CE DEMA. 
6. Local injuries, as blows, aaa, alfo inflammation, 
or eryfipelas of the lower extrem 
With regard to the prognofis, the Gee or unimportance 
of this fpecies of oedema, mutt principally depend upon ‘the 
ae or eafe, with which the remote caufe may be 
obvi 
In is treatment of the oedema fimplex flaccidum, sia in- 
parts by friction, and the ufe of liniments. 
parts in hot falt brine, or fea-water, and the ufe of a laced 
ftocking, will fometimes both affift the cure, and prevent a 
relapfe. 
a Simplex Durius. —Mr. Pearfon obferves, that this 
form of the difeafe appears in one, or both of the lower ex- 
tremities; it is accompanied with pain, and fome degree 0 
lamenefs ; bu t there is no difcolouration of the {kin, nor 
very little to par ae 
r. Pearfon conceives; that this difeafe is conneGed with 
a ea ftate of the deeply-feated abforbents of the i 
It is faid to occur more frequently in women than men, and 
e caufes are not always norrhoea 
in plethoric habits ; nae! in corpulent perones and ftand- 
on every d ircumftances 
ne CYeLy 
ie which this fpecies of oedema has been induce 
he treatment advifed by t ais preceding gentleman, con- 
fits in purging t our or gi 
fmall dofes of calom 
diate days, enjoining ee and a recumbent pofture, until the 
pain i 3 and a pplyin g the vapour of {pirit of wine and 
volatile kali. Wh th der- 
nefs of the abforbent veffels are diminifhed, he feccmeiecds 
the ufe of the linimentum ammoniz, and the employment 
of a flannel bandage for a few weeks after the cure. 
Edema Symptomaticum.—This is ftated to be not different 
from the i fimplex flaccidum, and it is arranged under 
a feparate head, becaufe it occurs as a fign of fome other 
difeafe, without abfolutely conftituting a part of it. Amongft 
other cafes, the following are fome, which this kind of 
cedema indicates the exiftence of ; fimple fracture ; fra€ture 
of the cranium; empyema ; blood effufed in natural cavi- 
ties ; deeply -feated abfceffes 5 Li ged 3 difeafes of the 
periofteum and bone; general de 
e cure of poate aay depends upon the 
removal of the 
oi 
re. fo that, in the courfe of two 
of the lower extrem mity acquire 
of bulk. The limb is enn, preternaturally warm, and 
ang of no metion without great uneafinefs being excited ; 
but the colour of the fkin is either unalte 
than natural. ‘The integuments are firm, elaftic, 
yield to preffure, as in the oedema fimplex flaccidum. 
water is ufually difcharged on {carifying the de nor is the 
{welling at all reduced by a horizontal pofitio 
The difeafe never fuppurates, nor does it lowe any per- 
manent induration, or lamenefs, although, in fome cafes, 
feveral weeks elapfe before the patient recovers entirely the 
ufe of the limb. 
The remote caufes of this {pecies of cedema do not ap- 
pear to be underftood with any degree of certaint 
The fymptomatic inflammation may be relieved by fuch 
medicines as promote a diaphorefis ; James’s powder ; faline 
draught with volatile alkaii; liquor ammoniz acetatis; {mall 
dofes of the pulvis ipecacuanhee compofitus ; camphor with 
opium, &c. 
When the violence of the firit fymptoms has fubfided, 
e 
and they fhould be repeated as equently as the teenth of 
the fyftem will permit 
n the intermediate days, when the purgatives are not 
exhibited, Mr. Pearfon a bark, cafcarilla, myrrh, 
fulphuric acid, and fimilar toni 
With refpe& to the local [omen when the pain is 
very fevere, the fame gentleman thinks the apeanes of 
eeches to the upper part of the thigh benefic 
nodyne fomentations ; camphorated oil, en tincture 
of opium ; and other liniments, are mentioned as ufeful ; and 
a flannel bandage is to be applied as foon as the limb will 
ar it. 
Other fer gee means are {mall bliltering plafters ; mo- 
derate spl 
um Depa —This fpecies of cedema is de- 
{cribed ‘ Mr. = fon a as coming on fuddenly ; the eran 
complains of fhiv » pain in the loins, ae head-ache, 
&c. Thefe febrile ‘yimptoms feldom continue with-violence 
more than twelve hours; but when they remit, a fenfe of 
tingling is experienced in the foot and calf of the leg, ex. 
tending to the groin. The whole of the lower extremity 
{wells, becomes painful, and is cage univerfally red; the 
n gives great uneafinefs. 
part of the 
ine women ho fe 
menfes are not sedis ; but fe cuales: not at all affected with 
chlorofis, may have the complaint. Men are alfo occafion- 
ally the fubjeG&ts of the diforder. 
to be attacked, are thofe who are corpulent ; 
are flaccid ; whofe occupations require much aang more 
efpecially = thofe perfons drink immoderately of {pi- 
rituous iquo 
This deafe is treated in the fame manner as the cedema 
puerperarum 
ma Purulentom: —This form of cedema is lefs frequent. 
than any of the former ee thou he wortt. 
of 
e 
a dy ike k wile ‘on g and foot ‘become 
adegied “with the cedema fimplex flaccidum. In about ten 
or fourteen days from the commencement of the difeafe, 
two 
