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
"What treatment," says Cruveilhier, "shall we oppose to purulent
infection? To this question experience is as yet dumb, while theory
would seem to point to diffusible stimuli and tonics; to ammonia,
quinine, and sudorifics; to hot external applications, to the vapour
baths, to purgatives, and especially to emetics; to tartarized
antimony, in large doses; to vesicatories, and to strong diuretics.
Calomel has been extensively employed, to create a fluxion from
the intestinal mucous membrane; but all these means have failed as
signally in my hands as in those of others; yet, when the injection
of putrid matters into the veins of living animals has been followed
by abundant and very fetid evacuations, they have usually got well.
It is a fundamental fact of pathology, that the intestinal canal is
chiefly affected in diseases caused by miasmata. I am certain that
diseases resulting from purulent infection would not be stamped with
the seal of incurability, and that nature, seconded by art, would
triumph in the majority of cases, if the pus, which is incessantly
renewed, did not incessantly renew the sources of infection. As soon
as constitutional symptoms manifest themselves, neither general nor
local bleeding affords any advantage. A portion of the _materies morbi_
is, no doubt, abstracted with the blood; but, as it is constantly
being reproduced, the constitution is only deprived of the power it
would otherwise have of resisting the disease."[43] In accordance with
this remark, M. Gaspard found that animals, which recovered after the
injection of a certain quantity of pus into their veins, often died
when the experiment was repeated. The recovery was usually preceded
by black, liquid, and extremely fetid evacuations, which often seemed
to afford immediate relief. When such evacuations have taken place in
other diseases, the gall-bladder has been found distended with black
bile;[44] and it appears probable that the liver, in these cases, is
one of the principal organs through which the cleansing of the system
is attempted. If the supply of morbid matter to the system could be
checked, mercurial action, in this stage of the disease, might be of
service, by enabling the liver, or other organs, to throw off their
vitiated secretions. When patients recover from purulent deposits
(Cases III and XXVII), they are often left in a debilitated and
languid state, in which ordinary tonics exercise little influence.
The consequences of the disease appear to hang about the system,
long after the cause which gave rise to it has ceased. The pulse
will sometimes continue irritable, and there will be a tendency to
derangement of the secretions of the skin, bowels, and other organs,
accompanied by occasional slight attacks of fever. In this condition,
an alterative course of mercury, combined with sarsaparilla, has been
found beneficial. These remedies, by stimulating the activity of the
excreting organs, may assist the constitution in throwing off the
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account