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
Upon this side the leading investigator for many years has been
Pasteur. As long ago, however, as 1813 Astier, and in 1840 Henle of
Berlin, and near the same time Sir Henry Holland of London and Dr. J.
K. Mitchell of Philadelphia, gave expression to opinions of a similar
kind, based upon many important facts before very much overlooked. By
exact experimentation, moreover, Schwann, Helmholtz, Schroeder, and
Dusch ascertained that the agent or agents causative of fermentation
and putrefaction can be detained by heated tubes, by animal membranes,
{139} and by cotton wool, anticipating the later observations of
Pasteur,[14] Tyndall, Chauveau, and others to the same or similar
effect. These results of experiments are commonly understood to prove
the particulate character of the agents so studied. What may be called
an era in the practical application of etiological inquiry dates from
the introduction by Lister (about 1860) of the principles of
antiseptic surgery, based upon the theory that disease-germs, derived
from the atmosphere or other external sources, are the essential
causes of suppuration, septicæmia, pyæmia, gangrene, etc. following
injuries or operations.
[Footnote 14: Pasteur's experiments with long-drawn bent tubes had
especial significance.]
So far from this inquiry being yet terminated, while experiments and
observations have become more and more numerous and elaborate,
opinions continue to differ; and we must yet await the time when, by
successively excluding, one after another, all the sources of error, a
truly scientific conclusion may be obtained.
Roughly speaking, it may be said that parties in the debate are
chiefly ranged upon two sides--those who favor the probability that
only chemical, not vital, action is to be traced in fermentation,
putrefaction, suppuration, infection, and contagion; and those who
regard minute organisms, discovered or undiscovered, as causative of,
and indispensable to, all these processes.
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