The effects of the suppurative action upon the constitution, may be
divided into those which are dependent upon the formation of the
action, such as coldness, listlessness, &c. which are common to all
new actions; and those which are peculiar to the action when fully
formed. The first set requires no particular treatment, with an
immediate reference to their removal; but their presence indicates the
necessity of changing our method of cure, if we have not already done
so. In conjunction with proper local applications, we must give light
nourishing diet, with or without wine, according to the extent of the
action and the weakness of the patient. Rest, and general warmth, are
also necessary; but the heat ought not to be carried so far as to
produce any considerable sensation, or sweating. Diaphoretics have been
recommended[41]; but there does not appear to be any necessity for
their exhibition; because the cold, and other symptoms which we intend
to relieve, depend upon the state of the local action, and are only
to be removed by fully forming this action. Heat will not cure this
coldness, or shivering, when the action which causes it is extensive;
but, on the contrary, will frequently increase it, by accelerating the
formative process. The immediate effects, then, or the primary symptoms
of suppuration, require no particular treatment, with a view to their
own removal, but are to be attended to as marks which point out the
necessity of a change of treatment, with a view to keep up the action
which induces them, and to prevent it from producing bad consequences
afterwards to the constitution. Sometimes, indeed, in delicate people,
suppuration at this period produces hysterical symptoms, such as
languor, flatulence, or sometimes starting, tremors, and hysteric
paroxysms, more or less distinct. The slighter affections of this kind
may be frequently removed by a little warm wine and water; the more
severe, by anodynes, conjoined with aromatic waters.
[41] Mr. Hunter supposes that these are useful, “because they endeavour
to keep up an universal harmony, by putting the skin in good humour,
which quiets every sympathising part, and by counteracting the effects
of irritability.” P. 381.
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