The first change to be observed is in the vascular system and within
the vessels themselves; this begins with a widening of the small
arteries, then of the smaller capillaries and veins. This increases the
current of blood with greater velocity through the widened vessels.
Sooner or later this rapidity of the current lessens; there is a
marked slowness to be observed in the stream. The single or separate
blood cells, which in the beginning of the observation could not be
distinguished, can now be distinctly seen, especially in the veins and
small capillaries, in which, from the slowness of the current, the
blood accumulates. In the veins there now appears at the periphery
of the current a pellucid plasmatic layer, in which there are white
blood cells, that have separated themselves from the main current; the
white cells either float slowly along or adhere to the walls of the
vessels. This phenomenon the Germans term “Randstellung der Farblosen
Blut Körperchen,” which means, bordering of white blood corpuscles.
Not long after the “bordering” of white cells, a change takes place in
the cells themselves, that is very interesting. The white cells become
elongated and spear-shaped at one extremity, which pierces the wall of
the vessel, and after a little while the sharp extremities will appear
on the outer surface of the wall of the vessel, and a little later
on, indeed, the entire protoplasmic cell will have emigrated into the
tissue, outside of the vessel. Or, in other words, the colorless blood
cells will have passed through the walls of the vein or capillary, and
this constitutes an _extravasation_.
The first extravasated cells will soon be followed by others in great
quantity, so that in six to eight hours veins and capillaries are
surrounded with white corpuscles. In their normal destination these
become organized into fibrous or granulation tissue; and for this
reason, an organ that is the seat of chronic inflammation becomes
immensely enlarged from this inflammatory accretion. We can now readily
appreciate why the womb, liver or kidneys become augmented in size from
inflammatory processes. Indeed, this applies to all growths and even
to bone, and if a part is injured by a cut, accident or disease of
some sort, precisely the same processes are at work to repair the lost
tissue. It cannot fail to become apparent at once, that to understand
the phenomena of inflammation is to possess the key that opens to
our understanding the operations not only of most diseases, but of
the healing processes of wounds and injuries. In the course of the
experiment we see also red blood corpuscles transude, which are always
accompanied with more or less fluid or plasma.