Excluding pulmonary eonsumption. in which the leading pathological,feature is the deposit of scrofulous matter or tubercle in the lungs, one of the forms of scrofula which most frequently cuts itself is in the lymphatk glands, especially of the neck. Th. gland or gl:mods may first become enlarged. chimer from an attack of acute inflammation, or from an indolent and painless deposit of tubercle. They may remain in this state either stationary or slowly eularging for years, till from some accidental local irritation, or from some cyonstiottional disturbance, they inflame and suppurate. After the dis charge of time matter, the ulcerated skin usut;lly heals with an ugly puckered cicatrix, which generally remains as a disfiguring mark through life. The local treatment con sists in attempting to disperse the tumor, if it is hard and painless. by painting it with tincture of Iodine, or by the application of iodine ointment. If it is soft, and likely to suppurate, the process may be facilitated by the application of warm water dressing or emollient poeltices. When there is undoubted liootantion. indicating the presence of pus or matter. it is usually regarded as the best practice to (melt the abscess with a nar row-bladed bistoury; but Seine surgeons still prefer allowing the matter to make its own way to the surface. The necessary internal treatment is that which has been already
described. The skin, especially behind the ears, about the mouth, nostrils, and eyelids, and on the scalp, is liable to pustular diseases of a scrofulous origin. The free use of soap and water, followed by the application of black wash or zinc ointment, and proper constitutional treatment, will generally effect a cure, except in the horrible form of scrofulous ulceration of the skin of the face known as lupus (q.v.). Among other well-known and very serious scrofulous affections must be mentioned acute hydroceph alus and mesenteric disease, to which special articles are devoted. There is a peculiar at 2 very intractable form of ulceration known as the scrofulous ulcer, which will be notic. 1 in the article on ULCERS. The physical, chemical, and microscopical characters of t peculiar morbid deposit, to which reference has frequently been made in this article, will be found under the head of TUBERCLE and TUBERCULOSIS.