About complex diseases

As for complex diseases, let us first say a general word about them. We say: by complex diseases we do not mean any diseases that occur simultaneously, but those diseases which, when they are combined, create by their combination something that is a single disease. Such are, for example, tumors. Pimples also belong to the category of tumors, because pimples are small tumors, and tumors are large pimples.

With tumors one can find diseases of all kinds. Thus, with them there is a disease of nature due to some kind of damage, for there is no tumor that would not arise from a disorder of nature with matter. With a tumor, there is also a disease of addition and combination, for there is no tumor in which there would be no damage to the outlines and changes in size. Often with tumors there are also positional illnesses, and there is also a general illness with them, that is, a violation of continuity, for there is no tumor in which there would be no disturbance of continuity. After all, there can be no doubt about the presence of a violation of continuity if excess matter pours into a swollen organ, is placed between its parts and separates them from one another in order to obtain a place for itself.

The tumor occurs in soft organs, but something similar to a tumor also happens in the bones, this makes their body thicker and there is more moisture in them. It is not surprising that an organ that can be enlarged by nutrition also succumbs to it by the action of matter, if it penetrates into this organ or is formed in it.

Any tumor is such that it has no visible cause. Its bodily cause lies in the transition of matter from some organ to the underlying region; this is called catarrh.

Sometimes the matter from which tumors and pimples are born is hidden by other juices that are not harmful in their quality.

When good juices are completely poured out during various types of emptying, either natural, as happens to a woman in labor during feeding, or unnatural, as happens when a wound exudes praiseworthy blood, the bad juices remain unmixed, isolated; nature suffers from these juices and expels them, and sometimes the direction of the eruption goes to the skin; in this case, tumors and pimples occur.

Tumors are divided into various types, but the most worthy of attention are those of these varieties that arise from the source of the tumor, that is, from the bad juices from which tumors arise. The bad juices from which tumors arise are of six types: these are the four juices, aqueous humor and wind. The tumor may or may not be hot.

One should not think that a hot tumor is formed only from blood or bile - no, it is formed from any matter that is hot in its substance or in which heat has appeared due to putrefaction, although these types of tumors are also divided according to the division of the types of all matter; but it’s better to talk about this when considering different types of tumors.

Doctors | They usually call a purely blood tumor a phlegmon, and a purely gall tumor a carbuncle. They call the combination of these two tumors a compound name and put the predominant one in front, so sometimes they say: “carbuncle phlegmon”, and sometimes “phlegmon carbuncle”. When such a tumor collects pus, it is called a “boil.” If a boil forms in loose meat, in the hollows behind the ears or at the tip of the nose and belongs to the malignant genus - we will talk about this in the corresponding department of private pathology - then it is called a “bubo”.

Hot tumors have an initial stage in which the juice rushes down and the body of the tumor becomes visible. Then the accumulation of juice increases and at the same time the body of the tumors increases and spreads. Having reached the limit of its volume, the swelling stops and then begins to fall; Having matured, it resolves or festers. The tumor ends either with resorption, or with the accumulation of pus, or with the transition to hardening.

As for non-hot tumors, they are formed either from black gall, or from mucous, or from watery, or from windy matter. Tumors! There are three genera of black gall matter: cirrhosis, cancer - they most often occur in the fall - and glandular types, which include, in particular, mumps and cones. The difference between the varieties of glandular tumors and the first two types of tumors is that glandular tumors grow separately from the environment, such as “pure” cones, or are adjacent to it only from the outside, such as mumps, and other tumors merge with the substance of the organ , in which they are located, and penetrate into it. The difference between cancer and cirrhosis is that cirrhosis is a stationary, quiet tumor that destroys or damages sensation so that there is no pain. And cancer is a mobile, growing, harmful tumor that has roots growing in the organs of the body. It is not necessary for cancer to cause loss of sensation unless it lasts a long time; in this case, it kills the diseased organ and sensitivity in it disappears. It is not far from the truth that cirrhosis is distinguished from cancer by its manifestations, but not by differences in substance.

Solid black gall tumors are sometimes hard at the beginning of their existence, and sometimes later become hard, especially blood tumors, but this sometimes happens with mucous tumors as well.

Glandular tumors and growths differ from similar nerve tangles in that such a tangle holds its place more tightly and appears to the touch to consist of nerves. If you press it so that it breaks, it will form again; if you disconnect it with strong medicine, without massage, then it will not recover. Most often, such tangles are formed from fatigue; they are destroyed with heavy pressing objects made of lead and the like.

As for tumors of the mucous genus, they are divided into two types: loose tumors and soft lumps; They differ in that the bumps are isolated in the bag, and loose tumors grow into organs and are not isolated. Most winter tumors are mucous, and even hot ones have a whitish color.

Know that mucous tumors vary in the thickness of the mucus, its softness and liquid, so that sometimes they resemble black gall tumors, sometimes like wind tumors. Often, liquid mucus descends during catarrh into the spaces between the nerve fibers, so that it even reaches, for example, the lower muscles of the larynx and underlying areas.

As for watery tumors, these are tumors similar to hydrocele or hydrocele of the testicle. Tumors that occur in the skull also belong to the category of water tumors and the like. Wind tumors are also divided into two types; one is swelling, the other is swelling. The difference between swelling and swelling is twofold: on the one hand, in composition, on the other, in penetration. The explanation for this is as follows: when swelling, the wind mixes with the substance of the organ, and when swelling, it collects in one place and stretches the organ without mixing with it.

A swollen tumor softens when palpated, and a swollen tumor provides significant or insignificant resistance to pressing the tumor.

There are as many types of acne as there are tumors. Pimples are bloody, like smallpox; pure bile, as in biliary urticaria; millet herpes; confluent, as in measles; herpes; pimples called "pimples"; jarab, warts and other types of acne. Pimples can be water acne, such as blisters, or air acne, such as blisters. You will find all this in Book Four, with a detailed description of the quality of tumors and pimples, as befits for that book.