As the accession of inflammation depends upon a change of the natural
action of the vital principle, so does its removal depend upon the
reconversion of this into the natural action, which implies activity,
or an active state. If, then, we bleed in the end of inflammation,
we lessen the powers of the part so much, as to prevent restoration;
gangrene, therefore, will take place: Or, if the part be less delicate,
and the progress of the action consequently slower, the inflammation
may continue stationary for a considerable time, and become chronic, or
habitual. This state is not to be cured by bleeding, but will rather be
made worse by it. Whenever, then, after inflammation has continued for
a length of time, we find, that venesection does not produce the usual
abatement; or, whenever, although there be a temporary abatement, the
pain increases afterwards to a greater degree, we may be certain our
treatment is improper. We likewise find, that the longer bleeding has
been delayed, in the beginning of the disease, the sooner must we stop,
and the less quantity must we take at a time; because, in this case,
the inflammatory action is nearer its termination, and is more ready
to produce gangrene, if the parts be delicate, or the action great,
or, if otherwise, the inflammatio assuefacta. We are also to refrain
from bleeding, when we find that the inflammatory action is about
to terminate in another action; as, for instance, the suppurative;
because, in the first place, bleeding, in this new action, can do
no good, but, by weakening, will do harm; and, secondly, if there be
only a tendency to this action, the action not being yet formed, or
beginning to form, we may, by bleeding, interrupt the progress of
the inflammation, and convert it into a more tedious disease, or the
inflammatio assuefacta.
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