25. In regard to the character of the complaint from which people of this country
suffer the histories mention three varieties. The tubercular, anaesthetic, and the
mixed tubercular and anaesthetic. I give a typical case of each variety.
The tubercular.—" Case of Dhuman, aged 55, formerly a weaver, now a beggar :
examined on 31st May, 1875. Both ears long and pendulous, face tubcrculated, the
skin of the body looks tender and shrivelled. No discolouration or anaesthetic spots.
All the toes ulcerated, the left little toe dropped off about four months ago : about a
year ago had an attack of ulceration of the internal membrane of the nose, wherein mag-
gots generated, and now there is a largo hole over the left side of the nose. Has suf-
fered for 10 years."
The anœsthetic.—" Case of Dhalip, aged 50, employed as a cultivator. Itching
sensation all over the body at times, pains in all large joints, sensation of heat at the
soles of the feet and palms of the hands and chest. Has profuse perspirations of a
greasy nature. The right hip and dorsum of the right hand quite benumbed. Both
feet swollen. Has suffered for two years."
The case of Kesri given in a previous paragraph illustrates the appearances which
may be expected after lengthened suffering from this form of the disease. Kesri had
suffered for 20 years.
The mixed.—" Case of Nathwa, aged 30, employed as a sweeper : examined on 10th
June, 1875. The disease commenced five years ago by the appearance of small red
patches over the left scapula, insensible to the touch, and free from itching. Now
the face is tabulated, there are largo pinkish elevated anaesthetic blotches over the
chest, the lobes of the ears are tabular, the skin of the extremities is corruirated and
shining, and of a dark pink hue. Both nipples are hypertrophied. Has an ulcer, co-
vered with a hard crust, on the right great toe, caused by the rubbing of a new shoe."
26. In the 1,531 history cases, these varieties number as follows :—tubercular
791, anaesthetic 640, mixed 64, character not stated 36.
But I have reason to think the varieties are not correctly stated in the Mainpuri
police return, and, excluding the 472 cases reported from that district, the remaining
1,059 cases arc distributable as follows :—anaesthetic 516, tubercular 443, mixed 64,
character not stated 36.
Altogether, I think it may bo concluded the anaesthetic is the most common form
of the complaint, the tubercular less common, the mixed form comparatively rare.
27. Of the 1,531 persons included in the history statements, 278 had never been
married, and wore consequently childless : by far the greatest number of these unmar-
ried lepers being, indeed, children and persons of less than 20 years of age.
To the remaining 1,253 persons, as many as 3,535 children had been born, of
whom 1,951 were living at the time of examination. The resulting average is 2.8
children born to each leper, and 1.5 living.
In respect to this point, the information received from Mainpuri is imperfect, if
not very incorrect. Eliminating the figures referring to that district, the account
stands for the remaining districts—3.5 children born to each leper, and 1.7 living.
That is the average for each leper, male and female, of the list. A very consider-
able number of the married lepers were childless, but by for the greater majority had
been parents to fairly large families, and as many as 282 of the persons examined had
had families ranging in number from 5 to 18 children.
I think the evidence is conclusive that lepers are as prolific as mankind in
general.