A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Science
A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Medicine -- Practice
The epidemic feature of the disease led many to the opinion that it was
contagious--a view that retained its hold for many years. It was also
considered to be of a miasmatic character, which, with the previous
feature, seemed to assimilate it in nature with typhus fever and other
diseases of the miasmatic contagious group. This view had a vigorous
advocate in Villemin, who in 1874 read a lengthy paper before the Royal
Academy of Medicine in its support. His arguments were specious,
inconclusive, and inaccurate, the weight both of facts and authority
being decisively against his view. Its occurrence among members of the
same family led a few to regard it as hereditary, and it was thought to
be transmissible from the mother to the recently-born as well as to
nursing infants. The depressing influence of certain emotions, fear,
anxiety, and nostalgia, upon the functions of nutrition has, as might
have been anticipated, been noted as contributing indirectly to the
manifestation of epidemics of scurvy in the presence of the essential
determining dietetic causes.
Scurvy cannot be regarded, as Lhéridon-Cremorne[3] has argued, as the
last term of nostalgia, the other alleged causes being secondary; nor
as the immediate result of mental depression, as Gueit[4] believed from
his experience in the ship Henry IV. during his service on the blockade
in the Black {170} Sea in 1858, because the disease first invaded those
laboring under nostalgia. The currency of such opinions may be readily
explained by the fact that ordinarily depressing mental influences
occur under the same conditions as those associated with scurvy--viz.
during sieges, after defeat, in prisons, and in workhouses; and,
further, the mental phenomena ordinarily occur as prodromes of the
disease long before the pathognomonic phenomena present themselves. Out
of these facts grew the mistake of regarding the mental change as
causative instead of consecutive. Murray went farther and regarded
mental despondency as at once cause and effect, and long ago scurvy was
compared to hypochondriacal diseases.[5] It may be concluded from the
recorded epidemics that no degree of mental exhilaration could ward off
the disease in presence of the determining causes, nor any degree of
mental despondency induce it with proper alimentation.
[Footnote 3: _Thèse de Paris_.]
[Footnote 4: _Thèse de Montpellier_, 1858.]
[Footnote 5: Dolée, 1684.]
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