On the relative influence of nature and art in the cure of syphilis / by Thomas Weeden Cooke.

  • Cooke, Thomas Weeden.
Date:
1861
Catalogue details

Licence: Public Domain Mark

Credit: On the relative influence of nature and art in the cure of syphilis / by Thomas Weeden Cooke. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    CHAPTER IV. We have hitherto been considering that form of venereal ulcer which alone, according to many surgeons, gives rise to con- stitutional symptoms ; and we have now to devote a short space to the pathology and treatment of another venereal ulcer, which, in the words of a Ricordian pupil, is always a local affection, and does not affect the system, and no specific treatment is required.'' The soft chancre, in its most characteristic form, is round, with the edges slightly elevated, secreting pus rather abundantly. It is seldom solitary, and frequently so multiple that a chain of them may be observed around the cervix penis, beneath the corona glandis. When this ulcer attacks other parts of the penis—and generally as seen in the female—it does not observe this regular form, but it always secretes purulent matter freely, which is, in fact, its chief distinguishing point from the hard chancre. There is, of course, no induration at its base, although the classic grain of salt must be thrown into this statement, as many ulcers of this character do obtain a certain amount of hardness. Indeed, so frequently is this the case, that writers upon this subject have to explain that there is an induration, the result of common inflammation, which has obtained the name of bastard chancre. This subject has been already referred to. The soft chancre occasionally gives rise to active inflammation of