. The principles and practice of modern surgery. not originally deposited in a fluid state as a kind ofpus, and solidified at its circumference by the absorption of its wateryconstituents, t Besides tubercular disease, scrofulous patients are liable to a varietyof insidious, lingering and obstinate inflammations and lymph effused is often frail and curdy;—the pus viscid or serousand flaky;—and scrofulous ulcers, weak, with pink surface, flabby granu-lations, and loose edges. * Vide Lathams Lectures, xii.; Carswell, op. cit., Fasicular Tubercle. t Mr, Grant Calder (Med. Gaz., vo


. The principles and practice of modern surgery. not originally deposited in a fluid state as a kind ofpus, and solidified at its circumference by the absorption of its wateryconstituents, t Besides tubercular disease, scrofulous patients are liable to a varietyof insidious, lingering and obstinate inflammations and lymph effused is often frail and curdy;—the pus viscid or serousand flaky;—and scrofulous ulcers, weak, with pink surface, flabby granu-lations, and loose edges. * Vide Lathams Lectures, xii.; Carswell, op. cit., Fasicular Tubercle. t Mr, Grant Calder (Med. Gaz., vol. xxii. p 286), and Dr. Kingston (on the Pathology ofTubercle, in the Med. Chir. Trans., vol. xx.,) supported the idea of the original vitality oitubercle, and of its gradual degeneration and softening; Andral and Graves, contra. Thefigure above is taken from Mr. Gullivers appendix to translation of Gerber; see also Gruby,Microscop. Jouin., 1842. 10 cells only at its periphery. For there are twostates in which it is found; sometimes in mi-. 110 SCROFULA. General Treatment.—The indications are to strengthen the systemand prevent local disease, by rendering the blood pure and the circula-tion vigorous, and by keeping up the secretions. The means are bothregimenial and medicinal. The former, which are infinitely the moreimportant, are food, air, exercise, and bathing. (1.) The diet of the scrofulous should be nutritious, digestible, andabundant, consisting of meat, bread, and farinaceous substances gene-rally, with a sufficient quantity of beer or wine to promote digestion,without creating drowsiness or feverishness. The greatest attentionshould be paid to the quality of the milk of the mother or nurse; and tofeed the child judiciously during the second year. (2.) The clothing should be warm, especially for the neck, chest, andfeet,—so as to keep up the cutaneous circulation, and prevent congestionin the chest or abdomen. Flannel should be worn nearest the skin bothin win


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