FREE BOOKS

Author's List




PREV.   NEXT  
|<   328   329   330   331   332   333   334   335   336   337   338   339   340   341   342   343   344   345   346   347   348   349   350   351   352  
353   354   355   356   357   358   359   360   361   362   363   364   365   366   367   368   369   370   371   372   373   374   375   376   377   >>   >|  
es a material called pus: at the same time a less degree of inflammation produces new vessels called vulgarly proud flesh; which, if no bandage confines its growth, nor any other circumstance promotes absorption in the wound, would rise to a great height above the usual size of the part. Hence the art of healing ulcers consists in producing a tendency to absorption in the wound greater than the deposition. Thus when an ill-conditioned ulcer separates a copious and thin discharge, by the use of any stimulus, as of salts of lead, or mercury, or copper externally applied, the discharge becomes diminished in quantity, and becomes thicker, as the thinner parts are first absorbed. But nothing so much contributes to increase the absorption in a wound as covering the whole limb above the sore with a bandage, which should be spread with some plaster, as with emplastrum de minio, to prevent it from slipping. By this artificial tightness of the skin, the arterial pulsations act with double their usual power in promoting the ascending current of the fluid in the valvular lymphatics. Internally the absorption from ulcers should be promoted first by evacuation, then by opium, bark, mercury, steel. 3. Where the inflammation proceeds with greater violence or rapidity, that is, when by the painful sensation a more inordinate activity of the organ is produced, and by this great activity an additional quantity of painful sensation follows in an increasing ratio, till the whole of the sensorial power, or spirit of animation, in the part becomes exhausted, a mortification ensues, as in a carbuncle, in inflammations of the bowels, in the extremities of old people, or in the limbs of those who are brought near a fire after having been much benumbed with cold. And from hence it appears, why weak people are more subject to mortification than strong ones, and why in weak persons less pain will produce mortification, namely, because the sensorial power is sooner exhausted by any excess of activity. I remember seeing a gentleman who had the preceding day travelled two stages in a chaise with what he termed a bearable pain in his bowels; which when I saw him had ceased rather suddenly, and without a passage through him; his pulse was then weak, though not very quick; but as nothing which he swallowed would continue in his stomach many minutes, I concluded that the bowel was mortified; he died on the next day. It is usual for patients sinking
PREV.   NEXT  
|<   328   329   330   331   332   333   334   335   336   337   338   339   340   341   342   343   344   345   346   347   348   349   350   351   352  
353   354   355   356   357   358   359   360   361   362   363   364   365   366   367   368   369   370   371   372   373   374   375   376   377   >>   >|  



Top keywords:

absorption

 

mortification

 
activity
 

greater

 

mercury

 
discharge
 
quantity
 
people
 

bandage

 

ulcers


exhausted
 

sensorial

 

inflammation

 
bowels
 
called
 
sensation
 
painful
 

benumbed

 

produced

 
increasing

appears

 

additional

 

spirit

 

extremities

 

brought

 
inflammations
 

animation

 

ensues

 

carbuncle

 

gentleman


swallowed

 

continue

 
stomach
 

passage

 

minutes

 

patients

 

sinking

 
concluded
 

mortified

 

suddenly


sooner

 

excess

 

remember

 

produce

 

strong

 
persons
 
preceding
 

bearable

 

ceased

 

termed