On the origin of inflammation of the veins: and of the causes, consequences, and treatment of purulent depositsLee, Henry, M.D.
History
On the origin of inflammation of the veins: and of the causes, consequences, and treatment of purulent deposits
Lee, Henry, M.D.
Blood; Veins -- Diseases
I. John Hunter expressed his belief that the blood has "the power of
action within itself",[1] and that when it coagulates, it does so in
consequence of an "impression" which it receives. Such an impression
may be communicated by separation from the living vessels, or from
"cessation of natural action"[2] in them. In certain circumstances
also the living vessels themselves may be the means of exciting
coagulation.[3] In others, the admixture of extraneous substances may
either retard or hasten this operation.[4] The experiments made to
determine the last point, Mr. Hunter informs us, "were rather imagined
than fully carried out; and the subject rather broached and touched
upon, than prosecuted".[5] In these experiments, different articles
used in medicine were mixed with portions of blood taken from the body;
and it was found that, in some cases, they altered both "the time," and
"the firmness of the coagulation".[6] The circumstance of medicines
being used in such experiments, conveys the idea, that, in instituting
these researches, Hunter conceived that substances which would tend
to produce such actions out of the body, might likewise produce some
effect upon the blood in living animals. In endeavouring to prosecute
the idea thus thrown out, I have been led to try the effect of
different substances upon the blood, and to consider the changes which
may be produced in that fluid, by the admixture of animal secretions.
The experiments which will be hereafter detailed, not only confirm Mr.
Hunter's notion, that foreign substances may induce actions in the
blood when withdrawn from the body, but also show that some of these
effects may be produced still more rapidly in the living vessels.
[1] HUNTER on the Blood. Ed. 1794, p. 21.
[2] P. 25. [3] P. 24. [4] P. 97. [5] P. 94. [6] P. 98.
In these experiments, pus was used in preference to any other fluid;
first, because the power of coagulating the blood which it was found
to possess, enables its influence to be traced within the body; and
secondly, because, being an animal secretion, the results obtained are
likely to be analogous to those produced by the admixture of other
secretions with the blood.
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