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CHAPTER III.

INF LAMM A TION,

From injlammo, to burn. Inflammation is characterized by heat, pain, redness, attended with more or less tumefaction and fever. It is divided into two species, viz.: Phlegmonous and Erysipelatous, and subdivided into acute and chronic, local and general.

Phlegmonous inflammation is known by its bright redness, tumidity, and proneness to suppurate, and by its heating and pulsatory action; it has three terminations, viz.: Resolution, when there is a gradual abatement of symptoms; Suppuration, when the inflammation does not readily yield to appropriate remedies; the beating and throbbing increase, a tumor points externally, pus is formed, and rigors set in ; and Gangrene, or mortification, when the pain abates, the pulse sinks, and cold perspiration appears.

Acute inflammation runs a rapid course; the symptoms are well defined, the pulse full and bounding, and the skin hot and dry.

Chronic inflammation is milder, and of longer duration. Local applies to a part or viscous; and General to the entire system.

Erysipelatous inflammation is of a dull red color, supeficial, and merely of the skin, spreading unequally, with burning and stinging, and generally ends in vesicles or desquamation.

Treatment.—The remedies employed for the removal of inflammation are, Anconite, Bell., Bry., Puls., and others; depending upon the part or viscous, affected. Aconite is, however, the first grand remedy in the treatment of active inflammation {Sthenic of the old school).

I. CYSTITIS. (Inflammation of the Bladder.)

Cystitis, (from the Greek, signifying the bladder. Inflammation of this organ is characterized by the following:

Diagnosis.—Violent burning, lancinating, or throbbing pain in the region of the bladder, (Eberle,) in some instances extending to the perineum, the genitals, and upper part of the thighs. The pain is greatly increased by pressure made over the pubes; the perineum and parts adjacent, are exceedingly tender to the touch. Frequent efforts are made to urinate, but without success; the little voided, passes off in drops, attended with severe stranguary or dysury, and is of a deep red color, often tinged with blood, or sometimes depositing a milky, turbid sediment, particularly if the inflammation is of a catarrhal character. The bowels are constipated, the pulse full and hard, skin hot and dry, and thirst urgent, sometimes sickness of the stomach and vomiting.

Causes.—It may be caused by mechanical and irritating substances in the bladder; urine retained too long, (a frequent cause, particularly with young ladies while attending parties or traveling,) external injuries, irritating and acrid substances, such as cantharides, turpentine, etc.; or it may be caused by cold, suppressed perspiration, or haemorrhoidal discharges, or by metastasis of Gout and Eheumatism.

Treatment.—In the commencement of this disease, when there is violent fever,with thirst, pain and tenderness in the region of the bladder. Aconite.

When there is an almost complete suppression of urine; a constant urging, particularly at night, the urine passing off in drops, with severe burning pain. Cannabis.

When the urging is violent, but ineffectual, passing but a few drops, with severe burning and stinging pains in, the region of the bladder, before and after urinating.

Cantharis.

When the neck of the bladder is the principal seat of the inflammation; a constrictive pain in the bladder; and retention, with constant urging. Digitalis.

When there is an urging to urinate, voiding but little at a time, and a deposit of a mucous sediment. Dulcamara.

When the urging is frequent, with violent pain during and after the emission of a small quantity of pale-colored urine. Nux- Vomica.

When the inflammation is of a catarrhal character; aching, burning, and cutting pains in the region of the bladder; and the urine is turbid or deposits a milky sediment. Phosphorus.

When the deposit is of a white chalky appearance.

Calc. carb.

When caused by external mechanical injury. Arnica. When caused by the use of cantharides (Spanish fly).

Camphor.

. When caused by getting wet. Dulcamara. When caused by intoxicating drinks. Nux- Vomica.

Aconite should precede the use of either of the drugs that are specifically indicated, for one or two administra tions, as it will cut short the inflammatory symptoms, and thereby necessarily facilitate the action of the other remedies.

Administration.—When the pains and symptoms are very violent, the remedies may be given as often as every half hour or hour, and the interval lengthened as the symptoms abate. I have never objected to simple fomentations applied to the region of the bladder or the pubes, but have frequently recommended them to great advantage. ,

II. PHREJVITIS. (Inflammation of the Brain.) Phrenitis, (from the Greek word, signifying the mind.)

Diagnosis.—Phrenzy, or inflammation of the brain, is characterized by high fever, violent headache, redness of the face and eyes; beating and throbbing of the temporal arteries; intolerence of light and sound; watchfulness, and delirium which frequently becomes furious.

It generally commences with a sense of fullness in the head; the pulse full, but not increased in frequency; the patient becomes restless; his sleep is disturbed, or entirely forsakes him; and as the symptoms advance we have the condition already named.

Causes.—Blows, falls, or other injuries of the head are among the most common causes of this disease; suppressed habitual discharges; the sudden drying up, or repelling of cutaneous eruptions; metastasis from intestinal irritation and other diseases, such as Gout and Rheumatism.

Treatment.—When the fever is high, pulse full, skin hot and dry; face flushed; severe pains through the entir6 brain; eyes injected; and pupils contracted : give Aconite. And in three or four hours, give Belladonna. If the first administration of Aconite, does not materially abridge the inflammatory symptoms, which is manifested by the pulse becoming softer, by less external heat, and a tendency to mild perspiration; give it in alternation with Belladonna, until there is an abatement of those symptoms.

When the heat of the head is great, face flushed and bloated; violent beating and throbbing of the arteries of the head and neck ; great sensitiveness to light and sound; eyes injected, and the pupils dilated; raving ; loss of consciousness; and a tendency to vomit. Belladonna.

When there is a loss of consciousness, the patient raving at times, striking violently with his arms, and stamping, with a desire to flee. Hyosciamus.

When the face is red; eyes not much injected, but rather bright; suddenly starting, with a wild expression as if frightened. Stramonium.

When the pains in the head are shooting, and aggravated by motion; and when change of position, or simple raising of the patient's head, causes him to scream.

Bryonia.

When the patient remains in a comatose state, as if sleeping from the effects of an anodyne ; great difficulty in awaking him; restlessness and dullness of sense; immediate falling into a stupor again. Opium.

When caused by intestinal irritation, (as worms, which is a common cause, particularly with children,) after the administration of Aconite and Belladonna, give Cina.

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