Insincerity

“ I think that the different reabsorptions would be much elucidated by the infusion of the various kinds of pus, sanies, &c. But we have already sufficient facts to convince us that the fluids and especially the blood can be diseased; that the various foreign substances mixed with it can act in a fatal manner upon the solids. In fact, every acrid, irritating matter, without being mortal, accelerates the action of the heart and produces a true fever, if injected into the veins. In all these cases, it is always necessary that the solids should act ”

“ When the powers of the constitution are strong, a person affected with a putrid fever ought to be bled in the commencement, provided there be no crudities in the stomach. But when the powers are weak, or the age of the patient is an objection, you must not bleed. After the evacuation by bleeding, it will be proper to clear away the putrid matters by urine, the belly, and sweating. And, if they have spontaneously been determined towards the mouth of the stomach, they may be evacuated by emetics, but otherwise you must not produce an unnatural irritation. ”

“ The increased action, or orgasm, of the cutaneous, pulmonary, and cellular capillaries, with their secerning and absorbent vessels, in those fevers which are attended with deficiency of vital action, exhausts the patient both by the additional expenditure of sensorial power on those organs of secretion, and by the too great absorption of the mucus and fat of the body; whence great debility and great emaciation. Hence one great indication of cure of continued fever with arterial debility is to diminish the too great action of the capillaries ”

“ The sensible organic contractility is nothing in the serous system; but the insensible and the corresponding sensibility are kept in permanent exercise in it, 1st, by the continual exhalation and absorption that are going on there; 2d, by nutrition. These two properties are then those which predominate in this system; thus upon their alterations all its diseases turn. Acute inflammations, chronic inflammations with tubercles, adhesions, dropsies, exhalations of pus, of milky serum, &c. &c. are all derived from an excess, a defect or an alteration of these two properties of the serous system. ”

“ In fevers of all kinds, and when inflammation attacks any important organ, as the brain, eyes, lungs, stomach, intestines, liver, kidneys, bladder, &c. bleeding is of the greatest use. It diminishes the quantity of blood in the body; and by this means prevents the ill effects of inflammation. ”

“ A weak, thin, watery solution, aside from doing poor work, is much more liable to diffuse itself and be carried into the circulation like a hypodermic of morphia, than a solution sufficiently strong to act as a cauterant, destroying the tissue, forming a compact and an insoluble coagulum and strangulating the circulation at once.
A solution, weak or strong, when deposited to any depth beneath the surface, with live tissue and the circulation passing on all around it, will of necessity excite pain, inflammation and a slough, the same as a splinter in the flesh. ”

“ Get the kidneys congested and nephritis is sure; take all the blood away from the stomach by some big mental strain and indigestion is the result; indigestion and lack of normal blood pressure will eventually give ulcers and complete changes in the mucous membranes of the body. ”

“ The tendency of the disease is to subside spontaneously, but sometimes it is necessary to incise and drain the kidney, or even to remove it; while in others the infection is so virulent that the patient dies of septicemia. ”

“ In one person it will take the form of dyspepsia, in another it will be headaches, in another colds, in another decaying teeth, in another hardening of the arteries or stiffening of the joints. But whatever the symptoms may be, the fundamental cause is always the same, an abnormal condition of the blood-stream, and a consequent lowering of the body's tone. Therefore, studying any disease and its cure, you have first the emergency question, are there any germs lodged in the body, and if so, how can you destroy them? ”

“ Warm water is injected into the rectum to excite alvine discharges, to promote the hæmorrhoidal flux, to diminish irritation in the large intestine, or in some neighboring organ, as the uterus, bladder, prostate gland, &c. ”

“ If the defenders of the body, the phagocyte and antitoxins, produced in the tissues and organs, gain the victory over the inimical forces which are threatening the health and life of the organism, then the symptoms of inflammation, swelling, redness, heat, pain and the accelerated heart action which accompanies them, gradually subside. The debris of the battlefield is carried away through the venous circulation which forms the drainage system of the body. ”

“ The undue retention of excrementitious matter allows of the absorption of its more liquid parts, which is a cause of great impurity to the blood, and the excretions, thus rendered hard and knotty, act more or less as extraneous substances, and, by their irritation, produce a determination of blood to the intestines and to the neighboring viscera, which ultimately ends in inflammation. It also has a great effect on the whole system; causes a determination of blood to the head, which oppresses the brain and dejects the mind; deranges the functions of the stomach ”

“ There should be the usual care of the bowels, skin and kidneys, but in our zeal over the local treatment, we should not forget that we have to care for a patient whose blood is loaded with toxins, and whose lungs, stomach, kidneys, and other organs are congested and filled with emboli. At first, dress the burns daily, gently wiping away the discharge of serum and broken down cells, which is poisonous and irritating, with dry gauze or cotton. ”

“ Even the enlargement of the bloodvessels produces a certain degree of intumescence previous to effusion. The relief to the vessels by effusion giving rise to swelling, when it occurs in loose cellular tissues, may be considered as a beneficent provision of nature. But in vital organs it may be productive of the most serious consequences; as in these, very slight effusion will often endanger the structure of the organ, destroy its functions, and not unfrequently be attended with fatal consequences. ”

“ Of course, not all the blood-stream goes down into the feet, but some of it does, and if it is clogged in the feet, and the blood vessels cramped and crowded, there is a certain amount of poison kept in the system, which the system should have got rid of. ”

“ Inflammation may result in resolution, suppuration, necrosis or sloughing, or in the establishment of a chronic state.
Resolution. Resolution is the termination of an inflammation by the gradual cessation of all the changes which have occurred. The pain subsides, the circulation becomes more normal, and the exudate is absorbed, or makes its [Pg 33] way to the free surface of the body, where drainage occurs either spontaneously or by incision. ”

“ These cases give, however, a brighter view of the nature of these wounds than they frequently justify; extravasation of urine, inflammation, and death are not of infrequent occurrence in cases to which strict attention is not paid; and great misery is often caused from the irritation of the bladder and the discharge which follows, until the constitution is undermined and death ensues. ”

“ The common Method of Cure is by Bleeding to abate the Effervescence or Colliquation of the Blood, and prevent the Tumour and Inflammation of the Lungs, by Vomits to relieve the Stomach opprest with store of ill Humours, and remove divers Obstructions of several Bowels and small Vessels, by Stomach-Purges gently to carry down the peccant Humours; and lastly by Diuretics and Diaphoretics with some mixture of an Opiate, plentifully to carry off the Colliquated Serum by Urine, or the Pores of the Skin, without raising a fresh Catarrh by a new Commotion of the Blood. ”

“ Local impressions, injuries, or irritations, though apparently of little importance, frequently produce irritation which affects the whole system, and is therefore termed constitutional. Syncope sometimes follows the passing of a bougie along the urethra. We meet with too many instances of constitutional irritation following severe injuries or operations, especially if attended with much hemorrhage. In general, there is considerable prostration of strength; the patient is anxious and restless; his sleep is disturbed; the pulse is weak and fluttering, occasionally intermittent ”

“ A patient, laboring under fever or inflammation of any important organ, will scarcely rid himself of a wineglassful of blood-colored urine in the twenty-four hours; and there are many forms of ailments, where the function of separating the urine from the blood, or even the function of supplying the kidneys with that vital fluid, are suspended, partially or entirely. Few of us have escaped attacks of this kind; they are sure to follow long-pursued habits of dissipation, or even occasional displays of it; and they are often the result of accidents over which we have but little control. ”

“ First because the patients are generally much debilitated, most frequently by spirituous potation, and have generally a disease of the liver, or of other viscera. And secondly, because the quantity of inflammation, necessary to prevent future secretion of mucus into the cavity of the abdomen, by uniting the peritoneum with the intestines or mesentery, as happens in the cure of the hydrocele, would I suppose generally destroy the patient, either immediately, or by the consequence of such adhesions. ”

“ Trachea and larynx, brain of infants, stomach and intestines, spleen, omentum and mesentery, liver, brain of adults, heart and lungs, kidney, bladder and œsophagus, pancreas, large vessels, and last of all the uterus.
As the result of putrefaction, fluids, generally blood-stained, collect in the serous cavities of the body, and should not be confounded with serous effusions occurring during life. So also the softening of the organs and tissue resulting from decomposition should be carefully distinguished from those resulting from inflammation. ”

“ My bladder became very painful and commenced to ulcerate and fill up. It seemed from the excruciating agony I suffered, that there must have been an abscess in either the kidney or bladder, and from the large amount of pus discharged at one time, it appeared to me that my kidneys, bladder and the entire urinary organs were one mass of sores and pus mixed with blood. I had to use injections of laudanum daily in the lower bowels to ease the pain and live. Was reduced by long suffering, looking for each day to be my last. I felt that no human power on earth could help me. ”

“ The sudden congestion or filling and over-distention of the delicate blood-vessels of the organ operated upon, caused by placing it in a vacuum, is liable to rupture these minute vessels, causing the infiltration of blood into the tissues and giving rise to inflammation, and in some cases, to suppuration, mortification, sloughing and death. ”

“ The old idea that in peristaltic action lay the great danger of increase of the hemorrhage and perforation of the bowels, is giving way to the more rational view that gaseous distention and septic absorption, are what bring about fatal results from these complications, and that the moderate peristalsis of the intestinal walls lessens these dangers by closing the gaping ends of the injured vessels, and expelling the septic matter and foul gases. ”

“ Every one knows how plentifully plunging into cold Water provokes Urine, which proceeds no doubt from the constriction hereby made of the Fibres of the Skin and Vessels. Thus this outward Cure differs not much in effect from the inward Medicines beforementioned, but must necessarily have the better of them in this Respect, that when the Fermenting Blood stretches its Vessels, the exceeding weight of the ambient Fluid resists and represses this Distension, and so prevents the Effects of It. ”

“ If there is a failure of renewal—that is, a disease—we shall generally find an abnormal condition of the blood. The distribution of the blood is controlled by the heart, a great four-chambered pump. One chamber drives the blood to the lungs, a mass of fine porous membranes, where it comes into contact with the air, and gives off the poisons which it has accumulated in its course through the body, and takes up a fresh supply of oxygen. By another chamber of the heart the blood is then sucked out of the lungs, and by the next chamber it is driven to every corner of the body. ”

“ If it is a flatulent spirit which causes the pain, after carminative injections and draughts, dry-cupping by means of large cupping-instruments, heated and fixed along the whole abdomen, often effects a cure. When the intestine is in a state of inflammation, we must bleed from the arm; but if dysuria prevails, we must likewise open the vein in the ankle, and use the remedies already mentioned, except those things which are acrid and powerfully cathartic; and we must rather use soothing injections, cataplasms, fomentations, placing the patient in a hip-bath of oil. ”

“ Thus, if the skin has its perspiration-tubes closed up by a chill, then all the poisonous matter that would have been thrown out through them must be emptied out either by the lungs, kidneys, or bowels.
When all these organs are strong and healthy, they can bear this increased labor without injury. But if the lungs are weak, the blood sent from the skin by the chill engorges the weak blood-vessels, and produces an inflammation of the lungs. Or it increases the discharge of a slimy mucous substance, that exudes from the skin of the lungs. ”