1 lepra indica ( leprosy of the joints
2 or elephantiasis of the Jews , Greeks ,
3 Arabs , or Hindoos).
4 lepra alphoides or Lepra
5 maculosa — Vitiligo-alba ( leprous
6 eruption of white patches ).
7 lepra nigricans or Lepra
8 maculosa-Vitiligo-nigra, ( leprous
9 eruption of black patches ) .
10 lichen tropicus {prickly -heat*) .
11 miliaria {small vesicular eruption ).
12 nevus {mother -marks, or moles).
13 papula {little pimples).
14 pemphigus {eruption of large vesi-
15 cles, or bullae).
16 prurigo {sensation of severe itching).
17 psora, or scabies {itch).
18 psoriasis tropicus {tropic itch f ).
19 * Prickly heat (Lichen tropicus) is a well-known I
20 cutaneous affection in the East, affecting, more j
21 or less, both natives and foreigners during the j
22 summer, irrespective of differences in the colour j
23 of the skin. It is not dangerous ; appears only
24 locally as a reddish eruption of small vesicles,
25 attended with itching, burning, and a sensation
26 of pricking like that of needles. The vesicles
27 discharge a serous fluid when scratched. The
28 eruption generally disappears at intervals
29 during the day, reappearing at once upon the
30 slightest causes, as perspiration, excitement, &c.
31 The parts especially attacked by it are, the
32 chest, neck, shoulders, and the inside of the
33 arms.
34 t Tropical itch ( Psoriasis tropicus) is peculiar
35 to the East, though less common than the pre-
36 ceding. Though not actually attended with
37 danger to life, it is a very severe disease. It is
38 common in Lahore, where the natives regard it
39 as a form of leprosy; and indeed, in its general
40 appearance, it would seem more akin to that
41 class of disease than to scabies. It differs,
42 however, from leprosy, by being neither con-
43 tagious nor hereditary, and by confining itself
44 to the lymphatic system oc the skin and the
45 urinary organs, instead of attacking also the
46 bones and disfiguring the face, as does leprosy;
47 by which the patient may be recognised at a
48 distance, by his peculiar features, ns a leper.
49 In my experience I found, in Lahore, more
50 meu than women suffering from the tropical
51 itch, and particularly soldiers, beggars, faqueers
52 and villagers; those indeed most exposed to
53 the scorching rays of an Eastern sun, rather
54 psoriform eruption {eruption
55 similar to itch).
56 pustules {suppurating pimples).
57 rhagades {dry fissures) .
58 squame {scales on the epidermis).
59 tinea capitis {scald head) as also :
60 ERUPTION OF PATCHES, X WARTS,
61 WENS, &C.
62 Abelm. sem., acne. Lichen tropicus.
63 Abrus pr. sem., herpes preputialis. p.
64 The white seed prepared with oil
65 of sesam, applied in the evening,
66 and washed off in the morning, for
67 lepra alphoides. r. Bleeding wen
68 on the head.
69 Absynth., scabies, p. g. m. & e. Lichen
70 tropicus.
71 Acac. cort., herpes with itching, sen-
72 sation of burning and pricking.
73 than females, persons comfortably circum-
74 stanced, and inhabitants of towns.
75 The symptoms of this disease consist of
76 burning, itching and pricking of the skin, with
77 desquamation of the cuticle, redness, and the
78 eruption of itching, painful, herpetic patches,
79 i The eruption will often disappear, to return
80 again from the blowing of the wind, or after a
81 I bath. Other general symptoms are, inflation
82 | of the body, subsultus of the stomach, with sen-
83 ! sation of internal burning, redness and scalding
84 of the urine. Moreover, the skin inflames
85 j and swells wherever scratched; bat otherwise
86 is dry and cracked ; and rhagades and fissures
87 especially occur on the palms of the hands and
88 soles of the feet. The rays of the sun, even in
89 winter, are insupportable to patients afflicted
90 with this malady, and produce oppression. In
91 some rare instances blisters and ulcers form
92 mostly about the nails, or the soles of the feet.
93 A characteristic feature of this disease is, anaes-
94 thesia, or insensibility of portions of the skin,
95 either at any part of the surface, or, as is
96 i usually the case, on the arms and feet. I have
97 | been surprised that none of the English writers
98 on tropical diseases have mentioned this last
99 leading symptom. Is it indeed that this malady,
100 like that known as serpent-love, mentioned in
101 Vol. I. p. 140., is peculiar to the Punjab? That
102 | such may be the case, has induced me to enter
103 I Into a particular description of the two.
104 $ “ Eruption of patches ” is a cutaneous
105 | disorder peculiar te the East, and in its char-
106 i acters appears as a milder form of tropical itch.