North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
We must not lose sight of the state of the lining membrane of the lungs
during this time. It cannot be said so much to sympathize with the skin,
as to be affected by continuous disease; since the eruption on the
mucous membrane of the larynx, trachea, and its ramifications, undergoes
nearly the same changes, in the same time with that on the cutaneous
surface. The danger and violence of a disease in which the three
surfaces, cutaneous, pulmonary, and gastric, are all organically
affected at the same time, must be very apparent. Even though there be
no eruption on the internal coat of the stomach, its appearance after
death, of high vascularity and sanguineous injection, corresponding
precisely in appearance with the circles found in the lungs, of which
the pustules were the centres, justifies this belief of its being
organically affected. Each of the three above mentioned surfaces is in
degree ancillary to the others, and each may, on occasions, partially
supply their functions; but in this period of variolous disease, our
hopes of such vicarious action must be very faint indeed, and hence the
hazard attending any application to any one of them.
Are we from these appearances to pronounce the eruption a phlegmasia of
the skin and lungs, associated with a previous one of the stomach, and
recommend the free use of venesection? Life may occasionally be
prolonged, or at times saved by this means; but the disease will not be
thereby materially arrested in its course, or modified in its
appearance. We shall find that the inflammation of the membranes,
consisting as most of them do of cellular tissue and minute capillary
vessels, is often not susceptible of being checked by general depletion,
carried even so far as to almost empty the larger arteries, and arrest
the heart's motion.
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