SYPHILIS IN FEMALES.
Theprincipal features of syphilis in women consist of ulcers, excoriations, warts, and buboes. Women, of course, are alike liable to all the forms of secondary symptoms. Chancres usually appearwithinandonthelabiæ. In thedrawing here given, the labiæ are drawn aside to expose the ulceration; and they are also found within the vagina and surrounding the mouth or protuberance of the womb. It is in these cases that the speculum is had recourse to; and in the Parisian hospitals every case is subject to such a mode of investigation.
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The following three illustrations show what a degree of severity ulceration and other changes put on. The first exhibits superficial excoriation extending rapidly, and occasionally a swollen appearance of theos uteri; the second shows extensive chancrous ulceration; and the last of a tuberculous character, like little hardened tumors. But for the speculum, these conditions might have gone on to worse, and led to irremediable mischief: their treatment, independently of local means, such as injections, &c., would have been prolonged to an almost indefinite time. The use of styptics is demanded in female as well as male syphilitic developments, and accordingly the employment of nitrate of silver, copper, &c., is advised, as already explained.
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The following drawing shows the extent of mischief and annoyance to the external organs of female generation consequent upon neglect. The external labiæ are studded with chancres. The thighs, buttocks, and rectum, are dotted and overspread with excoriations. The personfrom whom this sketch is taken was an unfortunate woman of the town. As it is not my intention to particularize cases, although from my peculiar province I could fill up as many pages as this book contains, with details of such histories, I have only to add, by way of summary, that the topical and constitutional treatment being alike in both sexes, the only modifications required will be the regulating of the doses of the medicines, which must be done with reference to the idiosyncrasy, age, and temperament, of the patient. The frail system of woman is less able to withstand the dire effects of the disease, or the potent means for its extirpation, than her stronger brotherhood, and therefore the abler and more experienced the counsel, the fairer the chance of her recovery; a hint that the writer feels assured will not be received by those to whom his pages are addressed, as a vain appeal to repose confidence in other advice than their own.
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