it will be more proper to allow it to follow its natural course, and
burst spontaneously, than open it, by a large incision, or by the
introduction of a seton: If we do open it, the orifice should not at
first be large, but should just comprehend the diseased or whitened
surface.
[31] This likewise affects the system, and produces syncope, if the
mechanical support be withdrawn suddenly from the parts.
Sometimes, after an abscess has burst, or been opened, it continues
in a progressive state of amendment for some time, and then becomes
stationary, continuing to discharge matter without healing. This
either takes place from the whole surface, or from a particular part
of it, forming a sinus, the treatment of which will afterwards be
mentioned, being the same with those which succeed abscesses which are
originally unhealthy.
After an abscess bursts, the proper application is a warm poultice[32],
which should be continued in general as long as there is any stool,
or hard margin; that is to say, until the increased quantity of
diseased organic particles, which were formed during the inflammation,
be absorbed, and the vessels at that part have either assumed the
suppurative or natural action. After this, the orifice ought to be
covered with a slip of lint, and moderate pressure applied over the
surface of the abscess[33], by which the sides are kept in constant
contact, and reunion is accelerated. Good diet is also necessary,
for we thus increase the powers of recovery, or keep up a proper
action, and renew the vital principle, the quantity of which has been
lessened during the inflammation, both by the continuance of a state
of overaction, and by the remedies which are employed to diminish the
action; for a state of real and permanent weakness is thus induced.
[32] This poultice does not require to be so hot, nor changed so
frequently, as before the full formation of matter.
[33] If this produces pain, we may in general conclude that it has been
used too soon.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account