From the study of these cases we see that the process of disease is as
uniform as that of health, or of any other process of nature; that
certain phenomena constantly take place; that they follow a determinate
order; that the events seldom or never vary; that their relations to
each other never change; that in these cerebral cases of fever a
preternatural fulness and apparently increase in the number of the
blood-vessels of the brain and spinal cord, or of their membranes is
always present; or that if a case do now and then occur in which even
_no_ preternatural vascularity can be discovered such an event is
exceedingly rare; that this fulness and increase of the blood-vessels is
either identical with, or passes into the state of inflammation; that
the state of inflammation, after a certain period, produces results
which are known to be effects of inflammatory action in other parts of
the body; that these products of inflammation consist of a given number;
that the whole of that number never concurs in any one case, but that
two or more are frequently found in combination; that the laws by which
any one of these is formed rather than any other are at present wholly
unknown; while instances do occasionally occur, although they are
extremely rare, in which the state of mere vascularity alone subsists
without the formation of any inflammatory product that can be
discovered.
From the study of the history of these same cases we further see that
the indications of this inflammatory state of the brain and spinal cord
or of their membranes are as uniform as the existence of the state
itself; that certain symptoms invariably accompany it; that these
symptoms not only declare with absolute certainty that this process is
going on, but likewise, in general, clearly mark its progress; and that
this series of symptoms and the place in which each stands in the series
is as follows: namely,
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