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Show Book II-. Book II. CHAP. Of an Empyema or Collegian of dinner, &c. 705 which fpeaketh not every kind of a degenerate Extravalated Blood, but fuch a one as is turned into a true Sanious or Purulent Matter, which is produu X. ced li'om Blood l'iift ftagnated in the fubltanc e 0f "191711313365; Of an Empyema, or Col/affirm of Matter in the Omit, of the Bred/Z. , N Empyema is an unhappy Companion, or rather a fad confequent of A other'Difeafes, which being not well determined, do fall into this difaffcétion, flowing either from an inflammation of the Worm, Mediatine, Lungs, Larynx, or a quantity of Blood flowing out of a broken Velfel of the neighbouring parts into the Cavity of the Thorax 5 whereupon I humbly con. An Emprmd, flowing from an Inflammation of thc Pit-um. ceive that air Empyema is not a primary Difeale feared in the Pleura, Lungs, Loy/1x, but aquantity of diflodged Matter, asdifcharged the Confiiics of the adjacent parts into the empty fpacaof the Breafl. An Empycma, following an inflammation of the @lcura, proceedeth lrom a fource of Blood fiaghated in the Interflices of the Velfels, which being long Extravafated, ,doth degenerate into a TM , making an Abfcefs, which being not difcharged, doth Corrode the tender Membranes of the "131mm, An Empty»; derive! from an Inflammation of the lungs. and run into the Cavity of the Breafi. This Difeafe is derived alfo from a 'Peripmumonia, wherein a large proportion of Bloodbeing fetled in the fubftance of the Sham and Bz'oncbia of the Lungs, and nor difcharged out the Terminations of the Pulmonary and Bronchial Arteries, into the Origens of the Veins, accompanying the faid Arteries; whereupon the Blood for want of motion is defpoiled of its due Tone and Difpofition, and acquireth a putrid Difafl‘eétion, giving it a kind of Caufiick quality, Corroding the Coats of the Bram/)2}: and appendant Meinbranous Cells of the Lungs; So that if the Purulent Matter being lodged ina fmall quantity in the empty {paces of the Air-velfels may be difcharged by Expeétoration, the Patient may recover without any further prejudice ‘, but if the Piitrid Matter be fo Exuberant that it cannot be expelled b, .. Cough,but farther Corr-odes the fiibftance, and at lafl the OUEWQrdVCOat (neonipalling the Lungs, it breaketh the Confines of its Banks, and overflowes into the Cavity of the Thorax. An Emprmz, iullnuii‘i :1 Squiuanry. An Emptm coming from the broken V'riicls of the lungs. A third kind of Erllpy'cma, may take its rife from a true Squinancy, wherein fo great a proportion of Blood is lodged in the Interfiices of the Veffels relating to the Mufcles, licfetting the he'ad'of the Wind-pipe, that the circiilationof the Blood cannot be made good out of the Extremiticg of [he Arteries into the beginnings ofthe Veins; whereupon the fetled Blood loling its innate bounty by a long Stagnancy, doth degenerate into a putrid Matter, \VlllCl) hrfl maketliaan Abfcefs and then an Ulcer in the Mufcles of the L4- rynx, and then delccnds by the outward furface rhel rings, and afterward into the capacity of the Bram/2m to that of of the Thorax, producing an Ell/Pifflla. ,i‘hre fourth kind of Emyycnm is afligncd to Extravafated Blood, coming out or broxen Blood-velfels of the Lungs, dilcharging a quantity of Purple Liquor into the CaVity of the Brcal't, where it is rendred delltitute of its Spiruinous andgoingl'articles,‘ as wanting motion, but by reafon the Blood is not [when into 1 m, (as Iimagine) it cannot be called an exquifite Empiwm, which : or the ‘Pirrcm/J/wztz of the Vifcera, as of the Lungs, Heart, Liver,hgl'lib‘le-C Spleen, Kidneys, 69w. wherein the Serous Particles of the Blood are turned into @115, produced by the heat of the faid parts, which cannot be efi‘l'c‘ted by Extravafated Blood flowing out of a broken Vellel, and lodged in a Cavity relating to any of the Venters. _ The Continent caufe of an Emmcma, is a @115 or purulent h'latter, flowing outof the i'vlnfdes of the Larynx, body of the Lungs, P/rziriz, hrlCdllel fiiflEI The cw tinenf canf {an Enigma. A I earned Phyficiaii was of an opinion,that (Plfl‘ and l'ui‘ulen t b'lattcr, might admit a r'iltiiifliiizi, as the firft proceedeth from the corrupted Surtm Nun tritim of the Blood, and the lbcond from its Setous Recreincnt, as con‘p ing from the hindred motion of the Blood, rendring it putrid. And another Worthy Author conceiveth, That true (PHI, being white and of a middle conliftence, is confined within a proper Membrane or Cjflif, and being brought to a perfcét Maturation, and broken, loon difchargeth it felf, and the part affecfted is Cured 3 but Purulent Matter unconfined and left at large, as dcllitute of any Qflix or Membrane, when it is difchar ged by an Ulcer, rippearctli Sanious, unconcoé'ted, as the putrid Excreme nts are mixed with Purple I iquor, which maketh the Difeafed part more diflicult to be Cured, by reafon it is clogged with aflreat fource of Crude, Sanious Excrements not eafie to be difcharged. It may be alfo confidered , that both the pure 93m" and the Piirulent Matter, are fometimes afieéted with an ill favour, and other times are deftitiite of an ill fcent; So that Apof'cernes brought to Maturat ion, and broken, do emit a (link, and fonietimes none; whereupon I humbly con» ceive that Purulent Matter flowing out of an Ulcer, doth often difcomp ole our Noftrils with a f'xtidefmell 3 and it may be oblierved that an Apertion be« ing made between the Ribs, to difcharge an Empycma, the Purulent Matter hath little or no fmell, and after two or three days, when the Air hath had a frequent recourfe by the Wound into the Thorax, the Purulent lVIatter groweth verye ‘enfive, which may be quickly alayed by forne injectio ns of Wine, as wafhing and cleanling the tides of the wound and adjacent parts, and diluting the {linking corrupt humors with pleafant Aromatick finellsf Andlhuinbly conceive that the fxtide fmell of ‘Pur and Purulent Matter, doth arife out of grofs exalted fulphureous deprefling the Saline Particle s; but on the other fide, when the fulphureous parts are fomewhat Concoc'l'ed, and reduced under the power of the Saline, they give a check to the ill favour of (Pm and Purulent Matter. , As to the Diagnoll'icks of an Empymm, fome of them, and the mofi‘ chief Tlhc D may be thefe; \Vhen the Inflammation of the Mufcles of the Larynx, Ltings, llickso . Fleur/z, or Mcdinftine, do not ceafe upon the due application of Remedies Empjma, , and are attended with Rigors and Fevers, it is -very fufpicious, the Inflam- mation is determined by an Ulcerous Matter difcharged into the Cavity of the Brealt. If the EXII‘RVRleICLl Blood fetled in the fubf'tance of the Mufcles of the E "M nii'attii Larynx, Lungs, 'Plemxz, or bIediaPtine, be not taken off by istuIn-i due Applica- cuHour into Blood tion in fourteen days or rhercabouts, it doth degenerateinto Fur, in fulli'KCCn productive a 4‘15. of an Abfcefs in e 781‘: ai'i‘l'cled, which fometiines breaket h about the twentieth day, andm ‘- times about the thirtieth or fortietli; Of which crates giveth tlitle ‘ymproms, A Rigor, faith he, proceeding from Hippo.1 Peri»Sfffffff 1m: |
