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
Dr. AYRE, therefore, regards all these cases as secondary to a serous
inflammation seated in a cavity; and lastly as arising from some
disturbance in the digestive functions, by which this and other distant
irritations are produced through the operation of that law of the animal
economy, denominated sympathy.
Having thus offered, in the preceding pages, an analysis of Dr. AYRE'S
views of the pathology of the principal forms of dropsy, we must be
allowed, before proceeding to the treatment of the disease, to make a
few remarks. It appears to us that Dr. A. has treated the subject in a
very able manner, and contributed greatly to remove many objections,
that could be adduced against the opinion of the inflammatory nature of
some of the more obscure cases of dropsy. We cannot help thinking,
however, that he is too exclusive in his theories, and that he has
rejected too positively the idea of a passive dropsy; in other words, of
a dropsy independent of inflammation. Some cases of the disease which
follow extensive losses of blood, (profuse uterine hemorrhages, for
example) and which are cured by tonics and an invigorating diet, without
the aid of diuretics, cannot always, though they may sometimes, be
accounted for by admitting the existence of inflammation. Such instances
have fallen under our own observations, and could not be explained by
supposing that the effusion had relieved the inflammation; since there
had not existed, at least as far as we could ascertain, any local
inflammation. In one case it followed abortion, attended with profuse
hemorrhage, and produced, not by disease, but by an accident.
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