When the local action is specific, the general one is also different
from the simple hectic; and, therefore the remedies which are useful
in simple hectic will not be of equal advantage in these cases, unless
a specific remedy be conjoined, as, for instance, mercury prudently
exhibited in the venereal hectic, dependent upon a neglected local
complaint. The most frequent instance of specific hectic is the
scrophulous; for the cure of which we possess no remedy which acts
with certainty. Whenever, therefore, the local complaint cannot be
cured, and the hectic increases, we must, if possible, remove the
diseased part[46]; after which, the general action, notwithstanding
its specific nature, most commonly declines; but the constitution still
remains, as formerly, scrophulous, or even more so than before. That
this is the case, would appear from the following fact: If a person
slightly scrophulous, although originally sprung from a scrophulous
stock, or in whom the constitutional disease seems to be disappearing,
in consequence of intermarriages, &c. has, by means of a local injury
done to a joint, &c. the scrophulous action excited, and consequent
hectic, that person will, after cure, have the tendency to scrophula
stronger in him than formerly; and the disease will even frequently be
communicated to his children with its original violence.
[46] When this disease attacks the lungs, as it too frequently does,
then, until a specific remedy for scrophula be discovered, no cure can
be obtained. Simple ulceration, or suppuration of the lungs, however,
and consequent hectic, may be cured, though not in every instance.
_Of the Treatment of the Ulcerative Action._
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