Dissertations on Inflammation, Vol. 2 — John Shaqi
Dissertations on Inflammation, Vol. 2Burns, John
Science
Dissertations on Inflammation, Vol. 2
Burns, John
Inflammation
Cold, or the subduction of heat, is chiefly useful as a topical
application; but it is also proper to be applied, in moderation, for
the abatement of the general fever, unless we be desirous of procuring
perspiration. The quantity of bed-clothes ought to be lessened, cold
drink should be allowed, and a free circulation of cool air into the
room. The application of cold, however, ought, in general, only to be
carried to such an extent as shall be sufficient for diminishing the
morbid degree of heat, and not so far as to produce sensible cold,
or the sensation of cold; because this, in many instances, will be
pernicious, upon the principle of the sympathy of equilibrium, the
action of the internal parts being increased by the speedy application
of cold to the surface; and, therefore, if the internal parts be
inflamed, their morbid action must be still farther increased. If the
cold be long applied, to any considerable degree, it will likewise,
by the sympathy of association, weaken the whole system too much, and
injure the act of restoration. As bleeding is to be used only until
it restores a natural state, and abates pain, so also is cold only
to be applied in such a degree as may be necessary for diminishing
the preternatural heat, and sensation of the surface; which it does,
by lessening the morbidly increased action, and reducing it to the
natural state. The degree must therefore gradually be diminished,
in proportion as the general disease subsides, otherwise we injure
the system, and prevent recovery. There is, however, this difference
betwixt bleeding and the application of cold, that the first may be
used suddenly, and to a considerable extent at once, whereas, the
second ought, especially in all cases of internal inflammation, to be
employed more slowly, and its degree regulated by the degree of the
general heat of the surface.
Nauseating medicines are also very useful, independently of the
sweating which they frequently induce; and are a very powerful mean of
abating action in general[5]. Employed, after bleeding has been used
once or twice, they are productive of considerable benefit; but there
are some affections, in which they cannot be used, such as inflammation
of the stomach and intestines; but in inflammation of the lungs, of the
throat, muscles, or surface, they may often be prescribed with benefit.
The remedies usually employed for this purpose, are, small doses of
emetics, given without drink. It must, however, be remembered, that
these frequently produce considerable evacuations, either from the skin
or bowels, and, therefore, may occasion a permanent weakness. We must
likewise avoid raising the sickness to a great degree, and keeping
it long up; because the same objection applies nearly to this as to
bleeding ad deliquium.
[5] Nausea has often been employed with success, in checking active
hemorrhage.
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