. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . the administration of constitutional remedies,* cod-liveroil, Arsenic, Mercurius jod., and in the local use ofa solution of nitrate of silver, or the acid nitrate of mercury. Lupus Exedens, Ulcerated Lupus, or Lupus Ulcer, isusually seated on the tip or alae of the nose, but sometimes onthe upper lip, or in other situations, and is chiefly seen in youngp
. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . the administration of constitutional remedies,* cod-liveroil, Arsenic, Mercurius jod., and in the local use ofa solution of nitrate of silver, or the acid nitrate of mercury. Lupus Exedens, Ulcerated Lupus, or Lupus Ulcer, isusually seated on the tip or alae of the nose, but sometimes onthe upper lip, or in other situations, and is chiefly seen in youngpersons. It begins as one or more reddish papules, or tubercles, * See Scrofuloeis and its treatment, vol. 1, p. 372. DISEASES OF THE LYMPHATIC SYSTEM. 835 which soon ulcerate and coalesce. The lupous ulcer may besuperficial, when it appears as a fungous, warty, ulceratedsurface, with prominent nodular granulations, which are oftenscabbed over by the drying of the discharge, and are sometimes,irritable, though seldom disposed to bleed. The ulceration pro-gresses under the scabs, and the affection is liable, at anymoment, to assume the deep, or phagedenic form, which wasknown to the older writers as noli-me-t anger e. Fig. 451. Fig. Thagedaenic lupous ulcer. The phagedenic lupous ulcer is a very painful affection, attendedwith great destruction of tissue, and accompanied with a fetiddischarge. Under its influence, the greater part of the nose maymelt away, as it were, in the course of a few weeks, and it is tobe observed, that when the ulcer has reached the level of therest of the face, it may become at least temporarily affection rarely proves fatal by itself, and cicatrization mayoccur, adding to the deformity caused by the disease, by inducingcontraction and distortion of neighboring parts. The treatmentof the superficial form consists in the administration of Arsenic,Causticum Cicuta, Carbolic acid, Staphysagria, Iodine andMercurius, and in the local use of
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