Heat may be applied in two ways, with or without moisture. In the
first, it increases action more suddenly, and perhaps more simply. In
the second, its effects are more gradual, and are likewise complicated
with those of moisture, which certainly is an agent capable of
operating on the living system, and generally tends to excite a
secretory action, or to give a secretory termination to those increased
actions, which are induced by agents operating alongst with it. Dry
heat is therefore evidently improper in the inflammatio valida, because
it will tend to produce mortification; but, if moisture be conjoined,
then the suppurative action is excited. When, however, the action
has made an approach to the inflammatio assuefacta, then it may be
useful to raise the action simply by dry heat, for a little, before we
apply heat and moisture; because, if we apply moisture at first, the
progress is more tedious, and the action is less certainly excited[20].
Electricity is similar in its operation to heat and dryness, and may
be usefully employed in similar cases; but we must, if we expect any
benefit, repeat its operation frequently, and continue each application
for a considerable time[21].
[20] From what has been said in the preliminary dissertation, we may
understand how moisture should tend to induce a secretion. Agents
frequently excite conditions somewhat similar to their general
properties: Thus, putrid matter tends to induce the action of descent,
and consequent putrefaction. We likewise experimentally find, that,
if moisture be applied during a general increased action, it induces
perspiration, unless it be conjoined with cold, which lessens the
action.
[21] The proper way to use electricity, in this case, is to draw
scintillæ from the part, the patient being insulated.
There are two forms in which we employ heat and moisture, namely,
fomentations and poultices. Fomentations[22] have this superiority
over poultices, that the same degree of heat is always kept up during
their application; whereas, when we use poultices, the heat subsides,
as they are renewed only at considerable intervals; but fomentations
require longer attendance, and more trouble; and, therefore, are only
employed for a short time, and commonly betwixt the intervals at
renewing the poultices.
[22] Fomentations are made, by applying a soft cloth, dipped in any
warm fluid, (commonly water) to the part. Sometimes the cloth is wrung
hard, in which case it is chiefly steam which is applied.
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