Dissertations on Inflammation, Vol. 2 — John Shaqi
Dissertations on Inflammation, Vol. 2Burns, John
Science
Dissertations on Inflammation, Vol. 2
Burns, John
Inflammation
action, or contraction, or shrinking, from weakness; and, therefore,
may likewise stop hemorrhage from distant parts. In many cases, when
this shrinking, or temporary contraction, is suddenly induced by cold,
it becomes converted into the natural muscular contraction of the part;
thus, for instance, if cold be applied to the uterus itself[11],
when torpid, after delivery, we find, that, after the first effect,
or shrinking of the vessels, a more natural contraction takes place.
If, however, cold be long applied, we find, that the contraction thus
induced ceases, owing to the diminution of action which is occasioned
by its continuance, and the original state of collapse, or shrinking,
alone remains.
[11] When applied to the skin of the abdomen, it acts chiefly by
exciting action, on the principle of the sympathy of equilibrium.
Blisters likewise act by simply abating the action of the part; but
differ from cold, in requiring to be applied, not to the part which is
affected, but to some other, with which it exhibits the sympathy of
equilibrium; as, for instance, to the integuments of the thorax, in
pulmonic inflammation; to the skin of the knee, in affections of the
joint, &c. It is, however, necessary, when a general disease, or fever,
is induced, that bleeding be fully employed, before we have recourse
to blistering; because, if it be not, the inflammation, excited by the
blister, co-operates to increase the fever, alongst with the original
disease, which it has not had time to overcome, or lessen. Blistering
likewise acts more effectually, when the local action has been already
diminished, by previous bleeding. The size of the blister should be
proportioned to the probable extent of the diseased action; at the same
time, we must set bounds to this magnitude; because, if too large,
they may not only produce, or keep up a general disease, but also, by
lessening the action of the internal parts too much, and too quickly,
they may prevent recovery[12]. It is therefore better to apply them of
a moderate size, and renew them frequently, than to apply one too large
at once. It must, however, be remembered, that inflammations of every
part are not equally readily overcome in this way; and, therefore, one
will require a larger blister than another; thus, the same quantity of
inflammatory action in the brain, will be more difficultly subdued,
than in the breast; and, therefore, we must apply, in that case, a
larger blister. As it is the inflammatory action, induced by the
blister, and not the discharge, as was once supposed, which is useful,
it follows, that the same blistered place should not be kept too long
from healing, or in the state of an issue, but that we ought rather to
apply a succession of blisters; and this succession should be pretty
rapid. There is indeed one case, in which issues are admissible,
namely, where, from the nature of the inflamed part, or the peculiarity
of the inflammation, if it be specific, or scrophulous, the progress
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