We may also sometimes discover specific action by the sensation of
which the action is productive. Thus, for instance, cancer produces a
burning kind of pain, which never attends simple ulceration.
Specific ulceration is also always surrounded with more or less simple
inflammation, or erysipelas, of the surrounding skin. In some cases the
margin is hard, in others ragged, &c.
It were much to be wished, that some more certain, and less arbitrary
criteria, than those which we possess of the presence of specific
action could be discovered; but, as yet, we know of no other which can
be applied universally. Some kinds, indeed, are so well marked, and so
peculiarly distinguished from simple sores, that they can be tolerably
well described, and easily discovered to be specific; but, there are
others which it is more difficult to ascertain, owing to the difficulty
of fixing the character of each individual action.
The number of specific inflammations is very great, and the causes
which produce them are often obscure. In the preliminary dissertation
it was mentioned, that, whenever any action existed strongly in any
one part, it tended to induce an inflammatory state. There are,
therefore, no general, or febrile diseases, which may not be attended
with peculiar inflammations. That typhus fever is attended with
local inflammatory action is pretty certain; but the presence of
specific inflammation is still more evidently seen in the different
exanthematous diseases. The diseases called cutaneous, afford us also
numerous instances of specific inflammation.
From the difficulty of discriminating betwixt diseases, which, although
essentially different from each other, yet possess a very great
similarity, we find, that the number of specific inflammations is
confined much within the true limits; for we find many confounded under
the name of herpetic, &c. which are radically different from each other.
Phagedena has been used by medical writers in a very extensive sense,
and has been made to comprehend diseases, which, strictly speaking,
cannot be considered phagedenic.
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