of the action is very slow. In these cases, a rapid, and continued
succession of blister would, doubtless, be most useful, but, from the
duration of the treatment, would scarcely be submitted to: Issues,
which are less painful, and less troublesome, are, therefore, generally
preferred. We have an instance of this in many diseased joints.
[12] Were this not the case, we should cure pulmonic inflammation, with
the greatest certainty, by covering the whole thorax with a blister.
The remedies which tend to diminish the inflammatory action, by
producing a peculiar, or specific change, are, the agentes dissimiles,
of which, for this purpose, lead is the best, and the one which is
most frequently employed. Lead, in the state of an oxyde, was long ago
used; but it does not appear, in this condition, to have much activity;
and, therefore, the saline preparations are now introduced into use.
The acetite of lead, on account of the supposed power of vegetable
acids in abating inflammation, has been considered as possessing a
great superiority over other forms; but its chief recommendation over
other soluble preparations, is its cheapness; for the nitrate of lead
seems to be equally powerful. The acetite of lead may be employed,
either before or after crystallisation; but, if we use the crystals,
they must be redissolved; for which purpose, soft, or distilled water,
must be employed, otherwise a decomposition takes place. The strength
of the solution which we apply, must be determined by the natural
delicacy of the part, and its morbid sensibility, in consequence of
inflammation. In the inflammatio valida, in which alone it is proper,
the solution never ought to be so strong as to produce pain. When the
eye, urethra, and other delicate parts, are inflamed, the application
ought to be just so strong as to produce sensation, and should be very
frequently repeated. When the cellular substance is inflamed, and we
begin the application before the cutis be much affected, the solution
will not require to be so strong as to produce sensation; because,
were it to be so, the action excited might, from the quantity required
to produce the effect, be so great, and so suddenly induced, that
the powers of recovery would be lost, or a specific inflammation be
occasioned, as we observe, when the solution is very much concentrated,
in which case, even sloughs are sometimes produced. On the same
account, we must renew the application frequently, at least if we
use pledgets, otherwise the evaporation of the solvent increases the
strength more than we desire. For incipient phlegmon, we may employ a
solution consisting of three pounds of rain or river water, and five
drachms of sugar of lead; or the following, which is more elegant:
R. Cerussa Acetatæ dr. iii ss.
Aceti Vini unc. iii. Solve super focum dein adde.
Aq. Distill. Frigid, lb. i ss.
Aq. Rosar. unc. iv.
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