raped with a sharp spoon, and painted over with acid nitrate of
mercury, or a local hyperaemia may be induced by Klapp's suction
apparatus.

_In lesions of the mouth and throat_, the teeth should be attended to;
the best local application is a solution of chromic acid--10 grains to
the ounce--painted on with a brush once daily. If this fails, the
lesions may be dusted with calomel the last thing at night. For deep
ulcers of the throat the patient should gargle frequently with chlorine
water or with perchloride of mercury (1 in 2000); if the ulcer continues
to spread it should be painted with acid nitrate of mercury.

In the treatment of _iritis_ the eyes are shaded from the light and
completely rested, and the pupil is well dilated by atropin to prevent
adhesions. If there is much pain, a blister may be applied to the
temple.

_The Relations of Syphilis to Marriage._--Before the introduction of the
Ehrlich-Hata treatment no patient was allowed to marry until three years
had elapsed after the disappearance of the last manifestation. While
marriage might be entered upon under these conditions without risk of
the husband infecting the wife, the possibility of his conveying the
disease to the offspring cannot be absolutely excluded. It is
recommended, as a precautionary measure, to give a further mercurial
course of two or three months' duration before marriage, and an
intravenous injection of an arsenical preparation.

#Intermediate Stage.#--After the dying away of the secondary
manifestations and before the appearance of tertiary lesions, the
patient may present certain symptoms which Hutchinson called
_reminders_. These usually consist of relapses of certain of the
affections of the skin, mouth, or throat, already described. In the
skin, they may assume the form of peeling patches in the palms, or may
appear as spreading and confluent circles of a scaly papular eruption,
which if neglected may lead to the formation of fissures and superficial
ulcers. Less frequently there is a relapse of the eye affections, or of
paralytic symptoms from disease of the cerebral arteries.

#Tertiary Syphilis.#--While the manifestations of primary and secondary
syphilis are common, those of the tertiary period are by comparison
rare, and are observed chiefly in those who have either neglected
treatment or who have had their powers of resistance lowered by
privation, by alcoholic indulgence, or by tropical disease.

It is to be borne