The slightest glance at the history of the doctrines which have been
taught relative to the nature and the seat of fever from remote
antiquity, and more especially a consideration of the variety and even
the contrariety of the received opinions respecting both, in the present
day, but too clearly shew that if the ancients were in error, there
cannot be many points with regard to which the moderns are right, since
there is scarcely one in which they are agreed. Further observation and
investigation are therefore not yet superseded. There is as yet no
uniformity of opinion among physicians even whether the primary seat of
the disease be in the fluid or the solid parts of which the body is
composed. Scarcely is the most ancient doctrine respecting it of which
we have any record, that it consists in a morbid derangement of the
fluids, and that the excitement which attends it is the result of an
effort of Nature to expel the poison received into or generated within
the system, obliterated from the imaginations or banished from the
reasonings of physicians. When indeed we see a patient in the latter
stage of some of the forms of fever with his dark or leaden skin,
pouring forth its peculiar and fetid exhalation; with his foul tongue,
his offensive breath, his vitiated and almost putrid secretions and
excretions, we can understand why this doctrine should have taken a firm
hold of the human mind and should have been able to maintain its ground
through many centuries. Yet when the phenomena came to be observed with
the accuracy with which we know that they were observed and recorded,
and examined with the acuteness with which we have abundant evidence
that some of the most powerful minds reasoned upon them, we may justly
wonder that the order of the events, together with their great variety
and opposite nature did not sooner suggest doubts of the accuracy of the
theory and give to the inquiries of these celebrated men a new
direction. But so far was this from being the case that when
Hippocrates, considering the increased heat as the essence of fever,
founded his division of the varieties of the disease upon this
principle, whence his _causus_ or burning fever, his _leipyria_, or
fever with the parts externally cold and internally hot, and his
_epialus_, or mild fever, with a simultaneous feeling of heat and cold;
when he ascribed these different forms of fever to the superabundance of
one or other of the four humours, blood, phlegm, yellow and black bile,
and considered the disease as the result of a contest on the part of
Nature to expel the morbid humour, or to render it inert or harmless by
the process of concoction, the mind of Galen so many centuries
afterwards, was so well satisfied with this hypothesis, that his
powerful genius contented itself with the mere amplification of the
conjecture and the addition of similar conjectures of his own. Whence
assigning the different sources by which a morbid heat, which he also
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