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Updated: May 31, 2025
At the times of these inverted efforts of the stomach not only the lymphatics, which open their mouths into the stomach, but those of the skin also, are for a time inverted; for sweats are sometimes pushed out during the efforts of vomiting without an increase of heat.
But the more distant branches of lymphatics, which are less strictly associated with it, act with increased energy; as the cutaneous lymphatics in the cholera, or iliac passion, above described. And other irritative motions become decreased, as the pulsations of the arteries, from the extra-derivation or exhaustion of the sensorial power.
Putrefactive gases may be evolved in the tissues, and their presence is indicated by emphysematous crackling when the part is handled. The spread of the disease is so rapid that its progress is quite visible from hour to hour, and may be traced by the occurrence of red lines along the course of the lymphatics of the limb.
And afterwards the mucus deposited in the cellular membrane, and on the surface of all the other membranes, seems to have been absorbed; and with the fluid absorbed from the air to have been carried up their respective lymphatic branches by the increased energy of their natural motions, and down the visceral lymphatics, or lacteals, by the inversion of their motions.
Thus, while the glands might suffer, the rest of the body might escape. This may account for the fact that these glands and the lymphatics may be easily irritated and inflamed, thus becoming enlarged and sensitive, as often occurs in the axilla.
The infection spreads upwards along the superficial lymphatics, which become nodularly thickened; at one or more points, larger, peri-lymphangitic nodules may form and break down into abscesses and ulcers; the nearest group of glands become infected at an early stage.
The mouths of the lacteals, and lymphatics, and the ultimate terminations of the glands, are finer than can easily be conceived; yet it is probable, that the pores, or interstices of the parts, or coats, which constitute these ultimate vessels, may still have greater tenuity; and that these pores from the above analogy must posses a similar power of irritability, and absorb by their living energy the particles of fluid adapted to their purposes, whether to replace the parts abraded or dissolved, or to elongate and enlarge themselves.
This increased exertion of some branches of the lymphatics, while others are totally or partially paralytic, is resembled by what constantly occurs in the hemiplagia; when the patient has lost the use of the limbs on one side, he is incessantly moving those of the other; for the moving power, not having access to the paralytic limbs, becomes redundant in those which are not diseased.
The size, or coagulable lymph, which appears on the blood, is probably an increased secretion from the inflamed internal lining of the whole arterial system, the thinner part being taken away by the increased absorption of the inflamed lymphatics.
In proof of this, one of the main trunks of the lymphatics in the hand can be cut off from all communication with other portions, and tied up: and if the hand is immersed in milk a given time, it will be found that the milk has been, absorbed through the cuticle and fills the lymphatics.
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