The circumstance of being in an unusual situation, in which the natural
action cannot possibly be continued, is also a very frequent cause,
producing inflammation, and preventing its resolution. We ought, upon
this principle, which has been formerly mentioned, to endeavour, in
almost every instance, to bring the sides of the wound together, if
an wound has been the exciting cause of inflammation, by which we
shall much more readily prevent or overcome the inflammatory action;
because we thus bring the parts nearly to their natural situation,
with respect to interstice, and thus make the organic particles be
more readily thrown out[1]. This practice ought to be pushed farther
than is often done. Even in many contused wounds it will be useful;
because, although union may not be immediately produced, yet, when the
contused part is either recovered, or absorbed, the inflammatory action
may be prevented, or removed, by the restoration of the natural action,
if the part be in absolute contact. It must, however, be remembered,
that if much difficulty be experienced in bringing and retaining the
parts together, owing to the swelling, from the previous existence of
the diseased action, then our endeavour will be hurtful; because the
irritation which we thus give, has a greater power to increase the
action, than the circumstance of the parts being in contact, has to
diminish the inflammation, and restore the natural action.
[1] Bringing two surfaces in contact, although they naturally were not
so, will have the same effect. Thus, if the skin be taken off the edges
of our fingers, and the side of the one be applied to the side of the
other, adhesion will take place, and no inflammation will be produced.
When a part is inflamed, and one portion is brought in contact with
another, we uniformly find, that the inflammation is less where the
parts were in contact than elsewhere. Thus, when the intestines are
inflamed, the parts suffer least which touch other intestines, whilst
the angle betwixt the folds is most affected. This fact is observed by
Mr. Hunter, but explained upon the principle of contiguous sympathy;
or, “a mutual harmony being produced, which prevents their being
inflamed.”
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