A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
History
A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
Medicine -- Practice
Stahl proposed a purely chemical theory of fermentation early in the
seventeenth century. Not much later Hauptmann suggested the probable
causation of epidemic diseases by minute living organisms. Linnæus[10]
revived this hypothesis in the eighteenth century. These two topics of
inquiry, with the intermediate one of putrefaction, then received much
attention, at first apart, but afterward with recognition of their
analogies. When Fabroni, Cagniard de la Tour, Schwann, and Kützing
had, with the aid of the microscope, made familiar the life-history of
the yeast-fungus[11] (Saccharomyces cerevisiæ), more close
consideration still was given to these remarkable changes in organic
materials and forms, dead and living.
[Footnote 10: Linnæus accepted the asserted observation by Rolander of
acari in the stools in dysentery. The great naturalist deviated
somewhat here from his usual carefulness and accuracy, as that
observation was not afterward verified.]
[Footnote 11: Lëuwenhoek, however, had observed and described it in
1680.]
Starting from the physical basis of inorganic chemistry, Liebig
followed the series up from the so-called catalytic[12] action by
which the presence of a substance, itself apparently unchanged,
induces reaction between two or more other bodies, to those which
occur within plants and animals, as examples of vital chemistry. Such
is the influence of diastase or invertin, which in the seeds of plants
brings on the conversion of starch into sugar and of cane-sugar into
glucose and levulose. Such is the agency of ptyalin in the saliva, of
pepsin in the gastric juice, and of pancreatin or trypsin in the
secretion of the pancreas, in the processes of digestion. From these
it appears to be an easy transition to those changes which occur in
organic matter no longer living, as in the fermentation of vegetable
juices and the putrefaction of animal tissues.[13] Liebig endeavored
to explain these also in the same manner as the chemico-vital
processes; and he then went farther to apply the same generalization
to the propagation of disease, by what is called virus, in the
instances of contagious, endemic, and epidemic maladies.
[Footnote 12: The idea expressed by this term was especially favored
by Berzelius and Mitscherlich.]
[Footnote 13: It is noticeable, however, although generally forgotten,
that the one set of changes and assimilations (namely, those of
digestion) are formative actions of life, and the others destructive,
in the direction of, or subsequent to, death.]
But, meanwhile, observation and speculation gave almost equal
prominence to the importance of minute living organisms in the
apparent instigation of all these evidently analogous changes of
fermentation, putrefaction, suppuration, septicæmia (Piorry, 1835),
infection, and contagion.
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