one sense, may be said to be doing nothing; for this step is intended
merely to prevent farther injury. When this is continued for a short
time, we may suppose that the part has begun to act a little more in
a natural way, which is attended, as was formerly explained[69], with
a correspondent increase of injury. We then increase the heat, but
very slowly, and taking a long time to bring the part near its natural
temperature, being regulated by the progress which the part itself is
making; for the application of heat may be considered in two points of
view, in this case; first, as the removal of the injuring cause; and,
secondly, as a stimulus to action. If, then, the part do not recover
itself, in proportion to the removal of the hurtful cause, but remain
stationary, it is evident that a farther removal is at present useless,
and the stimulus which is consequently given is highly dangerous. By
these means, then, we proceed slowly toward recovery, and keep up the
ground which we have gained.
[69] See the preliminary dissertation.
If, however, the action of the part have been sunk very low, then
recovery is impossible, there being little or no energy, and so little
action, that it cannot increase itself toward the natural state. In
this case, our endeavours must fail, and will even kill the part sooner
than if we had let it alone; for the least increase of action destroys
the life of the part, which may, in this case, be compared to a dying
taper, which gives one brighter flash before it becomes for ever
extinguished.
If, on the other hand, the action have not originally been sunk so low
as to make the process toward death continue progressively, but the
remedies have been applied too quickly, or, from any cause, have failed
to produce this effect, then the action becomes inflammatory. The pain
becomes of a burning kind, there is a feeling of pulsation, and the
part becomes redder, or livid, whereas, before, it was bluish; from the
stagnation of the blood, there was no feeling of pulsation, or arterial
motion, and the sensation was that of a painful cold and weight. The
inflammatio debilis is now induced, and the danger is great, but still
there is a possibility of recovery, which is exactly in proportion to
the degree of previous diminution of action, and to the rapidity with
which the subsequent inflammatory action was induced, and the degree to
which it is raised; or, in other words, the danger is proportioned to
the disparity betwixt the action and the power.
Public-domain text, read in full here on John Shaqi.
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