When scrophulous inflammation does take place, then this invigorating
plan is had recourse to as a cure, whilst, in truth, it is most useful
as a prophylactic. The invigorating plan, which consists in the use
of good diet, moderate exercise, sea bathing, &c. is indeed useful at
this period, both because it tends to make the disease more easily
overcome, and prevents other parts from being injured; but its utility
is still greater as a prophylactic; and it does not appear to have any
certain efficacy in promoting the resolution of scrophulous tumors,
because these have naturally a strong disposition to advance slowly
to suppuration, and therefore are not readily affected by such means
as tend simply to strengthen the system, or support its actions,
because these do not change its peculiarity, or morbid modification,
which existed, ab origine. But, when the tumors have proceeded the
length of ulceration, then they have gone a step farther to a natural
termination; and, although the means which strengthen the system cannot
remove the scrophulous diathesis of the system, they may nevertheless
accelerate the cure of a chronic tedious ulcer, which is slowly tending
of itself to a termination.
The remedies called agentes similes operate more directly on the
scrophulous mode of action than those means which tend simply to
strengthen the system, and may be usefully conjoined with them, because
these agents tend to induce an action different from the scrophulous
one, at the same time that it possesses a certain coincidence with,
or general resemblance to the natural or healthy action. Hence, the
bark has been frequently found to be useful in the cure of scrophulous
inflammation, but oftener of ulceration than tumefaction of the
glands, for the reason mentioned above. It does not appear, however,
to possess, by any means, that certain power of curing scrophulous
affections which is attributed to it by Dr. Fothergill, and several
other authors; nor are we to suppose that it shall infallibly cure
scrophulous inflammation, or ulceration of parts, which, even when
affected with simple inflammation, are very difficult to be cured.
If we find it difficult to cure a simple inflammation, or ulceration
of a tendon, cartilage, or bone, we must not be disappointed if even
a specific remedy for scrophula (granting such a one ever to be
discovered) were to prove ineffectual in procuring a speedy restoration
to health. The bark is likewise often ineffectual, because it is
improperly administered. Given in small quantities, once or twice
a-day, as is frequently done, it may prove a stomachic, and increase,
like other tonic bitters, the power of the stomach, or the functions
dependent on it; but we never can thus obtain the benefits of the
specific action of the bark on the system. For this purpose, it must
be given liberally, in as great doses, and as frequently repeated as
can be done without producing continued sickness, or vomiting; and this
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