Outlines of Pathology And Practice of Medicine

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Duncan, associated or allied with if, early general blood-letting is certainly in many cases a very powerful re- medy, nearly assisting or manifestly mitigating the inflammation. But there are many cases of these affections, chiefly those which result from specific poisons, in which the febrile symptoms from the first are typhoid, and the general treatment ought to be such as will be after- wards stated as proper in typhoid fever. As to the use of local blood- letting, there has been much diffe...rence of opinion. The free detrac- tion of blood by punctures has often been followed by speedy reduction of the inffammation; but in some cases it has seemed unavailing, and in most cases there is no such danger from the intensity of the local inffammation, as to demand a severe remedy. The incisions are often useful in a more advanced stage of great pain and tension, when sup- puration is approaching, or has begun, — but they are by no means to be relied on as preventing suppuration from proceeding; and much loss of blood in that stage may be immediately dangerous, if the symptoms are typhoid; and may greatly retard the convalescence in all cases.

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