Bleeding is materially assisted in reducing the activity of the
circulation, by the employment of saline purgatives, along with
nauseating doses of antimony. Diaphoretics are of essential service
in promoting the action of the exhalants, and thereby relieving
the affected capillaries. The exhibition of opium is frequently
advantageous, more especially after depletion, in allaying the painful
sensations when severe, and averting reaction, and also in procuring
refreshing sleep, when the patient is anxious and restless. Digitalis
has been administered, with the view of reducing the arterial action;
but it has been fully established, that this medicine acts at first
as a direct stimulant, and that it is only after its use has been
continued for some time that its effects become sedative.
The local applications to an inflamed part are sometimes made hot,
sometimes cold. The latter will perhaps be at first the more grateful
to the sensations of the patient. They are, however, with greater
propriety employed before inflammatory action is fairly established,
and they act by constringing the superficial vessels with which
those more deeply seated sympathise to a certain extent; but warm
fomentations are more pleasant and useful when inflammation has really
taken place; they relieve the pain more effectually, and at the same
time promote the cutaneous transpiration; they relax the surface
moreover, effusion is thus encouraged, the deeper vessels are so far
relieved of their load, and the pressure upon, and stimulation of,
the nerves are thus diminished. After the violence of the symptoms
has abated somewhat, the vessels still, however, being loaded with
blood, the inflammation in fact having become chronic, stimulants
may with propriety be applied directly to the affected parts; these
are employed, perhaps, with greatest advantage immediately after the
bloodvessels are unloaded by leeching, scarification, or punctures;
this practice is borne out by the result of experiment and observation.
It is seen, that after the vessels have become dilated, and the
blood has stagnated in them through the infliction of injury, or the
application of some stimulating substance, that the employment of
another and different stimulus immediately causes the contraction of
the capillaries, and the renewal of active circulation.
During an inflammatory attack, the patient should be allowed very
little food, and what he does receive must contain little nutriment in
proportion to its bulk. But in many cases it is unnecessary to enjoin
such abstinence, as the patient has no appetite, and refuses food.
In inflammation of deeply-seated parts, such as the apparatus of some
articulations, it is a frequent mode of assisting the completion
of resolution to excite inflammatory action in an external, and
consequently less vital and important part. This is accomplished by the
application of stimuli, caustics, cautery, setons, &c.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account