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
When salivation has been induced, serum is poured out, and the texture
of the gums is loosened and rendered spongy. When lymph is effused upon
the iris, the action of mercury loosens its adhesions, and dissolves
its connexions; it cannot, therefore, be supposed that its effect upon
the system should render the union of divided vessels stronger, or the
newly-formed adhesions in wounds, firmer.
The cases in which purulent deposits usually form, indicate a
debilitated state of constitution. They are of much more frequent
occurrence in large towns than in the country, and in hospital than
in private practice. The depressing influences which give rise to
erysipelas, or puerperal fever, will also predispose to the formation
of these abscesses; and as scanty diet, loss of blood, debilitating
surgical operations, and over-crowded rooms, have been found among
the causes of the former, so may they be looked upon as favouring the
production of the latter.
The Treatment of Inflammation of the Veins, in which purulent deposits
frequently originate, is thus spoken of, after matured observation:
"All the experience that I have had on the subject, would lead me to
believe that, like erysipelas, it has its origin in a low asthenic
state of the system, and that those persons are especially liable
to it, who have been much lowered by hæmorrhage at the time of an
operation, or by too scanty a diet afterwards. An operation is a shock
upon the system, making a great demand upon the vital powers. The
effects of this shock are often much aggravated by loss of blood, and a
very scanty diet actually makes the patient more liable to some kinds
of inflammation. Our mode of practice ought to be rather to sustain
his powers by allowing him wholesome nourishment, and not to add to
the influence of the other depressing causes, the still worse one of
starvation."[42]
[42] BRODIE (Sir B. C.) Medical Gazette, vol. xxxvii, p. 642.
The lowering influence of mercury may be considered in a similar way.
There can be little doubt that while, on the one hand, it favours the
absorption of vitiated fluids, it may, on the other, render the system
less able to resist the injurious consequences which they produce.
As many circumstances, besides mere debility, tend to depress the vital
powers, so tonic medicines, and a generous diet, must not be looked
upon as the only preventive modes of treatment. Each case that occurs
in practice may present some peculiarity; in one case, the patient
will be found to have previously suffered from diabetes; in another,
from disease of the spleen; and in a third, from organic disease of
the kidney; and, in each of these, a peculiar mode of treatment may be
required.
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