It appears that the stimulating substance produces an incited action
of the bloodvessels, or a revulsion, according to the older authors,
in the part to which it is applied; and that, consequently, the
neighbouring arterial trunks, in order to sustain that incited action,
supply the part with a larger proportion of their contents than it
usually receives; and the necessary consequence of the stimulated part
receiving an additional supply of blood is, that the part originally
inflamed receives less. The effect, indeed, seems analogous to that
of topical bleeding, with this difference—that it is more permanent.
Besides, it determines suppuration on the surface, and so renders it
less necessary for the vessels to produce pus in a worse situation—the
deeper seated parts.
But it must be borne in mind, that this method is not to be resorted to
in the commencement, or during the active state, of the inflammatory
action, but only when that action has begun to decline, otherwise the
disease may be much aggravated, instead of being relieved.
If, notwithstanding all the means employed to procure resolution,
the inflammatory action continues unabated, the result next to be
desired and accelerated is Suppuration; and with this view, it becomes
necessary to change the treatment, both local and general.
Above all, disuse and a proper position of the affected part must not
be neglected. Unless absolute repose is strictly enjoined and attended
to, and the return of blood from the inflamed tissues is favoured,
very great difficulty will, in the majority of cases, be experienced
in removing any of the signs or symptoms of inflammatory action, even
by the most energetic means, general or local. This will be more fully
insisted upon in the progress of the work.
OF SUPPURATION AS A CONSEQUENCE OF INFLAMMATORY ACTION.
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