to depend on disorders of the stomach or bowels, and on bilious, or other diseases of the liver. In women they are a frequent concomitant of female irregularities and obstructions, and, when this is the case, no time should be lost in following the advice given at page 107 above, and particularly the admirable remedy of Dr. Lavagna. In some in

stances, the health does not seem to be affected; but, even in these cases, as we have remarked under the last species, some lurking disorder of the liver or stomach may always be suspected, and ought to be carefully watched and remedied.

Dr. Bateman describes this species as larger, harder, and more permanent, than the preceding; and they may always be distinguished by their dull red, or livid, purplish, colour. They often rise, in considerable numbers, of a conical, or oblong conoidal, form, and are occasionally somewhat pointed, as if tending to immediate suppuration, being, at the same time, of bright roseate hue; yet many of them continue in a hard and elevated state for a great length of time, without any disposition to suppurate. Others, however, pass on very slowly to suppuration, the matter not being completely formed in them for several weeks, and thus only a small part of the pimples are removed by this process. Sometimes two or three pimples coalesce, forming a large irregular button, which occasionally suppurates at the separate points, and

sometimes only at the largest. In whatever mode they proceed, the vivid hue of the pimples gradually becomes more purple, or even livid, especially in those which show no tendency to suppurate. Slight crusts form upon the suppurated pimples, which, after some time, fall off, leaving small scars, surrounded by hard buttons of the same dark red colour; and these sometimes suppurate again, at uncertain periods, and sometimes slowly subside and disappear, leaving a faint purple, or livid discoloration, and occasionally a slight depression, which is long in wearing off.

The pimples, even when they do not suppurate, but especially while they continue highly red, are always sore and tender to the touch; so that washing, the friction of the clothes, &c., are somewhat painful. In its most severe form, this eruption nearly covers the face, breast, shoulders, and top of the back, but does not extend lower than an ordinary tippet in dress. Yet this limitation of the disorder is independent of the exposure of those parts; for it occurs equally in men and women. a few instances of young men, Dr. Bateman has seen an extensive eruption of this kind affecting these covered parts, while the face remained nearly free from it. By the successive rise and progress of the tumours, the whole surface, within the limits just mentioned, was spotted with red and livid pimples, intermixed with the purple discolorations and

In

depressions, left by those which had subsided, and variegated with yellow suppurating points and small crusts, so that very little of the natural skin appeared.*

BEST TREATMENT.

Mr.

The livid buttony pimple may be advantageously treated precisely as in the last case, with this difference,―that we may here make the lotions more piquant and stimulating, as being the best thing to promote the suppuration of the pimples. Plumbe affirms, indeed, that there is always some little suppuration, and a small collection of matter,† though it is too deep seated to be squeezed out, and too severe a measure to have recourse to the lancet. The French practitioners use very strong stimulants, such as muriatic acid, and nitrate of silver; but these we should prohibit, except in the most skilful hands, and in a weak state of dilution. Mr. Plumbe recommends the pimples to be pricked with a needle or a lancet, in order to irritate them, and spur them on to suppuration. When this has been accomplished, the matter is to be squeezed out, and, if any blueness, or hardness, remain, sponge the part slightly, three or four times a day, with

*BATEMAN, p. 288.

+PLUMBE, on Diseases of the Skin.

MR. PLUMBE'S PIMPLE WASH.

Dissolve two grains and a half of oxymuriate of

mercury in

four ounces of spirit of wine;

Keep it in a close-stopped phial for use.

It would be altogether unnecessary to enlarge farther on the treatment, as careful attention to what we have directed for the preceding species will be equally useful in this, particularly the constitutional treatment, and the beauty-training.

BARDOLPH PIMPLE OR ERUPTION.

We are quite certain, that none of our fair readers, —at least, under the age of fifty,—will require to look into our remarks on this species. We had some thoughts, indeed, of omitting it entirely; but we would rather that our little book contained a few supernumerary pages, than that it should be considered deficient in any point, or imperfect. Dr. Willan and Dr. Bateman call the Bardolph eruption, Acne rosacea. In many instances it cannot, with propriety, be considered a species of pimple, being rather an extensive efflorescence of the skin. It never, or rarely, occurs from the same causes, or in the same constitutions, as the three preceding varieties, but usually appears in those who have been long accustomed to high-seasoned food and made dishes, who have indulged in pickles, and,

more particularly, in habitual potations of wine, ale, or other strong liquor. It is a very common attendant on the gouty, and on those who have disordered their livers and bilious system by indolence and high living, or a residence in hot climates.

The immediate cause is, however, much the same at first as in the preceding three varieties, and the nose become sfirst affected, because the little moisture-pipes are obstructed, and the skin, in consequence, partially irritated and inflamed. It is only, however, after long-continued or repeated attacks that this establishes it, and becomes, what may expressively be called, the Bardolph eruption.

In addition, says Dr. Bateman, to an eruption of small suppurating pimples, there is, also, a shining redness, and an irregular bumpy appearance, of that part of the face which is affected. The redness commonly appears first at the end of the nose, and afterwards spreads from both sides of the nose to the cheeks, the whole of which, however, it very seldom covers. In the commencement, it is not uniformly vivid, but is paler in the morning, and nearly increased to an intense red after dinner, or at any time, if a glass of wine be taken, or any sort of spirits, or the patient be heated by exercise, or sitting near a fire. After some continuance in this state, the texture of the outer skin becomes gradually thickened, and its surface uneven, or buttony, and variegated by a net-work of enlarged veins,