The curability and treatment of pulmonary phthisis / Tr. and ed. by Montagu Lubbock.

  • Jaccoud, S. (Sigismond), 1830-1913.
Date:
1885
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Licence: Public Domain Mark

Credit: The curability and treatment of pulmonary phthisis / Tr. and ed. by Montagu Lubbock. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    eighteenth century that phthisis was specially ascribed to pulmonary lesions, and was regarded as presenting several dis- tinct forms which were named, partly from the supposed cause, partly from the symptoms of the disease. In 1820 Laennec maintained that the different kinds of pulmonary phthisis were dependent pathologically upon a different degree of development in the lesion, this being the doctrine of unity mentioned by the author of this work. At the same time it was believed that tubercle,'' as the lesion was named, might assume two special forms :— 1. That of isolated nodules. 2. That of an infiltrating mass. In 1850 Reinhardt affirmed that the infiltrating masses of so-called tubercle consisted in reality of pulmonary alveoli rilled with epithelial cells, and blood corpuscles as in catarrhal pneumonia ; that these became granular and underwent fatty degeneration as in the last stage of that disease; and that tubercle was in this case but the result of ordinary pneumonia, in which the lung could not divest itself of the inflammatory products. Hence the term caseous pneumonia, as applied to this form of tuberculosis; namely, to the disease which produces the massive tubercle, the tubercular infiltration of Laennec, the pneumonic tubercle of Graneher, the tubercular agglomerate nodule of Charcot as contrasted with the tuber- cular granulation of Virchow, the grey granulation of Bayle and Laennec, the tubercule granulique of Graneher, the miliary tubercle of Laennec, the tubercular peribronchial nodule of Charcot. Virchow, believing the elements of the grey granulation to be derived from a special proliferation of the cells of connective