Dissertations on Inflammation, Vol. 2 — John Shaqi
Dissertations on Inflammation, Vol. 2Burns, John
Science
Dissertations on Inflammation, Vol. 2
Burns, John
Inflammation
By removing, then, the exciting causes of inflammation, before the
action be induced, we shall frequently prevent it altogether from
being formed; but, even although we should be disappointed, we, by
this removal, render the disease milder, less extensive, and much
more easily overcome; for, as long as the exciting causes continue to
operate, it is impossible to procure resolution; but the action will
be kept up until some other termination, or consequence, be induced.
But, although we thus prevent the action from being raised to so great
a degree as it otherwise would be, yet we do not immediately overcome
or destroy it; because the action, when once induced, has, like every
other action, a tendency to continue for some time after its cause is
withdrawn. This continuance may be longer or shorter, according to
circumstances, and its termination may be more or less unfavourable.
We are, therefore, under the necessity of employing such remedies as
have a power of directly diminishing or removing this action. It has,
however, been doubted, whether they ought, in every instance, to be
employed; or, in other words, whether resolution ought uniformly to
be desired. It has, for instance, been deemed unsafe to check those
inflammations which depended upon a general or constitutional specific
disease, or occurred during its existence. But this opinion, which
was evidently founded upon the supposition of the operation of morbid
humours, cannot be maintained, now that this is given up. Granting
inflammation, in every one of these cases, to be dependent upon the
general disease, and to exist as a symptom of it, no harm can accrue
from resolving it[2]; because, if the inflammation have once taken
place, the full effect of the general disease is produced, which,
therefore, cannot be affected by the peculiarity of the termination of
this inflammation, unless it be proved, that some humour be sent there
to be concocted and thrown out. In many instances, inflammation occurs
in a general disease, merely as an accidental circumstance; but, even
in those cases where the local inflammation is most decidedly dependent
on the general action, and is perhaps essential to it, we find, that no
bad effects follow from resolving the inflammation; and, if this be the
case with regard to specific inflammation, we may still more certainly
extend the principle to the treatment of the simple inflammatory
action, with which we have at present a more immediate connection.
There are, however, some inflammatory affections which we sometimes
cannot put back; such as those tumors which succeed the small-pox; but,
when we do succeed, no bad consequence follows; and the failure of some
of our attempts can be no argument against the general plan, more than
our failure in many other instances.
[2] If we attempt, without fear, to cure the general disease, why may
we not also endeavour to hasten the termination of the local disease?
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