below, gives way to the sympathy of association[26], the parts coming,
by degrees, to perform one uniform action together, which spreads from
within to without. When we apply heat to the surface, at this place,
we, by continuance, likewise induce the sympathy of association, and
the increased action spreads and operates on the disease; but there is
this difference, that the action of the heat spreads from without to
within, and thus accelerates the progress of the suppurative action.
[23] Poultices may also be made, by boiling pounded linseed-cake, or
from potatoes, or mashed vegetable leaves (which are the cheapest for
hospitals), such as tussilago, &c.
[24] The inflammatory action, when moderately strong, acts naturally
as an exciting cause, inducing the purulent action, which is
therefore said to be a termination of inflammation. It is therefore
as unnecessary to interfere in the production of this secretion,
when the action is of proper strength, &c. as it would be to attempt
to increase, by local means, the vesication which is produced by a
blister. Poultices are, in this condition, perhaps chiefly useful, by
removing the causes which tend to abate the action at an improper time,
such as those which produce resolution, as cold, &c.
[25] They keep up the heat of the part, and keep it moist until this
happens, and prevent the action from flagging suddenly, which is all
that is required of them, when the action is going on of itself in a
proper degree.
[26] When two parts are affected at the same time, in consequence of
an agent operating quickly on one of them, they commonly exhibit the
sympathy of association, which takes place suddenly, but generally
at first lasts only for a short time, if the parts be distant; but,
if the original disease still continue, it may spread, inch by inch,
until it arrives at the part which was formerly affected, and which
is again affected more permanently, by the same kind of sympathy
taking place, but in a different way. In the first case, we have the
sympathia consociationis interrupta; in the second, the sympathia
consociationis serpens. It is this last which is the cause of the
extension of all action in a part, and which, when strongly excited,
overcomes the natural tendency to the exhibition of the sympathy of
equilibrium. It is, however, more difficult for local action to spread
by degrees to parts which evince the sympathy of equilibrium than other
parts; and these, in general, are longer of being affected. Thus, when
inflammation begins in the skin, it can much more easily spread along
the skin than dip down to the muscles.
Public-domain text, read in full here on John Shaqi.
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