354
extended
the other provinces. I hope observations will throw light upon this pimt : It is reasonable to suppose from the fact that this disease is untintion in Europe, and in temperate or frigid zones, that its no further progress towards the north, may be accounted for by the intones cold of the other promes in winter. However, whatever may be the Cause, the fact seems to be letablicked that the leprous in China is confined to the southivest promices. Not one case was sen at (hursan.
The first appearance of
the
discase is a red spot appearing either on the face, body, or legs - most frequently on the
to
face. This gradually spreads
a patch
which is usually round, or in streaks.
Sometimes these hatches unite, and in other
CA LEA
they are distinct and numerous. On
Examining
this patch the integument feels
thickened, is elevated, and of a dullreddish hur; the stton looked stretched; and is very similar in many
cases to the inflamed
shim from a blister, before the cuticle is raised by the effusion of serum ; in others it is smooth and shining. On pricting it, mitead of any limpid fluid issuing as might be supposed from its appearance, blood flows. The ears soon become swollen, thick, and permanently red; usually the afficted part loves its consibility, and if the disease advances, the hair fails off from the eyebrows and head, the tenders
of the hand or feet contract, and the stin -ulcerates and discharges & thin purulent
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