have for a long
time distinguished a _torpid_ and an _erethistic_ scrofulous
constitution.

With a _torpid_ constitution the body is pale, spongy and bloated, the
nose and lips are thick, the abdomen swelled, there is plenty of fat and
but weak muscles. Such children are indolent, at times peevish and
indifferent, they do not sleep quietly, have no appetite or may be
voracious and suffer from derangements of digestion. An examination of
all organs indicates no change. The children are easily afflicted with
eruptions of the skin, with inflammation of the eyes and ears, and
catarrh of the mucous membranes, which are characterized by great
obstinacy. The derangements in nutrition here described are caused by
the lymphatic glands though a swelling of the same can not be found.

In the case of _erethistic_ scrofula the children are found to be of
slight and lean structure, with fine hair and long eyelashes; they are
active, easily excited, gifted and extremely sensitive to physical pain.
The face is pale and becomes easily flushed by physical or emotional
excitements. They are easily subject to palpitation and short breath;
and are attacked by high fevers from the slightest reason. The lymphatic
glands, especially the deepseated ones, are as a rule more or less
swelled.

In most cases, however, the characteristics of these two forms are
blended.

The phenomena of scrofula are manifold and extend over the entire body.

The _skin_ is frequently the seat of scrofulous affections. These are
particularly found on the head and face and are characterized by great
obstinacy and tendency to return.

Most frequently herpes appear, the parts especially affected are the
scalp, face, auricular passages, eyelids and the nose with its
surrounding parts.

Pustules are sometimes developed under the skin and may appear in great
numbers. These pustules may either break through the skin or shrink into
a caseous mass.

Of all _mucous membranes_ that of the _nose_ becomes most frequently
diseased; in a great number of cases this happens in the form of a
chronic catarrh; the mucous membrane of the nose is reddened and swollen
and a profuse, thick, purulent, ichorous and easily drying fluid is
secreted. Often the external parts of the nose are swollen as a result
of the catarrh and the nostrils are stopped up with thick
yellowish-green rinds. Inflammation of the skin is caused by the flowing
out of the purulent and ichorous liquid secre