Whatever may be thought of the superior power of the theory of Brown,
the pupil and rival of Cullen, to explain the general phenomena of the
living body, whether in a state of health or of disease, the doctrine of
the pupil relative to fever, differs in no essential respect from that
of the master. Like his predecessor, Brown attributes all fevers to
debility; and affirms that the distinctions which physicians have made
about the differences of fever are without foundation; that they are all
the same, differing only in degree; that the debility during the cold
stage is the greatest; that of the hot less; that of the sweating stage
which ends in health for the time, is the least of all: hence in a mild
degree of the disease, as cold is the most hurtful power, its effect is
gradually taken off by the agreeable heat of the bed or of the sun, and
the strength thereby gradually drawn forth; that the heart and arteries
gradually excited by the heat acquire vigour, and at last having their
perspiratory terminations excited by the same stimulus, the most hurtful
symptom is thereby removed, the hot fit produced, and afterwards the
same process carried on to the breaking out of sweat; that the cause of
all these diseases, from the simplest and mildest intermittent to the
gaol fever and the plague is the same with that of diseases not febrile,
to wit debility; differing only in this, that it is the greatest
debility compatible with life, and not long compatible with it.
This very year, from Dublin, from the largest hospital for the reception
of fever in the British Empire, precisely the same doctrine has been put
forth. “Common epidemic fever,” says Dr. Stoker,[4] “especially when
contagious, as I have frequently asserted when speaking of its pathology
and treatment, has not appeared to me at any time to be essentially
inflammatory. Adynamic fever, a denomination for typhus fever, which I
shall employ, as I have hitherto done to express the putrid or malignant
fever of Sydenham; the slow nervous fever of Huxham; the nervous fever
of common language; the synochus, typhus mitior, and gravior of Cullen;
the gaol and hospital fever; the _fièvres essentielles_ of the French;
the epidemic of the Irish writers; the contagious of Bateman; the typhus
of Dr. Armstrong; and the proper idiopathic, or essential fever of Dr.
Clutterbuck: whether it exists separately or independently; or is
combined with any of the other forms of febrile disease, sporadic or
symptomatic.”[5] “Typhoid or adynamic fever I consider to be generally
symptomatic of morbid changes in the physical characters of the blood,
and have, as on former occasions, stated what those morbid changes
are—but I have arranged inflammation under the head of symptomatic
fever, merely because it is more usually connected with some change in
the structure of parts, discoverable after death: on the other hand,
typhus fever is connected with morbid changes, that _primarily_ take
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