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To each chapter, where the amount of detail in the description requires repetition, a summary has been added to aid the beginner in fixing the important points in his memory.

A distinct chapter has been reserved for the Treatment of Syphilis ; this includes, besides the therapeutic directions, a sketch of the sanitary restrictions, or preventive treatment.

In conclusion, I must express my sincere thanks to Mr. Ernest Hart, for revising the chapter on the Affections of the Eye, and to Dr. Morell Mackenzie for doing the same to that on Affections of the Larynx.

BERKELEY HILL.

14, WEYMOUTH STREET, PORTLAND PLACE,

October, 1868.

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Synonyms . . . . . . . . .
Definition . . . . . . . . . .
Outline of the course of syphilis . . . . .
Relation between the early and late phenomena
Contagion is not repeated in the same individual . .
Exceptions to this law . . . . . . . .
Duration of syphilis . . . . . . . .
Syphilis generally remains active one and a half or two years .

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CHAPTER II.

PROPAGATION.

Causes . . . . . . . . . .

Predisposing : climate, starvation, and other conditions .

Exciting : contagion . . . . . . .

Individual liability to contagion . . . . . .
A virus, the sole essential cause . . . . .

Modes of contagion . . . . . . . .

Necessity for a breach of surface . . . . .

Coitus . . . . . . . . . .

Kissing . . . . . . . . .
Suckling ; Barillier's cases . . . . . .

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PAGE

Effects of local irritation on the initial manifestation . . . . 67

Suppuration . . . . . . . . . . . 67

Sloughing . . . . . . . . . . . 68

Mixed chancre . . . . . . . . . . . 68

Characters of the initial manifestation . . . . . . . 69

Number . . . . . . . . . . . . 69

Seat . . . . . . . . . . . . 69

Induration · ·

· · · 71

Parts where it is best seen

Varieties . . . . . . . . . . . . 71

Course of initial manifestation

Duration . . . . . . . . . . . . 72

Anatomical character of induration . . . . . . . 72

Wagner's syphiloma . . . . . . . . . . 73

Complete absence of induration

Well marked induration a sign of severe disease . . . . . 74

Indolent enlargement of the lymphatic glands

Time of occurrence after contagion . . .

After the induration of the point of contagion . . . . . 75

Constitutional symptoms, . .

Frequency of suppuration . .

Induration of the lymphatic vessels. .

Diagnosis of the initial manifestation . . . . . . . 78

Local venereal ulcers . . . . . . . . . . 78

Herpes . . . . . . . . .

. . 79

Epithelial growths . . . . . . . . . . 79

Patches of the general eruption . .

Fibroid gummy deposits . . . . . . . . 80

Comparison of venereal ulcers with their sources . . . . . 81

Auto-inoculation of discharge of venereal ulcres . . . . . 82

No guide for syphilis . .

. . . . . . 82

Summary of Chapter III. . . . . . . . . . . 82

CHAPTER IV.

ERUPTIONS ON THE SKIN.

Period preliminary to the exanthematous stage of general eruption . .

Its usual length ten weeks . . . . . . . . . 86

Febrile disturbance . . . . . . . . . 87

Eruptions on the skin . . . . . . . . . . 89

General character of the early forms . . . . . . 89

Proneness to become papular . · · · · · · · 89

Symmetry in the early forms . . . . . . . . 89

Colour . . . . . . . . . . . . 90

Rarity of irritation . . . . . . . . . . 90

Its favourite localities not those of non-syphilitic rashes . . . 90

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