But in some instances, when no lymph is previously effused, and no
cyst is formed, the matter is not confined, but pervades the cellular
substance extensively, and is generally followed by more or less
sloughing of that tissue, and by great constitutional disturbance. This
most frequently occurs in patients of a debilitated habit, in whom
the incited action has been so slight as not to cause the effusion of
lymph, by which nature usually sets bounds to the suppurating process.
M. Gendrin advanced the opinion that pus was nothing but transformed
blood; but his experiments on frogs are at least doubtful, since Mr.
Gulliver, on repeating them, could not by any means induce the process
of suppuration in these animals. It has been rendered probable by
this gentleman’s observations that suppuration is a sort of proximate
analysis of the blood, the fibrin being added to the contiguous
parts, as in causing them to swell, forming the cysts of abscesses;
the blood globules altered into pus being discharged as useless and
excrementitious matter.
Pure pus is heavier than water, of a yellowish-white colour,
somewhat of the consistence of cream. It is very little inclined to
putrefaction, less so, perhaps, than any animal fluid not oily. It
is composed of globules, and a clear transparent fluid, coagulable,
it has been said, by the muriate of ammonia. When a solution of this
salt produces any change, it is by rendering the pus more ropy; not
coagulation, but a sort of gelatinisation follows. It is said also to
be sweet and “mawkish to the taste.”
In unhealthy pus, such as already noticed, or in vitiated
muco-puriform secretion, the colour and consistence are different, and
flakes, resembling portions of lymph, are seen floating in it: they
consist of fibrin thrown off with the pus, instead of being used for
reparation and bounding the extent of the abscess; and by this latter
circumstance such fluid is distinguished from the pure or laudable pus.
In purulent matter also, especially that of an unhealthy character,
the existence of a quantity of sulphureted hydrogen is indicated by
the blackening of silver probes, and of various substances applied to
the sore. It is necessary to bear in mind, that a matter resembling
pus in many particulars, but in reality differing essentially from it,
has generally been regarded as true purulent fluid; for it results,
from some observations of Mr. Gulliver, that the pulpy matter, so
frequently found in the substance of fibrinous clots of the heart and
veins, is simply fibrin which has coagulated and passed into the state
of softening, which he regards as a very frequent elementary disease.
The subject is one of great interest, because it is connected with the
theory of suppuration, and tends to modify materially our views on the
pathology of the veins.
Public-domain text, read in full here on John Shaqi.
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