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scurfy-elevated pale skin spot of herpes circiuratus over left shoulder-blade ; urine
non-albuminous. Eats and sleeps well. Put on gurjun oil treatment on 1st
March 1875.
On the 14th of June 1875, when this man went to his home, swelling of the
hands and toes had gone, and sensation had returned to these parts. The ulcers
had healed.
CASE No. 4.
BHUGGuN, Passee, aged 40 years, chowkidar, resident of village Tillokepur, Zila
Bara Banki, a man in good condition of body, with non-tuberculated leprosy,
applied for treatment on 1st June 1875.
Previous history.—Father and mother died at advanced ages. One brother
living and one sister, both with families, and all healthy. Has a wife and five children,
none of them ailing. Has not had syphilis or disease of any description. About six
months ago his hands and feet began to swell, tingle and feel heavy. Simultaneously
pale and itchy skin spots began to appear over the trunk and extremities. The
swelling of the hands and feet extended up the forearms and legs, and these parts
became insensible to touch.
Present symptoms, 1st June 1875.—The skin spots over the body and the
swelling and loss of touch sensation of legs and forearms continue ; no tubercles ;
eats and sleeps well; urine albuminous. Put on gurjun oil treatment on 1st
June 1875.
1st August 1875.—Itchy-skin spots over trunk and extremities continue. Swell-
ing of right upper and lower extremities gone, and sensation of the parts restored.
Swelling and anæsthesia of left lower extremities much less. General health good ;
urine non-albuminous.
CASE No. 5.
BINDAH, Khuttiek, aged fifteen years, inhabitant of Rai Bareli, a lad of spare
habit of body, with tuberculated leprosy, applied for treatment on 1st March 1875.
Previous history.—His maternal grandfather had leprosy and died of the
disease. Father and mother died of cholera. Is living with an uncle. Has no
brothers or sisters. States that he has had leprosy for four years. The disease com-
menced with the appearance of large pale scurfy skin spots over the trunk and
extremities, which lost touch sensation. Three years ago tubercles developed in
skin of face, ears and fingers. Has not had syphilis.
Present symptoms.—Toes and fingers hypertrophied. Nails shrivelled, dry and
irregularly broken. A large patch of discolouration with anæsthesia over both nates
and another over the back. Tubercles on alce nasi, lower lip, eye-brows, ears and
cheeks, all the size of olives; skin universally rough and dry; scalp almost
devoid of hair and scaly ; no ulceration anywhere ; loss of touch sensation in hands
and forearms and in feet and legs. General health fair. Put on gurjun oil treat-
ment on 1st March 1875.
1st May 1875.—Patches of discolouration over nates and back have regained
colour, but nob sensation ; tubercles unaffected.
1st August 1875.—Tubercles of face and ears reduced considerably in size
and number; sensibility has returned in forearms and feet and legs; loss of touch
sensation in hands and over nates and back remains.
1st June 1876.—Tubercles on face diminished in size; sensation has returned
everywhere but to forearms and legs from knee downwards.
In conclusion, I may remark that the internal administration of the gurjun oil
had frequently to be suspended on account of its laxative effects.
Dated Partabgarh, the 29th April 1875.
From—J. HART, Esq., M. R. c. s.. Civil Surgeon and Health Officer of
Partabgarh.
To—The Sanitary Commissioner of Oudh.
IN reply to your letter No. 905 of the 15th instant, I have the honour to state,
with reference to the 1st paragraph, that on the 17th instant there were sixteen sick in
the jail, and 50 in the charitable dispensary, but there was not a leper among them.