From what has been said, it will appear, that I consider the
scrophulous inflammation, or what has in common language been called
scrophula, merely as an accidental circumstance, occurring in a
scrophulous constitution; but it is by much the most dangerous and
troublesome effect of the peculiarity of constitution. It has likewise
a very evident effect in increasing this condition of the system;
for we find, that the probability of scrophula appearing in a child
is, cæteris paribus, correspondent to the presence or absence of
scrophulous inflammation in the parent; or, in other words, that
those who have either at the time of marriage, or before it, had
scrophulous inflammation, are more likely to have their children
strongly scrophulous, than others of the same family, who have not
had inflammation. It is likewise certain, that if, by any cure, we
can, for one or two generations, prevent the appearance of scrophulous
inflammation, the children will become less and less diseased, or have
less peculiarity of constitution; but if, by any accident, scrophulous
inflammation be in one of the descendents excited, even in a slight
degree, his immediate progeny will be more diseased than he himself
before the induction of the inflammation[88].
[88] Some gentlemen have denied that scrophula was a hereditary
disease; but it is unnecessary to offer any argument on this subject.
With regard to the exciting causes of scrophulous inflammation, I may
remark, that they are similar in kind to those capable of inducing
simple inflammation; but they frequently operate more powerfully; that
is to say, causes which would scarcely induce inflammation in a healthy
person, may induce a local disease, and inflammation, in a scrophulous
habit; because the different parts of the body perform their functions
less healthily in a strongly scrophulous person, and are more easily
deranged. In every system, those parts which are most delicate, or
require the greatest perfection of action in order to keep them right,
are most easily deranged. Now, in scrophulous people, the natural
action being modified, the body becomes more delicate, and is more
susceptible of derangement, especially those parts which naturally are
delicate[89], or require a perfection of action. The glands seem to
be amongst the most delicate organs; for they have not only to perform
the formative, or nutritive function, in common with every other part,
but they have also to perform a separate and distinct function, or
change the nature of certain fluids which are brought to them. It is on
account of the natural delicacy of the glandular system being increased
by the diseased condition of the general system, and of the exposure of
the lymphatic glands to the action of stimulating matter, taken up by
the absorbents on the surface, as, for instance, matter from scabs on
the head of children, that this species of inflammation most commonly
appears in the lymphatic system; but this system does not seem to be
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