Dissertations on Inflammation, Vol. 2 — John Shaqi
Dissertations on Inflammation, Vol. 2Burns, John
Science
Dissertations on Inflammation, Vol. 2
Burns, John
Inflammation
For the illustration of the first species, I may remark, that there
are some actions performed by particular parts of the body which are
apparently simple; but there are others which are complicated, and
consist evidently of different parts, which, in the aggregate, form
a peculiar action, but which action may be modified according to the
degree in which these different parts exist. Thus, there are various
parts which, when taken together, form the inflammatory action, heat,
redness, swelling, &c.; but these may, in certain cases, exist in
different proportions. The ulcerative action is a complicated one, and
consists of the secretory and organising action, or the purulent and
granulating. These, in a healthy ulcer, bear a certain relation to
each other, and are at all times so connected, that, when one part is
injured, the other is also affected; but the one part may be affected
more than the other. In the indolent ulcer, or that in which the action
is too low, both parts are most commonly (at least after some time)
equally affected, and a state of universal diminution, and consequent
imperfection, takes place; but, in the beginning of this state, that
is to say, when the healthy ulcer is first becoming diseased, and when
the unhealthy condition has made little progress, it is not uncommon to
observe an inequality in the action, or the granulations more affected
than the discharge. In this genus of ulcers, however, the inequality is
more striking, and frequently more permanent.
It is worthy of remark, that though the granulating action may be
increased beyond the purulent one, that yet the purulent one never
exists in a state of overaction without a correspondent affection of
the granulating action; in which case, very different effects and
symptoms are occasioned, and the second species of overacting ulcers is
produced.
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