The Philosophy of Health; Volume 1 (of 2): or, an exposition of the physical and mental constitution of manSmith, Southwood
Philosophy
The Philosophy of Health; Volume 1 (of 2): or, an exposition of the physical and mental constitution of man
Smith, Southwood
Hygiene; Physiology
248. The relative proportion of every constituent of the blood
is capable of varying; and of course in the degree in which the
healthy proportion is deranged, the quality of the mass must undergo
a corresponding deterioration. The watery portion is sometimes so
deficient, that the mass is obviously thickened; while at other times
the fluid preponderates so much over the solid constituents, that the
blood is thin and watery. The albumen, the quantity of which varies
considerably even in health, in disease is sometimes twice as great,
and at other times is less than half its natural proportion. In some
cases the fibrin preponderates so much, that the coagulum formed by
the blood is exceedingly coherent, firm and dense; in other cases the
quantity of fibrin is so small, that the coagulation is imperfect,
forming only a soft, loose and tender coagulum, and in extreme cases
the blood remains wholly fluid. When the vital energy of the system
is great, the red particles abound; when it is depressed, they are
deficient. In the former state, they are of a bright red colour; in
the latter, dusky, purple, or even black. When the depression of
the vital energy is extreme, the power of mutual repulsion exerted
by the particles would seem to be so far destroyed as to admit of
their adhering to each other partially in certain organs; while in
other cases they seem to be actually disorganised, and to have their
structures so broken up, that they escape from the current of the
circulation as if dissolved in the serum, through the minute vessels
intended only for the exhalation of the watery part of the blood.
This fearful change is conceived to have an intimate connexion with
a diminution of the proportion of the saline constituents. Out of
the body, as has been shown, the red particles change their figure
instantaneously, and are rapidly dissolved when in contact with
pure water; while they undergo little change of form if the water
hold saline matter in solution. It would seem that one use of the
saline constituents of the blood is to preserve entire the figure and
constitution of the red particles. It is certain that any change in the
proportion of the saline constituents produces a most powerful effect
on the condition of the red particles. It is no less certain that
changes do take place in the proportion of the saline constituents.
In the state of health, the taste of the blood is distinctly salt,
depending chiefly on the quantity of muriate of soda contained in
it. In certain violent and malignant diseases, such, for example, as
the malignant forms of fever, and more especially that form of it
termed pestilential cholera, this salt taste is scarcely, if at all,
perceptible; and it is ascertained that, in such cases, the proportion
of saline matter is sensibly diminished.
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