. 
GANGRENE. 
living matter, yet a mechanical union exifts until the ab- 
forbent vellels have had time to eo vel fuch ogeng: as 
connect the found flefh with the mats, ur- 
geon imprudently to ufe force for ah purpofe of t earing 
away an extenfive mortified part, he would fubje& the pa- 
o the danger of a renewal of the floughing, put him to 
unwarrantable pain, and bring on a hemorrhage, which, in 
debilitated ftate of the fyftem, might lead to — conte 
The detachment of a flough is altoge 
urgeon can pe uff interfere 
in removing fuch portions of the ified mafs a 
pletely loofe. When a morti feation ceales to mee ce 
Seen edge of the living part foon exhibits the appearance 
f ared line, or border, which is a fign much taken notice 
raat ng of the 
limb, — could not Pru uden 
now be removed, if c oceeding ne- 
oe el Gon after che red line of feparation : appears, fup- 
puration commences. At firft, a fmall quantity of matter 
iffues from the fpace between the flough and the living fur- 
face, and oud ieee of purulent matter gr 
ore and more copio dere oan from 
the veffels va the ae part ; anifeft, that 
before the matter can be poured out, a {pace ean be forme 
for it between the flough and the living parts. The prefent 
received opinion is, that fuch an interfpace is produced by 
fo) 
the action of the abforbent yee Aahone are on the living 
sae _ ira in fat, effe etachment of the dead 
oats & it t with 
» by removing fuch particles -e matter as conne 
hei i i 
aaa hiely upon 
the pr ieee of the flough, whche one ee as an extraneous 
fubftance on the living matter with which it is in contad. 
a ae living furface is made to inflame, redden, and fup- 
wat 
. Some 12 philofophizing writers affe&t to ridicule the opinion, 
that the feparation o rom a living part is chiefly ac- 
by sis action of the abforbent veffels, or, by what 
dern author is pleafed to term the “ mordican 
powers of een orifices.’” (See Pearfon’s Principles. ) 
manate fon ordinary genius. ‘To any man free from the 
vanity of fetting sup | cect new ies et erinte aud of 1 en- 
deavour in 
cles can. e Pe ofited ‘a oi ne of velels, named: 
arteries. 
It is a curious circumftance, in the hiftory of mortification; 
that the blood coagulates for me ke) up the large arteries 
which lead into the Binet portion of a limb. - Were it 
t aera on of the dead part would 
ae im- 
any time for the trial of remed ce » however, 
een ea fo ee ’ that it does not oc cupy muc h 
extent at the end of feveral months ; hig t the cafe is fre- 
quently not the lefs fatal on this accoun 
never. altogether paft until the dead part is feparated.. It is 
5 
danger is. 
degree o 
tioned to the fiz 
relation to the n anim my. 
will alfo : ey influenced. 
by the age and soniticution of the 
In forming a judgment soieeas atch e ofa peal 
we fhould not be entirely actuated by fapeehca! appea 
Often, when a part looks quite black and 
pletely oe its total deftruétion does not 
for in many cafes tl 
lular fubftance. 
com- 
enfue ;. 
ound, fo ih at 
utrid m 
e part, ‘the ravages ma 
great for the phe to ae and the difcharge too copious: 
d weakening ; or the patient may fuddenly perifh, as au- 
thors affert, in foie of the effects. of putrid matter- 
abforbed into the as its 
prehending whatever is neceflary to be applied or done to 
the mortified part 
When a mortification i is ina {preading Rani is the con- 
reaaag of violent inflammation, and is attended 
ftrong, full, frequ 
with a 
it be egarded, except that of fuch jhe inflammation: 
sis the for of gangrene? = nce, the fame kind 
of conflitutional treatment is required as in na inflam- 
dit ings purging, ant 
matory cafes, namely, blee 
However, "there is this difference, ‘hat the. 
Were he to. 
im as. ee as In 
moneus inflamm the 
by the difeate, and. 
partly by the ric patel into a flate of Ee fr om wh ich: 
8 ie ehange from the eae os ieanades ‘inte 
gangrene and {phacelus is always attended ae: a fevere de- 
of sea it is indifpe ably proper to a er eps 
Naneons wieonse, and,. we may fay, the renee 
of Nanas — 6 exhibicda of bark in the 
ceding i though as far as our ae easton: ee. 
eee aie being influenced by any rational principles, 
or at all. enconraged by enaenaenen =? fuccefs.. For, ad-- 
muitting- 
