
drinking out of the same cup, or using the same spoon. Cases of it
are still occasionally seen. There are ulcers of the lips, mouth,
throat, and nose; ulcerated patches and warty excrescences in the
cleft of the thighs, in the axilla, and round the anus and pudenda.
A pustular eruption appears, and terminates in hardened crusts. The
same disease is known in Ireland, under the name of button-scurvy;
and a similar one, called raddesyge, has been described as occurring
on the sea-coasts of Norway and Sweden. In Canada, also, something
of a like nature was at one time prevalent. The yaws, at one time
common and destructive in the West India Islands, appear to be much of
the same nature. Some of these diseases, more particularly sivvens,
are very common amongst children. Even in these days children are
not unfrequently born with copper-coloured blotches of the skin and
desquamation of the cuticle; or they may come into the world with these
appearances, along with affections of the mucous membrane, hoarse
voice, redness round the anus, &c. These are forthwith attributed to
a syphilitic taint existing in either of the parents; and one or both
are put under mercury; but child after child comes into the world in
the same plight. Again, the disease is communicated by children to the
nurses, and _vice versâ_. All these affections are rendered much more
obstinate by full courses of mercury: the bones and ligaments become
affected in consequence; but small doses of that medicine may prove
useful towards the decline of the disease.
Some have believed mercury a certain test of syphilis; maintaining that
the disease, still checked by the specific, is never overcome by the
constitution; that it is unchangeable, and regularly and progressively
grows worse, where no mercury is employed; that, opposed by that
medicine, it is stationary, and is permanently cured by adequate
mercurial influence on the constitution. Whatever were the appearances,
if they went off under mercury, the advocates for this practice set
them down as those of syphilis, lues, or pox. If they did not yield
to that mineral, they were termed syphiloid, pseudo-syphilitic, or
mercurial; for they did admit, now and then, that their favourite
remedy produced unpleasant effects. Such theory and practice are now
very happily exploded.
Public-domain text, read in full here on John Shaqi.
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