In the mean time, it is of some importance to bear in mind the true
place which the results of such experiments, be those results what they
may, and be they established with all the clearness and certainty that
can be desired, must always hold. Changes in the fluids can only be
second in the series of morbid events; they can never hold the first
place in that series; they can never be primary antecedents or first
causes, but merely sequents or effects. To assign the reason of what
must be so obvious to every one who is acquainted with the elements of
physiology, would be entirely out of place here, because it would
suppose the reader to be wholly ignorant of the functions of the animal
economy. Our knowledge of the pathology of fever can never be complete,
until we know the morbid changes that take place in the fluids as
perfectly as we are acquainted with the alterations of structure that
are produced in the solids, and we ought, therefore, to spare no labour
to render our knowledge of the former as exact and certain as it is of
the latter. But, as far as we can at present see, when this is
accomplished, we shall have acquired little that is of practical
utility. There is but slight, if there be any ground to hope that, when
the humoral pathology shall have arrived at the greatest possible degree
of perfection, it will furnish us with any additional means of
preventing, curing, or even mitigating the severity of the disease. With
that disorder of the system over which we have some control, with those
morbid actions which we possess some means of subduing or changing, we
are already well acquainted. In our knowledge of the invariable tendency
there is to the production of certain changes in the structure of
certain organs; in our knowledge of the vascular action by which those
alterations are effected, we may be said, in a practical point of view,
to be already in possession of the most important part of knowledge
which we can ever hope to acquire, unless, indeed, we may indulge the
expectation, of which it would be truly melancholy to be deprived, that
we may discover a more sure and effectual mode of preventing these
organic changes, or of restoring to a sound state the organs that may
become diseased. It is this part of the pathology of fever alone that
can afford a clear and steady light to conduct us to the safe and
effectual treatment of the malady. Every step we take without this
invaluable guide must be taken in the dark, and will be, therefore, not
only likely to be false, but very likely to be fatal. When, on the
contrary, we undertake the management of fever under the direction of
this faithful guide, in every measure we venture to adopt we, at least,
know at what we aim: we propose to ourselves a definite object which we
endeavour to accomplish by an instrumentality with the powers of which
we are in some degree acquainted: we may not succeed, but we fail
because we want the means to do what we clearly see requires to be done:
Public-domain text, read in full here on John Shaqi.
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