6. Exanthemata on the Genitals.

Long ago _Hensler_ endeavoured in the Graduation Theme of his

mentioned in the list of Historical Authorities to prove that

certain eruptions occurring on the genitals were communicated and

acquired as the result of coition. In particular did this apply

above all to _herpes_ (creeping eruption), under which name must be

understood, as is distinctly implied in a passage of _Galen_,[415] a

form of eruption accompanied by ulceration. It is true the passages

of _Hippocrates_[416] cited by Hensler in regard to the _herpes

esthiomenos_ (eating herpes) would appear to be open to some doubt

and obscurity, while the interpretations given by _Pollux_ (Onomast.

IV. 25. 191.) _φλυκτίς_, φλύκταινα ἐπιμήκες, μάλιστα περὶ βουβῶνας

καὶ μασχάλας. _φύγεθλον_, φῦμα περὶ βουβῶνα μετὰ πυρετοῦ, (φλυκτίς, a

long-shaped blister, particularly in the groin and armpits. φύγεθλον,

a tumour in the groin accompanied by fever) refer probably only to

bubonic swellings; still these objections hardly apply to the φύματα

(swellings) described in § 32,—the less so as _Celsus_ himself (VI.

18.) explains: “Tubercula etiam, quae φύματα Graeci vocant, _circa

glandem_ oriuntur, quae vel medicamentis vel ferro aduruntur; et cum

crustae exciderunt, squama aeris inspergitur, ne quid ibi rursus

increscat;” (Tuberculous swellings also, which the Greeks call φύματα,

arise _about the glans penis_, and are burned away either by caustic

drugs or by the actual cautery. Afterwards when the scabs have fallen

off, the sore is dusted with slag of bronze, to prevent any second

growth later on). Moreover it is possible the passage of _Galen_,[417]

πρὸς δὲ τὰ ἐν αἰδοίοις φυόμενα ἀπίου σπέρμα ἐπίπασσε καὶ τραγείᾳ χολῇ

περιχρῖε. (But for growths on the privates sprinkle pear-juice and rub

in goat’s gall) may refer to these cases, though no doubt it may also

be held to apply to the tubercles occurring in the female vagina (§

41,—3. B.).

Again _epinyctis_ (night-pustule),[418] which Hensler also mentions

but declares to be equally open to suspicion as to interpretation,

would seem hardly pertinent in this connection, for the violent pain

experienced at once tells against the likelihood of its being an

affection of this class. Its appearance _in eminentibus partibus_ (on

prominent parts, on the extremities) finds a clear explanation in the

words added by _Pollux_ (loco citato, 197.) περὶ κνήμας καὶ πόδας ἐν

νυκτὶ γενομένη (appearing on legs and feet during the night); while it

is proved that Celsus meant to indicate nothing else by it from his

words in describing φλυζάκιον (little blister), which he says occurs

_raro in medio corpore, saepe in eminentibus partibus_,—rarely on the

trunk, frequently on prominent parts, extremities. Still we do not for

a moment wish to dispute the fact that the male genitals were at any

rate among the Ancients counted as belonging to the _partes eminentes_,

and as chancrous blebs do usually appear suddenly and often during the

night, it is quite possible these may have been all along intended by

_epinyctis_,—especially as on Hippocrates’ authority[419] creeping

eruptions (ἕρπητες) arise from night-pustules (ἐκ τῶν ἐπινυκτίδων.)

However _Pollux_ (loco citato, 206.) likewise again mentions the legs

and feet (κνήμαις καὶ ποσίν), declaring these eruptions attack those

of elderly people. From this we may conclude the epinyctis of the

Ancient writers to have been very likely nothing else but that form of

_impetigo_ (scabby eruption) which is vulgarly known as the _salt-flux_.

_Aetius_[420] mentions _pustulae spontaneae in pudendis_ (pustules

spontaneously set up on the privates), provoking _phimosis_, and

describes[421] _scabies scroti_ (scab of the scrotum) with metathesis

into ulceration and scaliness, after the disappearance of which very

often acute _pruritus scroti_ (itch of the scrotum) is left behind.

_Galen_ (XIX. p. 449.) defines _psoriasis scroti_ (itching of the

scrotum) as a form of induration of the scrotum accompanied by itching,

as well as in some instances by ulcers.

Under exanthematic types come also the various _condylomata_. These

when they appeared on the genitals and in other localities of the body,

were called by the Greeks σῦκος, συκώσις, σύκωμα, συκώδης ὄγκος, (fig,

figlike excrescence, figlike swelling, figlike lump), by the Romans

_ficus_ (fig), whereas the same disease when it showed itself on the

fundament, received the name of condyloma[422] _par excellence_. At

the same time this distinction was by no means strictly observed;

in particular the larger forms of _thymus_ (warty excrescence) were

designated by the name σῦκος (fig), albeit it would seem that _thymus_

was used as specific name for all protuberances on the fundament and

genitals. Σῦκος or _ficus_ is according to _Galen_[423] an ulcerative

tubercle secreting moisture,—the _varus_ (blotchy eruption) on

the contrary being dry, according to _Oribasius_[424] of circular

shape and reddish colour, hardish and rather painful. It is found

above all on the hairy parts of the body, the head, chin, fundament

and genitals,[425] as the passages quoted above in § 13 from Martial

show. They occurred, as it would seem, most frequently on the female

genitals, in which situation they are described so long ago as by

_Hippocrates_[426] under the name of κιων (pillar, pillar-like

excrescence) and said to be evil-smelling. _Aspasia_[427]

says, “condyloma est rugosa eminentia. Rugae enim circa os uteri

existentes dum inflammantur, attolluntur et indurantur, tumoremque ac

crassitudinem quandam in locis efficiunt.” (a condyloma is a wrinkled

protuberance. For when the wrinkles surrounding the orifice of the

uterus grow inflamed, they become prominent and indurated, occasioning

a swelling and thickening in the parts). _Paulus Aegineta_ (III. 75.,

VI. 71.) describes them under the name of _hemorrhoids_ as painful,

reddish, excrescences suffused with blood, which break (διαλείμμασι),

and give off a pale discharge in drops. Much more common was the

appearance of _condylomata on the fundament_,[428][429] particularly

in male subjects; in which case they were specially ascribed to

pederastia, as we have already seen. This makes it impossible to decide

definitely which condylomata were of primary and which of secondary

character; but the fact in no way authorizes us to deny altogether the

occurrence of the latter in Ancient times.

The Plague of Lust, Vol. 2 (of 2) Being a History of Venereal Disease in Classical Antiquity · 第 42 / 77 题