When matter is formed, the skin generally
becomes purple, and then gives way in a small spot. Swellings of
the secreting glands are to be distinguished from schiro-cancer, by
the hardness being less, the pain very inconsiderable, the presence
of a scrophulous habit, and by the feel of fluctuation much earlier
than takes place in cancer. Upon the whole, the presumption of any
affection being scrophulous, is to be formed by the presence of the
marks of a scrophulous diathesis, and the absence of such symptoms
and appearances, whether antecedent or present, which characterise
inflammation of a different species, or make us suppose it to have
taken place, whether this be simple or specific. Scrophulous ulceration
is distinguished by its peculiar aspect, joined with the marks of a
scrophulous habit.
_Of the Treatment of the Scrophulous Inflammation._
If the foregoing reasoning be just, it will appear, that, in
scrophulous habits, our great attention ought to be directed to the
prevention of the scrophulous inflammation, which is to be done by
avoiding, as far as lies in our power, the operation of any agent
tending to excite inflammation. It has been observed, that, in
scrophulous systems, very slight causes were sufficient to produce
disease; because the parts on which they act possess a peculiar
constitution, and are less capable of performing their natural and
healthy functions properly, and therefore are sooner rendered diseased.
Inflammation may also be induced by the structure of the part being
such as to prevent it from carrying on its functions properly, and
therefore the same effect is produced as in the former case, where
the constitution, or mode of action, and not the evident structure or
mechanism of the part, was affected.
The lungs are to be prevented from assuming the scrophulous
inflammation, by avoiding, in the first place, all the common exciting
causes of pneumonia, such as cold, damp, &c. It is, in the next
place, to be prevented, by avoiding such causes as tend to increase
the circulation in the chest, or affect the function of respiration.
Hence, violent exercise, climbing ascents, intoxication, thick hazy
atmosphere, are to be guarded against.
Public-domain text, read in full here on John Shaqi.
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