INFLAMMATIONS of the various tissues assume different forms as far
as the gross appearances are concerned, but the underlying condition
is precisely the same. The various types of inflammations that are
produced by one and the same process are of considerable scientific
interest, but to the practical and inquiring reader, whose principal
object is to obtain sufficient information to be able to cure herself,
it would be confusing were I to attempt a description of their
differences.
There is no word that is so often employed as _inflammation_, as a
designation of disease, and when we learn that there is only one kind
of inflammatory process, whether of the brain, the lungs, liver,
kidneys or bowels, the entire subject of inflammatory diseases at once
becomes greatly simplified, because if you understand one you must
understand all.
I will in the subsequent chapters speak only, or principally, of
inflammatory affections of the different organs that come within the
province of this specialty, and I am convinced that if the reader will
bear with me, so that I may take sufficient time and space to explain
the most advanced scientific views of inflammatory processes, she will
be more than compensated, by a clearer understanding of what will be
said in succeeding pages.
Inflammation comprises a series of phenomena, which partly take place
in the vascular apparatus or blood vessels and partly in the tissues
comprising the structure of the organ. Inasmuch as inflammation is
not a single process, a definition of a few words is insufficient to
convey to the mind its real meaning. If I were simply to describe the
peculiarities of the circulation, that characterize the inflammatory
process, we should only have an incomplete idea of the changes that
were taking place.
Since the time of Galen, who lived two hundred years after Christ,
_inflammation_ was recognized by four cardinal symptoms, namely
redness (RUBER), _swelling_ (TUMOR), _pain_ (DOLOR) and the increased
temperature (CALOR). To these modern pathologists have added a fifth
symptom, which is lessened or diminished function (FUNCTIO LÆSA).
The above five cardinal symptoms can be established in the majority of
the acute stages of inflammation: in the chronic or subacute variety,
one or the other symptom may be absent, or so obscured as to escape
notice.