Now the peculiarity in these cases is, that the internal organs, after
death, exhibit no signs of inflammation, unless vascularity be
inflammation. The organs which, in ordinary cases, are inflamed, are in
these cases turgid with blood. Are the terms debility or adynamia
appropriate expressions to designate even this condition of the organs?
Just as appropriate as they would be to express the condition of a
person who is struck dead by lightning, whose muscles are incapable of
contraction, and whose blood will not coagulate. Those who apply these
terms even to such forms, and, _à fortiori_, to any other forms of
fever, must be ignorant either of the nature of the disease, or of the
constitution of the human mind. If they know the disease, they know that
the patient appears to be weak because the primary operation of the
disease is upon the nervous system—an operation which, as has just been
stated, while it disturbs that due and equal distribution of nervous
influence which is necessary to the healthful action of the organs, and,
therefore, to the general strength of the system, is not incompatible
with, but promotive of an excitement of the vascular system, which
terminates in inflammation. Debility is the last, the ultimate result of
the disturbance of the functions of a certain series of organs, but part
of this very disturbance of function, and a most important part, a part
which exerts the greatest influence over the progress of the disease and
the life or death of the patient, consists not in the weakened, but in
the augmented strength and the increased activity of the vascular
system. To designate the ultimate result upon the system by a term which
gives an entirely false view of the individual processes in the economy,
by which that ultimate result is produced, must, we repeat, arise either
from an ignorance of the true nature of those processes, or from not
reflecting on the influence which words exert over the manner in which
the human mind conceives of things. For the sake of the progress of the
science of medicine, for the sake of rendering the language of medicine
the correct expression of the knowledge which the science has actually
attained, and, above all, for the sake of accomplishing the great object
of medicine, the preservation of human life, it is high time that these
terms with which physicians have so long allowed their minds to be
abused, should be banished from medical nomenclature, or, at any rate,
from that part of its nomenclature which appertains to fever.
II. PATHOLOGY OF THE FLUIDS IN FEVER.
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