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
The general management of this disease, after the formation of purulent
deposits has commenced, is probably as little satisfactory as any
that come under the notice of the surgeon. The whole character of the
affection is characterized by what has been aptly designated as action
without power. The excitement of the system will imitate all the acts
of genuine inflammation, without any of its healthy results; and loss
of energy will appear immediately after, or even arise in conjunction
with, the first symptoms of increased action.
In the treatment of such cases, it must be borne in mind, that the
secondary inflammations are not the disease, but the effect of a
concealed cause, which may develope itself in any part of the system;
and that, while the relief of one organ is sought by depletion or
mercurial remedies, additional vigour may be given to the latent evil,
so as to render it more ready to develope itself in some other part.
When purulent deposits occur, the sudden congestions, which indicate
their commencement, are not accompanied by any reparative actions, and
the lymph, which is effused in the second stage of their formation, is
not so disposed as to circumscribe and limit the inflammation; there
is, therefore, no natural process by means of which such collections
of fluid can be evacuated; hence, when situated near the surface,
they should be opened as soon as they are detected. It will sometimes
happen, that, after the symptoms of secondary inflammation of internal
organs have commenced, an abscess will present itself near the surface
of the body, and relief will be afforded to the part first affected;
at other times, an obstinate and violent diarrhoea will precede
recovery. Although the mode of treatment adopted may have little
influence either in bringing on, or checking, such salutary actions,
it is important to watch their occurrence, and perhaps still more
important, to be careful not to mistake a remedial action for a symptom
of the disease.
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