Sulphur has been used with benefit in Eczema, Impetigo, and Lepra. It may be administered externally in the form of fumigation or ointment, or internally in combination with an alkali or with Iodine. In the case of Eczema and Impetigo, the fumigation and internal administration are preferable, as the ointment is apt to increase the existing irritation. In the cure of Lepra the mineral waters of Harrowgate and other places, containing Sulphuretted Hydrogen gas, have been much recommended. Thus we have in Sulphur a third Antisquamic medicine. It is more or less useful in all non-syphilitic cutaneous disorders. Dr. Burgess has found sulphur ointment and fumigations to be very useful in Psoriasis palmaris. (On Eruptions of the Face, etc., p. 229.)
Though Sulphur seems to act specifically in the treatment of these disorders, there is another disease of a similar kind which it has been supposed to cure by a mere external agency. This is Scabies. Some have fancied that even here it acted specifically, and that this also was a blood-disease. But Scabies has long been attributed to an external cause, an insect, or, more correctly, an arachnid, which, by burrowing in the skin, is thought to produce the vesicular eruption. The Acarus Scabiei, or Itch insect, was discovered in 1179 by Abenzoar, the Arabian. In 1687 Dr. Giovanni Bonomo wrote a full account of it in a letter to Redi of Florence. It is supposed that Sulphur ointments and Sulphur fumigations have a direct external action in causing the death of this Acarus, by the bodily transmission of which from one person to another the contagious nature of the disease is accounted for.
Dr. Billing considers that the confirmation of this discovery has given the death-blow to an idea which will probably last as long as medicine; viz., that certain remedies exert a special influence in the cure of particular diseases. (Principles of Medicine, p. 75.) But we must not deny the existence of special agents, simply because we cannot understand their operation; for it is apparent in too many instances. And from the circumstance that Sulphur has proved beneficial when given internally in Scabies, as well as the fact that this disease has often an idiopathic origin, I am still disposed to doubt the value of the inference which is drawn from the discovery of the Acarus, and inclined to believe that Sulphur may exert an action of a specific kind in this disease as well as in the others.
Some other internal remedies, and many other external applications, have been used in Skin diseases; but these that I have mentioned are the only ones that appear to exert something of a special action in all cases. Arsenic is perhaps the most universal in its application. It often happens that when this remedy entirely fails, the eruption is connected with a constitutional taint of Syphilis. When there is a suspicion of this, such a remedy as Donovan's solution, containing both Arsenic and Mercury, is peculiarly applicable, because capable of acting in a double way. This medicine also contains Iodine; and either this preparation, or the Iodide of Potassium, should be prescribed when the skin disease appears to be connected with a strumous diathesis.
As soon as the course of Arsenic is found to produce swelling of the face, or irritation of the conjunctivæ, symptoms which denote the saturation of the system with the remedy, its administration should be suspended for a while.
We have now concluded the subject of Hæmatic medicines. I have said that this class has been very generally neglected and overlooked by writers on the subject. For this reason, and because there are some ideas respecting their action which I have thought it worth while to work out and to investigate at some length, I have devoted more space to its elaboration than I shall be able to spare for either of the remaining classes, in the consideration of which we are not likely to encounter so many interesting and debateable points.
Prop. VIII.—That a second class of medicines, called Neurotics, act by passing from the blood to the nerves or nerve-centres, which they influence.
1. That of these, some, called Stimulants, act so as to exalt nervous force in general or in particular.
2. That others, called Narcotics, act so as first to exalt nervous force, and then to depress it; and have also a special influence on the intellectual part of the brain.