Scrophulous inflammation is in general dangerous and tedious, in a
degree proportioned to the effects and duration of simple inflammation
upon the same parts. Thus, simple inflammation of one of the conglobate
glands of the neck, is tedious, but not dangerous; and the same holds
true of scrophulous inflammation; but the duration of this is much
longer. Simple inflammation of the lungs, again, is dangerous; and
scrophulous inflammation is infinitely more so. Such parts as heal
easiest, when affected with simple inflammation, or ulceration, recover
soonest from scrophulous inflammation; and the same causes which
retard the one will retard the other also. Thus, the same cause which
renders a superficial simple ulcer unhealthy and chronic, will prevent
a superficial scrophulous ulcer from healing: But, if none of these
causes operate, then scrophulous inflammation, or ulceration, will
heal pretty readily, provided that simple inflammation, or ulceration
of the same parts, would do so; but, for this purpose, it must be
quickly induced; for all inflammation, or ulceration, which is slowly
induced, is slowly removed. As a confirmation of these positions,
we find, that a blister on a scrophulous person will heal readily,
because the inflammation is induced acutely, or with a certain degree
of quickness, and has, when the affection is simple, a promptitude
to heal, which manifests itself also in scrophulous people. In this
instance, the difference in the time required to heal the inflammation
in a sound and a scrophulous person is not perceptible; because the
affection, if simple, has a tendency to heal immediately. But, in a
deep wound, especially if contused, we find the difference more marked;
because here, although the constitution be healthy, the duration of
the disease is considerable; and, in a scrophulous person, the cure is
protracted still longer, and the sore assumes a specific appearance.
In diseases of the glands, the difference is still more perceptible;
because the disease, although simple, is longer in duration. In
affections of the bones and cartilages, the same is observed. When a
bone is fractured in a healthy person, it unites without inflaming;
and, in a scrophulous person, unless the diathesis be exceedingly
strong, it likewise does so, but the union is longer of taking place;
but, if a bone inflames in a sound person, the disease is very tedious;
and, in a scrophulous habit, it is infinitely more so. The same holds
true with regard to tendons and cartilages; and hence the greater
danger of a sprain in a scrophulous than a healthy person. From these,
and other facts, which it is altogether unnecessary to mention, it
fully appears, that scrophulous inflammation is tedious and dangerous,
in proportion to the progress and effects of simple inflammation and
its consequences, when it attacks the same parts; but this proportion
is not regular and uniform; but the duration increases, in a higher
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