INFLAMMATIONS. 13 



does not seem necessary to take any further notice of scirrhus 

 as a termination of inflammation. 



" It does not appear in any case evident that scirrhus, as af- 

 fecting the glandular parts, is to be considered as the natural or 

 common consequence of inflammation ; and I observed that it 

 frequently arises without any inflammation preceding or accom- 

 panying it, and that, therefore, certainly scirrhosity has its se- 

 parate cause ; and when, in consequence of inflammation, a 

 glandular part is affected with scirrhus, it may be doubtful 

 whether or not the separate cause of scirrhus took place at the 

 same time ; and the scirrhus was not so much the consequence 

 of inflammation, as that the inflammation happened to excite 

 the operation of those causes which produced the scirrhus." 



CCLIX. There are, however, some other terminations of 

 inflammation not commonly taken notice of, but now to be men- 

 tioned. 



One is, by the effusion of a portion of the entire mass of 

 blood, either by means of rupture or of anastomosis, into the 

 adjoining cellular texture. This happens especially in inflam- 

 mations of the lungs, where the effused matter, by compressing 

 the vessels and stopping the circulation, occasions a fatal suffo- 

 cation ; and this is perhaps the manner in which pneumonic in- 

 flammation most commonly proves fatal. 



CCLX. Another kind of termination, is that of certain in- 

 flammations on the surface of the body, when there is poured 

 out under the cuticle a fluid, which being too gross to pass 

 through its pores, therefore separates it from the skin, and 

 raises it up into the form of a vesicle containing the effused 

 fluid; and by which effusion the previous inflammation is 

 taken off. 



CCLXI. Besides these already mentioned, I believe there is 

 still another manner in which inflammation terminates. When 

 the internal parts are affected with inflammation, there seems to 

 have been almost always upon their surface an exudation, which 

 appears partly as a viscid concretion upon their surface, and 

 partly as a thin serous fluid effused into the cavities in which 

 the inflamed viscera are placed. Though we have become ac- 

 quainted with these appearances only, as very constantly accom- 



