The older authors supposed that pus was derived from the solids—or that
it was formed by the melting of dead animal matter—or that it was the
result of putrefaction; in accordance with which latter opinion, the
term pus was given to the fluid; but such opinions have long since
been justly exploded. Pus is generally supposed to be separated from
the blood by the secreting power of the bloodvessels of an exposed
and inflamed part, in consequence of their having assumed a new
mode of action. The secretion from exposed surfaces is not at first
purulent, but is transparent, serous in fact, and is somewhat of a
gelatinous appearance; and it is only, it is said, after exposure to
the atmosphere for some time, and when drying, that it presents the
appearance of globules. Pus is often formed where the secreting surface
has not been exposed to the air; on opening an abscess, the parietes
of which had been previously entire and not much attenuated, purulent
matter of the usual properties is discharged. It has been asserted
that pus globules may be formed independently of any vital action; and
that, if the serous fluid be removed immediately after its secretion
by a granular surface, and kept in a temperature similar to that of
the inflamed part, and be at the same time freely exposed to the air,
globules will appear in as short a period as when the secretion is
allowed to remain in contact with the sore. Some have also supposed
that the mere admission of air into the cellular substance causes
suppuration; but this is far from being correct. In chronic purulent
depôts, however, the admission of air, by favouring putrefaction
probably, often produces most serious results; other causes are
generally in operation at the same time, as will be afterwards more
fully explained.
Pus was formerly regarded as irritating and corroding, and was
therefore carefully removed from every granulating sore; but purulent
matter, though it may prove a source of irritation to the neighbouring
parts, does not disturb the surface which secretes it, but, on the
contrary, protects the tender granulations, and acts as a temporary
cuticle. A crust is formed by the evaporation of the thinner part of
the fluid; and we frequently see small sores healing rapidly when thus
protected. In some instances, we adopt the hint given to us by nature,
and produce a scab by the application of powders, lunar caustic, &c.
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