Treatment

The patient should be placed on a full animal diet, with plenty of fresh air and exercise. Means must be taken to bring the health up to a normal standard.

Locally, bran, starch or gelatine baths are of decided benefit. The continuous bath, as recommended by Hebra, may be resorted to in some cases.

The oldschool rely upon quinine, themineral acids, and arsenic, as internal remedies. They recommend cod-liver oil, combined with either of the above, it is a favourite prescription with many.
Dr. Cooper has cured pemphigoid eruptions, particularly those occurring in the ears, with an ointment of scrophu-laria nodosa. The same medicine was very useful in bullae surrounded by an inflamed ring.

Dr. Pope ameliorated a distinctly pemphigoid eruption with Cantharis 3x. Later in the case - one of disseminated sclerosis - the eruption reappeared, and passed away with­out rupture under Phosphorus given on general indications for that drug.

The indications for the principal internal homoeopathic remedies are as follows:
Ammon. mur. - Blisters the size of peas on the right shoulder with itching; burning at small spots on the chest; chilliness, especially when walking; fat body but thin legs. Arsen. alb. - Black blisters, burning and very painful; great restlessness and typhoid symptoms; pemphigus folia-ceus or when gangrene sets in.

Belladon. - Painful, watery vesicles on the palm of the hand sensitive to the touch; chill in the evening, mostly on forearms, with heat in the head.

Cantharis. - Pemphigus presents a very exact image of a lesion produced by the external application of cantharides; active inflammation, with blisters containing serum, burning more than itening; more on right side.

Causticum. - Large jpainful blisters on the left side of the chest and neck, which become flattened; with the eruption, there is difficulty of breathing, fever, heat and sweat; very sensitive to cold; corpulent children, with tendency to enlargement of glands; involuntary urination when sneez­ing or blowing the nose.

Chamomilla. - Extreme irritability of the nervous system and great sensitiveness to pain, or to wind or currents of air;  darting and lancinating pains.

China. - Great nervous irritability; the contents of the vesicles become ichorous with a putrid smell; where there is a tendency to gangrene.

Clematis. - Burning throbbing pains; yellow corrosive ichor; great emaciation.

Dulcamara. - Burning pains, restlessness, thirst and emaciation; the bullae break forming corroding ulcers.

Gummi gutti. - May be used when other remedies fail.


Kali carb. - Burning, itching and stitch pains; 'blisters with tendency to spread; pemphigus foliaceus.

Iodine. - Gangrenous tendency, after mercury.

Lachesis. - Gangrenous tendency; bullae and blisters; tossing and moaning during sleep, and aggravation of symptoms on awaking.

Mercurius. - The bullae have a tendency to spread, with discharge of burning ichor, worse at night, particularly from warmth of the bed; profuse sweat which does not relieve.

Natrum carb. - Blisters with oozing of purulent fluid; the whole skin becomes dry, rough and chapped.

Natrum mur. - Fluid from blisters and blebs like water.

Natrum sulph. - Watery vesicles or blebs all over the body.

Phosphoric acid. - Deep hard bullae on the ball pf the thumb; blisters on the balls of the toes; great drowsiness and apathy; in debilitated individuals; after sexual excesses.

Phosphorus. - The blisters are full to bursting, painful and hard, but not itching; tall fair children with tendency to tuberculosis; languor and nervous itching; chilliness every evening with shivering; arms and hands become numb; regurgitation of food; small wounds bleed much.

Ranunculus bulb. - .Blisters on the fingers the size of a hazelnut, followed after healing by small deep transparent dark-blue elevated blisters the size of ordinary pin-heads; this remedy has cured pemphigus in new-born children.

Ranunculus scle. - Vesicles, which emit a thin acrid, yellowish ichor, and form obstinate ulcers; itching, boring, gnawing and biting pains; sleeplessness, with debility and anxiety.


Raphanus. - Blisters full of water on the breast, without inflammation, redness or pain.

Rhus tax. - Acute form, with much itching and burning; confluent blisters with milky or watery fluid and peeling of the skin.

Sepia. - Pemphigus on the arms and hands; heaviness of the limbs; sensitive to cold air; arthritic pains in the joints.

Tartar emet. - Vesicles filled with bloody serum, collapsing and bursting, turning blackish and changing to malig­nant broad deep ulcers; gastro-intestinal irritation.

Thuja. - Pemphigus foliaceus, with offensive odor, and formation of scales.