But if the buboe should, from the beginning, be attended with great heat, pain, and pulsation, it will be proper to promote its suppuration. For this purpose the patient may be allowed to use his ordinary diet, and to take now and then a glass of wine. Emollient cataplasms, consisting of bread and milk softened with oil or fresh butter, may be applied to the part; and, in cold constitutions, where the tumour advances slowly, white lily roots boiled, or sliced onions raw, and a sufficient quantity of yellow basilicon, may be added to the poultice. When the tumour is ripe, which may be known by its conical figure, the softness of the skin, and a fluctuation of the matter plainly to be felt under the finger, it may be opened either by a caustic or a lancet, and afterwards dressed with digestive ointment. It sometimes, however, happens that buboes can neither be dispersed nor brought to a suppuration, but remain hard indolent tumours. In this case the indurated glands must be consumed by caustic; if they should become schirrous, they must be dissolved by the application of hemlock, both externally and internally, as directed in the schirrous testicle. OF CHANCRES. Chancres are superficial, callous, eating ulcers, which may happen either with or without gonorrhœa. They are commonly seated about the glands, and make their appearance in the following manner:—First a little red pimple arises, which soon becomes pointed at top, and is filled with a whitish matter inclining to yellow. This pimple is hot, and itches generally before it breaks; afterwards it degenerates into an obstinate ulcer, the bottom of which is usually covered with a viscid mucus, and whose edges gradually become hard and callous. Sometimes the first appearance resembles a simple excoriation of the cuticle; which, however, if the cause be venereal, soon becomes a true chancre. A chancre is sometimes a primary affection, but it is much oftener symptomatic, and is the mark of a confirmed lues. Primary chancres discover themselves soon after the coition, and are generally seated in parts covered with a thin cuticle, as the lips, the nipples of women, the _glens penis_ of men, &c.[8] Footnote 8: When the venereal ulcers are seated in the lips, the infection may be communicated by kissing. I have seen very obstinate venereal ulcers in the lips, which I have all the reason in the world to believe were communicated in this manner. Nurses ought to beware of suckling infected children, or having their breasts drawn by persons tainted with the venereal disease. This caution is peculiarly necessary for nurses who reside in the neighbourhood of great towns.