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HEMORRHAGE—TREATMENT. 391

There is sometimes a local difficulty with the vessels
—a lack of tone in the part—or an aneurismal con-
dition—on account of which obstinate hemorrhage

will occur. A peculiarity of this kind is not very
readily recognized.
Violent passion, and, indeed, any strong agitation
of the mind, will aggravate hemorrhage. Improper
medication, as well as highly stimulating food, will
have the same tendency. Anything that will in-
crease the circulation, or reduce the tone of the ves-
sels, or change the condition of the blood, will
increase the liability to hemorrhage. Simple deter-
mination of blood to a part, however, would not

indicate such a liability. When there is a special
hemorrhagic diathesis, the blood will flow from all
the wounded surface, will be thrown out from all the
ruptured capillaries. The most difficult cases are
those in which there is a defect both in the vessels
and in the blood. If the latter is in a good condition,
it will coagulate in ruptured capillaries, though they
might be deficient in tone ; but in larger vessels,
though coagulum might be formed, it would not be

retained.

TREATMENT.

In cases where there is manifest hemorrhagic dia-
thesis, prior treatment is indicated, if the necessity o(