exciting cause is applied for a sufficient length of time, the extreme
vessels lose their contractility, they are weakened, become dilated,
and the contained blood circulates slowly. When inflammation is fairly
established in a part, the capillaries become considerably dilated,
and the blood is often completely stagnated in the inflammatory point.
In the circumference of this focus, it is accelerated as formerly
noticed: the blood is probably stagnated for two or three days in the
capillaries and in the contiguous cellular tissue, when the action
is at all violent. It, however, begins to move again; it loses its
colouring matter, while stagnated; the fibrin is assimilated to the
neighbouring parts, or rather effused, so as to cause the thickening,
and the blood globules have possibly undergone a change, and been
converted into those of pus. If the disease be of a limited extent,
and without breach of surface, they are carried into the circulation
very gradually, and in such small numbers as not to produce injury
to the health; otherwise the contamination of the blood by a large
quantity of pus causes inflammatory fever. It is probable that the
permanent dilatation occurs in consequence of the larger vessels in the
immediate vicinity being incited, and propelling more blood into the
minute capillaries than they can readily return into the corresponding
veins; and in consequence of so great a degree of distension being
produced, the vessels are incapable of again speedily contracting;
the blood, also, from being stagnant, becomes of a darker colour. The
larger trunks propelling blood into the distended and comparatively
inert capillaries, which are incapable of transmitting into the veins
the same quantity of fluid which they receive, will cause the throbbing
or pulsating sensation. The blood circulating in the parts around is
sometimes apparently changed in quality; it is redder, flocculi appear
floating in it, and the globules disappear. These last may have been
broken down, or partial decomposition may have taken place from a loss
of vital power in the vessels themselves.
Public-domain text, read in full here on John Shaqi.
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