The nature and structure of the tissue materially modify some symptoms
and exclude others, so that redness, pain and even perceptible swelling
may be absent. Galen already in his time attributed the redness to an
increased blood supply and the swelling to an exudation of lymph or
serum, through the walls of the blood vessels: this was as near the
truth as scientists arrived, until within our own time. The discoveries
in this field of science have been greatly enriched in the last twenty
years through the researches of the German school. Various theories
have been advanced from time to time, as to the probable causes or
processes that are going on in the tissues while inflammation is
active. One observer believed that he had found the solution of the
inquiry in a supposed spasmodic contraction of the capillary blood
vessels, another in their paralysis, while still another adhered to the
belief of a neurotic affection. Professor Virchow, the father of the
modern school of pathological science, ascribed the conditions of the
tissues to an irritable state of the inflammatory process, inducing an
exaggerated cell growth; while his former pupil, Cohnheim, through an
extended series of newly-devised experiments, has conclusively proved
that none of the theories advanced are supported by demonstrable facts.
Our present thorough knowledge of the combined disturbances and
phenomena, that play their part in the vessels and tissues, of the
body during the inflammatory action in living tissue is due to the
unremitting toil of Professor Cohnheim. He was the first to speak from
facts, as they presented themselves to his eye under the microscope. It
was he who had the genius that suggested the examination of the whole
process of inflammation, in the living tissues under the microscope.
This he accomplished by narcotizing a frog, and while alive, but
insensible to pain, a portion of the peritoneum or mesentery, which
is almost transparent, so that the circulation may be plainly seen,
was fastened with pins upon an ingeniously-devised rack or stage. The
inflammation is now excited by etching the membrane with a little acid
and a sharp needle, and then the object is placed under the microscope.
If the operator is careful, so as not to tear or crush the vessels
or tissues, and preserves the moisture, by spraying with warm water
from time to time, the circulation and the abnormal processes of
inflammation that are going on, may be observed and studied with great
exactness for several hours. I will now describe what may be seen in
the field of the microscope.