considered as so many different diseases.
[131] Schirrus has generally been enumerated as one of the terminations
of inflammation; but it cannot, properly speaking, be considered as
such. There are only two kinds of termination, one in death, as, for
instance, gangrene; the other in recovery, which is accomplished either
directly by resolution, or indirectly by suppuration. Schirrus is not
produced by a perfect and complete cessation of inflammation, but by a
continuance of a low degree of inflammation, which renders the state
of tumefaction which attends it natural to the part, before it goes
off. This state, then, is not a termination of inflammation, but a
consequence of its continuance.
This disease is most apt to take place in elderly people, (in so much
that some consider it as peculiar to old age); because in them, parts
sustain injury of their actions worst, or are less able to recover
from them. Hence, two consequences follow: First, Simple schirrus is
more easily produced, resolution of inflammation being more difficult,
especially in parts which are, at all times, rather tedious in their
recovery, when inflamed: Second, The simple schirrus is more apt to
inflame, or have, what may be called, _its_ necessary actions impeded
and deranged. It must, however, be remembered, that there is no age
whatever exempted from this disease: I have seen it distinctly marked,
and attended with a fatal event, in children of five years old[132].
[132] I have known two cases of this kind; in both the eye was
affected. One boy had his eye extirpated; but a small part being left
by the surgeon at the angle, the disease returned, and proved fatal.
In another, the disease was in its incipient stage; but the relations
would not submit to an operation.
It is a controverted point, how far it is possible to produce cancer
by inoculation; some maintaining, that the application of cancerous
matter to a sound part will induce the disease; others, that it is
altogether harmless. Analogical evidence is certainly in favour of
the first opinion; because the majority of specific ulcers may be
inoculated, and have been so by accident. But, at the same time, it
must be admitted, that there are few well established cases of this
particular point. We find, however, that, like the venereal matter, the
cancerous, when absorbed, induces a disease in the lymphatic glands, of
a cancerous nature. We would, therefore, be led to conclude, that if
the matter be capable of inducing cancer by absorption, in a distant
part, it ought likewise to be capable of producing the same disease
in another person by inoculation. The same be said of the spongoid
inflammation, &c.
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