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
These circumstances, in the living vessels, are when the blood
becomes separated into small quantities, and when it moves slowly
along the capillaries. The blood will then coagulate in circumscribed
patches,[38] as illustrated in the first characteristic marks of
secondary disease which have already been mentioned as occurring in the
lungs, the liver, the spleen, and the skin. The accompanying plate is
taken from the lung of a donkey in which purulent fluid had been made
to circulate with the blood. The stagnation of the blood, when the pus
was first introduced, was mechanically prevented, and the livid spots
produced by its subsequent coagulation in the capillaries of the lungs
has been very faithfully represented. (See Experiment No. VI.)
[38] The term ecchymosis does not appear appropriate to the discoloured
condition of parts observed in the commencement of this disease; the
blood is not at first extravasated from the vessels, but coagulated in
them.
"Besides the disposition for coagulation," observes Mr. Hunter,
"the blood has, under certain circumstances, a disposition for the
separation of the red globules, and probably of all its parts; for I
have reason to believe, that a disposition for a separation of the
red part and coagulation, are not the same thing, but arise from two
different principles. This is always observable in bleeding; for if
we tie up an arm and do not bleed immediately, the first blood that
flows from the orifice, or that which has stagnated for some time in
the veins, will soonest separate into its three constituent parts: this
circumstance exposes more of the coagulating lymph at the top, which is
supposed by the ignorant to indicate more inflammation, while the next
quantity taken suspends its red parts in the lymph, and gives the idea
that the first small quantity had been of such service at the time of
its flowing, as to have altered for the better the whole mass of blood.
Best, therefore, maybe regarded as one of the immediate causes of the
separation." _Hunter_, p. 29.
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