1000000031

741 / 868

s u R
t!le prog"crs of hC.11ing a tuge \l/cuno, whcn it is rnade: Wilh
a ill!lru:\1":IH, itnd ¡lit! conllitution IS pureo
In thi<; circumlbn..:e, lhe bJooJ-vdrds, immcdiately upon
t hci r dl"j(il>n, blecd frcel)' , anJ contlnue blceJing {tI! tiley
OLrc clther 110ppcd by 3rt, or at I~ng\h contr..l.éting and with–
d raw ng Ihem l~ l\'('s ioto t he wounct, thl:lf extlenutics are
fh .ll Uf> by th~ cOJgu lated blood. The hz morrhage being
Hvpp~c!. t ~le next occurrence, in abouI t Wt!nty.four hours,
is a thin fao,ls d:fcharg('; , a day or two after, ao in_
Clc"re of il. thnugh fu.aewnal thlckencd . and ffinklOg ID
Ih is Il.ltc it con[¡nu~s t \Vo o r tllr..:e d.t ys WUhGUI -tny great
altcr;uiull, ffom which time the matter gro....'5 thlcker and
lees. o!f~di ...e ; 2nd when lhe bouom ot' lhe wouod fills up
v.ith lu de granul.Hions of tlefh , il dlminilhcs in its qu"n–
l it}', and con tinues doing fo 1I1l the \Vound IS qulte (k¡nned
o vero
The firft (h ge of healiog, or the difcharge of matter, is
by I" rgoon. :d d:g,jlion ; the reeonJ, or the lilltng up
\Vith lIelll, ;ncarna/ion; anu {he laíl, or (],:tnniC?g over, d –
c.1/rizJlliol/.
!I is wanh obferviog. that the lofs óf aay pa rticular part
of the boJy can oo ly be rep.ired by the Auids of ¡hat dlf.
lina pHt; and as , in a bruken bone, the cal/uI is generatc:d
fro.n lhe enJs of lhe fradu re, fo. in a wound , is [he cica_
t rix (rom (he circumfe rence uf thl! (J(i~ only: H c:nce arifes
l he ncceOity of kc:eping the furface e vt n, ei.lher by pretTure
or e n ing m~..dlci .H!S, tha! !he eminence of lhe flc:.(h may not
re!iH lhe filucs of the fk,n in lhei r tcndency tO cover the
wound . T hi!: eminence is cOOlpofc!d of lit d e points or gra–
r'lll la~icns c;¡l!ed IiwgllJ, or proud Acfh. Cind is freq ueotly
¿fi\"emed an evd. though io trUth ,!lis fpecies of it be the
coo~t ant attenci.~nt oro healiog wuunds ; for wheo lhey are
fmooth, a nd h;¡ ve no dlfpolitioo tO (hOOt out aboye thti r
I jps~ there i, 3 n ,~ckners tOheal, and a cure is very difficult·
Iy dr-:~9:ed . Sin...:e rhen a flll1~t;ul prc: veots heallOg only by
i ts ItJxuri<locy, and all wounds cic.u rife from lheir circum_
fcrr:nt.:~, lhe:re wilI be no occafion lO de:Hroy the whole
fU II,':UI ~vcry ti me it rifc:s , but only th~ edgc::s of it oear the
Jips of lhe lIun ; which may b: done by ;:t.:ntle efcharotics,
fu ch .t'i hot Jlpt in a mild folu :iun of vilr;')/ , or fo r lhe !noH
r .trl only by dry liut, and a t¡ght bando:lgl!', whi.:h wdJ re·
u:Jc,,: it iuffi...:iently la a level, if appiled before lhe fUI/gu,
h ave acq uired too O1u-:h growth. In J.~rg~ wounds, lhe ap–
plication of corro(ive medicioes 10 the \Vhole furroice, is of
no ufe:; becaufe the / Ul!gul will att aio but tO a cen ai n
h cight, whcn J:ft la !tfdi'. which it wi ll be frequ ltntly ri ~
Jing up t!J, l !lou¡~h it b:: ofte::n w Ifl.::J ; artd as ..d i lhe ad_
\'antJg-= tO be g1. :h 'rcJ froln it, is o'1ly froOl Ihe eveonef s
of liS margin, lhe purpr)fl.! ·.vill be- as fully an fwered by keep–
i0I! tb.1t undc:r only, and 30 infinite cieal of poilO avold~d
f, om the c')ntintlJl rep'!' itio!l or crchttrolics.
, From Wh,11 h..ts becn (-(id of (he progref'S of a wound 1l11de
b y a fh:lr'p inHrument, whcre lhcre IS 0 0 indifpoflt ion of ha
oy, wc.: f\.'c lbe cure is p: dormt.d witll JlI t fl oy interruplion.
b'H from .he Itll/~Uf; fo th.u the b,Jliners or furgery will
clJOrill princip. lly 10 a propa rc.:g .rd tO {hal pOillt, and in
appllcatioos th,"t will (he Ié'alt ¡nterrere with l he 'orJ io.try
cour!"c of na:u re, w')ich io t~h:fc cdft.s wi ll be fu.:h clS .I{t
Ih\! Ic:1H upon tht' fl1r(,ICI! 0'- lhe \Vou llll: and ar.,rC'ea"'ly lO
:.h:s \\'C ~ od. th ,t ury hnt only is r.: nLr,dly the b;:íl remc.:Jy
t:HOU ~h lhe wholt: courfé' of drcHinr,: al fir tl. . il rlops lhe
LJlr,od \t it:, Icls ioiU Iy , any ft) p'l.;k pow.:1crs o r \v"ll' rs¡
::.nJ afl·.:rw<ud5, by íl.bforb¡nr. d!,: IllJtlC' J wbch lO th~ be ·
G E R y,
ginning of fuppuration is thio aod acrimonious, it bec=om'!s
io c:íFl!cl a digcHive: during i:"lcarnation il is l}:¡e fofteH O1e–
dl um that COlO be applied I;l!t~"ceo the roller aod h:nder gr3-
oulatioos, anJ at the:: {ame time is an eafy compnfs UPOQ
the I'prouti ng j il11gu,.
Over the ..try hnt , m.y ¡'C .pplied • pledgit of fome ror,
ointmeot fpread upon tO \II, which muH be rcnl!'wcd every day,
20d preferved 10 n s lituation by a gentle bandagc ; though
io .all Iargc \Vounds, the firn dreffing , aft~r chat or .he acci–
dent or operation, fh ou ld OOt be applied io le(s thaD threc:
d""y', whco, the matter beiog formed, the Jinl feparates
more eafily frorn the pfl rt; io thé rcmovaJ of which, no.
force n be ufed . but only fo mueh be taken . \Vay as i.
100fe 2nd comes off without pain.
O}" INi'LAMMATI ON s and ABSCES S ES.
As almofl all abrcetTes are the oonfequences of ioflamma–
tioos, and thcfc <produce a v ariety of events, as lheyare:
difFerently cOOlpltc.atcd with otlJer diforders, it will be pr,o.
p::r firft to mnke fome inquiry into thei r dirpolition. In–
fl J01mations from :\11 caufes have lhree ways of terminating;
either by d¡fperfion, fu ppuration. or gangrene .
But though ev~ry kiod oC inflammatioo wiJJ fometimes
terminate in different Chapes, yet a probable conjetlu re of
the eveot may be .alwa} s galhered (rom the Hate of the
patic:ot's health. T IJus illfl.tmm atioos h~ppeoing in a Olgh t
deglce upoo colds, and, wit houl a"y (oregoing iodifp(¡liuoo.
will molt prob,bly be dlrperfed : thofe wllleh follow c1or.
upoo a fe\'er, or happen 10 a vt:ry gro(s habit of body, will
generally impoUhunwe: and thof< which f. 1I upon ver,!
old people, or droplicaJ connitutions, wil1 h a\tc a ftrong
tendcocy tO gangreoe.
If the n .ttc: of ao inflamm?tioo be ruch, as to make lhe
difperfion of jt f.fely pr.aieable, that end wdl be b<(l
brought about by e vacllOu iuos, (uch as pientlful and
repeol.ted purges : the pOirt idelf mllíl be lreJted with fo–
m~nt2tiolls twice a·d"y; and if the (J' ln be Tt'ry teofe, it
be ernhrOCrilcd Wilh a mi xture of t"ree (ou rths of oil
of rofC!s, and One rounh of common vineg:-:r, and a[ten\'flrds
be:covercd Wilh tWglU111 flor lamb. Or .a (Ofl ointmc:nt ffiJdc:
of \\ hile WCiX ano fweet od) fpread upoo a fine ra~. and roll–
ed on gen d y I f al ter four or five days, the in ll.-\mm.ltioll
begi n tO fubride. üle purging.waters and m.u:ma Olay takc:
pl.tce of Otne r purges, and 'the embrocation of oi l " nd '¡lle–
gar be nowomitlt'd. or (ooner. ir il has regun tl1 excoriate.
Tllt" ointrncnt o. w~x aod od may be contlnul d tO ,he laíl.
D uring the cure: a th in dic:t is Cibfolu:cly ncedr,lr)' , ;,tod in
th~ IH::'ght of the in/hOlm.Hioo the drinklOg ol' thin li–
quors great fc:rvi ce.
H ac \Ve h"ve fup pofed tha{ the inll.lmmatiClO haJ (o ~reat
a ten.ieney to di reufli on. as , by the help or proper ¡;lhILnce.
to in th'd l m,lnner ; but wheo it hJppcOS lh.u the
d,fpr.>fition of the ~ umour ,di!!s 4111 dl (cu ti~ot mCitOS, we
mu!t lht n ddill froln 3ny r..l rther e\'acuations, and afliH natUre
in Ihe.:: bringing on a tuppur:nioo.
That m tttC'r \Vd l' moH likel y be form('d, we j ud,ge
(rom the II1credCe of lhe fymptoOl.H:c fn'e r, and er.J.H~e­
menl of lhe lumvur, wlth more r .1in ;¡ nd l'ulf3t1on; anti tf
a fmJ.1I ri~or come on, it is Il lO ht' rluuhted. l r.ttJOl–
maliolls "ftc:r a It. ... u ·. ~nd th\! -pox. "" lmol1 ,t!wa)s fu p_
bUI ,h('(e prcf\!nd)' dj l~'o\f('r thC"r lend:. l.c\'. ur at
h·aH nl.IUI.J be .H iiril gl'nd y lr~.lll'J. 3S tlw.\:).;h \\'e C' .... –
cd ;¡n il11potlhml1;n;lJn. 1t is a m:\XIIU Jown 10 Ju r-
l el )',