New-York daily tribune. [volume] (New-York [N.Y.]) 1842-1866, 1862-07-30
lConltnnnicaiea.l
TIonTnUlIcafDa.T
DIR. Il. Hunter on the symptoms Of Cousump-


on SPLITTING OF BLOOD AND HEMORRHiGE
FROM THE LUSGs. ~-
LETTER no. =.
10 ne E6srof The " !. DaRy TribuHG
SIN: OF ali the symptoms which indicate the ap-
proach ~orsumptiOn, there is none of such fearful
significance az the occurrence OF sfrsass II tlood"
in the mnous sxpectorated. II this symptom does
not tell Ms that f,Jcrccs actually deposited,
il does tell NJ that the lungs ere obfrgcf,a and con-
gesf,d aud in a very rgecarSous condition. The
quantity Of blood brought mp from the lungs, may
vary from few strsaks TO more pin's Of pure
blood bu, the quantity does not increase the danger
70 tie patient. The danger lies in the tuj,rcles
which lbs symptom tels MS nor, or about 10 be-
deposited in tie delicate air tubes aud cells Of the
lungs and few sireaks Of blood in the spnig are
strong proof of this pint wonld be. IL Is very
rare indeed that life lie shortened by Of the
loss OF blood from tue iuDgs. The alarm Which
patients feel al the irst eight Of blood ia natGral
enough. tor they cannot know, what is the fact that
fh0se rho sp,t b0Od from time 10 tine Ire longer
and hare q beiier cl1Hce # cure haH Aose rho DO
not Lore n drop.
Sorting OF blood IL sometimes the first symptom
Of consuml ION apparent TO the patient. More COM
mouy il does no, occur ultil the disease IL fully
tabished Many consumpiycs never SOFT blood at all.
Baron LORts found 1t IN fny-SereH cases out Of
eighfg-strcn, inirdi IN IRE cases out OF every
s.
Hos pital IN eighfy-0Hc cases out every hundred,
So that we may get it d0wn as rule that the loss
Of more or le.s blood from the lungs occurs. during
some IeriOd OF the disease, III about Jour cares
out of every Pee.
What is the cause of splitting Of blood! II is
caused by whatever ObtTHcts The ice uahsage OF the
blood through the pulmonary capil,aries. Every
pulsaon of the Hear, pumps INTO The langs, to be
distributed over the AIR cells certain quantity 81
blood. AZ the heart never ceases ia action, and
could not without stopping the whole machinery oil
life il will be understood tina. a steady stream Of
blood is flowing from the Heart 10 the lungs. Vow.
if the lungs are healthy, this blood becones pvri-
6ed and pita-ed by eXbang IT. corJoa into the air
sell- and absorbing 0rygsH from the air we breathe
and il then returned again To the heart from
whence IL gOes Ia nourlsh and sustain the -ys-
TEN. Int 1T ma suppose the lungs o5Strhcfcd
BY tha pr,s.ncc of taberees or by what j. quite as
preiGdicil viz: - ct tsAdci0HS mHctS IN the alr
tnhc. In the irs' case tie vessels through which
the blood nur pass are obsruCted, and III Tie See
ond the tubes through which the AR passes. The
consequence Is that the Impure blood flows with Gti
fculty and often siagnates in the delicate vessels OF
the obstrnced part. We physicians Jay The lung il
" contested :" by which we me n that the vessels
ARE full almost 10 bursting, like the vessels o. the
eve when il j. bi0odshOf." This condition contln-
uel .o- LONGER shorter period, and then the yes
sells relax and allow the blood 20 ooze through their
COATS AS fluid. do through Hifer, and the patient
coughs il mp. II the congestion war considerable
the quantity Of blood VIII DC greater; but 10 mat
t.r how much or how lulc II indicates that the
lungs ar, M an unhealthy condition-n n word, that
hev are 0bstrucfd. IL is the business and the duty
ol The Physician to discover the mature OF the OBJ
.trnction by "A carcfal examination OF the chest and
/ hen 10 prescribe proper means Tor IT'S removal.
! L. il "A common belief that Tie blood comes from
tie EredkiHg of bio0d-reSsfi, and this idea = en-
tertaned by many physicians. Tins Is no more true
tLon il ,youid be- to say that bl,fHg from the HOSf
comes from tho breaking OF n blood-vc'sel The
blood mfrsiy oO~es Mropga the co0ts n the reiGrcd
re,sris-in medical phrase We say II u erhcied.
should yersc of any sae actually breaa, aud such
,asrs have occurred, though extremely rare, the pa
rent necessarily bleeds 10 death, because neither
medicine nor surgery affords us any means by which
We can apply either HyDitc, t0rtf0A, or the heG-
far,, Bat as this misfortune has never occurred 10
me in the treatment Of many thousands OF cases OF
consumptiye direasc, Ito danger Id not worth con-
-idefing 80
From what have said il viii be understood that
sD,t.ing Of Lio0d is an alarming symptom, as show
mo the progress oil treaoherons aud most fatal DIS
ease within the lungs Either tnbcrclss are already
deposited when it occurs from this lime the depo
,ition will commence. the stopping OF the Diooo
.iyes 20 assurance Of safety, Tor 1t seldom continue
more than few days, nor does us recurrence hidi
cate any increased danger 10 the patient. US cans.
lies deeply within the chest, ana no remedy whiei
does not 20 the root OF tue evil and remove the oo
sructions within the lungs, is OF the least value.
Physicians too often cheer their patients by tn'
assurance that the blood "oniy comes from IN
'I6root" Let me warn the invalid against being de
Icciyed The throat seldom bleeds-neyer unless !
he struck by some hard substance and wounded! i
blood is coughed up however small tho quantity, !
come, IRON .le lapss, AID delay IL death. Eorla