This constitution is more easily acted on by certain agents,
particularly such as tend to induce inflammation, than healthy
constitutions in the same circumstances. It would likewise appear,
that, on the contrary, there are other agents which operate with more
difficulty. It is in general observable, that scrophulous people are
less easily affected with mercury. On a few, indeed, it operates
readily; but, when we attend to the general habitude of these
people, we must consider the aptitude of some individuals to assume
the mercurial action to depend on some peculiarity of constitution,
unconnected with the scrophulous condition.
By the ancients, and many of the moderns, the pituita was considered
as the cause of scrophula, producing tumefaction, by stagnating in the
glands. When any of the bile became mixed with the pituita, then the
inflammation was more violent, and the ulceration deeper. Some latter
writers, convinced that a simple redundancy of any particular humour
could not produce scrophula, had recourse to the supposition of an
acrimony, which was productive of swelling and ulceration, and which
might “taint the whole fluids of the body[85].”
[85] Cullen’s First Lines, Vol. IV.
Others attempted to explain this disease, upon the principle of
debility existing in the whole body, but particularly in the lymphatic
system[86]. This is an idea still more puerile than the doctrine
of morbid humours, which, however unfounded, had several plausible
arguments to support it, and which was incontrovertible until the laws
of the animal economy were better understood. Simple debility never
can give rise to the marks of the scrophulous constitution; it cannot
produce ulcers of a nature and appearance so peculiar; neither can it
explain why particular parts are more apt to be affected than others;
because, if debility exist equally in every part of the absorbent
system, then every part ought to be alike diseased; and if it exist
only in particular parts, then it is necessary to point out some cause
of this partial debility. We likewise frequently observe very great
debility in this system, owing to general weakness, and yet no symptoms
of scrophula appear in consequence.
[86] Bell’s Treatise on Ulcers, p. 424.
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