who is called to treat inflammation in the later stage of fever is in
the position of the man who arrives with the apparatus for saving the
house when its stories have been already consumed and its roof has
fallen in.
Bleeding in fever cannot be performed too early. The very first moment
of excitement, could that be discovered, is precisely the moment when
the employment of this powerful remedy would produce the greatest
effect. The earlier the bleeding, the greater will be the impression
made upon the disease, and the less upon the patient; or, the more
effectually will the inflammatory action be stopped by the loss of the
smallest quantity of blood.
When inflammation has actually come on, there is then not a moment to be
lost; that inflammation must be stopped; the accomplishment of this
object is the great end which the practitioner should aim at in every
thing he attempts; until he has done this he has done nothing; until he
has done this he ought to give neither sleep to his eyes nor slumber to
his eye-lids; until he has done this he ought to feel that there should
be no rest for himself, because there is no safety for his patient.
Until the inflammation is subdued blood must be taken; be the quantity
it may be necessary to abstract, in order to accomplish this object,
what it may; be the bleedings it may be requisite to repeat what they
may; the vein must be allowed to flow, and it must be opened again and
again until this object is secured. If this golden opportunity be
allowed to escape, and this object be not obtained, the risk is most
imminent. During this early period the physician is master over the
disease; if he allow it to pass away without obtaining the victory, the
disease becomes master over the physician. From that moment his control
over it is gone. Never can he regain his lost advantage. Fever is a
process that advances with a step as steady as time, and like time it
never retraces a step. At a subsequent period its progress may be
sometimes retarded, and now and then it may be weakened; but, after the
lapse of a few days, this is all which the most complete success is then
capable of accomplishing.
Mere relief of inflammation is nothing; to render a severe inflammation
a less severe inflammation is to do nothing; because the less severe
inflammation may be fatal just as certainly as the more severe: the
inflammation must be subdued, or the case, if not wholly lost, becomes
dangerous and doubtful.
Public-domain text, read in full here on John Shaqi.
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